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Overview

Hysterectomy - Treatment, Procedure And Side Effects

What is the treatment?

The word 'Hysterectomy' is derived from its Greek root 'Hysteria' which means the womb and 'Ektomia' implying to cut out of. A Hysterectomy surgery concerns the surgical removal of a woman's uterus. It can also mean the surgical removal of the uterus, ovaries and the cervix. So technically, a Hysterectomy surgery means that the woman can never be a biological mother again.

This type of a surgery, which is one of the most common gynaecological procedures performed, does become important in certain scenarios. It can either be a total (removal of the uterus along with the cervix) or a partial (removal of the uterus but not the cervix).

A Hysterectomy surgery can be carried out for the following reasons: uterine fibroids (the common non-cancerous growths on the uterus muscles), uterine prolapse (a benign condition wherein the uterus drops into the vagina from its usual spot), endometriosis (a condition characterized by the growth of the uterus lining tissues outside the uterus), cancer and hyperplasia ( thickening of the uterus lining resulting in bleeding).

Other reasons include pelvic pain that is chronic, chronic PID (Pelvic Inflammatory Disease) and heavy, persistent bleeding.

How is the treatment done?

A Hysterectomy Surgery usually takes about two hours at the maximum. General anesthesia is administered after which, an IV catheter will be inserted to supply medications and other fluids.

The process of hysterectomy depends on the type of the surgery. In the case of abdominal hysterectomy, first, an incision (either transverse or vertical) of about 7 inches is made in the lower abdomen. The supportive tissues and the blood vessels around the uterus are excised and then the uterus is taken out through the incision. Finally, the incision is closed. A major advantage of this type is that hysterectomy can be performed even if there is scarring or presence of large fibroids. In the case of vaginal hysterectomy, an incision is made around the top of the woman's vagina. After the ligaments, fallopian tubes and the blood vessels are cut off, the uterus is taken out through the vagina. The advantage here is that scarring is minimal with almost no operative pain. The patient can resume normal activities within a month. However, the chances of complications are more in the case of a vaginal hysterectomy. In the case of Laparoscopically assisted vaginal Hysterectomy, the same procedure is followed with a laparoscope assisting the doctor.

Who is eligible for the treatment? (When is the treatment done?)

The Hysterectomy surgery is opted for only if other methods haven't been able to provide results. The most common eligibility criteria include:

  • Heavy periods: Often caused by the presence of fibroids, heavy periods can pose other problems such as menstrual cramps, irritability and nausea.
  • Uterine prolapse: This is characterized by the uterus dropping into the vagina as a result of the weakening of the supportive ligaments and tissues.
  • Pelvic pain: This can be because of endometriosis, adenomyosis, incomplete treatment of PIDs and/or fibroids.
  • Cervical or ovarian cancer

Who is not eligible for the treatment?

There are no non-eligibility criteria as such, however:

  • The woman should talk it out with the doctor regarding her sex life post hysterectomy as a woman's libido could take a beating and also suffer from sexual dysfunction.
  • Also, if the woman is running a temperature, the surgery should not be carried out.

Are there any side effects?

The possible side effects include:

  • Damage to the surrounding organs
  • Problems related to anesthesia, such as heart or breathing problems
  • Formation of blood clots in the lungs or legs
  • Heavy bleeding
  • Infections
  • Premature menopause in case the ovaries have been removed as well
  • Pain during engaging in sexual intercourse

What are the post-treatment guidelines?

The basic post-operative guidelines are:

  • The woman should avoid lifting any heavy weight post surgery.
  • The woman must also avoid bathing in tubs for a period of about 5-6 weeks post surgery.

How long does it take to recover?

For an abdominal hysterectomy, complete recovery can take about a month to 8 weeks. However, for vaginal/laparoscopically assisted vaginal hysterectomies, the downtime is much shorter; about 1-2 weeks.

What is the price of the treatment in India?

The price of hysterectomy in India will range between Rs.1,82,000 to Rs.2,40,000.

Are the results of the treatment permanent?

Yes, a Hysterectomy surgery offers a permanent solution to the treatment of fibroids.

What are the alternatives to the treatment?

Some of the alternatives to Hysterectomy include embolization, endometrial ablation, and myomectomy.

