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Hysterectomy Tips

Hysterectomy - Know Ayurveda Role In It!

BAMS, MD - Ayurveda
Ayurveda, Hyderabad
Hysterectomy - Know Ayurveda Role In It!

A surgical procedure in which a woman's uterus is removed is referred to as a hysterectomy.

The need for this operation can arise due to various reasons, which include:

1. Development of uterine fibroids that are painful and accompanied by bleeding and other associated symptoms
2. Uterine prolapse, which is characterised by a shifting of the position of the uterus wherein it enters the vaginal canal
3. Ovarian cancer, cervical cancer or endometrial cancer
4. Vaginal bleeding that cannot be characterised as normal
5. Endometriosis
6. Development of a condition in which the uterus thickens known as adenomyosis; and 
7. Chronic pain in the pelvic region

In Ayurveda, the uterus is associated with the Pitta dosha (fire element), and is considered to be a storehouse of metabolic fire. In fact, this is the reason why after a hysterectomy is performed, a woman generally loses the zest for life along with her creativity and feels demotivated, depressed, sentimental or lethargic. But Ayurveda can help in regaining your vitality post hysterectomy. Here's how:

The role of Ayurveda in hysterectomy

In Ayurveda, the greatest healer of hysterectomy is the herb Shatavari (asparagus racemosus). This herb is known to balance out the Pitta Dosha, which is associated with the uterus. Not only that, this herb, whose name roughly means "a woman who has a 100 husbands," is extremely vital in reducing stress and in increasing Ojas (or vitality). It also helps in building stamina and increasing strength post-surgery, while helping in maintaining a normal hormonal balance. A woman will also experience an increase in her Sattva (or positivity) with the help of this herb. 

However, just after surgery, a woman is advised to have arjuna and turmeric as they are enriched with healing properties. A combination of other herbs along with Shatavari can help in calming the mind and keeping fluctuating emotions in check. These other herbs include saffron, aloe vera, calamus, gotu kola, bhringraj, and brahmi rasayana or jatamansi.

बच्चेदानी का ऑपरेशन - Bachhedani Ka Operation!

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lakhimpur Kheri
बच्चेदानी का ऑपरेशन - Bachhedani Ka Operation!

कई बार ऐसी प्रतिकूल परिस्थिति आते हैं जब बच्चेदानी का ऑपरेशन करके इसे शरीर से निकालना पड़ता है. हालांकि किसी भी महिला के लिए मातृत्व सुख जीवन का सबसे सुखद अनुभव होता है और इसके लिए प्रकृति द्वारा भ्रूण के विकास के लिए बच्चेदानी दिया गया है जिसे गर्भाशय या यूटेरस (uterus) भी कहते हैं. कई बार कुछ कारणों से कुछ ऐसी समस्या होती उत्पन्न है जो दवाई से ठीक नहीं होती है एवम गर्भाशय को निकालना ही आखिरी विकल्प रह जाता है तब ऐसी स्थिति में ऑपरेशन करके बच्चेदानी को शरीर से अलग कर निकाल दिया जाता है. गर्भाशय को शरीर से अलग कर बाहर करने के इस क्रिया को गर्भाशय का ऑपरेशन या हिस्टेरेक्टोमी (hysterectomy) कहते हैं. आइये गर्भाशय के ऑपरेशन से जुड़े कुछ महत्वपूर्ण बातों पर चर्चा करते हैं.

बच्चेदानी के ऑपरेशन के कारण-
कई बार मासिक धर्म (माहवारी) से संबंधित या अन्य कारणो से रक्तस्राव ज्यादा होने लगता है जो दवाई से भी नहीं रुकता है तब ऐसी अवस्था में गर्भाशय निकालने की जरूरत पड़ जाती है. पेडू में पुराना दर्द जिसका कारण गर्भाशय के संक्रमण हो सकता है, इस स्थिति में भी गर्भाशय के ऑपरेशन की जरूरत पड़ सकती है. गर्भाशय के मुंह पर या गर्भाशय से जुड़ा कैंसर में गर्भाशय को ऑपरेशन के द्वारा शरीर से बाहर निकालना पड़ता है. कभी-कभी गर्भाशय योनि मार्ग से नीचे उतर जाता है तो इस स्थिति में गर्भाशय को ऑपरेशन द्वारा हटा दिया जाता है. कभी-कभी प्रसव के बाद का रक्तस्राव बंद नहीं होता है तब गर्भाशय को हटाना पड़ता है.


