It is the last option chosen by the doctors as well as the patient. The area around the incision can be itchy. Yes, I often feel it. Make sure to speak with your doctor about when youll be released to drive. Using that criterion, only around 10% of women who end up with a hysterectomy needed it. In addition, there are emotional aspects to hysterectomy that affect both your initial decision and your experience following surgery. What to consider before having a hysterectomy, journals.lww.com/prsgo/fulltext/2019/12000/navigating_insurance_policies_in_the_united_states.21.aspx, idph.state.il.us/about/womenshealth/factsheets/hyster.htm, brighamandwomens.org/obgyn/minimally-invasive-gynecologic-surgery/hysterectomy-options, Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT, No One Warned Me About the Grief That Comes With a Hysterectomy. In every woman's body the uterus is supported by the same ligaments and served by the same blood supply. Fibroids can cause heavy bleeding, pain, or stomach distention. When found early, PID can usually be treated with antibiotics. If you have your ovaries removed as part of the procedure and you havent gone through menopause yet, the surgery could cause you to experience menopause symptoms, such as: Ovary removal also puts you at risk for developing other medical conditions like bone loss, heart disease, and urinary incontinence. Hysterectomy is commonly requested by patients upon learning of cervical dysplasia, particularly if they have chronic human papillomavirus (HPV) infection and have experienced years of frequent surveillance and interventions. Pelvic Pain? Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. You may experience burning or itching around the incision or a numb feeling around the incision and down one leg. While a hysterectomy is considered one of the safest surgeries, there are risks involved with any procedure. Heavy bleeding can often be reduced with medication, endometrial ablation, or placement of a progestin IUD. You can use lotions or creams to help relieve the itching. Do I want to have a baby? A hysterectomy is a common procedure that can improve symptoms caused by many different medical conditions. It is important to increase your activity level each day as long as you feel capable and arent in pain. Some hormone medications block the production of estrogen, which can reduce symptoms. 1. I had bleeding, went to the doctor and sure enough am having an ultrasound. They release eggs and other important hormones such as estrogen and progesterone. It's common in postmenopausal women who have had one or more vaginal deliveries. We'll give you personalized information and recommendations for improving your hormonal health and relieving your symptoms - naturally. Uterine fibroids may cause anemia due to excess blood loss during your period. "I encourage women to explore all nonsurgical options before deciding to have a hysterectomy," Summers says. A radical hysterectomy removes the whole uterus, tissue on the sides of the uterus, the cervix, and the top part of the vagina. A large percentage of hysterectomies are performed to relieve fibroids, endometriosis or other conditions related to hormonal imbalance. Or you may have laparoscopic or robotic surgery, which uses long, thin instruments passed through small cuts in the belly. If your doctor has recommended a hysterectomy to remove polyps, ask if performing a dilation and curettage may be possible instead. You might benefit from a hysterectomy if you regularly experience heavy or irregular menstrual bleeding. Study: Erythritol May Raise Risk of Heart Disease, Your Privacy Choices: Opt Out of Sale/Targeted Ads. We have other quizzes matching your interest. Lose the ovaries? I struggle with this issue often, and I am thankful that I have an understanding husband who sees what I go through. You can learn more about how we ensure our content is accurate and current by reading our. Our quiz will assess your specific symptoms and the underlying causes, then we'll help you on your way to start feeling better. A progesterone IUD can prevent hysterectomies in many patients. Relieve your hormonal They may decide to only remove the uterus