Why Is Hysterectomy Performed
A hysterectomy may be performed to treat:
- Abnormal vaginal bleeding that is not controlled by other treatment methods.
- Severe endometriosis .
- Leiomyomas or uterine fibroids that have increased in size, are painful or are causing bleeding.
- Increased pelvic pain related to the uterus but not controlled by other treatment.
- Uterine prolapse that can lead to urinary incontinence or difficulty with bowel movements.
- Cervical or uterine cancer or abnormalities that may lead to cancer for cancer prevention.
Will Menopause Begin Right After Shortly After Or What Is The Time Frame To Expect
For women who have hysterectomy surgery that involves the removal of ovaries, they may begin experiencing menopause symptoms after 24hours following their operation.
The abrupt inducement of menopause often results in exaggerated symptoms such as hot flashes and changes in libido.
Another possible outcome is that ovarian failure may occur much earlier than the anticipated time frame of menopause, around 1 to 2 yrs after the hysterectomy surgery. In such cases, a person may or may not experience the immediate symptoms of menopause.
What Are Some Of The Treatments Offered For Menopause After A Hysterectomy
There are various treatments that can be given to ease the symptoms of menopause. For vaginal dryness, a vaginal moisturizer is recommended by doctors while for hot flashes and other related symptoms menopause hormone therapy can be administered.
Its also advisable to lead a healthy lifestyle by changing your diet and exercising regularly. Additionally, joining a support group consisting of women who have undergone the same surgical procedure will help in alleviating the psychological effects.
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Dont Let The Hysterectomy Get In The Way Of Your Sex Life
It is quite common for husbands to have a lot of mental reservations after their wife had hysterectomy. However, you should not let these concerns completely derail your sex life. For many women, sex after a hysterectomy can help them feel like things are finally getting back to normal. Therefore, there is no reason to stop enjoying a healthy sex life with your spouse.
If her hysterectomy is making you see your wife in a new light, it is important to take a step back and realize that her hysterectomy does not change who she is. Think of all the things that made you fall in love and feel attraction to your wife in the first place.
For many couples, sexual problems that developed long before the surgery have a way of coming to the forefront after the hysterectomy. It may be tempting to use concerns about hurting your partner as an excuse to avoid sex. However, this is ultimately unwise. Being able to confront your problems head-on and openly address your sexual needs is more effective in the long run.;
What Is A Hysterectomy
Hysterectomy is surgical removal of the uterus and sometimes the cervix and supporting tissues. It is the most common non-pregnancy-related major surgery performed on women in the United States, with one in three women having a hysterectomy by age 60. If you have not reached menopause, a hysterectomy will stop your monthly bleeding . You also will not be able to get pregnant. If the ovaries are removed in a woman before she reaches menopause, the loss of female hormones will cause her to suddenly enter menopause .
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You Wont Necessarily Go Into Menopause
I expected to have crazy hot flashes, mood swings, and night sweats all the time, and was pleasantly surprised to find out that I barely had any of those symptoms, Cohen says about her experience after hysterectomy.
The myth about hysterectomy Streicher hears most often in her medical practice is that a woman will go into menopause afterward. You wont have periods, and cant get pregnant after your uterus is removed. But that doesnt necessarily mean menopause. Streicher explains: The only one who will have menopause is a woman who has her ovaries removed during the procedure and who was not in menopause already. If surgery is limited to the uterus, timing of natural menopause may not be affected.
The Female Reproductive System
The female reproductive system is made up of the:
- womb a pear-shaped organ in the middle of your pelvis where a baby develops; the lining of the womb is shed during a period
- cervix;;the neck of the womb, where the womb meets the vagina; the cervix is the lower part of the womb and not separate
- vagina a;muscular tube below the cervix
- fallopian tubes;;tubes that connect the womb to the ovaries
- ovaries ;small organs by the fallopian tubes that release an egg each month
Page last reviewed: 01 February 2019 Next review due: 01 February 2022
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Removal Of The Ovaries
The National Institute for Health and Care Excellence recommends that a woman’s ovaries should only be removed if;there’s a significant risk of associated disease, such as ovarian cancer.
If you have a family history of ovarian or breast cancer, removing your ovaries may be recommended to prevent you getting cancer in the future.
Your surgeon can discuss the;pros and cons of removing your ovaries with you. If your ovaries are removed, your fallopian tubes will also be removed.
If you have already gone through the menopause or you’re close to it, removing your;ovaries may be recommended regardless of the reason for having a;hysterectomy.
This is;to protect against the possibility of ovarian cancer developing.
Some;surgeons feel it’s best to leave healthy ovaries in place if the risk of ovarian cancer is small; for example, if there’s no family history of the condition.
This is because the ovaries produce several female hormones that can help protect against health problems such as weak bones;. They also play a part in feelings of sexual desire and pleasure.
If you’d prefer to keep your ovaries, make sure you have made this clear to;your surgeon before your operation.
You may still be asked to give;consent to treatment;for having your ovaries removed if an abnormality is found during the operation.
Think carefully about this and discuss any fears or concerns you have with your surgeon.
