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Myomectomy Health Feed

Hysterectomy - 10 Must Know Things About It!

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - Obstetrics & Gynaecology
Gynaecologist, Bangalore
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.
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Hello, I have got myomectomy done 20 days back but still I am having issue with the lower abdomen pain. My pus cells in urine 5 to 6 and epithelial cells are 10 to 15. Is it any infection or it is normal? Please guide. Thanks.

Dr. Bhupindera Jaswant 92% (4674 ratings)
MD - Consultant Physician, Doctor of Medicine, MD
General Physician, Ahmedabad
Hello, I have got myomectomy done 20 days back but still I am having issue with the lower abdomen pain. My pus cells ...
Suggests infection urinary. Take vit c 500 mg daily to acidify urine. Take antibiotic under advice physician consult me with urine culture and ast of urine immediate.
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I am 38 years old have a boy of 10 years. Want to have second issue but unfortunately had miscarriage this feb before completion of 3 months. Previously in 2015 I had myoma operation in uterus. I am afraid wht to do.

Dr. Neelam Nath 92% (8854 ratings)
Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
I am 38 years old have a boy of 10 years. Want to have second issue but unfortunately had miscarriage this feb before...
Get tubes tested by hsg test just after periods and this test is diagnostic and therapeutic by telling you about the blocks in tubes and clearing tiny blocks if present due to mucous collected in tubes.
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Myomectomy - 3 Surgical Methods

Dr. Shalini Tiwari 88% (30 ratings)
MBBS, DGO, DNB (Obstetrics and Gynecology), FMAS, FAM
Gynaecologist, Delhi
Myomectomy - 3 Surgical Methods

Fibroids are non-cancerous growth that develop in the uterus in varying sizes. Fibroids do not usually show symptoms, but if they are large they may cause severe pain in the abdomen, heavy menstrual bleeding, bloating, infertility or complications during pregnancy. Several factors may lead to the formation of fibroids, including hormones, family history, and pregnancy.

What is myomectomy?
Myomectomy is the surgical procedure which is used for removing fibroids from the uterus. It is a safe method that allows women to become pregnant in future. Gonadotropin-releasing hormone analogue therapy, performed before myomectomy helps in lowering the estrogen level and also controls anemia by stopping uterine bleeding. The different surgical methods for myomectomy include:

  • Hysteroscopy, involving the insertion of a lighted viewing instrument into the uterus
  • Laparoscopy, involving the insertion of a lighted viewing instrument and one or more incisions in the abdomen
  • Laparotomy, involving a larger incision made in the abdomen

Why is the surgery performed?
Myomectomy treats fibroids while preserving the uterus. It is a viable option for those who have:

  • Anemia which cannot be controlled with medicines
  • Pain which cannot be tackled with medicines
  • A fibroid that can cause infertility or increases the risk of miscarriages

How well does it work?

  • Pregnancy: myomectomy is the only treatment for treating fibroids that improve your chances of having a baby. The method is effective for treating submucosal fibroid. A cesarean section is required for delivery after performing a myomectomy.
  • Recurrence: recurrence of fibroids after myomectomy is really low. It is possible in rare cases, depending on what the original fibroid problem was. Large and numerous fibroids have a greater risk of recurrence. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
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