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Doctor insights on: Hysterectomy Alternatives

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Adenomyosis-3 cysts-one of which is huge are there alternatives outside menopause and hysterectomy?

Adenomyosis-3 cysts-one of which is huge are there alternatives outside menopause and hysterectomy?

Not Usually: If you truly have adenomyosis and it is large then there are not good options. Medical therapy is inconsistent and worth trying but often not very effective. Surgery in the form of removing the uterus is really the only proven therapy. Now if you have endometriosis there are multiple options. So it is important to get the best sense of what you have. ...Read more

Dr. Jeff Livingston
1,839 doctors shared insights

Hysterectomy (Definition)

The entire uterus (womb), cervix, the part protruding into the vagina, and ...Read more


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Is there an alternative for severe stage 2 cystocele other than mesh? I am an athlete, mom of 4, post hysterectomy from HPV 4 yrs, & only 36. Help!

Is there an alternative for severe stage 2 cystocele other than mesh? I am an athlete, mom of 4, post hysterectomy from HPV 4 yrs, & only 36. Help!

Yes: Mesh is definitely not your only option. Doctors can suspend vagina wall from the inside/abdomen as well. If it were me, and i were 36 years of age, i would not recommend vaginal mesh in you. You are way too young. Of course pessary is an option too, in the meantime while you make a decision. Or for long term. See a urogynecologist, board certified, to make sure you are in the best hands. ...Read more

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Having a robotic hysterectomy what are some non estrogen alternatives for hot flashes also weight gain. history of breast cancer. Recovery time?

Having a robotic hysterectomy what are some non estrogen alternatives for hot flashes also weight gain. history of breast cancer. Recovery time?

Soy, Black Cohosh: All nonestrogen alternatives are non prescription and non FDA approved. Can try but no evidence they work. Lifestyle changes can help, try to avoid triggers of the hot flashes. Recovery time would be about a month ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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