How Will I Feel After A Hysterectomy
After a 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. It’s normal to have scarring, both internally and externally. Laparoscopic surgeries will cause smaller, less visible scars as opposed to abdominal hysterectomy.
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.
People who undergo a subtotal hysterectomy may continue to have a light period for a year after the procedure. This happens because small amounts of the endometrial lining can remain in the cervix, causing light periods.
Emotional reactions to a hysterectomy vary and can depend on how well you were prepared for the surgery, the reason for having it and whether the problem has been treated.
Other Roles Of The Uterus And Ovaries
The uterus has important functions other than childbearing, including:
- sexuality the uterus rhythmically contracts during orgasm, contributing to sensations of pleasure
- self-image the uterus is of great psychological importance to some women for many reasons, including fertility, femininity, sexuality and body image.
The ovaries play a major role in maintaining the female hormonal system. Their removal results in menopausal symptoms . Therefore, unless diseased, a womans ovaries are not usually removed during hysterectomy
Do Ovaries Release Eggs After Hysterectomy
Where do the eggs go? In some cases, the ovaries may also be removed during a hysterectomy. This is particularly true if theyre affected by conditions like endometriosis or cancer. If you retain one or both of your ovaries and you havent reached menopause, an egg will still be released every month.
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What Happens To Your Eggs
If your ovaries are left in place after your hysterectomy, theyll continue to function as usual. This means theyll continue to release hormones and eggs, although you might have a slight decrease in hormone production.
In most cases, when your ovary releases an egg every month, the egg will go into your abdomen and eventually disappear.
If you havent reached menopause already, you wont have your period after a hysterectomy, because your uterus isnt there to shed its lining.
But, because your body is still producing hormones, you might still feel like youre getting your period and have symptoms of premenstrual syndrome .
Ectopic pregnancy, where a fertilized egg implants in your fallopian tube, is possible after a hysterectomy. But its very rare.
Do You Have A Period After A Partial Hysterectomy
Do you have a period after a partial hysterectomy? You may experience a light period for up to a year if you have a partial hysterectomy. This is because you may have remaining endometrial lining in your cervix. If you have a total or radical hysterectomy, you wont experience menstrual periods again.
What happens after a partial hysterectomy? You might have some light bleeding and discharge after your surgery, and youll no longer get regular menstrual periods. Pain, burning, and itching around the incision site are also normal. If your ovaries were removed, youll likely have menopause-like side effects like hot flashes and night sweats.
How long do your ovaries last after a partial hysterectomy? If a hysterectomy leaves 1 or both of your ovaries intact, theres a chance that youll experience the menopause within 5 years of having the operation. Although your hormone levels decrease after the menopause, your ovaries continue producing testosterone for up to 20 years.
What are the long term side effects of a partial hysterectomy? Long-term effects of hysterectomy on the pelvic floor that should be considered in surgical decision-making are: pelvic organ prolapse, urinary incontinence, bowel dysfunction, sexual function and pelvic organ fistula formation.
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How Do You Know When Menopause Begins
You will know you have reached menopause when you have gone 12 consecutive months without a menstrual period. Contact your healthcare provider if you have any type of vaginal bleeding after menopause. Vaginal bleeding after menopause could be a sign of a more serious health issue like endometrial cancer.
How Will I Feel After The Operation
After the operation you may have an intravenous drip for uids or occasionally blood. You may also have a catheter to drain urine.
If your operation is performed through an abdominal incision, the wound will be held together with clips or stitches. There will still be some stitches with laparoscopic surgery. The internal stitches used in vaginal hysterectomy will dissolve naturally. The wound will heal in a week or so but internal surgery will take longer. This is why the recovery period can take up to twelve weeks.
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Can You Ovulate With An Ovarian Cyst
Ovarian cysts can result in abnormal ovulation, and according to the American Society for Reproductive Medicine ovulation dysfunction accounts for 25 percent of female infertility cases. Large ovarian cysts or those resulting from endometriosis or polycystic ovary syndrome can hamper a womans fertility.
