“If your doctor has recommended hysterectomy,
and you are still unsure, it is a good idea to have
a further discussion with your specialist. Alternatively…”.1

Umbrella
What may the Hysterectomy Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • Abdominal Hysterectomy
  • Hysterectomy
  • Laparoscopic Hysterectomy (Keyhole Surgery)
  • Partial Hysterectomy
  • Radial Hysterectomy
  • Subtotal Hysterectomy
  • Supracervical Hysterectomy
  • Total Hysterectomy
  • Total Hysterectomy With Bilateral Salpingo-Oophorectomy
  • Total Hysterectomy With Oophorectomy
  • Vaginal Hysterectomy

Hysterectomy

What is a hysterectomy?

DotS the definition of a hysterectomy may vary. In Hysterectomy: What Is A Hysterectomy? the (Australian) Jean Hailes for Women’s Health (JH) definition is:

“A hysterectomy is an operation to remove the uterus (womb)”.2

In Hysterectomy: Overview the (United Kingdom) NHS’s definition is:

“A hysterectomy is a surgical procedure to remove the womb (uterus). You’ll no longer be able to get pregnant after the operation”.3

The Australasian Menopause Society’s definition is:

“A hysterectomy is surgical removal of a woman’s uterus. Diagnosis of perimenopause/menopause depends on the presence of menopausal symptoms due to by the absence of menses in hysterectomised women. In pre-menopausal women, ovarian function will continue normally in most women although there is a small risk of an earlier menopause”.4

Vaginal Hysterectomy

What is a vaginal hysterectomy?

DotS the definition of a vaginal hysterectomy may vary. In Vaginal Hysterectomy: Overview the (United States) Mayo Clinic’s definition is:

“Vaginal hysterectomy is a surgical procedure to remove the uterus through the vagina.

During a vaginal hysterectomy, the surgeon detaches the uterus from the ovaries, fallopian tubes and upper vagina, as well as from the blood vessels and connective tissue that support it, before removing the uterus”.5

Total Hysterectomy

What is a total hysterectomy?

DotS the definition of a total hysterectomy may vary. The NHS’s definition is:

  • “Total hysterectomy – the womb and cervix (neck of the womb) are removed; this is the most commonly performed operation”.6

The JH’s definition is:

  • “A total hysterectomy means both the uterus and the cervix (neck of the womb) are removed, whilst the woman keeps her ovaries”.7

Total Hysterectomy With Bilateral Salpingo-Oophorectomy

What is a total hysterectomy with bilateral salpingo-oophorectomy?

DotS the definition of a total hysterectomy with bilateral salpingo-oophorectomy may vary. The NHS’s definition is:

  • “Total hysterectomy with bilateral salpingo-oophorectomy – the womb, cervix, fallopian tubes (salpingectomy) and ovaries (oophorectomy) are removed”.8

Subtotal Hysterectomy

What is a subtotal hysterectomy?

DotS the definition of a subtotal hysterectomy may vary. The NHS’s definition is:

  • “Subtotal hysterectomy – the main body of the womb is removed, leaving the cervix in place”.9

The JH note:

  • “A subtotal means the cervix is not removed”.10

Common or Not

How common are hysterectomies?

In Hysterectomy: How Common Are Hysterectomies? according to the Office on Women’s Health, United States Department of Health and Human Services, Womenshealth.gov, in 2010:

“Each year in the United States, nearly 500,000 women get hysterectomies. A hysterectomy is the second most common surgery among women in the United States. The most common surgery in women is childbirth by cesarean delivery (C-section)”.11

Pap Tests

Do women still need regular Pap tests after a hysterectomy?

Womenshealth.gov note:

“Maybe. You will still need regular Pap tests (or Pap smear) to screen for cervical cancer if you:

  • Did not have your cervix removed
  • Had a hysterectomy because of cancer or precancer

Ask your doctor what is best for you and how often you should have Pap tests”.12

Menopause

Does having a hysterectomy put you into menopause?

In What Causes Menopause: Menopause Due To Surgery – Hysterectomy the JH explain:

“A hysterectomy is the surgical removal of your uterus. Most women who have a hysterectomy do not go straight into menopause. But women who have a hysterectomy and keep their ovaries are more likely to have an earlier menopause”.13

Menopause Symptoms

Are the menopause symptoms related to induced menopause similar to those from natural menopause?

In Menopause FAQs: Premature, Early, and Induced Menopause: Q. I’m facing a hysterectomy with removal of my ovaries, so I’m going to have an induced menopause. Is it different from natural menopause? the NAMS note:

“A. Menopause symptoms related to induced menopause can be similar to those from natural menopause, including hot flashes, sleep disturbances, and vaginal dryness. But premenopausal women who experience induced menopause can have more intense symptoms, and therefore, a greater need for treatment to control them than women who undergo natural menopause”.14

Surgical Menopause

Are menopause symptoms related to surgical menopause, similar to those from natural menopause?

In What Causes Menopause: Menopause Due To Surgery – Hysterectomy the JH note:

“If you are under 45 years of age when you experience surgical menopause, the drop in oestrogen levels can increase your risk of osteoporosis. It can also increase the risk of early development of cardiovascular disease (e.g. heart disease)”.15

Hysterectomy or Not

What if I am unsure about having a hysterectomy?

