A hysterectomy is the surgical removal of the uterus. One talks of total hysterectomy, if the entire uterus is removed (cervix and corpus) and of subtotal if the cervix is kept in place. During this intervention the ovaries may be removed too.
If a doctor or health care professional recommends that a woman should have a hysterectomy and she elects to proceed, then there are certain decisions that need to made in planning the surgery. There are many reasons for deciding to have the uterus removed, and numerous articles and books have been written on this topic.
In the United States alone, it is conservatively estimated that there are between 10 and 20 million women suffering from the involuntary loss of urine! The large baby boomer population of the United States is now moving through the menopausal transition period when this involuntary loss of urine (urinary incontinence) often becomes worse, and consequently the number of women with incontinence will only increase.
The benefits of using the patch for hormone replacement, with a few exceptions, are not significantly different from those when taken in a pill form. The choice should depend primarily upon the woman's preference, and for those choosing the patch there are a few small tricks for making it easier to use.
Hot flashes, hot flushes, power surges-- they go by a variety of names and are one of the most common symptoms of the perimenopause and menopause. Often a premenopausal woman will ask, "how will I know if I am having hot flashes"? This can be compared to the question a woman who has never had a baby asks, "how I will know if it's really a contraction"? If a woman is having significant hot flashes, she will not have to ask!
The majority of women in the perimenopausal period have completed their childbearing and resolutely do not want to conceive at this age. This gives rise to the question as to what contraceptive method they should use to prevent an unwanted pregnancy. At this stage in their lives, an unintended pregnancy would be devastating, and it is something they are usually very eager to avoid.
A very common question of perimenopausal women is whether or not they are still able to get pregnant, and this inquiry may originate from one of two concerns. Some women in the perimenopausal range may still want to conceive, either to start a family or to add to an existing one, and are seeking information to help with that decision.
I have been involved in learning about and helping to develop alternatives to hysterectomy for many years. I have been instrumental in refining the use of the laser in an office setting to treat pre-malignant diseases of the cervix. I have treated thousands of women with the laser, many of whom would have otherwise had a more invasive treatment or hysterectomy.
Does hysterectomy mean a woman's sex life is ruined? Here, Paul Indman, MD, shares his take: orgasm is still in the cards for many women.
Hysteroscopy uses a hysteroscope, which is a thin telescope that is inserted through the cervix into the uterus. Modern hysteroscopes are so thin that they can fit through the cervix with minimal or no dilation. Although hysteroscopy dates back to 1869, gynecologists were slow to adopt hysteroscopy.