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Hysterectomy Health Feed

Hysterectomy - Know The Emerging Conservative Alternatives To It

Hysterectomy - Know The Emerging Conservative Alternatives To It

Like most things in life, the uterus also has both good and bad sides to it. It is a symbol of womanhood and also carries the developing baby. The bad side is that it brings with it (and its appendages) many problems including dysfunctional uterine bleeding, endometriosis, fibroids, pelvic inflammatory disease, uterovaginal prolapse, adenomyosis, a pelvic pain of unknown origin, cancer of the uterine cavity and other obstetric complications.

Hysterectomy is one of the most commonly performed procedures and ensures complete relief from these symptoms. There are however, multiple procedures, which can be used to manage these conditions without having to resort to removal of the uterus. This can help in preventing complications from hysterectomy including prolonged recovery, infertility in women of childbearing age and loss of womanhood.

Read on to know some of the emerging conservative alternatives to hysterectomy:

Myomectomy

Where there are fibroids, which are in the smooth muscles of the uterus and show symptoms like pain and discomfort. In these, it is advisable to go for a myomectomy. This removes only the fibroid, leaving the uterus in place. It can be done in one of the 3 ways traditional surgical process through an incision; laparoscopically through minute incisions; and then through vagina. In all these, only the fibroid is removed and sent for biopsy to confirm it is benign. It is less invasive, requires less recovery time and helps retain the uterus.

Uterine endometrial ablation

In cases of dysfunctional uterine bleeding or menorrhagia with no fibroids, the lining of the uterus could require removal. In these women, thermal balloon ablation, cryoablation, and radiofrequency ablation can be used. A small amount of extreme heat or cold or radio frequency waves are used to remove the uterine lining, thereby managing symptoms.

Uterine artery embolization

In women with fibroids, the feeding arteries could be cauterised to ensure blood supply is stopped so that fibroid growth is stopped. With very promising success rates, this is gaining popularity as a conservative method.

Laparoscopy and endometriosis excision

In endometriosis, where the uterine tissue is growing in areas outside the uterus, it could be removed laparoscopically after identifying the area of growth on ultrasound and laparoscopy.

Vaginal pessary

In women with uterine prolapse, the uterus drops from its normal position, pushing against the vaginal walls. This can be due to vaginal childbirth, age, smoking and obesity. Vaginal pessary is where a removable device is placed into the vagina to prevent it from falling down. It is a temporary solution, but very useful in holding the uterus in place and relieve symptoms partially or completely.

In all these, medical management (painkillers and hormone replacement), stress and weight management, quitting smoking, reducing alcohol are also essential.

5096 people found this helpful

Hysterectomy - Know Ayurvedic Role In It!

Hysterectomy - Know Ayurvedic 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.

6410 people found this helpful

Hysterectomy - Know Ayurveda Role In It!

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.

5568 people found this helpful

Hysterectomy - 10 Must Know Things About It!

Hysterectomy - 10 Must Know Things About It!

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.
2635 people found this helpful

Hysterectomy - How Effective Is Ayurveda In It?

Hysterectomy - How Effective Is Ayurveda 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, there are the greatest healer of hysterectomy. These herbs can balance out the Pitta Dosha, which is associated with the uterus. Not only that, these herbs are extremely vital in reducing stress and in increasing Ojas (or vitality). They help 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. 

There are some panchkarma therapies like Abhyang, Swedan, Shirodhara, Basti, etc. for getting rid of surgical menopausal symptoms like hot flushes and more.

5748 people found this helpful

I have done my hysterectomy removal of uterus and cervix on 11 jan. Tlh. What precautions should I take.

Hello, you need to avoid lifting weight for 6 weeks and avoid sex as well. Use plain water or alkaline vaginal wash to clean yourself each day. The healing usually takes 6 weeks.
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Hysterectomy - How Ayurveda Deals With It?

Hysterectomy - How Ayurveda Deals With 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.

4806 people found this helpful

Hysterectomy - Know Ayurveda Role In It!

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.

5230 people found this helpful

बच्चेदानी का ऑपरेशन - Bachhedani Ka Operation!

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?

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.

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