गर्भाशय के ऑपरेशन यानि हिस्टेरेक्टोमी के प्रकार-

  1. एब्डोमीनल हिस्टेरेक्टोमी (Abdominal Hysterectomy): - इस प्रकार के ऑपरेशन में पेट के नीचे 5 इंच लंबा चीरा लगाया जाता है. फिर पेट की मांसपेशियों, रक्त वाहिकाओं व अन्य अंग को ध्यान से हटाकर गर्भाशय को अपनी जगह पर रखने वाले लिंगामेंट्स को काटकर गर्भाशय को अलग किया जाता है. फिर मांसपेशियों व अन्य अंगों को पहले की तरह लगाकर चीरा को सर्जिकल धागे से टाँक दिया जाता है.
  2. वेजाइनल हिस्टेरेक्टोमी (Vaginal Hysterectomy): - इस ऑपरेशन में पेट में कोई सर्जिकल चीरा नहीं काटा जाता जाता है बल्कि योनि के माध्यम से सर्जिकल उपकरण को अंदर डाला जाता है. फिर गर्भाशय को हटाकर योनि छिद्र के माध्यम से ही बाहर निकाला जाता है.
  3. लैप्रोस्कोपिक हिस्टेरेक्टोमी (Laparoscopic Hysterectomy): - इस ऑपरेशन में पेट के त्वचा पर कई छोटे-छोटे चीरे काटे जाते हैं. इन्हीं चीरा के माध्यम से सर्जिकल उपकरण अंदर डाला जाता है व इन्हीं में से एक चीरा से लचीली ट्यूब से जुड़ा एक विडियो कैमरा (Laparoscope) डाला जाता है.

गर्भाशय के ऑपरेशन के स्थिति में ध्यान देने योग्य जरूरी बातें- 

गर्भाशय के ऑपरेशन के नौबत आने पर यह अच्छी तरह देख लेना चाहिए कि संबंधित समस्या दवाई या अन्य उपचार से ठीक हो सकता है या नहीं. यदि समस्या दवाई या अन्य उपचार से ठीक न होने वाला हो व ऑपरेशन करना या गर्भाशय निकालना अंतिम उपाय बचे तब ही ऑपरेशन कराना चाहिए. गर्भाशय के धमनियों को सोनोग्राफी तकनीक से या लैप्रोस्कोपी तकनीक से बांधा जा सकता है जिससे रक्तस्राव बंद हो सकता है और गर्भाशय बाहर निकालने से बचा जा सकता है. इसके अलावा गर्भाशय के अंदर गरम पानी के गुब्बारा रखकर अंदरूनी परत नष्ट किया जा सकता है जिससे रक्तस्राव बंद हो जाता है. लैप्रोस्कोपी तकनीक से गर्भाशय का गाँठ भी निकाला जा सकता है. इस प्रकार वैकल्पिक उपचार पर विचार कर लेना चाहिए व अंतिम स्थिति में ही गर्भाशय निकालने का फैसला करना चाहिए. इस संदर्भ में अपने चिकित्सक से विचार कर लेना चाहिए. गर्भाशय निकालने के दौरान अंडाशय या अन्य अंग निकालने की जरूरत हो तब ही उसे निकालना चाहिए. ऐसा नहीं कि अंडाशय या बीजांड स्वस्थ हो और उसे भी गर्भाशय के साथ निकलवा लिया जाये. क्योंकि अंडाशय के निकाले जाने पर बाद में हार्मोन संबंधी या अन्य समस्या आ सकती है. इस संबंध में अपने डॉक्टर से अच्छी तरह विचार कर लेना चाहिए.