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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Does Having A Partial Hysterectomy Make You Gain Weight
While a hysterectomy isnt directly linked to weight loss, it may be related to weight gain in some people. A 2009 prospective study suggests that premenopausal women whove had a hysterectomy without the removal of both ovaries have a higher risk for weight gain, compared with women who havent had the surgery.
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 Changes Can I Expect After A Hysterectomy
Hysterectomy is a major surgery, so recovery can take a few weeks. But for most women, the biggest change is a better quality of life. You should have relief from the symptoms that made the surgery necessary.
Other changes that you may experience after a hysterectomy include:
- Menopause. You will no longer have periods. If your ovaries are removed during the hysterectomy, you may have other menopause symptoms.
- Change in sexual feelings. Some women have vaginal dryness or less interest in sex after a hysterectomy, especially if the ovaries are removed.
- Increased risk for other health problems. If both ovaries are removed, this may put you at higher risk for certain conditions such as: bone loss, heart disease, and urinary incontinence . Talk to your doctor about how to prevent these problems.
- Sense of loss. Some women may feel grief or depression over the loss of fertility or the change in their bodies. Talk to your doctor if you have symptoms of depression, including feelings of sadness, a loss of interest in food or things you once enjoyed, or less energy, that last longer than a few weeks after your surgery.
Selecting A Hysterectomy Procedure
The type of hysterectomy performed is often dependent on a womans medical history, pre-existing health conditions and goals. Our doctors pair careful analysis and examination with compassion so patients can openly discuss their needs, wants and fears and we can develop a custom surgical plan together.
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Does Sex Feel Different To My Partner After A Hysterectomy
No, studies show that sexual pleasure does not change after hysterectomy. If the ovaries are removed and you have vaginal dryness, using a lubricant can help. In rare cases and when the hysterectomy is performed for cancer or prolapse, the shape of your vaginal canal changes after a hysterectomy. This could lead to pain, especially during penetration.
Will I Experience The Same Symptoms As My Mother Sister Or Friends
The symptoms of menopause vary from one woman to another, even in the same families. The age and rate of decline of ovary function differ tremendously. This means youll need to manage your menopause individually. What worked for your mother or best friend may not work for you.
Talk to your doctor if you have any questions about menopause. They can help you understand your symptoms and find ways to manage them that work with your lifestyle.
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What Is A Partial Hysterectomy
A total hysterectomy involves the removal of the entire uterus and the cervix. The cervix is the narrow structure with an inch long canal which connects the lower end of the uterus to the upper portion of the vagina. A radical hysterectomy involves the removal of the uterus, cervix, upper vagina as well as parametrium.
A partial hysterectomy involves the removal of the body of the uterus while leaving the cervix intact. There are many ways of performing a partial hysterectomy including by making an incision slightly above the pubic bone and removing the uterus, through the vagina, through incisions made in the abdomen and so on and so forth.
Other procedures may also be performed with a hysterectomy including oophorectomy and salpingectomy
What Are The Different Kinds Of Hysterectomy
Your heathcare provider will discuss which type of hysterectomy is needed depending on your condition. This will determine if your fallopian tubes and/or ovaries need to be removed.
- Total hysterectomy: Removing the uterus and cervix, but leaving the ovaries.
- Supracervical hysterectomy: Removing just the upper part of the uterus while leaving the cervix.
- Total hysterectomy with bilateral salpingo-oophorectomy: Removing the uterus, cervix, fallopian tubes and ovaries . If you haven’t experienced menopause, removing the ovaries will start menopausal symptoms.
- Radical hysterectomy with bilateral salpingo-oophorectomy: The removal of the uterus, cervix, fallopian tubes, ovaries, the upper portion of the vagina and some surrounding tissue and lymph nodes. This type of hysterectomy is performed when cancer is involved.
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 TouchÂ® are available to alleviate premature menopause symptoms.
