How to Prepare for a Complete Hysterectomy

A misnomer, a "complete" hysterectomy removes only the uterus and the cervix, leaving the fallopian tubes and ovaries in place. The surgery can be accomplished through the vagina or through an abdominal incision or a laparoscopic hysterectomy can be done through the abdomen. A complete hysterectomy is major surgery no matter which option you and your health team decide to pursue, so you must prepare for it physically, mentally and emotionally.

Instructions

Prepare for a Complete Hysterectomy with Confidence

1. Be aware that menopause can occur after a complete hysterectomy, despite the fact that the ovaries and fallopian tubes are left intact. Decreased blood flow to the ovaries can push a pre-menopausal woman into menopause.

2. Acknowledge that a complete hysterectomy eliminates the ability to carry a child. Prepare to go through a period of sadness, depression and grief over this loss.

3. Discuss the surgical options with your doctor. Most complete hysterectomies are performed to remove fibroid tumors. Depending upon the size of the tumors, a less invasive laparoscopic procedure may be an option.

4. Understand that even after one of the less invasive forms of complete hysterectomy, there will be a 4 to 6 week period of recovery. Sexual activity can generally resume after 8 weeks.

5. Plan for your recovery by creating a safe and convenient environment at home. Make your recovery area post surgery friendly by eliminating the need to walk up multiple steps or to stretch to reach needed items.

Tips & Warnings

• The term "complete hysterectomy" is a lay term not a medical term. Make sure you and your doctor are using the same terms to mean the same things when talking about your hysterectomy. A physician will generally speak of a total hysterectomy rather than a complete hysterectomy.

• You may want to discuss with your doctor if removing the cervix is necessary.

• If your cervix is being removed because of disease or the threat of disease, or if your doctor strongly advises that it be removed, you should often heed those instructions. There are remedies for the side effects of cervix removal.

• Anytime you choose a vaginal hysterectomy, the cervix will be removed even if the removal is not indicated.

• The removal of the cervix can destabilize the pelvic and/or vaginal area.

• Cervix removal is largely responsible for post-surgical vaginal dryness.

• There is also some thought that removal of the cervix is one factor leading to decreased sexual pleasure.