What Should I Ask A Doctor Before Having A Hysterectomy

A hysterectomy can be a life-changing procedure with major benefits and some potential risks. Thats why its so important to find a doctor that you trust and feel comfortable talking to before having the procedure.

A good doctor will set aside time to listen to your questions and concerns before surgery. While you should bring up any questions on your mind, here are some specific questions to consider asking:

• Are there any nonsurgical treatments that may improve my symptoms?
• Which type of hysterectomy do you recommend and why?
• What are the risks of leaving my ovaries, fallopian tubes, or cervix in place?
• Which approach to surgery will you take and why?
• Am I a good candidate for vaginal hysterectomy, laparoscopic surgery, or robotic surgery?
• Do you use the latest surgical techniques?
• Is there any new research related to my condition?
• Will I continue to need Pap smears after my hysterectomy?
• If you remove my ovaries, would you recommend hormone replacement therapy?
• Is general anesthesia always necessary?
• How long will I need to be hospitalized after my surgery?
• What is the standard at-home recovery time?
• Will I have scars, and where?

Signs Of Bowel Adhesions

Adhesions can sometimes cause problems in your bowel and can potentiallyresult in a partial or complete obstruction in this area.

in the event of intestinal adhesions, symptoms can include:

• Pain in the abdomen that comes and goes often felt like a cramp-like sensation in your stomach
• Abdominal bloating and swelling
• Nausea and vomiting
• Constipation

If you cant pass wind and are not having bowel movements at all, this could indicate a complete obstruction in the bowel. Seek medical advice as soon as possible if youre concerned that this is happening to you as it can sometimes be life-threatening.

If you develop a bowel obstruction as a result of adhesions, it could potentially recur again – often in the first four or five years after the initial bowelobstruction.

Lower Risk Of Ovarian Cancer

Most women whove had a hysterectomy for reasons that don’t involve cancer have a low likelihood of developing ovarian cancer, even in cases in which the ovaries are kept. Its less than a one in 70 lifetime risk. New research has suggested that some cases of ovarian cancer may start in the fallopian tubes, so removing them may decrease your risk.

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Pelvic Pain After Hysterectomy

In general, after surgery, your body will start to form scar tissue as part of the normal healing process. When two healing tissues become connected with scar tissue, they form what they call adhesions. Because the normal surface has been disrupted, organs that would normally slide along each other will now stick together. This may cause pelvic pain after hysterectomy and several other symptoms.

Other symptoms of women with adhesions may experience are:

• Lower back pain
• Pain during intercourse

Pain after hysterectomy due to endometriosis’s reoccurrence may happen when the endometriosis lesions are not thoroughly removed during surgery. Having a hysterectomy does not always cure persistent pelvic pain due to endometriosis. Women who choose to keep their ovaries should know that they have a 6 times higher chance of reoccurrence than women who have the ovaries removed.

Ovarian Pain After Hysterectomy Explained

A hysterectomy involves a surgical procedure removing the womb and it is actually the most common non-obstetrical procedures for women within the United States. Around 300 of each 100,000 women will have a hysterectomy and there are various reasons. Some of these reasons include uterine fibroids, abnormal vaginal or uterine bleeding, precancerous cervical conditions known as cervical dysplasia, endometriosis, or uterine prolapse such as pelvic relaxation. Most hysterectomies are without complications, but sometimes women will experience ovary pain after hysterectomy or those experience hot flashes after hysterectomy still have ovaries.

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How Do I Treat Pain After A Hysterectomy

Pelvic floor physical therapy to help mobilize scar tissue as well as visceral mobilization and nerve gliding to help improve mobility and blood flow. Pelvic floor physical therapy in combination with our unique protocol can help to promote blood flow, decrease muscle tension in the pelvic floor and desensitize the overactive nerves that can cause persistent pain after a hysterectomy. Our unique approach to pain and tightness in the pelvic region is centered around the use of trigger point injections to create space.

If you are experiencing pain after a hysterectomy and are concerned that it is unnatural or been an extended period of time please reach out to our office to schedule a consultation.

Laparotomy Surgery For Endometriosis

A laparotomy is major surgery, with one large cut in your belly. Doctors usually use it when you have severe endometriosis that they canât treat with laparoscopy.

