Is hysterectomy still menstruating and is it possible to get pregnant?

This is an automatically translated article.


The article was professionally consulted by Doctor Hoang Thi Anh Tuyet - Department of Obstetrics and Gynecology - Vinmec Central Park International General Hospital.

Hysterectomy is surgery to remove the uterus, depending on each case, doctors will appoint a total or partial hysterectomy. This makes women worry about giving birth later when the uterus has to be removed due to illness or some other reason.

1. Changes in a woman after a hysterectomy


In case of hysterectomy and leaving 2 appendages (ovaries and tubes), it will continue to work and regulate hormones in the body. Therefore, women still have the same sexual ability and desire as normal women. In particular, women after hysterectomy will not have symptoms such as hot flashes, fatigue and insomnia... when there is a sudden decrease in hormones as in the case of removal of both appendages.
The recovery of the body also depends a lot on the surgical method. If laparoscopic surgery, usually the recovery time will be quite fast, only about 2 weeks. If open surgery, the recovery time is longer, from 6 to 8 weeks. Recovery is also affected by the cause of surgery, if the patient has surgery for cancer, the recovery time will be longer. After hysterectomy, the patient may experience some vaginal discharge, but if the discharge has a foul odor and is pus-like, it is necessary to see a doctor immediately.
Women after hysterectomy can still have normal intercourse after the recovery period. Doctors advise patients not to swim or soak in a bath for 6 weeks after surgery. Sex can also be resumed as long as there are no problems with the patient and after a recovery period of about 6-8 weeks.

Cắt tử cung khiến phụ nữ tự ti, lo lắng
Cắt tử cung khiến phụ nữ tự ti, lo lắng

With the case of removal of the uterus and two appendages, the woman may initially experience symptoms such as hot flashes, insomnia, weight loss. These are the hormonal changes that occur when the ovaries are lost. Some patients do not experience these symptoms, while others develop severe symptoms and need to see a doctor. Hormonal treatment for people who have had their ovaries removed and sudden hormone decline takes about 1-3 months and can be prolonged depending on the woman's condition.

Phụ nữ có thể hồi phục sau 6 - 8 tuần phẫu tử cung
Phụ nữ có thể hồi phục sau 6 - 8 tuần phẫu tử cung

2. Does hysterectomy still menstruate?


Menstruation is the lining of the uterus that is created every month during the menstrual cycle to receive the fertilized egg to implant, if the egg does not meet the sperm and is not fertilized, it will disappear on its own and The lining of the uterus also sheds itself and exits to form menstruation. Thus, after a hysterectomy, a woman will no longer menstruate, but she will still have her ovaries if the appendix is ​​not removed.
Similarly, the uterus only functions as a place to protect and nourish the fetus, so removal of the uterus does not affect future sex. Even for families with enough children, doctors recommend a hysterectomy to protect the health of the woman if the disease is imperative.
Hysterectomy makes a woman even more comfortable after eliminating health concerns. A hysterectomy will also make a natural pregnancy impossible, but the hormones and other elements of the body will still work properly. Although there is no period, at some point, a woman still has to go through menopause with symptoms such as insomnia, hot flashes, weight loss...

3. Uterine surgery can still get pregnant


Phẫu thuật tử cung vẫn có thể mang thai
Phẫu thuật tử cung vẫn có thể mang thai

Depending on the disease and health status, the doctor will give the appropriate plan. If in case the patient has had enough children and needs a complete hysterectomy, this will not affect the future delivery.
However, if you do not have children or want to have more children, doctors will appoint fibroids or preserve the uterus so that the woman still has a chance to give birth. However, it depends on the patient's situation to decide. In some cases, it is advisable to remove the uterus to protect health.

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