गर्भाशय के ऑपरेशन के बाद भविष्य में होने वाले दुष्परिणाम-

गर्भाशय के ऑपरेशन के माध्यम से जब गर्भाशय निकालकर बाहर कर दिया जाता है तब कई बार भविष्य में कई दुष्परिणाम भी देखने को मिलते हैं. यदि पेट में चीरा लगाकर ऑपरेशन किया गया हो तो कई बार उस हिस्से में पेट दर्द की शिकायत आने लगती है. ऑपरेशन से यदि संक्रमण हो जाती है तो उस संक्रमण के कारण पेडू में दर्द हो सकता है. यदि ऐसा होता है तो इसका उचित इलाज कराना चाहिए. कई बार ऑपरेशन में दोनों अंडाशय निकाल निकाल दिये जाते हैं. चूँकि अंडाशय एस्ट्रोजन एवं प्रोजेस्ट्रोन नामक हार्मोन्स का उत्पादन करता है अतः अंडाशय निकाल दिये जाने पर शरीर में इन हार्मोन्स का स्तर घट जाता है जिस कारण शरीर में अन्य कई प्रकार के समस्या आने लगती है. ऐसी स्थिति होने पर हार्मोन प्रतिस्थापन चिकित्सा से इसका उपचार किया जाता है. कई महिलाएँ ऑपरेशन के बाद डिप्रेशन का शिकार भी हो जाती है. गर्भाशय निकाल दिये जाने के बाद महिला प्राकृतिक रूप से गर्भ धारण नहीं कर सकती हैं. अतः तब तक गर्भाशय नहीं निकाला जाना चाहिए जब तक कि संबंधित समस्या के इलाज के लिए अन्य विकल्प मौजूद हों. यदि इलाज का अन्य कोई विकल्प न बचे तब ही गर्भाशय निकाला जाना चाहिए.

What Is Hysterectomy?

MBBS, Certified IVF Specialist, MD - Obstetrtics & Gynaecology
Gynaecologist, Chandigarh
What Is Hysterectomy?

The removal of the uterus is known as a hysterectomy. This is a fairly common procedure and may or may not include the removal of the ovaries as well. A hysterectomy may be partial or complete and can be performed abdominally, vaginally or laparoscopically. A partial hysterectomy includes only the removal of the uterus and leaves the cervix in its place. A complete hysterectomy removes both the uterus and the cervix.

There are many reasons for women to undergo a hysterectomy. Treatment of uterine fibroids, endometriosis, uterine prolapsed and cancerous growths are the most common amongst these. There are alternatives to a hysterectomy in most cases and hence, a woman should know all the details about her case before undergoing such a surgery. The only case where hysterectomy is the only solution is in the case of cancerous growths.

The uterus does more than just act as a home for a growing fetus. Hence, the removal of a woman uterus can have a significant effect on her health.

Inability to bear children
For a woman in her thirties, the inability to bear children is the biggest effect of a hysterectomy. Some women may also experience a lowered libido. This is seen mostly in cases where the ovaries are removed along with the uterus. Some women may also face difficulties achieving an orgasm.

Anatomical changes
When the uterus is removed the spine compresses and makes the rib cage move downwards. This makes the hip bones move outwards and widen. As a result the anatomy of a woman changes to give her a wider waist and protruding belly. She may also lose a little height. Vaginal dryness is another physiological change that is triggered by a hysterectomy.

Surgical menopause
If the hysterectomy surgery includes the removal of ovaries, it is followed instantly by menopause. This is regardless of your age. If the ovaries are left intact, there is a risk of menopause occurring within the next five years. Some of the symptoms of menopause are:
A)Hot flushes
B)Depression
C)Insomnia
D)Fatigue
E)Irritability and
F)Vaginal dryness

Depression
Depression is a common side effect of a hysterectomy when it is performed on women in their thirties. The inability to bear children is partly responsible for this. This depression is usually temporary as long as the woman has a good support system in the form of friends and family. In some cases, this depression could also give rise to suicidal feelings.

