Hysterectomy: post procedural problems

Problem Hysterectomy post BleedingHysterectomy: post procedural problems and symptomsA hysterectomy is the surgical removal of the uterus, the procedure is generally performed by a gynecologist instead of a general surgeon. A hysterectomy maybe total meaning the removal of the body, fundus and cervix of the uterus. Or partial, which entails the removal of the uterine body but leaving the cervix in place. It is one of the most commonly performed gynecological surgical procedures. The procedure in itself is quite radical and is it renders the patient unable to bear children it is reserved for a few conditions. Like cancers of the reproductive system , prophylactically, in cases of endometriosis, post partum in women in cases of placenta praevia and many others. Post procedural problems. Total hysterectomy causes the patient to undergo menopause much earlier as well as with a bilateral oopherectomy which entails removal of both the ovaries the blood estrogen level starts to fall. This can cause heart disease as well as many musculoskeletal disorders in women post procedure. Procedural side effects include , hemorrhage, risk of infection and side effects related to anesthesia used in the procedure. Eventually women may also need to start treatment with oral hormone replacement therapy. This is generally a consideration made to ease the transition of women into menopause, the risk being that HRT may increase the risk of breast cancer in menopausal hysterectomized women. The advantages and disadvantages should carefully be evaluated before you start treatment. Women post procedure have also complained of chronic fatigue syndrome. And there is also the possibility to have a decreased libido and hence the sex life generally takes a hit, this however can be avoided by HRT. One should remember that the average age for onset of menopause in post procedural women is 3 to 4 years. Due to the removal of ovaries the blood estrogen level dips significantly and progressively. This is generally referred to as surgical menopause. The risk of a patient developing heart disease post hysterectomy is almost three times normal, and this risk increases almost seven fold if the patient has also undergone a bilateral oopherectomy. Some women even claim that they find there natural vaginal lubrication during sexual arousal highly reduced and in some cases completely eliminated. This leads to a hindered sex life and may some times even lead to depression. Women who would previously experience uterine orgasms no longer experience it , the vaginal canal is also shortened. As a result of this some women opt for laprascopic assisted supracervical hysterectomy, in this procedure the cervix is left in place so that they still maintain certain levels of sexual satisfaction. Women with bilateral oopherectomy typically have reduced levels of testosterone this leads height loss as a result of reduced bone density and of course it effects the sexual drive too. In certain cases women have also complained about bladder function problems and urinary incontinence. A partial hysterectomy with out the removal of the ovaries may lead some times to an ectopic pregnancy, this as there was perhaps an undetected pregnancy that had yet not descended into the uterus before the surgery.