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Doctor insights on: Hysterectomy

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Dr. Jeff Livingston
1,872 Doctors shared insights

Hysterectomy (Overview)

The entire uterus (womb), cervix, the part protruding into the vagina, and body, the intra-abdomina component.


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What's a hysterectomy?

What's a hysterectomy?

Uterus removal: Total hysterectomy is removal of the uterus & cervix. Supracervical removal of the uterus. Increasingly the ovaries are left in place and for good reason as they continue to cycle producing female hormones. Preservation of normal ovaries results in an additional 7-8 years of life in women under 65. If tubes & ovaries are removed bilateral salpingoophorectomy is term added to hysterectomy.

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Dr. Jeff Livingston
1,872 Doctors shared insights

Hysterectomy (Overview)

The entire uterus (womb), cervix, the part protruding into the vagina, and body, the intra-abdomina component.


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What is subtotal hysterectomy?

What is subtotal hysterectomy?

Top part of uterus: A subtotal (or partial, supracervical) hysterectomy removes part of the uterus (the fundus or body) and leaves the cervix in place. A total (complete) hysterectomy is the removal of the whole uterus (body of the uterus as well as the cervix).The removal ovaries is a separate procedure (oophorectomy). Removing everything is a total hysterectomy and a bilateral salpingo (tubes)-oophorectomy.

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Why do women have hysterectomy?

Why do women have hysterectomy?

Many reasons: A hysterectomy is needed for cancer of the uterus, ovary, or cervix. It is an important option for 1) large fibroids or ones causing heavy bleeding or pain, 2) endometriosis, especially if causing pain or ovarian cysts, 3) adenomyosis especially if causing pain or heavy bleeding, 4) prolapse of the uterus, or 5) treatment of pain and bleeding when conservative measures fail.

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How much do a hysterectomy hurt?

How much do a hysterectomy hurt?

Varies: The post operative pain after a hysterectomy varies from woman to woman, but is almost always well controlled with medications. The route of the hysterectomy (abdominal, vaginal, laparoscopic, robotic, etc) will have an impact on the amount of pain - but again the pain medications work very well.

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What's a single-port hysterectomy?

What's a single-port hysterectomy?

Less invasive: A single port hysterectomy means that the surgeon uses one small incision usually in the belly button to remove the uterus. Their is less pain and less visible scar than with other techniques. An experienced single port surgeon can do most hysterectomies using this technique. Most laparoscopic or robotic techniques use 3-4 small incisions on the abdomen.

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When can I swim post hysterectomy?

When can I swim post hysterectomy?

2 weeks: If feeling well without problems postoperatively, swimming is ok as early as 2 weeks postop.

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How much does a hysterectomy hurt?

It depends: Pain after a hysterectomy is related to the type of incision (s) as well as the underlying condition. A large abdominal incision will be more painful than minimally invasive surgery ("bandaid incisions"). However, pain after a hysterectomy should be manageable with medications

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How common are hysterectomies now?

Second most common: Hysterectomy is the second most common surgery, (c-section is #1), with approximately 600, 000 annually in the usa. Recent data suggest thevrate of hysterectomy maybe declining.

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Anyone know what is a hysterectomy?

Anyone know what is a hysterectomy?

Removal of uterus: This a surgical procedure under general anesthesia to remove the uterus. It can be done open, vaginally, laparoscopically, or with robotic assistance. It's usually done for bleeding abnormalities due to tumors or cancer, for prolapse, pain, or other abnormalities.

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Can u gain wt after a hysterectomy?

Can u gain wt after a hysterectomy?

Unrelated: A hysterectomy removes the uterus (womb), which should not have any effect on appetite or metabolism. If ovaries were also removed in a pre-menopausal woman (salpingo-oopharectomy), many hormonal changes can affect appetite and metabolism. Talk to your surgeon to understand exactly what was & wasn't removed, and what long-term effects to expect, and how best to deal with them.

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Hysterectomy what is recovery time?

6 weeks: It can take 6 weeks for you to be back up to speed after a hysterectomy, although many patients are doing well after 2 weeks. It is important to move, but to not over do. Avoid lifting. Eat a nutritious well balanced diet and drink lots of water. If you have any problems, get in to see your surgeon. Take care!

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Can I get a hysterectomy at age 28?

Can I get a hysterectomy at age 28?

Surgical indication: If there is a clear surgical indication for hysterectomy at age 28 (like a cervical cancer) a Gyn oncologic surgeon can and will discuss the pros and cons of hysterectomy with a patient and assist her in the difficult process to arrive at a "shared decision making" for hysterectomy.

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Can you tell me about hysterectomy?

Uterus removal: There are several types depending on your medical history and why you are having one. Sometimes the uterus alone is removes as in the case of fibroids. Sometimes the uterus and cervix is removed and sometimes the uterus tubes and ovaries are removed. The gynecologist will discuss all the options with you

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Can anyone have have a hysterectomy? ?

Can anyone have have a hysterectomy? ?

Females: Only females… any surgery has risks, so a hysterectomy is only done for medical indications. Check with your doc.

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I want a hysterectomy how do I get one?

I want a hysterectomy how do I get one?

At UR age?: What for? This sounds not the brightest idea coming from I assume a healthy young person. If there would be a major medical problem the obgyn would have offer a solution by I do not detect. Hysterectomy has very severe consequences and I hope nobody in a right mind would offer his/her services. Consult a shrink....

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Painful intercoarce after hysterectomy?

Painful intercoarce after hysterectomy?

Not normal.: Need to see your doctor to determine the cause. Women should not have painful intercourse from a hysterectomy. Hope this helps.

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What are the effects of a hysterectomy?

Stop bleeding: If you have a hysterectomy and your doctor removes your uterus and cervix, you will definitely stop having periods. Depending on your situation, ovaries are usually left in in a 37 year old. If there is cancer, that is a different situation. Hysterectomies can be done through an open incision or "minimally invasively" with a robot. The main factor is often size.

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Does it hurt to get a hysterectomy done?

Sometimes: There are various reasons to have a hysterectomy. Some are fibroids, pain, heavy bleeding, or cancer. It is important to know that there are newer types of hysterectomies that result in much less pain, such as vaginal, laparoscopic and robotic. Consider consultation for these minimally invasive methods if you need a hysterectomy.

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How will hysterectomy done in the future?

Varies: There are a number of ways to perform a hysterectomy - the current tide is toward laparoscopic hysterectomy with robotic assistance - the route for each patient will depend on a variety of factors including the indication for the surgery, the experience and training of the surgeon, a variety of patient characteristics and co-morbidities, and possibly a number of other factors.

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Are there alternatives to a hysterectomy?

Are there alternatives to a hysterectomy?

Yes, many: Depending on what sx you are trying to alleviate, there are many options, including: Medications that decrease bleeding Hormones that decrease bleeding or can shrink the uterus Hysteroscopic procedures that are done through the vagina in office or surgery center for bleeding or fibroids in endometrial cavity IR procedures that block bloodflow to uterus&shrinks it Ultrasound energy to shrink, etc.