4257 people found this helpful

Causes And Treatment Of Uterine Fibroids!

MBBS, Diploma in Obstetrics & Gynaecology
Gynaecologist, Delhi
Causes And Treatment Of Uterine Fibroids!

Uterine fibroids, also known as leiomyoma or myoma, are benign growths on the uterus, occurring mostly during the years of childbearing. Few of the common symptoms of fibroids are leg pain or backache, constipation, difficulty in emptying the bladder, frequent urination, pain or pressure in the pelvic region, menstrual periods stretching over a week and excessive menstrual bleeding.

Causes:

  1. Certain genetic changes of the uterus which are different from the ones normally present in the muscle cells of the uterus can cause this disorder.

  2. Certain hormones such as progesterone and estrogen that prepare the body for pregnancy are even responsible for triggering the development of fibroids.

  3. Substances which help the body maintain its tissues trigger fibroid growth as well.

  4. Family history, excessive consumption of alcohol and red meat while going low on foods such as dairy products, fruits, green vegetables and vitamin D, obesity, usage of birth control pills and early onset of the menstruation cycle are other factors that may escalate the risks of one suffering from fibroids.

Treatment:

  1. Be careful and take a closer look: Fibroids are fundamentally non-cancerous and they hardly interfere with pregnancy. Often, they do not exhibit notable symptoms and are prone to shrinkage after menopause. Hence giving them and yourself some time might be the best option.

  2. Medications generally aim at the hormones controlling the menstrual cycle and treating symptoms such as pelvic pressure and excessive menstrual bleeding. However, they do not treat fibroids completely but work towards contracting them. They include-

    • Gonadotropin-releasing hormone (Gn-RH) agonists to block estrogen and progesterone production

    • Progestin-releasing intrauterine device (IUD) to alleviate severe bleeding caused due to fibroids

    • Tranexamic acid to ease excessive menstrual periods

    • Progestins or oral contraceptives to regulate menstrual bleeding

    • Nonsteroidal anti-inflammatory drugs (NSAIDs) to ease pain associated with fibroids

Surgeries to Treat Fibroids:

Depending on symptoms and whether medical therapy has failed, the patient may have to undergo surgery. The following surgical procedures may be considered:

  1. Hysterectomy: removing the uterus. This is only considered if the fibroids are very large, or if the patient is bleeding too much. Hysterectomies are sometimes an option to prevent fibroids coming back.

  2. Myomectomy: fibroids are surgically removed from the wall of the uterus. This option is more popular for women who want to get pregnant.

  3. Endometrial ablation: removing the lining of the uterus. This procedure may be used if the patient's fibroids are near the inner surface of the uterus; it is considered an effective alternative to a hysterectomy.

  4. UAE (Uterine artery embolization): this treatment cuts off the fibroid's blood supply, effectively shrinking the fibroid.

  5. Magnetic-resonance-guided focused ultrasound surgery: an MRI scan locates the fibroids, and sound waves are used to shrink the fibroids.

Latest Advancements:

Mifepristone: It, also known as RU-486, reduces heavy menstrual bleeding and imporves fibroid-specific quality of life. It competitively binds and inhibitsprogesterone receptors.

Ulipristal acetate: It is a progesterone receptor modulator that acts as a postcoital contraceptive. As progesterone promotes the growth of uterine fibroids, blocking its receptor may reduce their size.

3465 people found this helpful

Hysterectomy - Everything You Should Know About It!

MBBS, MS - Obstetrics and Gynaecology, MRCOG
Gynaecologist, Kolkata
Hysterectomy - Everything You Should Know About It!

A hysterectomy is a surgical procedure to remove a woman's uterus. The uterus, also known as the womb, is where a baby grows when a woman is pregnant. The uterine lining is the source of menstrual blood.
You may need a hysterectomy for many reasons. The surgery can be used to treat a number of conditions including certain types of cancer and infections.