As with laparoscopy, youâll get medicine to put you to sleep. Your doctor will cut through your skin and muscle so they can see into your abdomen and take out affected tissue. After the surgery, your doctor will close the cut and move you to a recovery area. Youâll probably have to stay in the hospital for at least one night.

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Treating Pain After Hysterectomy:

How they treat pain after a hysterectomy depends on the cause and severity of the pain. In normal cases, pain after hysterectomy responds well to pain medications. Taking enough rest during the recovery phase is important, and doing too much too soon may lead to increased pain or tenderness.

You need to know that the body’s soreness and aches may persist for quite a few months. Therefore, to get your mind distracted from pain, involve yourself in relaxation techniques or hobby classes, or light household chores. Be patient with yourself and keep in mind that your pain will eventually completely fade away.

The pain should gradually decline and should be intermittent in later stages of recovery. However, if this pain becomes severe, your physician will check your condition to determine the underlying medical condition. Then you may need a complete examination by your gynecologist and running the necessary laboratory tests.

Spread Of Endometrial Tissue

A 2017 case report discusses how one individual developed endometriosis following a hysterectomy for an unrelated condition. The researchers hypothesize that the procedure may have spread endometrial tissue outside the uterus.

Despite this report, it remains extremely rare for endometriosis symptoms to begin after hysterectomy.

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What Causes Bowel Endometriosis After Hysterectomy

Its not clear how the condition progresses. Its not clear why endometrial tissue grows on the bowels, either. But after the genital organs, its the most common place for it to occur.

At the time of your hysterectomy, its possible that there were small lesions in the bowels that hadnt been detected.

Here are some potential causes of bowel endometriosis.

Why Do My Hips Hurt After Hysterectomy

Often times patients are placed in the dorsal lithotomy position for this surgery and this could potentially put stress on the hip joints. In addition, patients requiring a hysterectomy may have underlying pelvic floor muscle spasm which can cause pain to the hips and potentially concomitant pelvic girdle weakness which may cause compensatory overuse of muscles surrounding the hip joints.

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Laparoscopy Surgery For Endometriosis

Doctors can diagnose and treat endometriosis with a laparoscopy, which uses a thin tube called a laparoscope. It has a light and a camera that let your doctor see inside your body.

Before a laparoscopy, youâll get general anesthesia, medication to put you to sleep. Your doctor will make a small cut in your bellybutton or another part of your abdomen. Theyâll inflate your belly with gas so the camera can get a clear view. The laparoscope will go in through that cut. Your doctor might need to make more small cuts for other tools.

This procedure could take from 30 minutes to 6 hours, depending on how severe your case is. After your doctor checks for endometriosis and/or removes tissue, theyâll take out the instruments and gas, and theyâll close the cuts. Youâll stay in a recovery area until the anesthesia wears off. It might make you sleepy and nauseated. Laparoscopy is usually an outpatient procedure, meaning you can go home the same day.

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What Other Symptoms Would You Experience After A Hysterectomy

There are different types of hysterectomies: a total abdominal hysterectomy , vaginal hysterectomy and each of these can be done with or without a laparoscope. There is also a supracervical hysterectomy . The symptoms can vary based on the type of surgery you have.

• Having a hysterectomy relieves you of symptoms that caused it and that can lead to a better sex life.
• Women who have not had menopause before their hysterectomy will most likely begin having menopause symptoms, such as mood swings and hot flashes as the body adjusts to the hormonal level changes.
• It is also possible to have changes in sexual enjoyment or desire and vaginal dryness.
• It is possible to feel a loss and grief over losing the uterus and ability to bear children. Depression is also possible in cases of surgery due to cancer or illness.
• Because these changes may be drastic, many women start hormone replacement therapy prior to being released from the hospital. Besides, feeling depressed or sad is normal, but you should talk to your mental health therapist and doctor.

When to See a Doctor

There is a small chance of developing issues such as severe infection, bowel blockage, bleeding after surgery, blood clots, urinary tract injury, or issues related to anesthesia. Contact your doctor if you have:

• Increasing drainage, swelling, or redness from the incision
• Increasing pain
• Difficulty urinating, frequent urination, burning during urination
• Severe vomiting or nausea

Pain Continues 10+ Years After Hysterectomy

After having a total abdominal hysterectomy as a treatment to relieve pain from what was diagnosed as adenomyosis & endometriosis I still deal with chronic pain. It isn’t as bad as it was presurgery but, it does impact daily life and I deal with it 24/7. Scar from hysterecomy is almost looks like I had a c-section . Pain is always localized on the left side and often radiates around to the hip/pelvic area and often to the lower back/pelvic. After primary physician said likely scar tissue/adhesions they didn’t give much help to try to resolve pain. Last year went to another ObGyn for second opinion. Have been working with a physical therapist w/ minor results . Went off HRT & was placed on Orilissa . Appointment coming up Thursday, Orilissa doesn’t seem to be making any difference. Unfortunately, can’t take OTC anti-inflamatories due to weak stomach.