Safety: Medium Effectiveness: High Timeliness: Medium Relative Risk: Medium Side Effects: Medium Recovery Time: Medium Price Range: Rs. 1,82,000 - Rs. 2,40,000

Popular Health Tips

8 Types Of Abdominal And Pelvic Surgical Incisions!

FIAGES, FMAS, MS - General Surgery
General Surgeon, Pune
8 Types Of Abdominal And Pelvic Surgical Incisions!

At the time of a surgical procedure, while making an incision a doctor has to take care of a number of factors before making an incision. Considering a number of factors, different types of incisions have come into fore, such as 

  1. Midline Incision: It’s the commonest incision and is done along the linea alba (fibrous structure running through the mid of the abdomen). These are preferred, especially in diagnostic laparotomy as it permits a wide access to the abdomen.
  2. Pfannenstiel Incision: It is transverse in nature, extending from the umbilicus to the pubic-symphysis. It is generally employed for abdominal hysterectomy of benign nature and caesarean section.
  3. Chevron Incision: It is an incision under the rib-cage and is done on the abdomen. It starts from beneath the ribs on the right abdomen and extends till the other mid axillary line. Thus, the entire abdominal width is incised for proper reach into the liver. The incision can be up to 2 feet.
  4. Kustner Incision: It is transverse in nature and extends from the symphysis pubis till the iliac spine (anterior). This type of incision takes time to perform. A Pfannenstiel incision offers more exposure than a Kustner incision.
  5. Lanz Incision: It is a variation of the more common mcburney-incision (also known as Gridiron’s incision). It is generally used for open appendectomies. There are quite a few variations for this type of an incision.
  6. Gridiron’s incision: It is done for appendectomies. It is an oblique short incision which is done in the lower right quadrant in the abdomen.
  7. Kocher’s Incision: It is oblique in nature, extending from the abdominal upper right quadrant and is generally used for performing an open cholecystectomy. Gallbladder, biliary tract and certain liver operations can be suited for a Kocher’s incision. This however is different from the same named incision used for the thyroid gland surgery.
  8. Cherney Incision: It is transverse in nature. It allows a great range of exposure for the pelvic sidewall. It is less painful than a midline incision. It allows for the greatest pelvic exposure and hence is a widely preferred and practiced incision.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2989 people found this helpful

Dysfunctional Uterine Bleeding - How To Deal With It?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Mumbai
Dysfunctional Uterine Bleeding - How To Deal With It?

As a woman goes through life, her hormonal levels change quite dramatically and this can be quite impactful. However, sometimes the impact is not a good one! This can be said to be the cause when it comes to dysfunctional uterine bleeding. This sort of bleeding occurs when the levels the hormones are at cause the menstrual cycle of the woman to become erratic.

Understanding the Diagnosis
When it comes to the diagnosis of an issue such as this, the process must include the ruling out of other more serious problems such as fibroids, a miscarriage, or even cancer which has affected the cervix or the uterus of the woman.

Treatment options
A doctor, post-ruling out these situations, will inform the patient, if dysfunctional uterine bleeding is what is being experienced. When it comes to the matter of how dysfunctional uterine bleeding is to be dealt with, it can be said that the best thing which is to be done is to sit down with the doctor and have a comprehensive chat with respect to what the solutions which are available at hand are.

  1. One of these solutions happens to be hormone treatment. However, it is to be kept in mind that this is usually only made use of in order to stop dysfunctional uterine bleeding which is very severe.
  2. If the woman is not experiencing bleeding which is this bad, a good solution could be non-steroidal anti-inflammatory drugs, which are also known by their abbreviation, which is NSAIDs. Drugs such as ibuprofen are used quite widely when it comes to treating the issue of dysfunctional uterine bleeding. That being said, the matter of the best solution is something which is very subjective and the best judge of the same is only the doctor who has been apprised of all the facts which pertain to the case at hand.
  3. It is only in extreme cases that the uterus as a whole is removed, a process which goes by the name of hysterectomy. This sort of solution is only recommended when a woman does not wish to have any more children.
  4. If a woman who has been experiencing the problem of dysfunctional uterine bleeding is aged between the years of 19 and 39, a good and apt solution would be a combination of low dose hormonal contraceptive treatment along with progestin therapy.

A dysfunctional uterine bleeding is something which can mar a woman’s daily life, but it really needs not be the case!

In case you have a concern or query you can always consult an expert & get answers to your questions!

2553 people found this helpful

Hysterectomy- Top 10 Interesting Facts You Must Know!