or to remove the uterus and ovaries. You might wonder how sex is different after a hysterectomy, including where sperm goes. Most hysterectomies are elective surgeries. After a hysterectomy, you wont have periods and wont be able to get pregnant. Contact a local practitioner in your area to start the conversation about hormone therapy after hysterectomy, or take the BodyLogicMD Hormone Balance Quiz to learn more about your symptoms and how hormones interact in the post-hysterectomy body. There are 18 references cited in this article, which can be found at the bottom of the page. We encourage you to have a hormone panel as part of your decision-making process and to serve as a baseline for later therapy to restore hormone balance after surgery. The glycemic index (GI) is a value used to measure how much a specific food increases your blood sugar levels. Well go over short-term side effects, potential risks, and long-term side effects to keep in. It does not automatically include the removal of the ovaries or fallopian tubes. Pelvic inflammatory disease (PID). Your doctor can help walk you through the different procedures and possible complications. A hysterectomy may be necessary to remove polyps if they are too large to be removed using dilation and curettage. Removing your uterus also won't stop bleeding that happens because of a hormone imbalance. The main reason why hysterectomy is such simple surgery is that, internally, all women are built the same way. It is generally done when all other treatments no longer work. Your doctor may first recommend medications, such as oral birth control pills, or other less-invasive procedures, such as a myomectomy, to treat fibroids. While approximately one-third of American womenmost between the ages of 40 and 44will eventually lose their uteruses, Black women are consistently the most likely to have a hysterectomy. imbalance symptoms today, A hysterectomy is a surgical procedure to remove a womans, Uterine artery embolization (UAE), is a technique usually performed by, Myomectomy involves the removal of a fibroid together with a, MRI-guided high-intensity ultrasound (MRgFUS), also known as highintensity focused ultrasound. One logical explanation is that Black women are at the highest risk for developing fibroid tumors, by far the most common reason for the surgery. Typically, treatment options include different types of hormone therapies. What are the benefits and downsides of having a hysterectomy for my particular condition? There are several types of hysterectomies that patients and healthcare providers choose from, using different types of incisions and instruments. Some have constant pain. This approach is an especially good alternative for women with fibroids, as fibroids often subside after menopause anyway. If you do not have cancer or an emergency hemorrhage, and your symptoms are mild to moderate, rather than severe or devastating, consider adopting a wait and see approach. Check out this quiz to know more. Pap testing could still detect vaginal cancer, but vaginal cancer is rare and screening for it is not indicated. Ideally a comprehensive, stepwise assessment from cytology to colposcopy and . She already had two children, so the deep feeling of loss after her, Surgery may be an effective treatment for symptomatic fibroids. The surgery can completely relieve many painful pelvic conditions, but it's not the answer for everyone. I am diagnosed with a bacterial infection in the reproductive system. A hysterectomy is surgery to take out the uterus. Hysterectomy in these cases may be avoidable, but women are often unaware that there are alternatives. Roughly half a million hysterectomies are performed every year. Who can help me while I recover? This article has been viewed 59,377 times. This will help to prevent blood clots in your legs. If you test positive for the BRCA gene, you dont necessarily need a hysterectomy. Women with higher levels of estrogen before surgery may have the worst experience after surgery. Pelvic Inflammatory disease (PID) is a bacterial infection that can lead to severe pelvic pain. These are very similar symptoms to mine. Adenomyosis. Our website services, content, and