What Is a Hysterectomy?

A hysterectomy is an operation to remove the uterus (womb). Depending on the type, the surgeon may also remove the cervix, ovaries and fallopian tubes. After a hysterectomy, periods stop and pregnancy is no longer possible.

Why is a hysterectomy done?

A hysterectomy is a major operation, so it is usually considered only after other treatments have not helped. Reasons include heavy periods, fibroids, endometriosis, adenomyosis, pelvic pain, pelvic organ prolapse and some cancers. A doctor will explain the benefits and risks.

What are the types of hysterectomy?

  • Total hysterectomy: the womb and cervix are removed.
  • Subtotal hysterectomy: the womb is removed and the cervix stays.
  • Total hysterectomy with removal of the ovaries and fallopian tubes.
  • Radical hysterectomy: wider surgery, usually for cancer.

The operation can be done through the vagina, through a cut in the abdomen, or by keyhole surgery. If the ovaries are removed before menopause, menopause symptoms can start straight after surgery.

How long is recovery after a hysterectomy?

Recovery time depends on the type of surgery and on the person. It often takes around 6 to 8 weeks after abdominal surgery and may be shorter after vaginal or keyhole surgery. During this time, people are usually advised to rest and avoid heavy lifting.

Returning to work after a hysterectomy

Many people return to work gradually. A phased return, lighter duties, no heavy lifting and time off for follow-up appointments can help. A GP or surgeon can advise on the right time to go back.

Sources: NHS, ACOG.

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