The JH explain:

Hysterectomy
“Having a hysterectomy is major surgery. The decision to have a hysterectomy should only be made after you have been given adequate information about why you need one, how the surgery will be performed, what will happen to your body and what the consequences may be. It is also important to think about how you may feel about losing your uterus and whether you need help and support coping with those feelings”.16

In Hysterectomy the Womenshealth.gov answer questions about hysterectomy.

In Hysterectomy: Considerations the NHS explain some of the decisions you may be required to make.

In Hysterectomy: Should You Have A Hysterectomy? the JH include questions you may like to consider “when thinking about whether or not to have a hysterectomy”.

In Hysterectomy: Should You Have A Hysterectomy? the JH also caution:

“If your doctor has recommended hysterectomy, and you are still unsure, it is a good idea to have a further discussion with your specialist. Alternatively, you could seek a second opinion”.17

Health Care Provider

What if I have not bounced back after a hysterectomy?

If you have not bounced back after a hysterectomy it may be in your best interest to choose to talk to your health care provider about this. Together you can discuss your options and if required, agree on who may be the most appropriate health care provider to help you.

Health Topics A-Z

Where may I find Health Topics related to Hysterectomy?

In Health Topics A-Z you may find:

Links

Where may I find Links related to Hysterectomy?

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Sources

Where may I find the Sources quoted?

You may find the Sources quoted at:

Sources

  1. Hysterectomy: What Is A Hysterectomy? Last Updated: 06 September 2022 | Last Reviewed: 14 May 2021. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/vulva-vagina-ovaries-uterus/hysterectomy/ Accessed: 26 September 2022
  2. Hysterectomy: What Is A Hysterectomy? Last Updated: 06 September 2022 | Last Reviewed: 14 May 2021. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/vulva-vagina-ovaries-uterus/hysterectomy/ Accessed: 26 September 2022
  3. Hysterectomy: Overview. Page Last Reviewed: 01 February 2019. NHS https://www.nhs.uk/conditions/hysterectomy/ Accessed: 26 September 2022
  4. Glossary of Terms: Hysterectomy. Content Updated: February 2022. Australasian Menopause Society https://www.menopause.org.au/hp/information-sheets/381-glossary-of-terms Accessed: 26 September 2022
  5. Vaginal Hysterectomy: Overview. 25 February 2021. Mayo Clinic https://www.mayoclinic.org/tests-procedures/vaginal-hysterectomy/about/pac-20384541 Accessed: 26 September 2022
  6. Hysterectomy: Overview – Types of Hysterectomy. Page Last Reviewed: 01 February 2019. NHS https://www.nhs.uk/conditions/hysterectomy/#types-of-hysterectomy Accessed: 26 September 2022
  7. Hysterectomy: What Is A Hysterectomy? Last Updated: 06 September 2022 | Last Reviewed: 14 May 2021. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/vulva-vagina-ovaries-uterus/hysterectomy/ Accessed: 26 September 2022
  8. Hysterectomy: Overview – Types of Hysterectomy. Page Last Reviewed: 01 February 2019. NHS https://www.nhs.uk/conditions/hysterectomy/#types-of-hysterectomy Accessed: 26 September 2022
  9. Hysterectomy: Overview – Types of Hysterectomy. Page Last Reviewed: 01 February 2019. NHS https://www.nhs.uk/conditions/hysterectomy/#types-of-hysterectomy Accessed: 26 September 2022
  10. Hysterectomy: What Is A Hysterectomy? Last Updated: 06 September 2022 | Last Reviewed: 14 May 2021. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/vulva-vagina-ovaries-uterus/hysterectomy/ Accessed: 26 September 2022
  11. Hysterectomy: How Common Are Hysterectomies? Page Last Updated: 22 February 2021. Office on Women’s Health, United States Department of Health and Human Services, Womenshealth.gov https://womenshealth.gov/publications/our-publications/fact-sheet/hysterectomy.html?from=AtoZ Accessed: 26 September 2022
  12. Hysterectomy: I’ve Had A Hysterectomy. Do I Still Need To Have Pap Tests? Page Last Updated: 22 February 2021. Womenshealth.gov https://www.womenshealth.gov/a-z-topics/hysterectomy?from=AtoZ Accessed: 26 September 2022
  13. What Causes Menopause: Menopause Due To Surgery – Hysterectomy. Last Updated: 20 September 2022 | Last Reviewed: 19 August 2022. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/menopause/causes-of-menopause Accessed: 26 September 2022
  14. Menopause FAQs: Premature, Early, and Induced Menopause: Q. I’m facing a hysterectomy with removal of my ovaries, so I’m going to have an induced menopause. Is it different from natural menopause? North American Menopause Society https://www.menopause.org/for-women/menopause-faqs-premature-early-and-induced-menopause Accessed: 26 September 2022
  15. What Causes Menopause: Menopause Due To Surgery – Hysterectomy. Last Updated: 20 September 2022 | Last Reviewed: 19 August 2022. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-a-z/menopause/causes-of-menopause Accessed: 26 September 2022
  16. Hysterectomy: What Is A Hysterectomy? Last Updated: 29 June 2021 | Last Reviewed: 14 May 2021. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/vulva-vagina-ovaries-uterus/hysterectomy/ Accessed: 26 September 2022
  17. Hysterectomy: Should You Have A Hysterectomy? Last Updated: 26 September 2022 | Last Reviewed: 14 May 2021. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/vulva-vagina-ovaries-uterus/hysterectomy/ Accessed: 26 September 2022
Topic Last Updated: 26 September 2022 – Topic Last Reviewed: 26 September 2022

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