products are for informational purposes only. Defining unnecessary hysterectomy is actually somewhat subjective. Ask your physician about your options. They each have success rates between 80 and 90 percent. Pelvic pain, often from endometriosis, is next on the list, followed by pelvic organ prolapse such as a dropped uterus, bladder, or rectum. If other measures arent effective or fibroids continue to regrow and produce symptoms, a hysterectomy may be an option. HRT is generally prescribed as a combination of synthetic progesterone and estrogen, and the synthetic hormones commonly used in HRT have been shown to carry health risks. This is important to note because people often believe that a hysterectomy automatically leads to menopause. She was the recipient of multiple awards during her residency training, including Most Outstanding Resident in Maternal Fetal Medicine, Most Outstanding Resident in Oncology, Most Outstanding Resident Overall, and Special Award in Minimally Invasive Surgery. Hysterectomy is the second most common major surgical procedure performed in women worldwide and almost one in three women in the USA have undergone a hysterectomy by the age of 60 years. A gynecologist can help determine if robotic hysterectomy is the best option in each individual case. Your doctor should give you a thorough pelvic exam as well as an ultrasound and an MRI, if necessary, to pinpoint what's causing your pain and to help you decide if surgery is an option. Its important to discuss the pros and cons of this treatment option with your doctor before having surgery. If somebody's had a hysterectomy, they can just do estrogen alone, and they don't need the progesterone part. If your hyperplasia is severe or your doctor suspects it may develop into cancer, they may recommend a hysterectomy. Some women are willing to put up with a lot to avoid losing their uteruses (fertility being one reason) and are willing to have frequent visits to the gynecologist, ultrasounds, endometrial biopsies, and alternative therapies. The most common reasons for having a hysterectomy include: Rest as much as possible during this time and do not lift anything heavy, such as bags of shopping. The uterus is where a fetus grows during pregnancy. A hysterectomy is not a reasonable choice for permanent birth control. Anyone can attend therapy to improve or . Recovery times can also vary depending on the type of hysterectomy. Questions to ask yourself before considering hysterectomy 1. Your physician may also recommend a pessary device if you have urinary incontinence from bladder weakness. As a result, you may require iron supplements or a blood transfusion. It can also affect people with obesity or who have gone through menopause. The key is that they decided hysterectomy was the best option after weighing all alternatives. Theyre one of the most common reasons for a hysterectomy. Are you diagnosed with cervical/ovarian/fallopian tubes/ uterus cancer? The USPSTF 2003 and 2012 guidelines recommend not performing . It can also lead to infertility. This article reviews all you need to, Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. That means that even if a hysterectomy is not lifesaving, it may still be a womans best option. The loss of hormonal balance can create myriad symptoms, including premature aging, weight gain, vaginal dryness, and so on. Discuss all of your surgical options with your doctor ahead of time. If you decide to have a hysterectomy, a therapist can also help you deal with the emotional and sexual impact of the surgery. Certain exercises and devices can be used at home. But it can damage the uterus if it spreads. CALL 1-800-448-4919 M-F 9AM-6PM EST, Hysterectomydifferent types & alternative options, FAQs on hysterectomy, partial hysterectomy, and hormones. Depending on the way your doctor does the surgery, you may need anywhere from 2 weeks to 2 months to recover completely. Questions: 10 | Attempts: 1033 | Last updated: Sep 20, 2022 Sample Question Are you experiencing painful, heavy periods? Uterine fibroids may have a negative effect on your ability to become pregnant. If you have any of these types of cancer, your doctor will almost certainly call for a hysterectomy. In any event, more study is needed of their long-term use. The type of hysterectomy for cancer therapy the physician recommends depends on the kind and extent of the cancer. 