Can you get pregnant without a cervix

Hysterectomy

The Robert Koch Institute finds that every sixth woman over sixty has had a hysterectomy. Modern surgical techniques and comprehensive follow-up care help patients to actively go about their lives again after the procedure. Still, it is a serious surgery. The following sections give you a comprehensive introduction to the topic and provide information on all the important aspects related to the hysterectomy.

When does medicine speak of a hysterectomy?

The root of the term is in Greek. There "hystéra" means uterus and "ektomé" means to cut out. Another name is Uterine extirpation; it comes from Latin. "uterus" means uterus and "exstirpare" means to eliminate.

In some cases, doctors also remove the Ovaries. The name of this procedure is hysterectomy or uterine extension with adnexa. The cervix is ​​preserved.

How many women are affected?

The Robert Koch Institute reports about 130,000 operations per year. The uterine extirpation is the most common surgical procedure in gynecology. The patients are between 18 and 79 years old; around half of the procedures affect women between 40 and 49 years of age.

The researchers discovered three factors related to the number of hysterectomies.

  1. Women with lower Level of education are operated on more often.
  2. Obesity makes surgery more likely.
  3. The more children a woman has given birth, the greater the likelihood of a hysterectomy

 

These complaints lead women to the doctor

The patients go to the gynecologist with different complaints: acute pain in the abdomen, heavy menstrual bleeding or pain during intercourse. Sometimes the gynecologist discovers adhesions in the pelvic area during the preventive examination.

When does the doctor recommend surgery?

Doctors carry out around 90 percent of the procedures for the following reasons:

  • functional disorders, such as severe menstrual disorders
  • benign tumors, such as fibroids
  • Endometriosis
  • Uterine prolapse
  • severe inflammation

Only nine percent of the patients are operated on for a malignant disease. Cancer of the uterus, the cervix or the ovaries are usually the trigger. In rare cases, insatiable bleeding occurs after childbirth. To save the woman's life, the medical professionals have to remove the uterus.

This is how the hysterectomy works

The gynecologist has benign diseases three different optionsto perform the hysterectomy:

  • removal through the vagina (vaginal extirpation),
  • by laparoscopy (laparoscopic hysterectomy) or
  • a cut through the abdominal wall called an abdominal hysterectomy.

Malignant cancers sometimes require more radical interventions, which can also include pelvic floor plastics. The surgeons use an abdominal hysterectomy for this.

Patients stay in the hospital for about a week. After seven days, the doctor pulls the stitches.

Every surgical procedure - including hysterectomy - carries risks: Problems with anesthesia, injured neighboring organs, infections and poor wound healing can occur in rare cases. On the other hand, normal consequences of uterine extirpation are:

  • Pain from surgery for the first two days
  • vaginal spotting for up to 14 days after the procedure
  • Problems using the toilet

Follow-up care, rehabilitation, behavioral advice

The following applies to benign diseases: When she is discharged, the patient is given a sick leave for about three weeks. During this time she has to take it easy. Doctors assume that the woman will be fully resilient again after four weeks. Special rehabilitation is not necessary. Most gynecologists only order supportive physical therapy.

After the four weeks, the patient is allowed to fully exercise again: she can play sports, drive a car, have sexual intercourse - go about her normal life.

Cancer-related interventions must of course be accompanied more intensively. Rehabilitation makes sense to mentally deal with the serious illness and to build up physical strength and stamina again, and to treat any stress urinary incontinence that may be present with targeted physiotherapy, e.g. special pelvic floor exercises.

What are the long-term consequences of the operation?

After the operation, the woman can no longer give birth to children. Without a uterus, she will no longer menstruate. However, a light period can still occur if the cervix is ​​preserved. Hysterectomy worsens the blood supply to the ovaries. As a result, the woman may enter menopause earlier, i.e. the menopause. Some patients gain weight noticeably.

Most women feel liberated after a successful operation: they no longer have to worry about an unwanted pregnancy and the annoying menstrual period is also a thing of the past. The idea of ​​no longer being a "complete woman" occurs only sporadically.

Remove uterus: yes or no?

At benign diseases the woman can usually decide whether she would like to have an operation. A "must surgery" is only required for malignant tumors.

In the case of myomas, for example, it is sufficient if they are removed by "peeling" them off. Likewise, irradiating them with ultrasound waves or destroying them by having the doctor cut off the blood supply could help.

Uterine subsidence Patients with possible urinary incontinence are best relieved with targeted pelvic floor training. Physiotherapy is sufficient for this. The doctor may be able to stop heavy bleeding with an IUD.

Especially when the woman one more desire to have children must weigh carefully before agreeing to uterine extirpation. A second medical opinion will help you make the right decision for yourself.

Conclusion on the removal of the uterus

A hysterectomy is a routine procedure for doctors. Nevertheless, a woman needs comprehensive information and individual clarification - also about alternatives to surgery. On this basis, she can make a sensible decision.

Last changed on: 03.07.2019

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