The Pocket Guide to Hysterectomy
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About this ebook
The Pocket Guide to Hysterectomy offers you simple, easy to understand information about hysterectomy, the menopause and hormone replacement therapy. It talks you through the various gynaecological complaints that might lead to hysterectomy and explains the most common alternative options.
It also contains a handy list of common terminology that is helpfully explained and a useful list of other UK women's health organisations and other resources can also be found which might be helpful as well. Find out more about Hysterectomy and Women's Health on the Hysterectomy Association website here: www.hysterectomy-association.org.uk
Linda Parkinson-Hardman
I am the author of eight books and the editor of 8 anthologies for the Hysteria Writing Competition.
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The Pocket Guide to Hysterectomy - Linda Parkinson-Hardman
PREFACE
Within this guide you will find information on the operation, the menopause, hormone replacement therapy (HRT), natural alternatives to hormone replacement therapy, support groups and information sources as well as some information about related physical issues such as osteoporosis.
Hysterectomy is, by its very nature, a turning point in many women’s lives and for the vast majority it will be a positive event, ending possibly years of distressing gynaecological symptoms. This booklet does, of necessity, include information about most of the possible outcomes, both positive and negative, associated with hysterectomy. However, most women will experience few, if any, of the problems highlighted and in those cases where there are difficulties, it is highly improbable that anyone would experience all of them.
DISCLAIMER
Although much of this book represents current medical opinion, some of the information and resources listed in this book are by definition, outside the scope of generally accepted medical standards of care. They may be non-conventional, alternative or complementary.
The information and resources listed should not be used in any way to provide a diagnosis or to prescribe any medical treatment. As in the case of conventional medicine, indiscriminate use of some therapies presented, without medical supervision may be harmful to your health. Individuals reading this material should in all cases, consult their own doctor or health practitioner for the diagnosis and treatment of medical conditions. The author and publisher cannot accept responsibility for illness arising out of failure to seek medical advice from a doctor.
INTRODUCTION
Almost 60,000 hysterectomy operations were carried out on women in the UK in 2011/2012. It can, and does, help to ease many gynaecological complaints, including heavy and/or painful periods and endometriosis. It is rarely performed for reasons of saving life, but it can be a permanent cure for some gynaecological cancers.
The majority of hysterectomies are performed when a woman is aged between 40–50 but many do occur before and after this age group. Women, who have a hysterectomy that removes their ovaries, as well as other organs, will go through the menopause immediately after the operation regardless of their age (if they haven’t already). Women who have a hysterectomy that leaves one or both of their ovaries intact have a 50% chance of going through the menopause within two to five years of their operation, again regardless of their age, if they haven’t already.
WHAT IS A HYSTERECTOMY?
Hysterectomy is the surgical removal of the uterus (uterus). It is one of the most common of all surgical procedures for women in the UK. It can also involve the removal of part of the vagina, the fallopian tubes, ovaries and cervix to cure or help a number of gynaecological complaints. Following this operation you will no longer have periods, you will not be fertile and you will not be able to have any more children.
There are two main ways to perform a hysterectomy. The most common way is to remove the uterus through a cut in the lower abdomen, the second, less common, way is to remove only the uterus through a cut in the top of the vagina, the top of vagina is then stitched. Each operation lasts for up to two hours and is performed, in hospital, usually under a general anaesthetic.
The type of hysterectomy that you have will depend upon the condition it is being used to treat.
A total hysterectomy
removes the uterus and cervix. It requires a four to eight inch cut in the abdomen, which may be vertical if there is a large mass (fibroids for instance) to remove.
A subtotal hysterectomy
(Laparoscopic Supra-cervical Hysterectomy) removes the uterus but leaves the cervix in place. It is possible that it may help in maintaining a woman’s sexual response as well as help to prevent any future prolapse; however research in this area is inconclusive at the moment. If you have this operation you will need to continue to have smear tests.
A total hysterectomy with bilateral (both) or unilateral (one) salpingo-oopherectomy
removes the uterus, cervix, fallopian tubes and both or