Any thoughts or suggestions on avenues to explore? Really ready to get rid of the pain!

Thank you!

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Endometriotic Mass After Hysterectomy In A 61 Year Old Post

• 1Département de Chirurgie Gynécologique et Oncologique, Hôpital Cantonal, Fribourg, Switzerland
• 2Département de Chirurgie Générale, Hôpital Cantonal, Fribourg, Switzerland
• 3Département de Radiologie et Radiologie Interventionnelle, Hôpital Cantonal, Fribourg, Switzerland
• 4Institut de Pathologie, Centre Hospitalier Universitaire Vaudois , Lausanne, Switzerland

Endometriosis is a common, hormone-dependent gynecologic disease. Undiagnosed in large proportion of women, managing therapies depend on the impact of quality of life and includes hormonal treatment and pelvic surgery. Less likely endometriosis can occur in post-menopausal women. Malignant transformation of endometriosis is a rare but well-described process, most of time occurring in the ovary, and justifies the practitioner not to underestimate this pathology. We present a case of a 61 year old woman with a symptomatic endometriotic pelvic mass, status post hysterectomy, with no history of endometriosis diagnosed beforehand.

What Are The Long

Following any type of hysterectomy, youll no longer have your period. You also cant get pregnant. These are permanent effects of having a hysterectomy.

Problems with organ prolapse can happen after a hysterectomy. A 2014 study of more than 150,000 patient records reported that 12 percent of hysterectomy patients required pelvic organ prolapse surgery.

Most women do not experience prolapse after hysterectomy. To prevent prolapse problems, if you know you are going to have a hysterectomy, consider doing pelvic floor exercises to strengthen the muscles supporting your internal organs. Kegel exercises can be done anytime and anywhere.

If you have your ovaries removed during the procedure, your menopause symptoms can last for several years. If you dont have your ovaries removed and havent gone through menopause yet, you may begin menopause sooner than expected.

If you have your ovaries removed and go into menopause, some of your symptoms may impact your sex life. Sexual side effects of menopause can include:

• vaginal dryness
• pain during sex

These are all due to the change in estrogen produced by your body. There are several things you can consider to counteract these effects, such as hormone replacement therapy.

However, many women who have a hysterectomy do not experience a negative impact on their sex life. In some cases, relief from chronic pain and bleeding improves sex drive.

• anesthesia side effects
• bowel blockage

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Will Adhesions Come Back Again

If you have had surgery to remove adhesions, it can create a vicious cycle whereby youre more likely to develop more adhesions in the future because of the surgery.

Adhesions can be a fairly common occurrence after surgery in general,including hysterectomy surgery. You can reduce the risks by making sure thatyou dont overdo things while youre still recovering from your hysterectomy.

Determining Risk By Procedure Type

Your risk for developing cancer after surgery depends on the type of hysterectomy you had, which may include:

• Partial hysterectomy: With this procedure, the uterus is removed, but the ovaries are not.
• Total hysterectomy: This involves removing the uterus and cervix but leaving the ovaries.
• Total hysterectomy with salpingo-oophorectomy: Surgeons remove the uterus, cervix, both ovaries, and fallopian tubes.

Though studies show it’s less likely that you will develop ovarian cancer if your ovaries are removed, its still possible.

Even if your ovaries are removed, you can develop primary peritoneal cancer, a cancer that starts in the covering that lines the abdominal organs. This type of cancer mimics ovarian cancer, causes similar symptoms, and is treated the same way.

If your cervix or fallopian tubes were not removed, your risk of developing cancer in these organs is low.

If you had a hysterectomy as a treatment for cancer, you should know that your cancer can still come back. This is called a recurrence.

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Pain 2 Years After Total Hysterectomy

im experiencing pelvis pain, where my uterus used to be, I had everything removed so wondering what are these twinges and pains that come and go? Anybody had this?

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