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Your Sex Life And Sex Drive May Be Among The Topics Not Discussed Before Surgery
Although hysterectomy is one of the most common surgeries for women living in the United States, myths about removal of the uterus abound.
As many as 600,000 American women have hysterectomies each year, according to the U.S. Centers for Disease Control and Prevention . If you are about to be one of them, a frank discussion with your gynecologist is an essential first step.
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Dating back more than 4,000 years, hysterectomy was used as a treatment for women with “hysteria” a broad diagnosis that covered symptoms like anxiety and depression.
Now hysterectomy is one of many options if you have fibroids , excessively heavy periods, or uterine prolapse . Hysterectomy may be a real medical necessity, not simply another option, if you have invasive cancer of the reproductive organs the uterus, cervix, vagina, fallopian tubes, or ovaries.
A partial hysterectomy is surgical removal of the uterus alone, and a myomectomy is removal of only fibroids. A total hysterectomy removes the cervix as well as the uterus. In certain cancer cases, the upper vagina is also taken out. This surgery is called radical hysterectomy, and is extremely rare.
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Unless you ask, certain crucial and highly sensitive topics may not come up when you discuss hysterectomy pros and cons with your doctor.
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Can Your Ovaries Start Working Again
There is no treatment available to make the ovaries start working again. Rarely, the ovaries may spontaneously start working again, for reasons unknown. According to some studies, about one in 10 women who are diagnosed with premature ovarian insufficiency get pregnant, for reasons that are not yet clear.
How Will I Know I Am In Menopause After My Hysterectomy
No periods for 12 months is the common sign that menopause has arrived. But what about for you? Youve had a hysterectomy, so you have hadnt periods in years. How are you going to know when menopause arrives?
No worries. More than likely, menopause is going to arrive with plenty of notice. More than you want.
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Can You Have Periods Without Ovaries
Removal of one ovary still allows a woman to continue to menstruate and to have children, as long as the remaining ovary is not damaged. When both ovaries are removed, menstrual periods stop, a woman can no longer become pregnant, and estrogen and progesterone are no longer produced by the reproductive system.
What Happens To The Ovaries During A Partial Hysterectomy
Lets talk a little bit about what happens to the ovaries when we take out just the uterus during a partial hysterectomy. As we know, in order for an organ in our body to function, it needs a blood supply. The ovary gets its blood supply from its connection to the uterus and its connection to the rest of the body through one major artery and bunch of little blood vessels . The ovarian artery is the biggest source of blood to and from the ovary and it connects on one side to the uterus and on the other side to an even larger artery in the body. So, what happens when you take the uterus out? What happens to the artery?
When you remove the uterus and leave the ovaries in place during a partial hysterectomy, you are severing their major source of blood. As a result, the ovaries are more likely to malfunction or shut down all together. As you can see in this blogs photo, the major connecting piece is missing. But, since every woman is different, there is no saying for sure what will happen and in what amount of time. Sometimes the shock of surgery is enough to essentially shut down ovary function sometimes they might partially recover but might never work the same again. Sometimes the ovaries seem like theyre doing okay, but within a few years they will stop working. As this happens, hormone output will be inconsistent and she will begin to start feeling symptoms of menopause.
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Do Symptoms Vary With The Person Or They Are The Same Across The Board
No two women can experience the same symptoms of menopause. While some may experience immediate onset of hot flashes and other changes caused by hysterectomy, others might undergo the same surgery but have less severe symptoms.
Likewise, among those who undergo partial surgeries its still hard to predict how menopause will affect them, or the intensity and duration of symptoms experienced.
Generally, women who undergo partial hysterectomy, without removal of their ovaries, are unlikely to experience early onset of symptoms since they continue producing estrogen. Though they will no longer be able to menstruate, such women will usually enter menopause during the same age-range as women who havent undergone hysterectomy surgery. Nevertheless, some studies still show that such individuals experience menopause about 2yrs earlier than the average woman.
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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