A hysterectomy is a surgical procedure that removes a woman’s uterus. After this procedure, you lose the ability to become pregnant and no longer menstruate. Depending on the reason for surgery, a hysterectomy may involve removing surrounding organs and tissues, such as the fallopian tubes and ovaries. Unless your ovaries are removed, your hormones are generally not affected.

Why is a Hysterectomy Performed?

A hysterectomy is performed to treat women with common conditions, such as:

• Heavy vaginal bleeding
• Increased pelvic pain
• Uterine prolapse
• Endometriosis
• Fibroids
• Painful periods
• Painful sex

What to Expect

There are several different approaches to hysterectomies. Based on your specific situation, your doctor will determine the safest and most appropriate route for your procedure. The three main hysterectomy procedures are laparoscopic, vaginal, and abdominal.

Laparoscopic Hysterectomy

A laparoscope (a thin tube with a video camera on the end) is inserted in the lower abdomen through a small incision in the belly button. Additional small incisions are made to insert surgical tools where the uterus can be removed in small pieces through the abdomen or vagina.

Most patients who have laparoscopic surgery go home the same day or after one night in the hospital. Full recovery is shorter and less painful than an abdominal hysterectomy.

Vaginal Hysterectomy

With no external incision, the uterus is removed through an incision at the top of the vagina. However, your internal anatomy cannot be visualized by the surgeon. Dissolvable stitches are placed inside the vagina. Commonly used in cases of uterine prolapse and other noncancerous conditions.

Patients often go home the same day of surgery.

Abdominal Hysterectomy

A larger incision, six- to eight-inch-long, is made in the abdomen to remove the uterus, and is commonly used when cancer is involved, the patient has an enlarged uterus, adhesions, or other anatomical challenges.

This approach requires a longer hospital stay, two or three days, and a longer recovery time.

The Risks of a Hysterectomy

As with any surgery, there is a slight chance that problems may occur. Those could include:

• Infection
• Blood clots
• Bleeding
• Torn internal stitches
• Bowel blockage
• Urinary tract injury

After Surgery

Most women recover from a hysterectomy in about four to six weeks. The recovery depends on the type of hysterectomy you had and how the surgery was performed. Your activity should gradually increase over time. Don’t hesitate to reach out to your doctor if you have any questions or concerns after your procedure.

Treatment at Vaginal Health Center

A hysterectomy can offer relief from many conditions of the uterus, such as irregular bleeding or painful periods. Remember, talk openly and honestly with your doctor about your symptoms so they can recommend the best treatment. If you experience pelvic pain or are looking for treatment options for gynecological conditions, our double board-certified urogynecologists at Vaginal Health Center can help. Call 770.721.6060 or contact us online.