2. Doctors usually recommend hormone therapy or medical procedures to remove endometrial tissue before a hysterectomy. Your doctor may recommend a hysterectomy if you have severe PID. Keep a pencil and paper next to your pain medications, and always write . Women who do go ahead with a hysterectomy are often not offered a minimally invasive procedure (vaginal, laparoscopic, or robotic) as opposed to removal of the uterus through a traditional abdominal incision. Vaginal hysterectomy: Uterus is removed through the vagina. This procedure leaves the ovaries intact, and should not induce menopause. Yes, the pain is unbearable. Physicians may recommend a hysterectomy for cancer treatment when a woman has been diagnosed with one of several gynecological cancers. This outcome is very rare, but it can be lifesaving. Has your doctor suggested a hysterectomy? Laparoscopic? Experts note that you should take your time when deciding whether or not to have a hysterectomy, since it's a big decision with lasting consequences. Hysterectomy is basically suggested or done when no other. Educational website from one of the world's leading hospitals, U.S. government agency providing resources for women's health, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/6\/6e\/Decide-if-You-Need-a-Hysterectomy-Step-1-Version-2.jpg\/v4-460px-Decide-if-You-Need-a-Hysterectomy-Step-1-Version-2.jpg","bigUrl":"\/images\/thumb\/6\/6e\/Decide-if-You-Need-a-Hysterectomy-Step-1-Version-2.jpg\/aid4266087-v4-728px-Decide-if-You-Need-a-Hysterectomy-Step-1-Version-2.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/7\/7a\/Decide-if-You-Need-a-Hysterectomy-Step-2-Version-2.jpg\/v4-460px-Decide-if-You-Need-a-Hysterectomy-Step-2-Version-2.jpg","bigUrl":"\/images\/thumb\/7\/7a\/Decide-if-You-Need-a-Hysterectomy-Step-2-Version-2.jpg\/aid4266087-v4-728px-Decide-if-You-Need-a-Hysterectomy-Step-2-Version-2.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/8\/8b\/Decide-if-You-Need-a-Hysterectomy-Step-3-Version-2.jpg\/v4-460px-Decide-if-You-Need-a-Hysterectomy-Step-3-Version-2.jpg","bigUrl":"\/images\/thumb\/8\/8b\/Decide-if-You-Need-a-Hysterectomy-Step-3-Version-2.jpg\/aid4266087-v4-728px-Decide-if-You-Need-a-Hysterectomy-Step-3-Version-2.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/c\/cf\/Decide-if-You-Need-a-Hysterectomy-Step-4-Version-2.jpg\/v4-460px-Decide-if-You-Need-a-Hysterectomy-Step-4-Version-2.jpg","bigUrl":"\/images\/thumb\/c\/cf\/Decide-if-You-Need-a-Hysterectomy-Step-4-Version-2.jpg\/aid4266087-v4-728px-Decide-if-You-Need-a-Hysterectomy-Step-4-Version-2.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/7\/7f\/Decide-if-You-Need-a-Hysterectomy-Step-5-Version-2.jpg\/v4-460px-Decide-if-You-Need-a-Hysterectomy-Step-5-Version-2.jpg","bigUrl":"\/images\/thumb\/7\/7f\/Decide-if-You-Need-a-Hysterectomy-Step-5-Version-2.jpg\/aid4266087-v4-728px-Decide-if-You-Need-a-Hysterectomy-Step-5-Version-2.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/b\/b8\/Decide-if-You-Need-a-Hysterectomy-Step-6-Version-2.jpg\/v4-460px-Decide-if-You-Need-a-Hysterectomy-Step-6-Version-2.jpg","bigUrl":"\/images\/thumb\/b\/b8\/Decide-if-You-Need-a-Hysterectomy-Step-6-Version-2.jpg\/aid4266087-v4-728px-Decide-if-You-Need-a-Hysterectomy-Step-6-Version-2.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/a\/ab\/Decide-if-You-Need-a-Hysterectomy-Step-7-Version-2.jpg\/v4-460px-Decide-if-You-Need-a-Hysterectomy-Step-7-Version-2.jpg","bigUrl":"\/images\/thumb\/a\/ab\/Decide-if-You-Need-a-Hysterectomy-Step-7-Version-2.jpg\/aid4266087-v4-728px-Decide-if-You-Need-a-Hysterectomy-Step-7-Version-2.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, Considering the Therapeutic Uses of a Hysterectomy, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/b\/b1\/Decide-if-You-Need-a-Hysterectomy-Step-8-Version-2.jpg\/v4-460px-Decide-if-You-Need-a-Hysterectomy-Step-8-Version-2.jpg","bigUrl":"\/images\/thumb\/b\/b1\/Decide-if-You-Need-a-Hysterectomy-Step-8-Version-2.jpg\/aid4266087-v4-728px-Decide-if-You-Need-a-Hysterectomy-Step-8-Version-2.