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What are the consequences of hysterectomy?

What are the consequences of hysterectomy?

Question:

- I would ask you to give me some details about what the results of a partial hysterectomy mean, with the preservation of the appendices. At the birth of my baby girl (now 4 months old), due to complications related to the placenta expulsion, I underwent a hysterectomy, with the preservation of the cervix (or a portion, I did not understand exactly ...) and the ovaries. I was told that I did not enter the menopause but that I would not have menstruation. And I won't be able to have children, obviously. Please let me know if there is any potential danger regarding the higher incidence of cervical cancer and what I should consider in the future. Are there other things I should be afraid of? Thanks

Answer:


From what you tell me I conclude that in addition to maintaining the cervix, you have been kept a part of the uterus. This fact, as well as the fact that your ovaries have been preserved, may result in the maintenance of menstruation, much reduced in quantity, as a result of the response of the remaining uterine mucosa to the hormonal stimuli mainly coming from the ovarian level.
I am not aware of any studies that show an increase in the incidence of cervical cancer in hysterectomized women; also, this type of intervention, maintaining the hormonal secretion, does not impose hormonal substitution and maintains the possibility of an active sexual life.
Indeed, the absence of a good portion of the uterus makes it impossible to develop a subsequent pregnancy.

You should ask the obstetrician what complications have arisen regarding the expulsion (delivery) of the placenta, in order to know what the implications are in the future regarding the state of health (an abundant bleeding could be caused by a disturbance of the coagulation processes, with possible implications subsequent bloody maneuvers).
A good collaboration between the doctor and you can prevent any undesirable effect related to your health, and at the same time, they can combat the ones that have already appeared.
Good health!
Dr. Ciprian Pop-Began
- Obstetrics and Gynecology -
Clinical Hospital of Obstetrics-Gynecology Prof. Dr. Panait Sarbu