Short answer
A hysterectomy removes the uterus. It may be advised for heavy periods, fibroids, prolapse or cancer when other treatments have not helped. Laparoscopic (keyhole) or vaginal hysterectomy usually means a shorter stay and faster recovery than open surgery. Full recovery after open surgery takes about 6 to 8 weeks, and many women return to light work in 6 to 8 weeks.
- Published
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- Dhruva Hospitals, Kadapa
Common reasons
- Heavy periods that have not improved with other treatment
- Large or troublesome fibroids
- Adenomyosis or severe endometriosis
- Prolapse of the uterus
- Cancer of the uterus, cervix or ovaries
A hysterectomy ends periods and pregnancy. Discuss all other options with your gynaecologist first.
Types of operation
- Laparoscopic (keyhole): small cuts and a camera; less pain and a quicker recovery
- Vaginal: the uterus is removed through the vagina, with no cut on the tummy
- Abdominal (open): a larger cut on the tummy, used for very large fibroids or some cancers
Whether the ovaries are also removed depends on your age and the reason for surgery. If the ovaries are removed before menopause, menopause symptoms start straight away and hormone treatment may be discussed.
In hospital
You will be encouraged to walk the day after surgery, which lowers the risk of blood clots. After a laparoscopic or vaginal hysterectomy, many women go home within 1 to 4 days; after open surgery, the stay is usually up to 5 days.
Recovery at home
- Some vaginal bleeding or discharge is normal for up to 6 weeks.
- Rest, and avoid lifting anything heavy, such as full water pots or shopping bags, until your doctor says it is safe.
- Drink plenty of fluids and eat fruit and fibre to avoid constipation.
- Most women with desk or light work return after 6 to 8 weeks. Recovery is often quicker after keyhole surgery.
- Do not drive until you can wear a seat belt comfortably and brake suddenly, often 2 to 6 weeks.
Call your doctor if
- Bleeding becomes heavy or you pass clots
- Discharge smells bad, or you develop a fever
- The wound becomes red, swollen or leaks fluid
- You have pain or burning when passing urine
- One leg becomes painful or swollen, or you feel breathless
- You feel low or depressed for a long time
At Dhruva Hospitals
Our gynaecologists perform open and laparoscopic hysterectomy in modular operation theatres, with ICU support if needed. Call +91 99599 59694 or WhatsApp us to book with our gynaecology team. OPD hours are 9:00 AM – 8:00 PM.
Common questions
Will I go into menopause after a hysterectomy?
Only if your ovaries are removed. If they are kept, they continue to make hormones. Your periods will stop either way.
Is laparoscopic hysterectomy possible for everyone?
Not always. Very large fibroids, previous surgery or some cancers may need open surgery. Your surgeon will advise the safest approach for you.
This article is general information, not a diagnosis or treatment plan. In an emergency, call +91 90368 52311.