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, Official resource database of the world-leading Johns Hopkins Hospital, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/4\/4b\/Decide-if-You-Need-a-Hysterectomy-Step-9-Version-2.jpg\/v4-460px-Decide-if-You-Need-a-Hysterectomy-Step-9-Version-2.jpg","bigUrl":"\/images\/thumb\/4\/4b\/Decide-if-You-Need-a-Hysterectomy-Step-9-Version-2.jpg\/aid4266087-v4-728px-Decide-if-You-Need-a-Hysterectomy-Step-9-Version-2.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/c\/cd\/Decide-if-You-Need-a-Hysterectomy-Step-10-Version-2.jpg\/v4-460px-Decide-if-You-Need-a-Hysterectomy-Step-10-Version-2.jpg","bigUrl":"\/images\/thumb\/c\/cd\/Decide-if-You-Need-a-Hysterectomy-Step-10-Version-2.jpg\/aid4266087-v4-728px-Decide-if-You-Need-a-Hysterectomy-Step-10-Version-2.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/2\/2a\/Decide-if-You-Need-a-Hysterectomy-Step-11-Version-2.jpg\/v4-460px-Decide-if-You-Need-a-Hysterectomy-Step-11-Version-2.jpg","bigUrl":"\/images\/thumb\/2\/2a\/Decide-if-You-Need-a-Hysterectomy-Step-11-Version-2.jpg\/aid4266087-v4-728px-Decide-if-You-Need-a-Hysterectomy-Step-11-Version-2.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/9\/9c\/Decide-if-You-Need-a-Hysterectomy-Step-12-Version-2.jpg\/v4-460px-Decide-if-You-Need-a-Hysterectomy-Step-12-Version-2.jpg","bigUrl":"\/images\/thumb\/9\/9c\/Decide-if-You-Need-a-Hysterectomy-Step-12-Version-2.jpg\/aid4266087-v4-728px-Decide-if-You-Need-a-Hysterectomy-Step-12-Version-2.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/f\/f9\/Decide-if-You-Need-a-Hysterectomy-Step-13-Version-2.jpg\/v4-460px-Decide-if-You-Need-a-Hysterectomy-Step-13-Version-2.jpg","bigUrl":"\/images\/thumb\/f\/f9\/Decide-if-You-Need-a-Hysterectomy-Step-13-Version-2.jpg\/aid4266087-v4-728px-Decide-if-You-Need-a-Hysterectomy-Step-13-Version-2.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/9\/9e\/Decide-if-You-Need-a-Hysterectomy-Step-14-Version-2.jpg\/v4-460px-Decide-if-You-Need-a-Hysterectomy-Step-14-Version-2.jpg","bigUrl":"\/images\/thumb\/9\/9e\/Decide-if-You-Need-a-Hysterectomy-Step-14-Version-2.jpg\/aid4266087-v4-728px-Decide-if-You-Need-a-Hysterectomy-Step-14-Version-2.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, Understanding Alternatives to a Hysterectomy, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/d\/d7\/Decide-if-You-Need-a-Hysterectomy-Step-15-Version-2.jpg\/v4-460px-Decide-if-You-Need-a-Hysterectomy-Step-15-Version-2.jpg","bigUrl":"\/images\/thumb\/d\/d7\/Decide-if-You-Need-a-Hysterectomy-Step-15-Version-2.jpg\/aid4266087-v4-728px-Decide-if-You-Need-a-Hysterectomy-Step-15-Version-2.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/7\/7a\/Decide-if-You-Need-a-Hysterectomy-Step-16-Version-2.jpg\/v4-460px-Decide-if-You-Need-a-Hysterectomy-Step-16-Version-2.jpg","bigUrl":"\/images\/thumb\/7\/7a\/Decide-if-You-Need-a-Hysterectomy-Step-16-Version-2.jpg\/aid4266087-v4-728px-Decide-if-You-Need-a-Hysterectomy-Step-16-Version-2.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/7\/77\/Decide-if-You-Need-a-Hysterectomy-Step-17-Version-2.jpg\/v4-460px-Decide-if-You-Need-a-Hysterectomy-Step-17-Version-2.jpg","bigUrl":"\/images\/thumb\/7\/77\/Decide-if-You-Need-a-Hysterectomy-Step-17-Version-2.jpg\/aid4266087-v4-728px-Decide-if-You-Need-a-Hysterectomy-Step-17-Version-2.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/6\/6a\/Decide-if-You-Need-a-Hysterectomy-Step-18-Version-2.jpg\/v4-460px-Decide-if-You-Need-a-Hysterectomy-Step-18-Version-2.jpg","bigUrl":"\/images\/thumb\/6\/6a\/Decide-if-You-Need-a-Hysterectomy-Step-18-Version-2.jpg\/aid4266087-v4-728px-Decide-if-You-Need-a-Hysterectomy-Step-18-Version-2.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/e\/eb\/Decide-if-You-Need-a-Hysterectomy-Step-19.jpg\/v4-460px-Decide-if-You-Need-a-Hysterectomy-Step-19.jpg","bigUrl":"\/images\/thumb\/e\/eb\/Decide-if-You-Need-a-Hysterectomy-Step-19.jpg\/aid4266087-v4-728px-Decide-if-You-Need-a-Hysterectomy-Step-19.