Hysterectomy and Salpingo-Oophorectomy. During a hysterectomy and salpingo-oophorectomy, your doctor removes the uterus along with one or both of your ovaries and fallopian tubes. You may need hormone replacement therapy if both of your ovaries are removed.
Can you have a baby if your uterus is removed?
Surrogacy. There is a way for woman who had a uterus removed to have a baby, though somebody else has to carry it for her (surrogate). This can only happen if she has one or both ovaries left. Eggs can be removed, fertilized outside the body, and a surrogate can then become pregnant and carry the baby.
Having a hysterectomy doesn't mean you can't have an orgasm. You still have your clitoris and labia, which are highly sensitive. It's not known what role the cervix plays in orgasm. Some experts have argued that removing the cervix can have an adverse effect, but others have found that it doesn't.
While most women don't have health problems during or after the surgery, risks may include:
- Injury to nearby organs.
- Anesthesia problems, such as breathing or heart problems.
- Blood clots in the legs or lungs.
- Heavy bleeding.
- Early menopause, if the ovaries are removed.
- Pain during sexual intercourse.
The most common reasons for having a hysterectomy include:
- heavy periods – which can be caused by fibroids, for example.
- pelvic pain – which may be caused by endometriosis, unsuccessfully treated pelvic inflammatory disease (PID), adenomyosis or fibroids.
- prolapse of the uterus.
- cancer of the womb, ovaries or cervix.
The standard abdominal hysterectomy is major surgery with a big belly incision, and a slow, painful recovery. Approximate recovery time: Six weeks. The vaginal hysterectomy can be done entirely through the vagina, or using a laparoscope (the laparoscopic-assisted vaginal hysterectomy, or LAVH).
Your recovery time at home -- before you can get back to all your regular activities -- will vary depending on the procedure you had. Abdominal hysterectomy. Most women go home 2-3 days after this surgery, but complete recovery takes from six to eight weeks. During this time, you need to rest at home.
Yes, the benefits, like a lower risk of both ovarian and breast cancer, are big, but that doesn't mean ovary removal is without risks. However, by 10 months after their procedure, just 25% of women without their ovaries are taking any estrogen at all, Sarrel says.
Risks associated with an abdominal hysterectomy include:
- Blood clots.
- Excessive bleeding.
- Adverse reaction to anesthesia.
- Damage to your urinary tract, bladder, rectum or other pelvic structures during surgery, which may require further surgical repair.
- Earlier onset of menopause even if the ovaries aren't removed.
Risks of an oophorectomy include the following:
- Damage to nearby organs.
- Rupture of a tumor, spreading potentially cancerous cells.
- Retention of ovary cells that continue to cause signs and symptoms, such as pelvic pain, in premenopausal women (ovarian remnant syndrome)
on average, an abdominal or vaginal hysterectomy takes about 60-90 minutes. Laparoscopic hysterectomy usually takes longer – about 70-110 minutes. the duration of surgery, however, does not affect the post-operative recovery.
Women who have both ovaries removed may need to take hormones if they are not already going through menopause and do not have cancer. Hormone therapy (HT) reduces the symptoms associated with menopause caused by the rapid decrease of estrogen in the body.
A woman may have a hysterectomy for different reasons, including:
- Uterine fibroids that cause pain, bleeding, or other problems.
- Uterine prolapse, which is a sliding of the uterus from its normal position into the vaginal canal.
- Cancer of the uterus, cervix, or ovaries.
- Abnormal vaginal bleeding.
If left untreated, fibroids can continue to grow, both in size and number. As these tumors take over the uterus the symptoms will become worse. The pain will increase. The heavy bleeding will become heavier and it may be accompanied by severe cramping.
They store eggs and produce sex hormones, including estrogen. Of women who have a hysterectomy, about half of them have their ovaries removed at the same time. The main reason doctors recommend removing the ovaries along with the uterus is to reduce the risk of ovarian cancer.
The average total cost of a laparoscopic hysterectomy is $9,388. Get a cost estimate based on your location, insurance, and doctor below. If you need to have your uterus removed, your doctor may recommend a minimally invasive type of surgery called a laparoscopic hysterectomy.
Your uterus can be removed in small pieces through the incisions, through a larger incision made in your abdomen, or through your vagina (which is called a laparoscopic vaginal hysterectomy). A robot-assisted laparoscopic hysterectomy is performed with the help of a robotic machine controlled by the surgeon.
Unfortunately, there's no way for you to become pregnant after having a tubal ligation and partial hysterectomy. In order for you to carry a pregnancy, you must have fallopian tubes as a place for conception and a uterus for implantation of the fertilized egg.
A vaginal hysterectomy is surgery to remove the uterus through the vagina. It is a way to take the uterus out through a cut in the vagina instead of a cut in your belly. The ovaries or fallopian tubes (other female organs) may also be removed when the uterus is removed.
Abdominal ovary removal requires making a larger incision to remove the ovaries and fallopian tubes. Typically, the surgeon will use a bikini incision, a horizontal incision just above the pubic bone. This procedure is technically called “abdominal bilateral salpingo-oophorectomy (BSO).”
Two ovaries are not necessary to conceive a baby. Although some women with one ovary ovulate less frequently or have other fertility issues that make it more difficult to become pregnant, most women with only one ovary ovulate normally and have no problems conceiving.
Large or persistent ovarian cysts, or cysts that are causing symptoms, usually need to be surgically removed. Surgery is also normally recommended if there are concerns that the cyst could be cancerous or could become cancerous. There are two types of surgery used to remove ovarian cysts: a laparoscopy.