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Hysterectomy is surgery to remove the uterus. Your healthcare provider may also remove one or both ovaries, and the fallopian tubes. In some cases, he or she may remove other parts of the reproductive system.
The types of hysterectomy include:
- Total hysterectomy. Your provider removes the whole uterus including the cervix, but not the fallopian tubes or ovaries. It’s the most common type of hysterectomy.
- Hysterectomy with salpingo-oophorectomy. Your provider removes one or both ovaries, and the fallopian tubes, along with the uterus.
- Radical hysterectomy. Your provider removes the uterus, cervix, and the top part of the vagina. The pelvic lymph nodes may also be removed. Some cases of cancer call for this surgery.
- Supracervical hysterectomy (partial or subtotal hysterectomy). Your provider removes the body of the uterus while leaving the cervix whole.
Hysterectomy techniques include: abdominal, vaginal, laparoscopic or robotic hysterectomy. The type of procedure depends on condition.
INDICATIONS FOR HYSTERECTOMY
You may need a hysterectomy for:
- Fibroid tumors. These are noncancerous tumors.
- Endometriosis. A condition in which endometrial cells grow outside of the uterus, attaching themselves to other organs in the pelvic cavity. This causes chronic pelvic pain, pain during sex, and prolonged or heavy bleeding.
- Abnormal uterine bleeding. This is often due to endometrial hyperplasia.
- Cancer. You have cervical, ovarian, or endometrial cancer.
- Blockage. The uterus or a growth blocks the bladder or intestines.
- Uterine prolapse. This is when the uterus drops down into the vagina.
- Chronic pelvic conditions. This may include pelvic pain, or pelvic inflammatory disease.
Your healthcare provider may have other reasons to recommend a hysterectomy.
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