A woman may have a hysterectomy for different reasons, including:

  1. Uterine fibroids that cause painbleeding, or other problems
  2. Uterine prolapse, which is a sliding of the uterus from its normal position into the vaginal canal
  3. Cancer of the uterus, cervix, or ovaries
  4. Endometriosis
  5. Abnormal uterine bleeding
  6. Chronic pelvic pain
  7. Adenomyosis, or a thickening of the uterus
  8. Hysterectomy for noncancerous reasons is usually considered only after all other treatment approaches have been tried without success.

Types of Hysterectomy: 
Depending on the reason for the hysterectomy, a surgeon may choose to remove all or only part of the uterus. Patients and health care providers sometimes use these terms inexactly, so it is important to clarify if the cervix and/or ovaries are removed:

In partial or supracervical hysterectomy, the upper portion of the uterus is removed, leaving the cervix intact.

Complete or total hysterectomy involves the removal of both the uterus and the cervix. This is the most common type of hysterectomy performed.

Hysterectomy with bilateral salpingo-oophorectomy is the removal of the uterus, cervix, fallopian tubes, and ovaries.

Radical hysterectomy is an extensive surgical procedure in which the uterus, cervix, ovaries, fallopian tubes, upper vagina, some surrounding tissue, and lymph nodes are removed.

Hysterectomy Surgical Procedures
Traditionally, hysterectomies have been performed using a technique known as total abdominal hysterectomy (TAH). However, in recent years, two less-invasive procedures have been developed: Vaginal hysterectomy and Laparoscopic hysterectomy:

  1. Total Abdominal Hysterectomy (TAH): In a total abdominal hysterectomy (TAH), the surgeon makes an incision approximately five inches long in the abdominal wall, cutting through skin and connective tissue to reach the uterus. This type of surgery is especially useful if there are large fibroids or if cancer is suspected. Disadvantages include more pain and a longer recovery time than other procedures, and a larger scar.
  2. Vaginal Hysterectomy: A vaginal hysterectomy is done through a small incision at the top of the vagina. Through the incision, the uterus (and cervix, if necessary) is separated from its connecting tissue and blood supply and removed through the vagina. This procedure is often used for conditions such as uterine prolapse. Vaginal hysterectomy heals faster than abdominal hysterectomy, results in less pain, and generally does not cause external scarring.
  3. Laparoscopic Hysterectomy: During a laparoscopic hysterectomy, your doctor uses a tiny instrument called a laparoscope. A laparoscope is a long, thin tube with a high-intensity light and a high-resolution camera at the front. The instrument is inserted through incisions in the abdomen. Three or four small incisions are made instead of one large incision. Its advantage is less bleeding, less pain, faster recovery and shorter hospital stay. Its technically advanced and demands a lot of skill on the part of the surgeon.

A hysterectomy is a major decision that you should take after careful consultation with your doctor. You should understand the reason for the operation, the benefits and risks and the alternatives to a hysterectomy.

2683 people found this helpful

What Are The Causes And Side Effects Of Hysterectomy Surgery?

MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Lucknow
What Are The Causes And Side Effects Of Hysterectomy Surgery?

What is a hysterectomy? This is a surgery that is used to remove the ovaries or even the uterus. This surgery is usually conducted in order to deal with the extreme conditions that may be caused by the severe onset of various conditions related to the reproductive system of women. Read on to find out why this surgery carried out and what are the after effects?

Causes: This surgery can be carried out for a variety of reasons. One of the main reason is the manifestation of uterine fibroids that can cause severe pain and bleeding. These fibroids will have to be removed surgically and in case they have spread, the uterus will have to be removed entirely. Also, if the condition has spread to the ovaries, it may be imperative to remove the ovaries as well. Furthermore, if the patient is suffering from endometriosis, where the tissue has spread too much and cannot be contained merely by medication or other forms of treatment, then the doctor will have to conduct a hysterectomy surgery in order to remove the affected areas of the reproductive area. Also, other conditions for which this surgery may be required include adenomyosis, chronic pain in the pelvic area, cancer of the uterus, cervical cancer and uterine prolapse.

