Surgical Indications and Non-Surgical Remedies for Hysterectomy

Hysterectomy is the surgical removal of the uterus. There are several reasons why doctors recommend hysterectomy for a patient. Hysterectomy can be performed through an open surgery or a laparoscopic surgery.

Surgical indications for Hysterectomy

  • Excessive bleeding from the uterine lining during menstruation: This is also called as Dysfunctional Uterine Bleeding (DUB)
  • Presence of fibroids in the uterus: Fibroids are benign tumors that grow in the uterus due to hormonal imbalance
  • Prolapse of the uterus: The uterus prolapses into the vagina. This is because of multiple child births, which weaken the ligaments causing the uterus to sink into the vagina.
  • Cancer: Women who have cancerous tumors in the uterus may also be advised hysterectomy.

If surgery is the option for you, remember to ask the following ten questions to your surgeon.

  1. Why should I undergo a hysterectomy?
  2. What are the non-surgical options available for my condition?
  3. Is an open surgery suitable for me or should I opt for laparoscopic surgery? If laparoscopy is not suitable for me, why?
  4. What are facilities available in the hospital for an hysterectomy surgery?
  5. Are the doctors and the para medical staff well experienced to handle the surgery?
  6. Will I get insurance coverage for this type of surgery, including the other expenses?
  7. What is the recovery period? How good is the post-operative care, such as wound healing and suture removal in the hospital?
  8. What are the changes that I can expect in my body after the surgery, if my uterus and ovaries are removed and how will it affect my quality of life?
  9. Will the surgery affect sexual life with my partner?
  10. What are the complications of hysterectomy in the long run?

Seek clarity regarding all the above questions before you consent for the surgery.

Non-Surgical Remedies

Non-surgical remedies are available for all the surgical indications listed for performing hysterectomy.

DUB: Laser therapy is used to destroy the lining of the uterus to prevent recurrent bleeding, anemia and related problems.

Uterine prolapse: In cases of prolapse of uterus, laparoscopic repositioning is suggested if the patient is unwilling for a surgery. The procedure involves placing a mesh to reposition the uterus back into the abdomen and preventing it from sliding down into the vagina.

Fibroids: For women suffering from fibroids, the Department of Interventional Radiology uses angiogram catheters to block uterine arteries and their branches that feed the fibroid. The growth of the fibroid gets regressed because of the lack of blood supply.

Cancer in the uterus: If cancerous growth is present in the uterus and if the patient wants to preserve her uterus for child birth, then chemotherapeutic drugs are provided to contain the cancerous growth. Selective removal of the tumor also helps in preserving the uterus.

It is best advised to consult your doctor before you opt for any of the non-surgical remedies.

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