Hysterectomy

What Is a Hysterectomy?

A hysterectomy is the surgical removal of the uterus, sometimes including the cervix, ovaries, and fallopian tubes. It’s one of the most common gynecologic surgeries, performed to treat:
Uterine fibroids (causing pain or bleeding)
Endometriosis (severe cases)
Pelvic organ prolapse
Cancer (uterine, cervical, ovarian)
Chronic pelvic pain (when other treatments fail)

Types of Hysterectomy Procedures

1. Total Hysterectomy

• Removes the uterus and cervix
• Most common type
• Used for cancer prevention or treatment

2. Supracervical (Partial) Hysterectomy

• Removes only the upper uterus (keeps the cervix)
• May reduce pelvic support issues
• Not for cancer patients

3. Radical Hysterectomy

• Removes uterus, cervix, upper vagina, and lymph nodes
• Primarily for cervical or uterine cancer

4. Oophorectomy (Ovary Removal)

• Often done with hysterectomy in menopausal women or cancer cases
• Triggers surgical menopause if both ovaries removed

Surgical Approaches Compared

Recovery & What to Expect

• Hospital Stay: 1-3 days (except vaginal: often outpatient)
• Pain Management: Prescription meds → transition to OTC
• Activity Restrictions:
  • No lifting >10 lbs for 6 weeks
  • No sex/tampons for 6-8 weeks
• Return to Work: 2-6 weeks (depends on job type)
• Long-Term Effects:
  • Surgical menopause (if ovaries removed)
  • No periods or pregnancy (even if ovaries remain)