Talk with your doctor about what to expect during and after a vaginal hysterectomy, including physical and emotional effects. Ask someone to help you out at home for the first week or so. Although you’re likely to recover sooner after a vaginal hysterectomy than after an abdominal one, it still takes time. With general anesthesia, you’ll be asleep. During a vaginal hysterectomy, regional anesthesia will block the feelings in the lower half of your body. You might prefer general anesthesia, which makes you unconscious during surgery, but regional anesthesia - also called spinal block or epidural block - might be an option. Be sure to tell your doctor about over-the-counter medications, dietary supplements or herbal preparations that you take. Find out whether you should take your usual medications in the days before your hysterectomy. Follow your doctor’s instructions about medication.Before the surgery, get all the information you need to feel confident about it. How you prepareĪs with any surgery, it’s normal to feel nervous about having a hysterectomy. Severe endometriosis or scar tissue (pelvic adhesions) might force your surgeon to switch from vaginal hysterectomy to laparoscopic or abdominal hysterectomy during the surgery. If you’re not sure that you’re ready to give up your fertility, explore other treatments.Īlthough vaginal hysterectomy is generally safe, any surgery has risks. You cannot become pregnant after a hysterectomy. You might not need to consider hysterectomy if medications or less invasive gynecological procedures manage your symptoms. Chronic pelvic pain can have several causes, so an accurate diagnosis of the cause is critical before having a hysterectomy.įor most of these conditions - with the possible exception of cancer - hysterectomy is just one of several treatment options. If your pain is clearly caused by a uterine condition, hysterectomy might help, but only as a last resort. When medication or a less invasive surgical procedure doesn’t control irregular, heavy or very long periods, hysterectomy may be needed. Removing the uterus and repairing supportive tissues might relieve those symptoms. When pelvic supporting tissues and ligaments weaken or stretch out, the uterus can sag into the vagina, causing urine leakage, pelvic pressure or difficulty with bowel movements. Most often, treatment for ovarian cancer involves an abdominal hysterectomy, but sometimes vaginal hysterectomy is appropriate for women with cervical or endometrial cancer. If you have cancer of the uterus, cervix, endometrium or ovaries, or precancerous changes, your doctor might recommend a hysterectomy. An enlarged uterus and painful, heavy periods result. This occurs when the tissue that normally lines the uterus grows into the uterine wall. Most women with endometriosis have a laparoscopic or robotic hysterectomy or abdominal hysterectomy, but sometimes a vaginal hysterectomy is possible. This occurs when the tissue lining your uterus (endometrium) grows outside the uterus, involving the ovaries, fallopian tubes or other organs. For large fibroids, you might need surgery that removes your uterus through an incision in your lower abdomen (abdominal hysterectomy). Many hysterectomies are done to permanently treat these benign tumors in your uterus that can cause persistent bleeding, anemia, pelvic pain, pain during intercourse and bladder pressure. Vaginal hysterectomy treats various gynecological problems, including:
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