Why hysterectomy is bad
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Health Conditions Discover Plan Connect. Medically reviewed by Deborah Weatherspoon, Ph. Talk to your doctor about resuming activities after keyhole surgery,. While recuperating at home, you will be advised to rest and avoid lifting heavy weights. You should be able to drive a car or go swimming about six weeks after the operation. By the fth or sixth week you should be starting to get back to normal.
You should gradually increase your activity much like an athlete recovering from an injury. It should be possible to return to work soon after the post-operative check up, six to eight weeks after leaving hospital. It is usual to feel unexpectedly tired in the second month after the operation, but this does not last.
It is common to feel numbness around abdominal scar. Sometimes, the feeling comes back after a few weeks, but in some women the area remains numb for much longer. Gentle sexual intercourse should be possible by about the sixth week after the operation. Some women feel more relaxed about lovemaking once the fears of pregnancy or unpleasant symptoms have gone.
Others might feel the point of sex has been removed, and experience a psychological loss of libido. We know that the ovaries, even after the menopause, continue to secrete androgen, and these hormones are very important in maintaining libido in women.
Recovery is quicker, with fewer complications, she says. To be able to remove the uterus during a minimally invasive surgery, surgeons cut it into small sections and may use a process called morcellation. In the past, the practice was criticized because of evidence that it could potentially increase the risk of spreading cancerous cells. In response to these concerns, researchers developed new approaches to the procedure including contained and in-bag morcellation methods.
Streicher believes that many women undergo unnecessary open procedures, when morcellation is a better option. Informed consent is a must before going ahead with this procedure, says Streicher. Only about 1 percent of women in the general population will develop ovarian cancer over their lifetime compared with about 44 percent of women who have inherited the BRCA1 mutation and about 17 percent of women who have inherited the BRCA2 mutation.
This removes both ovaries, called prophylactic oophorectomy , and can be done either alone or at the time of hysterectomy.
Studies show having the surgery lowers risk of dying from ovarian cancer by 80 percent. For some, the emotional trauma of hysterectomy may take much longer to heal than the physical effects. Feeling a little down or having a sense of loss after a surgery is normal.
But be on the lookout for postoperative depression, and get professional help if you need it to deal with insomnia , loss of appetite, or hopeless feelings, if you have them. For her, the hysterectomy was an emotionally painful experience. By subscribing you agree to the Terms of Use and Privacy Policy.
Health Topics. Think about what matters most to you in this decision, and show how you feel about the following statements. I tried hormones and had laparoscopic surgery, and my symptoms are still bad. I'm not close to menopause, so I don't want to wait for the symptoms to go away. I'm close to menopause, so I prefer to wait for the symptoms to go away. Now that you've thought about the facts and your feelings, you may have a general idea of where you stand on this decision.
Show which way you are leaning right now. How sure do you feel right now about your decision? Here's a record of your answers. You can use it to talk with your doctor or loved ones about your decision. Some of the problems include: 2. I'm close to menopause, so I could take medicine and wait for my symptoms to go away rather than have surgery. If I have my ovaries and uterus taken out, endometriosis will never give me pain again. I can take estrogen after surgery to make my bones stronger and to keep from having hot flashes and other menopause symptoms.
Are you clear about which benefits and side effects matter most to you? Do you have enough support and advice from others to make a choice? Author: Healthwise Staff. This information does not replace the advice of a doctor. Healthwise, Incorporated, disclaims any warranty or liability for your use of this information.
Your use of this information means that you agree to the Terms of Use. Learn how we develop our content. To learn more about Healthwise, visit Healthwise. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. Updated visitor guidelines. Get the facts. Your options Have your uterus and ovaries removed to treat symptoms from endometriosis. Keep using hormone therapy or have more laparoscopic surgery to remove endometriosis and scar tissue.
Key points to remember There is no cure for endometriosis. Hormone therapy or taking out tissue with laparoscopic surgery can ease pain. But pain often returns within a year or two.
Taking out the ovaries oophorectomy and the uterus hysterectomy usually relieves pain. But the pain relief doesn't always last. Pain comes back in up to 15 out of women who have this surgery. When your menstrual periods stop at around age 50 menopause and your estrogen levels drop, endometriosis growth and symptoms will probably also stop.
In some cases, scar tissue remains after menopause and can cause problems. Taking out the uterus and ovaries is a major surgery with short-term and long-term risks. Recovery usually takes 4 to 6 weeks.
The sudden drop in estrogen after taking out the ovaries causes worse menopause symptoms than you would have with natural menopause. The low estrogen also makes your bones start to thin at a younger age. This raises your risk of osteoporosis later in life. It's one reason why some doctors remove only one ovary when treating a younger woman.
If you have your ovaries removed, you can choose to take estrogen therapy. It will protect your bones and prevent menopause symptoms after your ovaries are removed. But it may also make endometriosis come back. You also may want to have surgery if you're not close to menopause and your symptoms are so bad that you're willing to accept the risks and side effects of surgery. What is endometriosis? How will endometriosis affect you? Symptoms often get better during pregnancy and usually go away after menopause.
How well does surgery help symptoms? Taking out the uterus and ovaries is usually the last choice in treatment. This is because: It is a major surgery with a long recovery. It makes you unable to get pregnant. It causes a sudden drop in your level of estrogen. This leads to menopause and side effects such as making your bones thinner. What are the risks of surgery? This surgery has different types of risks.
Risks from having surgery Most women don't have problems from surgery. But problems can include: A fever. A slight fever is common after any surgery. Trouble urinating. Continued heavy bleeding. Some vaginal bleeding within 4 to 6 weeks after surgery is normal.
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