A hysterectomy is a surgical procedure to remove the uterus. It may be needed to treat excessive bleeding, fibroids, chronic pain or certain gynecological cancers. The uterus can be removed either through an abdominal incision or through the vagina. A vaginal hysterectomy has many benefits over an abdominal procedure. After a vaginal hysterectomy there is often less bleeding, a shorter hospital stay and a quicker recovery.
The procedure may be preformed with either general anesthesia or with only an epidural, which prevents the woman from feeling pain below her waist. The surgeon will make an incision inside the vagina in order to get to the uterus. The uterus is then cut and removed through the vagina. Internal, dissolving stitches are placed to prevent excess bleeding.
After a vaginal hysterectomy, a women will most likely have some bleeding and pain. Pain medication will likely be prescribed. Most doctors also prescribe antibiotics to prevent an infection from developing. Women who have an uncomplicated vaginal hysterectomy are able to leave the hospital after a few days.
Most women will be given instructions to follow after the hysterectomy, such as no heavy lifting for about six weeks. Women are usually instructed to refrain from sexual intercourse for six weeks also. Information will be given to watch for signs of an infection, such as intense pain, excessive bleeding, fever or vomiting. Most women will be able to return to work within about two to three weeks, depending on their occupation. However, it’s essential to get a doctor's approval before resuming regular activities.
Because the uterus has been removed, a women will no longer have monthly menstrual bleeding. Women who have also had their ovaries removed during the procedure will not produce estrogen as they did previously. This will likely cause menopausal symptoms including hot flashes, mood changes and weight gain. For those who only had their uterus removed, hormonal changes don’t usually occur until menopause starts.
Although all women may react differently, in addition to physical changes, some women may have emotional changes after a vaginal hysterectomy. Depending on the reason for the hysterectomy and the age of the woman, various emotions may be present. Some women may feel a sense of loss at their inability to give birth to a child. Other women may feel better than ever, especially if they had pain and excessive bleeding, which is relieved by the procedure.
