2024-01-01 · female, gynecology, surgery
Hysterectomy Surgery FAQ
What Is a Hysterectomy?
A hysterectomy is a surgical procedure to remove the uterus. Depending on the reason for surgery, the cervix, ovaries, and fallopian tubes may also be removed. Hysterectomy can be performed through the abdomen, vagina, or using minimally invasive laparoscopic or robotic techniques.
Why Is a Hysterectomy Performed?
Common reasons for hysterectomy include:
- Uterine fibroids causing heavy bleeding or pain
- Endometriosis or adenomyosis that does not respond to other treatments
- Abnormal uterine bleeding
- Pelvic organ prolapse
- Cancer or precancer of the uterus, cervix, or ovaries
What Symptoms Might Lead to Surgery?
Symptoms that may lead to hysterectomy evaluation include:
- Heavy or prolonged menstrual bleeding
- Pelvic pain or pressure
- Pain with intercourse
- Enlarged uterus or pelvic mass
- Anemia from chronic blood loss
About the Hysterectomy Procedure
Hysterectomy is performed under general anesthesia and typically takes one to three hours. The surgical approach depends on your anatomy, medical history, and the reason for surgery. Minimally invasive approaches often result in less pain and a faster recovery. Your surgeon will discuss whether the ovaries and fallopian tubes should be removed.
What Happens After Surgery?
After surgery, patients are monitored for pain control and bleeding. Recovery often includes:
- Early walking to reduce the risk of blood clots
- Gradual return to normal activities
- Avoiding heavy lifting and vaginal intercourse until cleared
Hospital stay may range from same-day discharge to a few days depending on the procedure.
How Long Does Recovery Take?
Most patients need several weeks for full recovery. In general:
- Light activities can resume in one to two weeks
- Return to work may take two to six weeks depending on job demands
- Full healing typically occurs within six to eight weeks
Your care team will provide individualized recovery guidance.
What Are the Risks and Complications?
As with any surgery, hysterectomy has risks such as:
- Bleeding or infection
- Injury to nearby organs such as the bladder or bowel
- Blood clots
- Changes in pelvic floor support or urinary symptoms
Discuss your personal risk factors with your surgeon.
How Will This Affect Hormones and Fertility?
After hysterectomy, pregnancy is no longer possible. If the ovaries are removed, menopause symptoms may begin quickly. If the ovaries remain, hormone production may continue. Your surgeon can explain expected changes based on your procedure.
When Should I Seek Medical Attention?
Call your surgeon if you have:
- Heavy bleeding, fever, or severe pelvic pain
- Worsening redness or drainage from incision sites
- Shortness of breath or leg swelling
- Symptoms that do not improve over time
Early evaluation helps ensure safe recovery.