MBBS, MS - Obstetrics & Gynaecology
Gynaecologist, Ahmedabad
Hysterectomy- Top 10 Interesting Facts You Must Know!

Hysterectomy is a procedure that is used to treat a wide variety of conditions. A partial hysterectomy is performed for the removal of the uterus whereas a myomectomy is performed for the removal of the fibroids. A complete hysterectomy is performed in order to remove the uterus and the cervix. With hysterectomy, there comes some critical and sensitive topic that needs to be discussed with the surgeon. Here is a list of top 10 things that need to be known about hysterectomy:

  1. The sex life concern: Unlike common apprehension, hysterectomy doesn’t necessarily mean the end of sex life. In the worst case scenario where the cervix is removed, it takes around 6 weeks before one can resume the sex life.
  2. Hysterectomy can’t cure endometriosis: Endometriosis is a condition that is characterised by menstrual cramp, painful intercourse and chronic pain. Hysterectomy is not the first line of treatment for a condition like this. If any doctor has suggested it, it makes sense to take a second opinion.
  3. Hysterectomy doesn’t mean menopause: This procedure doesn’t mean a menopause or an inability to get pregnant. There are certain other misconceptions such as getting night sweats, hot flashes and menstrual cramp etc. On the contrary, a well-performed procedure will ensure that a person doesn’t feel a thing after the surgery.
  4. The loss in ovaries: Depending on the condition of a patient, a doctor might remove the fallopian tube, uterus and ovaries. It necessarily means a sudden loss of oestrogen and progesterone hormone abruptly. Both this hormone are critical for bone and sexual health. It might also lead to menopause, decreased urge in sex and hot flashes during the night. It is therefore very important to discuss each and every aspect of the procedure before the surgery begins.
  5. Hormonal therapy: Since the removal of ovaries is likely to cause physical discomfort to the body, hormonal therapy can come to the rescue of an individual. Hormonal therapy can curtail the risk of blood clot formation, heart diseases, stroke etc.
  6. Explore other non-surgical options: Hysterectomy is not the last word for any uterus or ovary related problems. The goal is to keep the uterus intact. There are certain less evasive procedures to save ovaries and uterus. This is where multiple opinions come handy.
  7. Less invasive options: There exist less invasive surgeries for treatment related to uterus and ovaries. For instance, a robotic hysterectomy causes far less pain as compared to traditional procedure. It also ensures less loss of blood from the system resulting in less weakness.
  8. The morcellation technique: In case a uterus has to be removed, doctors these days use a process known as morcellation. The latter involves making small cuts into various places of the uterus in order to bring it out. The false apprehension of this process causing cancer cells in the body is not true. Only if a patient is suffering from a particular kind of cancer, it might spread to other parts of the body. A doctor has to be consulted to assure such a thing doesn’t happen.
  9. Cancer apprehension: For people facing a gene defect such as BRAC1 and BRAC2 hysterectomy can reduce the chance of ovarian cancer by a good 80 percent.
  10. Physiological healing post hysterectomy: Although physical healing takes no more than 6 weeks after the procedure, the emotional healing might take some time. It makes sense to seek professional help for postoperative depression. In case you have a concern or query you can always consult an expert & get answers to your questions!
4582 people found this helpful

Hysterectomy - 10 Things You All Must be Aware Of!

M.R.C.O.G, MBBS Bachelor of Medicine and Bachelor of Surgery
Gynaecologist, Varanasi
Hysterectomy - 10 Things You All Must be Aware Of!

Hysterectomy is a procedure that is used to treat a wide variety of conditions. A partial hysterectomy is performed for the removal of the uterus whereas a myomectomy is performed for the removal of the fibroids. A complete hysterectomy is performed in order to remove the uterus and the cervix. With hysterectomy, there comes some critical and sensitive topic that needs to be discussed with the surgeon. Here is a list of top 10 things that need to be known about hysterectomy:

  1. The sex life concern: Unlike common apprehension, hysterectomy doesn’t necessarily mean the end of sex life. In the worst case scenario where the cervix is removed, it takes around 6 weeks before one can resume the sex life.
  2. Hysterectomy can’t cure endometriosis: Endometriosis is a condition that is characterised by menstrual cramp, painful intercourse and chronic pain. Hysterectomy is not the first line of treatment for a condition like this. If any doctor has suggested it, it makes sense to take a second opinion.
  3. Hysterectomy doesn’t mean menopause: This procedure doesn’t mean a menopause or an inability to get pregnant. There are certain other misconceptions such as getting night sweats, hot flashes and menstrual cramp etc. On the contrary, a well-performed procedure will ensure that a person doesn’t feel a thing after the surgery.
  4. The loss in ovaries: Depending on the condition of a patient, a doctor might remove the fallopian tube, uterus and ovaries. It necessarily means a sudden loss of oestrogen and progesterone hormone abruptly. Both this hormone are critical for bone and sexual health. It might also lead to menopause, decreased urge in sex and hot flashes during the night. It is therefore very important to discuss each and every aspect of the procedure before the surgery begins.
  5. Hormonal therapy: Since the removal of ovaries is likely to cause physical discomfort to the body, hormonal therapy can come to the rescue of an individual. Hormonal therapy can curtail the risk of blood clot formation, heart diseases, stroke etc.
  6. Explore other non-surgical options: Hysterectomy is not the last word for any uterus or ovary related problems. The goal is to keep the uterus intact. There are certain less evasive procedures to save ovaries and uterus. This is where multiple opinions come handy.
  7. Less invasive options: There exist less invasive surgeries for treatment related to uterus and ovaries. For instance, a robotic hysterectomy causes far less pain as compared to traditional procedure. It also ensures less loss of blood from the system resulting in less weakness.
  8. The morcellation technique: In case a uterus has to be removed, doctors these days use a process known as morcellation. The latter involves making small cuts into various places of the uterus in order to bring it out. The false apprehension of this process causing cancer cells in the body is not true. Only if a patient is suffering from a particular kind of cancer, it might spread to other parts of the body. A doctor has to be consulted to assure such a thing doesn’t happen.
  9. Cancer apprehension: For people facing a gene defect such as BRAC1 and BRAC2 hysterectomy can reduce the chance of ovarian cancer by a good 80 percent.
  10. Physiological healing post hysterectomy: Although physical healing takes no more than 6 weeks after the procedure, the emotional healing might take some time. It makes sense to seek professional help for postoperative depression.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2571 people found this helpful

Hysterectomy - 10 Facts You Must Be Aware Of!

MS, MBBS
Gynaecologist, Delhi
Hysterectomy - 10 Facts You Must Be Aware Of!

Hysterectomy is a procedure that is used to treat a wide variety of conditions. A partial hysterectomy is performed for the removal of the uterus whereas a myomectomy is performed for the removal of the fibroids. A complete hysterectomy is performed in order to remove the uterus and the cervix. With hysterectomy, there comes some critical and sensitive topic that needs to be discussed with the surgeon. Here is a list of top 10 things that need to be known about hysterectomy:

  1. The sex life concern: Unlike common apprehension, hysterectomy doesn’t necessarily mean the end of sex life. In the worst case scenario where the cervix is removed, it takes around 6 weeks before one can resume the sex life.
  2. Hysterectomy can’t cure endometriosis: Endometriosis is a condition that is characterised by menstrual cramp, painful intercourse and chronic pain. Hysterectomy is not the first line of treatment for a condition like this. If any doctor has suggested it, it makes sense to take a second opinion.
  3. Hysterectomy doesn’t mean menopause: This procedure doesn’t mean a menopause or an inability to get pregnant. There are certain other misconceptions such as getting night sweats, hot flashes and menstrual cramp etc. On the contrary, a well-performed procedure will ensure that a person doesn’t feel a thing after the surgery.
  4. The loss in ovaries: Depending on the condition of a patient, a doctor might remove the fallopian tube, uterus and ovaries. It necessarily means a sudden loss of oestrogen and progesterone hormone abruptly. Both this hormone are critical for bone and sexual health. It might also lead to menopause, decreased urge in sex and hot flashes during the night. It is therefore very important to discuss each and every aspect of the procedure before the surgery begins.
  5. Hormonal therapy: Since the removal of ovaries is likely to cause physical discomfort to the body, hormonal therapy can come to the rescue of an individual. Hormonal therapy can curtail the risk of blood clot formation, heart diseases, stroke etc.
  6. Explore other non-surgical options: Hysterectomy is not the last word for any uterus or ovary related problems. The goal is to keep the uterus intact. There are certain less evasive procedures to save ovaries and uterus. This is where multiple opinions come handy.
  7. Less invasive options: There exist less invasive surgeries for treatment related to uterus and ovaries. For instance, a robotic hysterectomy causes far less pain as compared to traditional procedure. It also ensures less loss of blood from the system resulting in less weakness.
  8. The morcellation technique: In case a uterus has to be removed, doctors these days use a process known as morcellation. The latter involves making small cuts into various places of the uterus in order to bring it out. The false apprehension of this process causing cancer cells in the body is not true. Only if a patient is suffering from a particular kind of cancer, it might spread to other parts of the body. A doctor has to be consulted to assure such a thing doesn’t happen.
  9. Cancer apprehension: For people facing a gene defect such as BRAC1 and BRAC2 hysterectomy can reduce the chance of ovarian cancer by a good 80 percent.
  10. Physiological healing post hysterectomy: Although physical healing takes no more than 6 weeks after the procedure, the emotional healing might take some time. It makes sense to seek professional help for postoperative depression.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3789 people found this helpful

