Question

Maira, age 35, has been advised to have a complete hysterectomy due to medical problems. She is worried that the procedure will cause menopause. Explain what is involved in the procedure and the likelihood that the procedure will result in menopause. What complications could arise, at her age, with menopause?

Answer 1

1. Procedure Of Complete Hysterectomy :-

An abdominal hysterectomy is a surgical procedure that removes your uterus through an incision in your lower abdomen.Your uterus or womb is where a baby grows if you're pregnant. A partial hysterectomy removes just the uterus, leaving the cervix intact. A total hysterectomy removes the uterus and the cervix.Sometimes a hysterectomy includes removal of one or both ovaries and fallopian tubes, a procedure called a total hysterectomy with salpingo-oophorectomy.A hysterectomy can also be performed through an incision by a laparoscopic or robotic surgical approach which uses long, thin instruments passed through small abdominal incisions.An abdominal hysterectomy may be recommended over other types of hysterectomy if:
You have a large uterus.
Your doctor wants to check other pelvic organs for signs of disease.
Your surgeon feels it's in your best interest to have an abdominal hysterectomy.

2. During hysterectomy surgery, your surgeon might also perform a related procedure that removes both of your ovaries and your fallopian tubes (bilateral salpingo-oophorectomy). You and your doctor should discuss ahead of time whether you need this procedure, which results in what's known as surgical menopause.
With surgical menopause, menopause symptoms often begin suddenly for women after having the procedure done. Depending on how much these symptoms affect your quality of life, you may need short term treatment with hormones.

3. A hysterectomy is generally very safe, but with any major surgery comes the risk of complications.

Risks associated with an abdominal hysterectomy include:

Blood clots
Infection
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
Rarely, death.