Why do I need a hysterectomy?

A hysterectomy will sometimes become necessary for the following women’s health conditions:

  • Adenomyosis – caused by the lining of the womb/uterus growing in the muscles of the womb (called the myometrium)
  • Endometriosis caused by tissues that normally form inside the uterus forming outside the uterus in the abdominal cavity.
  • Fibroids which cause pain, bleeding or are very large. A fibroid is a non-cancerous growth of muscle and fibrous tissue. cancer of the uterus, ovaries, fallopian tube/s or cervix
  • Gynaecological cancer
  • Heavy Bleeding – Menorrhagia or bleeding that is very irregular or very painful
  • Medical Emergencies – Emergencies such as rupture/puncture of the womb during other surgery.
  • Childbirth may lead to uncontrollable bleeding (post-partum haemorrhage) which may be impossible to stop. In these cases hysterectomy is a life saver.
  • Pelvic Organ Prolapse
  • Pelvic Inflammatory Disease (PID) or adhesion’s which cause pain that is not controlled by other means
  • Pre-Menstrual Syndrome (PMS)
  • Prophylactic Surgery

A hysterectomy may be recommended if none of the initial treatments for these conditions has been successful. When you will actually have the hysterectomy will depend on why you need it. Some of the conditions may clear up on their own or after you have had a d&c operation (dilation and curettage where the lining of the uterus is scraped away and if necessary examined).

You do need to be absolutely sure that you know what the operation will mean for you in the long term and that may mean that you decide that you can live with your condition if, for instance, you would like to have children at a later stage.

Recommended Reading:

star buyThe Pocket Guide to Hysterectomy – £5.50 from The Hysterectomy Association. This is essential reading and tell you everything you need to know about hysterectomy, it documents everything on the website, plus additional information not available elsewhere.

Recommended Resources:

12 thoughts on “Why do I need a hysterectomy?

  1. I have been having very heavy periods for a few months the last one i had was not even two weeks ago then it stopped for 3 days then started again just as heavy and now I’ve started yesterday again I cant use tampons as I’m having to change it half n hour later and I’m using more pads than I normally do it’s making my moods not very nice which is upsetting me I’ve constant tummy ache and making family activities hard to do and not enjoyable I’m putting on a happy face for my 2 boys and husband.

  2. I have elected to have a hysterectomy, as I have about 3 fibrodes which are deemed as large. I really don’t have any problems with them…I,e no heavy bleeding, pain ect, the only thing is I can feel them as they tend to raise to the surface sometimes and it feels weird but does not hurt. I am not sure I am doing the right thing by having the Hysterectomy but I feel they doctors felt this was the preferred treatment for me as I am 46, have one child and will not be trying for anymore children. My first request as to have the operation to just remove the Fibrodes but the doctor advised this is bloodier than a Hysterectomy and wont guarantee that they wont comeback, but I felt that as I am approaching the age for menopause they probably wont come back, he advised if I am thinking along those lines then he suggests that I have the operation where the cut the blood supply to the fibrodes and hopefully they will die and if menopause comes they won’t come back, but they may just remain in my body and not fall away, I found this a bit concerning, so I just went for his recommendation with is removal of my Uterous, but cant decide if I am doing the right thing…I just feely a hysterectomy is drastic action to take for fibrodes, can you give me your thoughts or advice on this please

    1. There are alternative treatments available for fibroids and you can find out about some of them here: http://www.hysterectomy-association.org.uk/information/alternatives-to-hysterectomy/

  3. I had a total abdominal hysterectomy on the 25th July last year.I have had infections since my op.But there are two things I can’t understand.These are around 2 months after my op my husband and I had intercourse which was fine but it’s not April 2015 and it’s starting to hurt having intercourse. Also I keep being asked to go for smear tests but I was told I wouldn’t need them because I have no cervix and I don’t know what to do?

    1. Firstly, it’s likely the person inviting you for a smear test doesn’t know you have had the cervix removed so it would be worth asking them to update their records. Secondly, sex can become uncomfortable after the menopause as lubrication slows down. It would be good to get a blood oestrogen test done by your GP to measure levels.

  4. Sorry i’m not replying to the above question but rather leaving a question and query of my own. Side effects of vaginal hysterectomy. What are they. December 2013 was when i had mine done, no problems accept that i smell as if i smell of rancid-rotting slaughtered meat in my body sweat. My friends and family say i don’t smell, but i cannot smell or taste food or whatever without this smell of bad meat. Any suggestions? Last operation was on my shoulder and it took over a year to get rid of the smell of cauterization that is given off after amputations in theaters of hospitals. Is it just me or have other women had/have this problem? Maybe my sweat glands have gone male and now have the unwashed musk odour. Sioux.

    1. If family and friends can’t smell anything then it may that your own olfactory glands have been affected in some way by the surgery. It’s not something I’ve come across before so I did a quick search and came up with various threads like this one: http://www.medhelp.org/posts/Hepatitis-C/Dont-laugh—–Has-anyones-sense-of-smell-become-MORE-since-HCV-started/show/533715

  5. Having a hysterectomy I didn’t think wld bother me but recently felt some loss I knew it was the right thing to do even though I did nt think I be so emotional at Times

    1. There are all sorts of reasons you could be emotional Debbie. There’s the post surgical blues, your hormones will be in disarray and you may also have some sadness around the loss of your womb. It’s OK to feel as you do.

  6. I am concerned I am 12 weeks post op and sometimes I have mood swings I’m also having joint pain and flushes and night sweats I also have periods of anxiety and paranoia and feel bloated I m also have periods where I am hungry and periods where I am anxious Am I normal as I don’t feel it

    1. Sounds like some menopausal symptoms Debbie – it would be worth a chat with your GP.

  7. Hi, sir,

    I wonder if the hysterectomy may increase the incidence of breast cancer?

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