Procedure: A hysterectomy is performed under anesthesia, and the doctor makes a five to seven inch incision in the abdomen for an open surgery. The doctor will then continue to remove the uterus through this incision. Also, usually, the patient will have to spend about three to four days in the hospital following this surgery. A vaginal hysterectomy may also be conducted for certain cases, depending on the type and severity of the condition that has led to this form of treatment. For this kind of surgery, the incisions will be made in the vaginal area.

After effects: Starting from hormonal imbalances to early menopause, this surgery can leave significant after effects in its trail. The patients who have been through this surgery will be asked to abstain from heavy physical work that involves lifting heavy objects and bending. Also, the doctor will recommend abstinence from sex. One will have to avoid these things for a period of at least six weeks after the surgery. In many cases, the patient may also go through heavy menstrual bleeding.

Doctor visits: In case the bleeding and hot flashes are excessive, then the patient will have to see a doctor and take further appointments so that the condition may not reoccur. Also, the doctor will usually prescribe supplements like vitamins, which must be taken on a regular basis after the surgery to avoid any complications at a later date.

Ayurveda And Hysterectomy

Swapnadeep Ayurveda 91% (34 ratings)
Ayurveda, Navi Mumbai
Ayurveda And Hysterectomy

A surgical procedure in which a woman's uterus is removed is referred to as a hysterectomy. The need for this operation can arise due to various reasons, which include:

1. Development of uterine fibroids that are painful and accompanied by bleeding and other associated symptoms
2. Uterine prolapse, which is characterised by a shifting of the position of the uterus wherein it enters the vaginal canal
3. Ovarian cancer, cervical cancer or endometrial cancer
4. Vaginal bleeding that cannot be characterised as normal
5. Endometriosis
6. Development of a condition in which the uterus thickens known as adenomyosis; and 
7. Chronic pain in the pelvic region

In Ayurveda, the uterus is associated with the Pitta dosha (fire element), and is considered to be a storehouse of metabolic fire. In fact, this is the reason why after a hysterectomy is performed, a woman generally loses the zest for life along with her creativity and feels demotivated, depressed, sentimental or lethargic. But Ayurveda can help in regaining your vitality post hysterectomy.

Here's how:

In Ayurveda, the greatest healer of hysterectomy is the herb Shatavari (asparagus racemosus). This herb is known to balance out the Pitta Dosha, which is associated with the uterus. Not only that, this herb, whose name roughly means "a woman who has a 100 husbands," is extremely vital in reducing stress and in increasing Ojas (or vitality). It also helps in building stamina and increasing strength post-surgery, while helping in maintaining a normal hormonal balance. A woman will also experience an increase in her Sattva (or positivity) with the help of this herb. 

However, just after surgery, a woman is advised to have arjuna and turmeric as they are enriched with healing properties. A combination of other herbs along with Shatavari can help in calming the mind and keeping fluctuating emotions in check. These other herbs include saffron, aloe vera, calamus, gotu kola, bhringraj, and brahmi rasayana or jatamansi.

4892 people found this helpful

Hysterectomy - 10 Things You Did Not Know!

Speciality Birthing Care
Gynaecologist, Bangalore
Hysterectomy - 10 Things You Did Not 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.
6071 people found this helpful

Hysterectomy Surgery - Why Is This Surgery Carried Out?

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Obstetrics & Gynaecology
Gynaecologist, Hyderabad
Hysterectomy Surgery - Why Is This Surgery Carried Out?

What is a hysterectomy? This is a surgery that is used to remove the ovaries or even the uterus. This surgery is usually conducted in order to deal with the extreme conditions that may be caused by the severe onset of various conditions related to the reproductive system of women. Read on to find out why this surgery carried out and what are the after effects?

