What is hysterectomy?
A hysterectomy is the surgical removal of the uterus, usually done by a gynecologist. Hysterectomy may be total (removing the body and cervix of the uterus) or partial (also called supra-cervical). In many cases, surgical removal of the ovaries (oophorectomy) is performed concurrent with a hysterectomy. The surgery is then called "total abdominal hysterectomy with salpingo-oopherectomy."
Although many hysterectomies are performed via a full abdominal incision laparotomy, two common surgical approaches which are less invasive are laparoscopically or vaginally. Surgery with ovarian conservation is an option for the pre-menopausal patient with benign disease (non cancer).
Indications for hysterectomy include uterine fibroids, pelvic pain (including endometriosis and adenomyosis), pelvic relaxation (or prolapse), heavy or abnormal menstrual bleeding, and cancer or pre-cancer diseases.
Uterine fibroids, although a benign disease, may cause heavy menstrual flow and discomfort to some women. Many treatments are possible: medical (the use of NSAIDS for the pain or hormones to suppress the menstrual cycle), uterine artery embolization, or surgical. The surgical treatment varies depending on the location of the fibroids. If the fibroids are inside the lining of the uterus, hysteroscopic removal might be an option.
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Just As Much a Woman: Your Personal Guide to Hysterectomy and Beyond
Nancy Rosenfeld, Dianna W. Bolen
Prima Lifestyles, 1999-03-24
Price: $22.00
Keywords: Health, Mind Body, Parenting Families, Personal Health, Women's Health
Reviews:
best of all the others i read
Beware if you suffer from endometriosis!
The book I wish I'd Had . . . .
Well written, informative, the real truth about hysterectomy
Well-intentioned but poorly written; flabby; patronizing
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Authors Dianna Bolen and Nancy Rosenfeld stress that the first things to consider when faced with the recommendation of hysterectomy are to get a second opinion and to educate yourself on all the treatment options. Rosenfeld balked at the immediate surgery her doctor recommended ("I can't... we have friends in town from out of the country") but was shocked to learn from the second opinion that her uterine fibroid was more likely to be malignant than not.
She offers 16 questions to ask your doctor before surgery (including the potentially embarrassing "What will fill up the space once the tumor and female organs have been removed?") and her doctor's responses to them. She also offers sage advice on how to prepare both your body and mind for the surgery; how to choose among the different types of anesthesia; five reasons to lobby for a private room if you can afford it; and how to speed recuperation both in the hospital and at home. Profiles of 12 other hysterectomy patients (ages 27 to 65) reveal that there is widespread, unnecessary suffering by women both before and after hysterectomies--much of which could be avoided with the information contained in this book.