Gourt > Health > Medicine > Medical Specialties > Obstetrics and Gynecology > Gynecology > Hysterectomy (1)
A hysterectomy is the surgical removal of the uterus, usually done by a gynecologist. Hysterectomy may be total (removing the body and cervix of the uterus) or partial (also called supra-cervical). In many cases, surgical removal of the ovaries (oophorectomy) is performed concurrent with a hysterectomy. The surgery is then called "total abdominal hysterectomy with bilateral salpingo-oophorectomy."
Women who have total abdominal hysterectomy with bilateral salpingo-oophorectomy surgeries lose most of their ability to produce the female hormones estrogen and progesterone and subsequently enter what is known as "surgically-induced menopause" (as opposed to normal menopause, which occurs naturally in women as part of the aging process). In women under the age of 50, hormone supplements (usually estrogen) are often prescribed as part of hormone replacement therapy (HRT) to offset the negative effects of sudden hormonal loss (most notably an increased risk for early-onset osteoporosis). This treatment is somewhat controversial due to the known carcinogenic and coagulative properties of estrogen; however, many physicians and patients feel the benefits outweigh the risks in women who would otherwise be "too young" to be in full-blown menopause.
Although many hysterectomies are performed via a full abdominal incision laparotomy, two common surgical approaches which are less invasive are laparoscopically or vaginally. Surgery with ovarian conservation is an option for the pre-menopausal patient with benign disease (non cancer).
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About.com: Hysterectomy and Alternatives - Information about the causes, as well as other options. Articles, forum, and links to other resources.
Meta Description: [ Hysterectomy decision making resources, and support groups. Covers reasons for having a hysterectomy, and alternative treatments and procedures. ]
Alternatives in GYN: Hysterectomy - A gynecologist explains the procedure, types of hysterectomy, and alternatives to hysterectomy. Learn the advantages and disadvantages of all treatment alternatives.
Meta Description: [ HYSTERECTOMY: THE HYPE AND REALITY. A leading gynecologist explains hysterectomy, types of hysterectomy and alternatives to hysterectomy. Learn the advantages and disadvantages of all treatment alternatives. ]
Alternatives to Hysterectomy - Information about gynecological conditions frequently treated with hysterectomy and discussion of safe and effective alternative treatments. Includes case studies and a form to ask the doctor questions.
Meta Description: [ HYSTERECTOMY ALTERNATIVES:
The purpose of this web site is to address this health issue which is of concern to so many. This site seeks to provide the requisite educational material that will help women and their families explore their options in dealing with this very common problem. ]
FastHealth: Hysterectomy - Related links and information.
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National Women's Health Resource Center: Hysterectomy - Describes the procedure, conditions for which it is prescribed, and complications.
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Outpatient Laparoscopic Hysterectomy: A Review of 50 Patients - [Journal of the American Association of Gynecologic Laparoscopists] Study of laparoscopic hysterectomy (LAVH) as an alternative to conventional abdominal hysterectomy.
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Woman's Diagnostic Cyber: Hysterectomy and Postoperative Problems - FAQ about hysterectomy and the consequences with regard to sexual feelings afterward, menopause, need for hormones, and recovery time.
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