Causes: This surgery can be carried out for a variety of reasons. One of the main reason is the manifestation of uterine fibroids that can cause severe pain and bleeding. These fibroids will have to be removed surgically and in case they have spread, the uterus will have to be removed entirely. Also, if the condition has spread to the ovaries, it may be imperative to remove the ovaries as well. Furthermore, if the patient is suffering from endometriosis, where the tissue has spread too much and cannot be contained merely by medication or other forms of treatment, then the doctor will have to conduct a hysterectomy surgery in order to remove the affected areas of the reproductive area. Also, other conditions for which this surgery may be required include adenomyosis, chronic pain in the pelvic area, cancer of the uterus, cervical cancer and uterine prolapse.

Procedure: A hysterectomy is performed under anesthesia, and the doctor makes a five to seven inch incision in the abdomen for an open surgery. The doctor will then continue to remove the uterus through this incision. Also, usually, the patient will have to spend about three to four days in the hospital following this surgery. A vaginal hysterectomy may also be conducted for certain cases, depending on the type and severity of the condition that has led to this form of treatment. For this kind of surgery, the incisions will be made in the vaginal area.

After effects: Starting from hormonal imbalances to early menopause, this surgery can leave significant after effects in its trail. The patients who have been through this surgery will be asked to abstain from heavy physical work that involves lifting heavy objects and bending. Also, the doctor will recommend abstinence from sex. One will have to avoid these things for a period of at least six weeks after the surgery. In many cases, the patient may also go through heavy menstrual bleeding.

Doctor visits: In case the bleeding and hot flashes are excessive, then the patient will have to see a doctor and take further appointments so that the condition may not reoccur. Also, the doctor will usually prescribe supplements like vitamins, which must be taken on a regular basis after the surgery to avoid any complications at a later date.

3664 people found this helpful

Hysterectomy - What Is It?

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Pune
Hysterectomy - What Is It?

What is a hysterectomy and why do you need it?

A hysterectomy is a surgical procedure to remove the uterus, which is a muscular organ that carries and nourishes the baby during pregnancy. This surgery may be done to remove all or parts of the uterus; if there are any associated problems in fallopian tubes/ ovaries, they may also be removed simultaneously, during hysterectomy.

Types of hysterectomy procedures

Hysterectomy may be done through surgical cuts in the belly, known as abdominal hysterectomy or through vaginal hysterectomy where the uterus is removed through the vagina. Majority of the hysterectomies are now done with laproscope, due to the advantage of faster recovery. Which procedure is chosen will depend on why the hysterectomy is being performed along with the medical history of the patient.

Depending on the reason of the surgery, removal of the whole uterus or just parts of it may be required. The types of surgery are:

  • Partial hysterectomy is the removal of just the uterus while keeping the cervix in place
  • Total hysterectomy is the removal of the uterus and cervix
  • Radical hysterectomy is the removal of the uterus, ovaries, fallopian tubes, lymph nodes, cervix and the upper part of the vagina, and is generally only advised in cases of cancer
  • Oophorectomy is the removal of ovaries and it may be done with a hysterectomy

Why is it needed?

There may be many reasons to have a hysterectomy and some of them include:

Heavy periods

These may be very uncomfortable and painful, sometimes caused by other diseases. A hysterectomy may be opted for when all other treatments have failed to treat this condition.

Fibroids

They are non-malignant tumors in the uterus that cause constant bleeding, anemia and pelvic pain along with bladder pressure. They may also cause very heavy periods.

Endometriosis

It is a condition where the tissue lining the uterus also grows on the ovaries, fallopian tubes, or pelvic or abdominal organs. It causes severe abdominal pain, heavy periods and sometimes even infertility.

Uterine prolapse

When the tissues and ligaments supporting the uterus become weak, the uterus may slip down from its normal position and descend into the vagina. It can result in urinary incontinence (leakage of urine), pressure in the pelvis and problems in bowel movements.

Cancer of the uterus, ovaries, fallopian tube, cervix or the lining of the uterus (endometrium)

A hysterectomy may be recommended for these types of cancers. In case you have a concern or query you can always consult an expert & get answers to your questions!

4092 people found this helpful
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