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- $Unique_ID{BRK01995}
- $Pretitle{}
- $Title{When is a Hysterectomy Necessary?}
- $Subject{Hysterectomy hysterectomies operate operation operations reason
- reasons surgery surgeries surgical uterus cancer cancers cancerous cervix
- medicine medicines medication medications treat treating treatment treatments
- endometriosis menstruation prolapse prolapsed vaginal vagina pessary pessaries
- Kegel exercise exercises cause causes causing bladder bowel fibroid fibroids
- benign tumor tumors muscle muscles fibrous tissue tissues}
- $Volume{}
- $Log{
- Anatomy of the Female Reproductive System*0006101.scf
- Diseases of the Female Reproductive System*0009001.scf
- Partial Hysterectomy*0008602.scf
- Total Hysterectomy*0008601.scf}
-
- Copyright (c) 1993 Tribune Media Services, Inc.
-
-
- When is a Hysterectomy Necessary?
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-
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-
- QUESTION: I believe I have read at least a half dozen articles, usually in
- magazines for women, that warn about doctors pushing hysterectomies when they
- are not necessary. I know it is a very common operation. Now my sister is
- facing the decision, and I want to know what legitimate reasons exist for this
- operation. Can you help us out with this information?
-
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-
- ANSWER: There are many important reasons for hysterectomy, the surgical
- removal of a woman's uterus. They fall into three major classifications.
- They may be recommended to save a life, to correct a serious problem that
- interferes with normal functions, and last but not least to improve the
- quality of a woman's life. Here are some examples. Hysterectomy is necessary
- to save a woman's life in the case of cancer of the uterus, which can, if not
- removed, spread to other areas in the body. The same is true for invasive
- cancer of the cervix. When medication is ineffective in the treatment of
- endometriosis, which can cause pain and bleeding at the time of menstruation,
- a hysterectomy may become the treatment of choice. In older women, the uterus
- often falls (prolapse) through the vaginal opening. Treatment using plastic
- or metal rings (pessaries) to hold the uterus in place, as well as special
- exercises (Kegel) may be sufficient, but when the condition progresses,
- causing problems with bladder control or bowel function, a hysterectomy may be
- the means of providing relief.
- One of the most common reasons for hysterectomies is a condition known as
- "fibroids" where benign tumors of muscle and fibrous tissue grow within and
- out of the wall of the uterus. These tumors can often be removed without
- taking out the entire uterus, especially when the woman still desires to have
- children.
- The simple answer to your question is that a hysterectomy is often the
- treatment of choice, but each person's problems must be considered carefully,
- and each situation must be looked at individually. If your sister has doubts,
- the correct course of action is to seek a second opinion. And always, ask the
- questions that trouble you (or, in this case, your sister), for the patient
- has the right to all the answers necessary to make a wise decision. And that
- decision remains the patient's to make.
-
- ----------------
-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
-