Are There Any Risks
The risks associated with hysterectomy are among the lowest for any major surgery. However, as with any major surgery, problems can occur, including:
- Blood clot in the veins or lungs
- Bleeding during or after surgery
- Bowel blockage
- Injury to the urinary tract or nearby organs
- Problems related to anesthesia
- Early menopause
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Can You Still Get Fibroids After A Partial Hysterectomy
About 80 to 90 percent of women who have a myomectomy get relief from their symptoms or see their symptoms reduced. The fibroids wont grow back after surgery, but you may develop new fibroids. Up to 33 percent of women who have this surgery will need a repeat procedure within 5 years because they grow new fibroids.
Do Learn About How Hysterectomies Work
One of the first things you can do to help your wife is just taking the time to learn about the surgery she is having. There is a lot of misinformation floating around on the internet, so many men get confused. Some husbands worry their wives may feel different or no longer express interest in them. The reality is that sex after hysterectomy for the man may feel surprisingly similar. In all procedures, the surgeon takes steps to maintain vaginal functionality.;
A hysterectomy is simply a surgery that removes the uterus. The surgery usually does not affect the vagina itself, though there are rare cases where a hysterectomy may remove the cervix or upper portion of the vagina. Some hysterectomies might involve removing the ovaries, which triggers menopause. Others could leave the ovaries intact, so your wifes hormonal levels will remain regular.;
Try asking your wife which type of hysterectomy she is having and then doing a little research on reputable medical websites. This can help you understand what to expect following surgery.;
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Your Sex Life Isnt Over
While the surgery can have lasting effects on your body, and youll need time to heal, this does not mean that youll never have sex again. How soon you can have sex after a hysterectomy really depends on the type of hysterectomy: partial, total, or radical. Waiting two to four weeks to get back to sex is generally okay, with your doctors go-ahead, if your cervix was not removed along with your uterus, says;Lauren Streicher, MD, an Everyday Health columnist, an associate clinical professor of obstetrics and gynecology at Northwestern University in Chicago, and the author of;Sex Rx: Hormones, Health, and Your Best Sex Ever. But if your cervix was removed, it takes about six weeks for the back of the vagina to heal.
Ask your doctor to define what they mean by sex, advises Dr. Streicher. What doctors usually mean is vaginal intercourse. Orgasm may be fine, oral sex too, and vibrator use as well your questions need to be specific.
How Does Premature Menopause Affect Your Body
Youll go through the same changes during premature menopause as you would if you entered menopause naturally. The sudden loss of hormones triggers all the classic symptoms, including:
- Hot flashes and night sweats
- Vaginal dryness
Since estrogen affects tissues throughout your body, system-wide changes take place such as:
- Loss of bone density and increased risk for osteoporosis
- Accelerated skin aging due to dehydration and loss of collagen
- Changes in blood vessels that increase the risk for cardiovascular disease
Although hormone-related changes following an oophorectomy can be difficult and affect your quality of life, its important to know that medical therapies and rejuvenation with the advanced MonaLisa Touch® are available to alleviate premature menopause symptoms.
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Hysterectomy For Women Of Childbearing Age
Once a woman has had a hysterectomy of any kind, she cannot become pregnant. If the ovaries of a premenopausal woman are removed, she has had a surgical menopause. This means she will have a drop in production of the sex hormones oestrogen, progesterone and testosterone. Vaginal dryness, hot flushes, sweating and other symptoms of natural menopause may occur.
Women who undergo bilateral oophorectomy usually take hormone replacement therapy ,This is also known as oestrogen replacement therapy, as usually only oestrogens are required to maintain their hormone levels and prevent the long-term risks of premature menopause.
Hysterectomy With Ovaries Left Intact
People who have their ovaries intact, but without their uterus, won’t get their period anymore. They may, however, still experience premenstrual syndrome or premenstrual dysphoric disorder because the hormones made by the ovaries cause the body to continue to “cycle” monthly.
Occasionally, people whose ovaries were not removed;during a hysterectomy experience;hot flashes;and other menopausal symptoms. This is mostly due to the disturbance of the blood supply to the ovaries during surgery.
In addition, some people may undergo menopause a few years sooner than they normally would if they never underwent a hysterectomy .
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How Will I Feel After Hysterectomy
After hysterectomy, your periods will stop. Occasionally, you may feel bloated and have symptoms similar to when you were menstruating. It is normal to have light vaginal bleeding or a dark brown discharge for about four to six weeks after surgery.
You may feel discomfort at the incision site for about four weeks, and any redness, bruising or swelling will disappear in four to six weeks. Feeling burning or itching around the incision is normal. You may also experience a numb feeling around the incision and down your leg. This is normal and, if present, usually lasts about two months.
If the ovaries remain, you should not experience hormone-related effects. If the ovaries were removed with the uterus before menopause, you may experience the symptoms that often occur with menopause, such as hot flashes. Your healthcare provider may prescribe hormone replacement therapy to relieve menopausal symptoms.
