Extirpation of the uterus: evidence and consequences

The operation for the removal of the uterus, also called hysterectomy, is done only if there are serious reasons for this. Therefore, a good doctor will never offer her to a patient who can be cured without having to remove the uterus. Extirpation of the uterus in our time can be carried out with a minimally traumatic effect. And yet this is a very important decision, because this operation is irreversible.

In what cases can the hysterectomy be recommended?

1. Abnormal bleeding from the uterus. The name is called menorrhagia. It leads to anemia (due to loss of blood iron), weakness (associated with anemia) and, as a consequence, a serious disability. Menorrhagia is a bleeding that lasts more than seven days or is so severe that a one-hour swab of maximal capacity is impregnated with blood. In the latter case, bleeding should last several hours so that you can be diagnosed. Quite often, such violations are a symptom of cancer, and therefore those suffering from such symptoms should be examined immediately. If the menorrhagia is not associated with cancer, then they try to cure it by other methods. For example, drugs that increase blood coagulability, as well as hormones, help. The latter need not be afraid, in our time they are preliminarily checked very seriously before the start of sales. And it is better to take hormones than to remain without a uterus.
2. Fibroid. Benign neoplasm of fibrous and muscular tissue is located in the wall of the uterus. During pregnancy increases, after menopause itself diminishes. May provoke intense menstruation, as well as characteristic pain in the uterus. It occurs quite often, among a third of women. Only in very serious cases is it recommended that the uterus is extirpated. Most often simply remove the tumor, after which the patient can have children. In mild cases, drugs that will not give rise to a tumor, non-steroidal anti-inflammatory drugs and the most common oral contraceptives are effective.
3. Loss of pelvic organs . In this case, the muscles of the pelvis are weakened, and the ligaments are stretched. Because of this, the uterus may begin to fall into the vagina. Why is this happening? This is often associated with multiple pregnancies, in which the woman gave birth naturally. It also happens when the patient always wears heavy things. So the prohibition of lifting a woman hard can not be ignored.
4. Hyperplasia of the endometrium. In these cases, the inner lining of the uterus begins to grow rapidly and actively, which is a symptom of endometrial cancer. In cases where such a danger is serious, and it is recommended that the uterus is extirpated. If the diagnosis is neonological, then the simple treatment with drugs.
5. Actually cancer of the cervix, endometrium or ovaries . In such cases, extirpation of the uterus with appendages is done.
6. Uncontrolled bleeding after childbirth. It happens rarely, but it's almost impossible to save a woman without removing the uterus. So in this case, the extirpation of the uterus is a necessary evil.
7. Chronic pain in the pelvis . It is associated with the adhesions of the pelvic organs to each other. It is very painful. But "guilty" can be not only sexual, but also urinary and digestive systems. So in this case, appoint as full a survey as possible .

If it is decided to do the surgery, the doctor and the patient will have to decide whether to remove the epididymis and cervix. How can the extirpation of the uterus affect the future? The consequences are due to the fact that if the ovaries were removed, the woman will have to live with life replacement therapy for life: after all, without the ovaries, women's hormones are almost not produced. In a sexual sense it does not matter if the cervix remains in place or is removed, as evidenced by the latest research of German scientists.

Of course, to remove the uterus or not is a very serious choice. After all, not every woman can give up natural motherhood. But if there is an oncological disease, you can not take risks.