The uterus is a reproductive organ. It is also the place where the fetus grows inside the pelvis. The ovaries are located on either side of the uterus, and the vagina is a tube that starts at the cervix and reaches the surface of the body. In addition, once a month, the lining of the uterus or endometrium collapses and monthly bleeding occurs.
Hysterectomy or removal of the uterus
Causes of uterine removal
Uterine removal occurs for a number of reasons, including:
Occurrence of some diseases, multiple births and genetic changes that occur in the uterine tissue lead to the loss of the main function of the uterine tissue and as a result cause pain, uterine enlargement, heavy and uncontrollable bleeding and in some cases lead to There are several fibroids in the uterine tissue.
When do we have to have an abortion?
If we can’t get rid of the patient’s symptoms with medical treatment, the gynecologist will have to remove the uterus. We also have to remove the uterus in order to prevent malignant changes in the inner layer of the uterus or endometrial layer or to cause pre-malignant changes in order to prevent and treat the cancer. It is worth to mention that the operation of removing the uterus from the body is called hysterectomy.
What changes does the removal of the uterus cause in women?
When a person is forced to have a hysterectomy or removal of the uterus, two things happen to her: impotence in getting pregnant and Stop menstruation.
When ovarian hysterectomy remains, the person will not have hormonal changes, flushing, or changes in sexual desire, in fact only two of these will occur.
But if the gynecologist has to remove the ovaries for any reason. Usually, a person suffers from flushing after surgery due to a decrease in female hormones, which causes a decrease in sexual desire, a decrease in hormone levels, an increase in the aging process, an increased risk of heart disease, and an exacerbation of osteoporosis.
Hysterectomy surgery techniques
Hysterectomy can be performed in two ways:
• Laparotomy or open surgery (which opens the abdomen)
• Laparoscopy or closed surgery
The choice of surgery depends on the surgeon’s skill, the patient’s willingness, the person’s anatomy, the patient’s obesity, the underlying disease, the size of the uterus as a result, The gynecologist decides how to remove the uterus.
Laparoscopic removal of the uterus
In laparoscopic surgery, the width of the surgeon’s vision and the delicacy of the surgery will be better. In laparoscopic surgery, the skin incisions are very small and the patient will not have much pain after the operation and the speed of recovery is higher.
Also, in laparoscopic surgery, a person returns to his daily life faster and can easily perform his daily activities. Surgery usually takes about one to two hours.
Pre- and post-hysterectomy procedures
Usually, the patient should be hospitalized the night before surgery and take medications to make the bowel work better and cleanse the bowel to reduce bloating.
Usually eight hours after the operation, the patient can start drinking light fluids and then start walking.
After hysterectomy, if the patient cooperates well with the doctor and follows all his recommendations properly and has no complications or problems. The intestines should also have gas and feces. In this case, a gynecologist can clear the person one day after the operation.
Avoid strenuous activity and sexual contact for two months after surgery. But the patient can engage in daily activities and does not need to rest at all, especially in patients who have had a laparoscopy.
People who have had a laparoscopic hysterectomy should take a daily walk and take deep breaths to recover faster.
Does hysterectomy have any side effects?
Removing the uterus alone will not cause any complications for the person, but if for any reason we have to remove the ovaries at this time, the person will not be able to remove the female hormones after the operation or even in some cases the day after. The operation will flushing.
As the hormone decreases, the risk of heart disease and osteoporosis may gradually increase, but this is a natural phenomenon that occurs spontaneously during menopause.
Treatment of infertility with hysteroscopy
Some uterine problems cause a person to become pregnant late or unable to conceive, and sometimes even when a person becomes pregnant, there may be complications of pregnancy and miscarriage.
Uterine problems such as polyps and uterine fibroids are diseases that can cause infertility.
Uterine fibroid disease actually occupies the interior of the uterus and puts pressure on the uterine cavity. If a person has a history of crotch injury, it can damage the internal tissue of the uterus or endometrium, eventually causing uterine asherman adhesions and infertility.