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The article was professionally consulted with Specialist Doctor II Tran Thi Mai Huong - Obstetrician and Gynecologist - Department of Obstetrics and Gynecology - Vinmec Hai Phong International General Hospital.Total hysterectomy is indicated if a woman has certain diseases that require complete removal of the uterus to ensure the health of the whole body. The doctor will perform surgery to remove both the body of the uterus and the cervix.
1. What is a total hysterectomy?
Total hysterectomy or total hysterectomy is a surgical procedure in which a hysterectomy involves removing both the body of the uterus and the cervix by means of an open abdominal or laparoscopic approach. In some cases, the ovaries and fallopian tubes may also have to be removed during a total hysterectomy, also known as a total hysterectomy with 2 appendages.Indications for hysterectomy are absolutely necessary to treat diseases such as: endometriosis, large uterine fibroids, uterine prolapse, uterine infection, bleeding during childbirth or due to trauma If the uterus is not removed, it will endanger the patient's health and life.
Total hysterectomy will have many effects on women, so patients need to carefully consider and consult with their doctors to choose the most suitable supportive treatment method for their condition. own.
2. Changes after total hysterectomy
Some changes after a complete hysterectomy include:Psychological changes: After a complete hysterectomy, a woman will have negative psychological changes, anxiety may appear before surgery and persist after surgery. Patients have many questions such as: Can I have sex after hysterectomy? Anxiety affects marital relations and family happiness, even refusing to have a hysterectomy to treat the disease. Therefore, before and after hysterectomy, husband and wife should sympathize and explain to each other, clearly stating the method and details of the surgery. This is very important, it will help women stabilize their mood after surgery. Women after hysterectomy will not have symptoms of menopause such as hot flashes, fatigue and insomnia... or a sudden decrease in hormones as in the case of removal of both appendages. No more menses: Menstruation is the shedding of the uterine lining caused by a sudden drop in sex hormones, causing the lining of the uterus to no longer be nourished. The sudden drop in hormone is because the ovulated egg does not meet the sperm and is not fertilized, it will disappear on its own and the lining of the uterus also peels off and exits to form a menstrual period. So after cutting The uterus will no longer shed the uterine lining every month, the woman will no longer have periods. No longer able to get pregnant: The uterus is the place where the fetus is nurtured during the fetal period until a baby is born so that it can be born and live outside the mother's body. When a hysterectomy also means that there is no place for the growing fetus to grow, so there is no possibility of pregnancy anymore. In the case of a total hysterectomy and 2 appendectomy, when the ovaries have been removed, the woman is no longer able to get pregnant, no longer menstruating every month, and enters "surgery menopause". surgery” even in women who have not yet reached menopause. At that time, women will have to face menopausal symptoms such as: Hot flashes, vaginal dryness, insomnia, aging... Sudden weight gain: After hysterectomy for many reasons, women sudden weight gain.
3. Can a hysterectomy have sex?
Complete hysterectomy after being taken care of and restored to normal sexA woman's sexual activity takes place in the lower part ie the vagina. The uterus is a part located in the pelvic area, above the vagina, so the hysterectomy is not related to a woman's marital life.
Lust is caused by sex hormones controlled by the ovaries. Therefore, if a hysterectomy is performed, the ovaries still produce hormones normally, so it does not affect the emotions needed to have sex. People who have a complete hysterectomy can have normal sex after receiving care and recovery.
When suffering from diseases related to the uterus such as: fibroids, cancer, abnormal bleeding ..., women often have gynecological infections that cause itching, discharge, and smelly discharge... affect sexual desire and need. There are women who have irregular periods or bleeding from the uterus, and feel more comfortable after surgery. The hysterectomy will help to completely treat the disease, help women have good health, flexibility, emotional support, help women increase pleasure, increase attractiveness, confidence
However, having sex Sex should only be done after the hysterectomy has been performed and the health has been restored. Because at the beginning of a complete hysterectomy, the private area will be damaged and it will take time for the genitals to recover. Having sex at this time will cause pain and inflammation in other parts.
At Vinmec International General Hospital, a complete hysterectomy has been successfully performed with a success rate of over 99%. Performed by leading specialists with rich experience and expertise, along with modern equipment, full HD obstetrics and gynecology endoscopy system and tumor grinder (removal of tumors through endoscopic, no need to make an incision along with the tumor).
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