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Hysterectomy

Hysterectomy is the surgical removal of the uterus, and may also involve the removal of the cervix, ovaries, and fallopian tubes. The uterus is where a baby grows when a woman is pregnant. After a hysterectomy, the woman will no longer have menstrual periods and cannot become pregnant.

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Why is a Hysterectomy Performed?

The most common reasons for performing a hysterectomy include:

  • Uterine fibroids: Also known as uterine leiomyomata are by far the most common reason for performing a hysterectomy. Uterine fibroids are benign growths of the uterus, the cause of which is unknown. Although the vast majority are benign, meaning they do not cause or turn into cancer, uterine fibroids can cause medical problems. Indications for hysterectomy in cases of uterine fibroids are excessive size, pressure or pain, and/or bleeding severe enough to produce anemia.
  • Abnormal Vaginal bleeding: A flow of blood from the vagina that occurs either at the wrong time during the month or in inappropriate amounts. In order to determine whether bleeding is abnormal and its cause, the doctor must consider the following questions: Is the woman pregnant; what is the pattern of the bleeding; is the woman ovulating?
  • Cervical Dysplasia: Refers to the presence of precancerous changes of the cells that make up the inner lining of the cervix, the opening to the womb. The term dysplasia refers to the abnormal appearance of the cells when viewed under the microscope. The degree and extent of abnormality seen on a tissue sample is referred to by the classification systems squamous intraepithelial lesion and cervical intraepithelial neoplasia.
  • Endometriosis: The abnormal growth of cells similar to those that form the inside or lining the tissue of the uterus, but in a location outside of the uterus. Endometrial cells are cells that are shed each month during menstruation. The cells of endometriosis attach themselves to tissue outside the uterus and are called endometriosis implants. These implants are most commonly found on the ovaries, the Fallopian tubes, outer surfaces of the uterus or intestines, and on the surface lining of the pelvic cavity. They can also be found in the vagina, cervix, bladder, although less commonly than other locations in the pelvis. Rarely, endometriosis implants can occur outside the pelvis on the lie, in old surgery scars, and even in or around the lung or brain. Endometrial implants, while they can cause problems, are benign—meaning they are no cancerous.

Contact your doctor if you are experiencing any of the above symptoms:

Only 10% of hysterectomy is performed for removal of cancerous material. However, if it is recommended by your physician to get a hysterectomy, it should be heavily considered and discussed. All the information provided on this page is for general use only; for more detailed information, contact Dr. Amaro in west Houston and request an appointment to discuss the situation specific to your health and if a hysterectomy is right for you.

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