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Uterus removal, or Hysterectomy, is a life-changing procedure that brings both physical and emotional adjustments. Many women undergo it to treat conditions like fibroids, endometriosis, or prolonged bleeding. Interestingly, the numbers vary across countries in the UK; one in five women has a hysterectomy by age 60, with ovaries removed in about 20% of cases. In Germany, around 1.5 lakh surgeries are performed yearly, primarily among women aged 40–49, while in Denmark, rates have dropped by 38% since the 1980s as surgical techniques evolved.
Understanding the changes after uterus removal - from hormonal shifts to physical recovery helps you adapt more effectively and embrace this new phase with confidence.
What Is A Uterus Removal?
A Uterus Removal is a surgical procedure that removes the uterus and cervix, while a supracervical Uterus Removal preserves the cervix. These surgeries may also involve the removal of the ovaries (oophorectomy) or fallopian tubes (salpingectomy). Performed mainly by gynaecologists, hysterectomies serve as a form of sterilisation and are generally only recommended when other treatments have failed. It is the second most common gynaecological surgery in the U.S., often done for conditions like endometriosis and uterine fibroids, and its usage for non-cancerous reasons is expected to decline with new treatment options.
Types Of Uterus Removal
There are several types of Uterus Removal surgeries, including:
- Total Uterus Removal: This procedure involves the removal of the uterus and cervix while keeping the ovaries intact. Since the ovaries remain, you won't experience immediate menopause after the operation.
- Supracervical Uterus Removal: In this case, only the upper portion of the uterus is removed, and not the cervix. Fallopian tubes and ovaries might be removed simultaneously.
- Total Uterus Removal with Bilateral Salpingo Oophorectomy: This involves removing the uterus, cervix, fallopian tubes, and ovaries. The removal of the ovaries will trigger immediate menopause if you haven’t already gone through it.
- Radical Uterus Removal with Bilateral Salpingo Oophorectomy: This more extensive surgery involves the removal of the uterus, cervix, fallopian tubes, ovaries, the upper part of the vagina, and nearby tissue and lymph nodes. It is primarily performed when cancer is present, and you will enter menopause afterwards due to the removal of the ovaries.
Why Is A Uterus Removal Performed?
Healthcare providers frequently recommend exploring alternative treatments before suggesting a Uterus Removal, depending on the underlying reason for the procedure. In some cases, these alternative options may not provide relief, making surgery the necessary course of action.
Surgeons perform hysterectomies to treat:
- Abnormal or heavy vaginal bleeding.
- Intense pelvic pain
- Uterine fibroids and other benign tumours
- Severe endometriosis
- Uterine prolapse, which can cause urinary or faecal incontinence
- Cervical, ovarian, or uterine cancer
- Conditions affecting the uterine lining, such as hyperplasia or adenomyosis
- Serious childbirth complications, like uterine rupture.
Many women choose uterus removal as a preventive step against certain cancers. However, it’s essential to note that this procedure can be expensive, often requiring hospital stays, medications, and follow-up care, which may result in unexpected medical expenses. That’s where a good health insurance plan becomes essential; it helps cover surgery costs, consultations, and other treatment-related expenses, easing your financial burden during recovery.
After Effects Of Uterus Removal
Uterus removal can bring several physical and hormonal changes. Sometimes, ovaries are removed unintentionally, leading to early menopause. Even if preserved, ovaries may stop working correctly in many women, and some may need hormone replacement therapy. Benign ovarian cysts can also develop after surgery.
- Sexual Health & Pelvic Pain
Many women notice improved sexual health and reduced pelvic pain after surgery for benign conditions. However, some may experience worsening sexual issues, especially if the procedure is extensive due to cancer or chronic pain.
- Hormonal Effects & Bone Health
Removal of ovaries causes sudden estrogen loss, known as surgical menopause, which increases risks of heart disease, low bone density, and fractures. Testosterone levels also drop, potentially affecting sexual desire and bone strength.
- Urinary & Pelvic Changes
Urinary incontinence and vaginal prolapse can appear 10–20 years after surgery. Risks increase with vaginal births, difficult deliveries, or the type of surgery.
- Surgical Risks
Scar tissue (adhesions) can form after surgery, sometimes leading to bowel obstruction, especially in non-laparoscopic procedures.
- Lifestyle Impacts
Weight may fluctuate due to hormonal changes, shifts in appetite, or inactivity related to recovery. Fatigue is common due to healing, nutrient deficiencies, or anaemia. Stress during recovery can also affect appetite and weight.
Treatment For Recovery
If you experience any of the problems described above, there are several steps you can take to address them. These can be divided into short-term and long-term lifestyle changes.
Short-Term Recovery
The first few weeks after uterus removal are crucial for healing. Your body needs rest, balanced nutrition, and gentle care to recover safely and effectively.
- Limit Activity: Rest for the first two weeks post surgery, then gradually reintroduce light duties. After three weeks, begin mild exercises, such as walking and stretching, and avoid heavy lifting and strenuous activities for at least six weeks.
- Eat Well: Focus on a balanced diet rich in protein and fibre, and avoid foods that cause gas. Reduce portion sizes initially, but increase calorie intake with increased activity. Include foods rich in zinc and vitamin C, and opt for whole grains and fruits as good sources of carbohydrates.
- Manage Stress: Prioritise tasks, delegate where possible, and accept limitations to reduce stress. This approach can enhance sleep quality and support recovery.
Long Term Recovery
Once initial healing is complete, long-term habits help your body adapt and stay healthy. Maintaining a consistent exercise regimen, a balanced diet, and effective stress management is key.
- Exercise Regularly: Incorporate physical activity into your daily routine to reduce health risks and maintain a healthy weight. Small changes, such as taking the stairs instead of the elevator, can have a significant impact on your overall well-being.
- Nutrition Matters: Focus on healthy fats from sources like nuts, seeds, and fish. Include low-fat dairy products and a variety of colourful fruits and vegetables in your diet to support optimal health and functioning.
- Stress Reduction: Practice relaxation techniques such as deep breathing or visualisation. Ensure you carve out quiet time daily and prioritise enjoyable activities with the people you love.
>>Read More: Uterine Fibroids: Here is What Women Should Know About its Causes and Treatment
Final Words
Undergoing a Uterus Removal can be a life-changing experience, but with the correct knowledge and steps, you can navigate this journey with confidence. Remember, every woman's experience is unique, so it's essential to prioritise your physical and emotional well-being throughout the process. By understanding the reasons for Uterine Removal, the procedure involved, and, most importantly, the post-surgery changes that are noticed, one will be better equipped to take control of their health and make informed decisions. Stay empowered, stay informed, and remember that you're not alone.
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