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, Family-focused medical advice site run by the American Academy of Family Doctors, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/7\/72\/Decide-if-You-Need-a-Hysterectomy-Step-20.jpg\/v4-460px-Decide-if-You-Need-a-Hysterectomy-Step-20.jpg","bigUrl":"\/images\/thumb\/7\/72\/Decide-if-You-Need-a-Hysterectomy-Step-20.jpg\/aid4266087-v4-728px-Decide-if-You-Need-a-Hysterectomy-Step-20.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/d\/db\/Decide-if-You-Need-a-Hysterectomy-Step-21.jpg\/v4-460px-Decide-if-You-Need-a-Hysterectomy-Step-21.jpg","bigUrl":"\/images\/thumb\/d\/db\/Decide-if-You-Need-a-Hysterectomy-Step-21.jpg\/aid4266087-v4-728px-Decide-if-You-Need-a-Hysterectomy-Step-21.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/5\/55\/Decide-if-You-Need-a-Hysterectomy-Step-22.jpg\/v4-460px-Decide-if-You-Need-a-Hysterectomy-Step-22.jpg","bigUrl":"\/images\/thumb\/5\/55\/Decide-if-You-Need-a-Hysterectomy-Step-22.jpg\/aid4266087-v4-728px-Decide-if-You-Need-a-Hysterectomy-Step-22.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/7\/75\/Decide-if-You-Need-a-Hysterectomy-Step-23.jpg\/v4-460px-Decide-if-You-Need-a-Hysterectomy-Step-23.jpg","bigUrl":"\/images\/thumb\/7\/75\/Decide-if-You-Need-a-Hysterectomy-Step-23.jpg\/aid4266087-v4-728px-Decide-if-You-Need-a-Hysterectomy-Step-23.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/6\/69\/Decide-if-You-Need-a-Hysterectomy-Step-24.jpg\/v4-460px-Decide-if-You-Need-a-Hysterectomy-Step-24.jpg","bigUrl":"\/images\/thumb\/6\/69\/Decide-if-You-Need-a-Hysterectomy-Step-24.jpg\/aid4266087-v4-728px-Decide-if-You-Need-a-Hysterectomy-Step-24.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/5\/53\/Decide-if-You-Need-a-Hysterectomy-Step-25.jpg\/v4-460px-Decide-if-You-Need-a-Hysterectomy-Step-25.jpg","bigUrl":"\/images\/thumb\/5\/53\/Decide-if-You-Need-a-Hysterectomy-Step-25.jpg\/aid4266087-v4-728px-Decide-if-You-Need-a-Hysterectomy-Step-25.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/a\/ac\/Decide-if-You-Need-a-Hysterectomy-Step-26.jpg\/v4-460px-Decide-if-You-Need-a-Hysterectomy-Step-26.jpg","bigUrl":"\/images\/thumb\/a\/ac\/Decide-if-You-Need-a-Hysterectomy-Step-26.jpg\/aid4266087-v4-728px-Decide-if-You-Need-a-Hysterectomy-Step-26.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/0\/0c\/Decide-if-You-Need-a-Hysterectomy-Step-27.jpg\/v4-460px-Decide-if-You-Need-a-Hysterectomy-Step-27.jpg","bigUrl":"\/images\/thumb\/0\/0c\/Decide-if-You-Need-a-Hysterectomy-Step-27.jpg\/aid4266087-v4-728px-Decide-if-You-Need-a-Hysterectomy-Step-27.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"

License: Creative Commons<\/a>
\n<\/p>


\n<\/p><\/div>"}, Journal archive from the U.S. National Institutes of Health, How to Get the Most Accurate Pregnancy Test Results with PCOS & Improve Your Chances of Conception, https://www.mayoclinic.org/tests-procedures/abdominal-hysterectomy/about/pac-20384559, https://www.womenshealth.gov/a-z-topics/hysterectomy, http://www.womenshealth.gov/publications/our-publications/fact-sheet/hysterectomy.html, http://www.womenshealth.gov/publications/our-publications/fact-sheet/uterine-fibroids.html, https://www.hopkinsmedicine.org/health/conditions-and-diseases/uterine-fibroids, http://www.endometriosisassn.org/endo.html, https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/hysterectomy#reasons-for-a-hysterectomy, https://my.clevelandclinic.org/health/diseases_conditions/hic_Uterine_Prolapse, https://www.nhs.uk/conditions/hysterectomy/why-its-done/, https://www.womenshealthnetwork.com/hysterectomy/vaginal-and-partial-hysterectomy-options/, https://www.mayoclinic.org/diseases-conditions/uterine-fibroids/diagnosis-treatment/drc-20354294, https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/endometrial-ablation, https://my.clevelandclinic.org/health/treatments_and_procedures/hic-alternatives-to-hysterectomy, http://familydoctor.org/familydoctor/en/drugs-procedures-devices/procedures-devices/vaginal-pessary.html, https://youngwomenshealth.org/2011/10/18/medical-uses-of-the-birth-control-pill/, https://my.clevelandclinic.org/health/treatments_and_procedures/hic_What_You_Need_to_Know_About_Hysterectomy, http://www.upmc.com/patients-visitors/education/womens-health/Pages/hysterectomy.aspx, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2851125/.