Popular Questions & Answers

Hi, After having complete hysterectomy I have been taking Macalvit500 mg daily. Is it safe to take daily and is there any safe alternative? I'm also suffering weight gain and severe hair loss and hair thinning after the surgery what is the remedy?

MD - Homeopathy, BHMS
Homeopath, Kolkata
A. Macalvit 500 mg contains Calcium 500 mg and Vitamin D3 250 IU. How long you should continue this medicine depends on the level of your blood Vit D3 (250H) and Calcium level in your blood. So continue it as per the direction of the physician who prescribed this medicine. It is safe so long it will not produce hypervitaminosis. The alternative to Vitamin D is exposure to Sun light. The natural ways of increasing VitD are as follows: 1.Get the right amount of sunlight: Twenty minutes of good exposure to sun between 10 am-3 pm, two to three times a week, with bare arms and face, is usually enough to achieve healthy vitamin D levels throughout the year. Excessive exposure to sunlight dose not lead to vitamin D toxicity. 2. Consume foods rich in vitamin D and calcium. Include foods like salmon, sardines, eggs and meat, breakfast cereals, soy products, dairy products and low-fat spreads in your diet. The right diet and outdoor activity would help you regain the Vitamin D levels in your body. 3.Overcome obesity - Work out, burn those fat cells that absorb the Vitamin and let your body regain the sunny effect. 4.Avoid using sunscreen lotions B. Regarding your weight gain and hair problems, consult homoeopathic physician. Nothing to be worried. Homoeopathic treatment by a competent physician will solve your problems
1 person found this helpful

I had hysterectomy in 2011 now often I feel very hot flushes in my face neck and back. I took estrogens medicine for one month. But after few days it starts again. How can I get relief with or without medicine.

MS - Obstetrics and Gynaecology
Gynaecologist, Delhi
You are having menopausal symptoms ,which are due to decreased level of oestrogen in menopause. Before starting oestrogen replacement therapy you have to undergo a few tests like lipid profile, coagulation profile, mammography and ECG. If these tests are normal then hormonal replacement therapy is advised. For the time being you can take cam menopace ISO daily.
1 person found this helpful

Homeopathy FERRODONA Drops (ADEL 14 Drops) can be taken before abdominal hysterectomy surgery (after 6 days) now hb level is 10. How many times and what time? If yes, will it have impact in blood loss during open surgery? How much hb it can increase in a day? Safe Dosage?

MBBS
General Physician, Mumbai
Medication needs to be prescribed after clinical examination and as of now it seems you are being operated and hence follow your doctor advice and never mix homeopathy drugs with allopathic medication

I am obese. I don't eat too much. I avoid fried food. I don't eat too much sweet. I am on blood pressure medication. I have had a hysterectomy. I want to lose weight and reduce my BP and stay healthy.

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai
You need to take high fiber low fat diet. Drink lot of water everyday. Take small and frequent meals at regular intervals of 2-3 hrs. Avoid outside food completely. Ask me privately for customized diet plan for you.
2 people found this helpful

How to have better sex after total hysterectomy? Ovaries also removed. Vagina is not getting even after foreplay. Kindly advise me.

MD - Psychiatry
Psychiatrist, Chennai
You can use lubricants to get vagina ready for sex. There are many available in market. All the best

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Having issues? Consult a doctor for medical advice