In the field of women's surgery, the hysterectomy is probably one of the best-known procedures. While the name is commonly used in conversation, the different options available to women, as well as their side effects, are less familiar to many.
A hysterectomy is a surgical operation performed to remove all or part of a woman's uterus. Depending on the reason for the surgery, other organs such as the ovaries and fallopian tubes may be removed at the same time.
Why Do Women Need Hysterectomies?
There are a number of different reasons why a doctor may recommend a hysterectomy. They include:
Hysterectomies can be classified in two different ways. They can be categorized by the amount of the uterus and surrounding organs that are removed or by the surgical techniques that are used in performing the procedure. Classifications based on the amount that is removed include the following:
As surgical techniques continue to advance, hysterectomies become lower in risk and less invasive overall. Several different options now exist. Surgeons will choose the best option based on any risk conditions you may have and the reason for the hysterectomy, among other factors. Options include:
Side effects for a hysterectomy will vary based on the technique and the specific organs removed. Bleeding, bruising and pain are common after any surgical procedure, and care must be taken to avoid anything strenuous until you are sufficiently healed. The time this will take will depend on your physical condition as well as the level of invasiveness of your procedure.
If you have your ovaries removed in addition to your uterus, you may have additional symptoms due to a change in your normal levels of estrogen. Hormone replacement therapy may be recommended to mitigate for this.
With all surgical procedures, there are some side effects that may come with anesthesia and/or post-surgical painkillers and antibiotics. These vary based on your body's ability to tolerate these substances and your general health.
Risk factors again vary due to your level of health. Coexisting conditions, from blood disorders to heart conditions to cancer, can increase the level of risk. Smoking, obesity, diabetes and other issues will also increase your overall risk. Surgical procedures can stress your heart and vascular system and cause bruising and pain during the healing process.
There is a risk of infection, of incomplete removal of cancer (if this is the reason for the procedure) and of intolerance to anesthetics or post-surgical medications. Doctors work closely with you before and after surgery to avoid these problems as much as possible and to catch them early if they do occur. If you have concerns, it is always good to speak to your provider about them before undergoing surgery.