Emotional reactions to hysterectomy vary, depending on how well you were prepared for the surgery, the reason for having it, and whether the problem has been treated.
Some women may feel a sense of loss or become depressed, but these emotional reactions are usually temporary. Other women may find that hysterectomy improves their health and well-being, and may even be a life-saving operation. Please discuss your emotional concerns with your healthcare provider.
What Are The Symptoms Of Menopause After Hysterectomy
For most women, menopause occurs when they are between the ages of late 40s to early 50s. However, women who undergo hysterectomy surgery may start experiencing the symptoms of menopause much earlier than this.
The procedure involves removal of the uterus and is used to treat a variety of conditions such as chronic pain, infection and even certain kinds of cancer. Typically, the extent of surgery required will vary depending on the reason why you are having hysterectomy. Sometimes the doctor may also recommend taking out the cervix and ovaries, which can ultimately affect the symptoms you are experiencing.
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What Are The Different Types Of Hysterectomies
To fully envision how your body may change after a hysterectomy, you need to know the different types of surgery. Dr. Macey may recommend one of three types of hysterectomies:
- Partial or supracervical hysterectomy: Upper part of the uterus is removed, while the cervix is left in place
- Total hysterectomy: Entire uterus and cervix are removed
- Radical hysterectomy: Uterus, cervix, and upper part of your vagina are removed
Although a hysterectomy doesnt include your ovaries or fallopian tubes, they may also be removed depending on the reason for your surgery. When one or both ovaries are removed, the procedure is called an oophorectomy. Removal of your fallopian tubes is called a salpingectomy.
What Other Changes May Occur
You may encounter information saying that a hysterectomy makes you gain weight or lose your sex drive. These issues may develop, but only if both ovaries are removed. A hysterectomy alone doesnt affect your weight or desire for sex.
Many women feel healthier because the symptoms they had before surgery are gone. As a result, they become more active and find sex more enjoyable.
You should plan on six to eight weeks to rest and heal, depending on the type of hysterectomy and whether Dr. Macey performs minimally invasive surgery or you need conventional open surgery.
Many women struggle with unexpected emotions following their hysterectomy, so during your recovery, you may feel a sense of loss or struggle with depression. Though theres no way to predict how youll react or feel, please know that Dr. Macey is available, and you should call if you encounter challenges during your recovery.
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What Can You Do
Now, what can you do in this case? There’s no hard and fast rule. And as I said before, it’s going to be very frustrating because you’re working from nothing. You don’t have a set start point, therefore it’s very difficult to…excuse me, talk about when you’re getting to that last particular point.
Hysterectomy Is Never A Cure For Endometriosis
Not a day goes by in which I dont wish, with every fiber of my being, that my doctor had stressed to me the vital fact that having a hysterectomy is absolutely not a cure for endometriosis, says Rachel Cohen, 33, of Woodmere, New York, about her total hysterectomy.
In fact, endometriosis a condition that can be marked by severe;menstrual cramps, chronic pain, and painful intercourse is not cured by removal of the uterus, according to the;Office on Womens Health at the U.S. Department of Health and Human Services. And of the many treatment options , hysterectomy with removal of the ovaries is not a first-line treatment. Conservative surgery using a minimally invasive method may be one option, and will preserve the uterus. Cohens hysterectomy at age 28, recommended by her gynecologist, did not even diminish her endometriosis symptoms.
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What About My G
The âG-spotâ is not a medically recognized part of the female anatomy, but you may have a spot on the anterior wall of the vagina that is highly sensitive and contributes to sexual arousal and satisfaction. Whether yours is affected can depend on the type of hysterectomy, whether your need repairs, and exactly where yours is located. If you have concerns about it being changed, talk to your doctor prior to your surgery.
This content was written by staff of HysterSisters.com by non-medical professionals based on discussions, resources and input from other patients for the purpose of patient-to-patient support. Reprinted with permission: 10 Concerns about Intimacy after Hysterectomy
Hysterectomy Increases Risk For Earlier Menopause Among Younger Women Study Finds
- Duke University Medical Center
- In a finding that confirms what many obstetricians and gynecologists suspected, researchers report that younger women who undergo hysterectomies face a nearly two-fold increased risk for developing menopause early.
In a finding that confirms what many obstetricians and gynecologists suspected, Duke University researchers report that younger women who undergo hysterectomies face a nearly two-fold increased risk for developing menopause early.
The study, published in the December issue of the journal Obstetrics & Gynecology, is the largest analysis to track over time the actual hormonal impact of woman who had hysterectomies and compare them to women whose uteruses remained intact.
“Hysterectomy is a common treatment for many conditions, including fibroids and excessive bleeding,” said Patricia G. Moorman, PhD, MSPH, an associate professor in the Department of Community and Family Medicine at Duke University and lead author of the study. “Most women are very satisfied with the results of a hysterectomy. But this is a potential risk of the surgery that should be considered along with the benefit.”
Up to 600,000 women in the United States undergo hysterectomy each year, but the long-term consequences of the procedure have not been well documented. Studies have been small or relied on the recollections of women about the onset of menopause.
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