Surgery
Hysterectomy
A hysterectomy is an operation to remove the womb (uterus), used for conditions such as heavy periods, fibroids, prolapse or cancer.
Quick answer
Hysterectomy: what it is, why it's done and what happens
A hysterectomy removes the uterus, and sometimes the cervix, ovaries or fallopian tubes as well. It can be done through the vagina, by keyhole surgery, or through a cut in the abdomen.
- Why it is done: It is used for heavy or painful periods that have not responded to other treatments, large or troublesome fibroids, endometriosis, prolapse, and cancers of the womb, cervix or ovaries.
- What happens: Under general anaesthetic, the womb is removed by the chosen approach (vaginal, keyhole or open).
What it is
A hysterectomy removes the uterus, and sometimes the cervix, ovaries or fallopian tubes as well. It can be done through the vagina, by keyhole surgery, or through a cut in the abdomen.
Why it is done
It is used for heavy or painful periods that have not responded to other treatments, large or troublesome fibroids, endometriosis, prolapse, and cancers of the womb, cervix or ovaries.
What happens
Under general anaesthetic, the womb is removed by the chosen approach (vaginal, keyhole or open). The operation usually takes 1–2 hours, and the hospital stay varies from a day case to a few days.
Recovery
Recovery ranges from a few weeks for keyhole surgery to 6–8 weeks for open surgery. Periods stop permanently, and if the ovaries are removed before menopause, menopause begins.
Good to know
Risks and things to consider
As major surgery, risks include bleeding, infection, blood clots and injury to nearby organs. It ends the ability to become pregnant, so it is a significant decision usually made after other options.
Education and reference only. This explains the procedure in general terms and is not medical advice. Your own care, risks and recovery will be explained by the team looking after you.
Answers
Hysterectomy: frequently asked questions
Will I go through the menopause after a hysterectomy?
Only if the ovaries are also removed. If the ovaries are left in place, they continue to produce hormones, though menopause may occur slightly earlier than otherwise.
How long does recovery take?
It depends on the type: keyhole or vaginal surgery often allows recovery in a few weeks, while open (abdominal) surgery usually needs about 6 to 8 weeks.
Related
Other surgery
Sources
Where this is drawn from
- NHS — Tests and treatments
- NICE — procedure and treatment guidance
- Relevant Royal College / professional body
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