A hysterectomy is a surgical procedure to remove the uterus. Depending on the reason for the surgery, it may also involve removing the cervix, fallopian tubes, or ovaries. After a hysterectomy, you can no longer become pregnant and will no longer have menstrual periods.
While common, a hysterectomy is usually recommended only after other treatments haven’t worked or when a serious condition makes it necessary.
With practices also serving Raleigh, Cary and Wakefield, the experts at North Carolina OBGYN & Midwifery at Holly Springs UNC Health Care have prepared the following insights into hysterectomy procedures.
Types of Hysterectomy
There are several surgical approaches, and your provider will choose the best option based on your health needs and anatomy. The main types of hysterectomy including robotic are:
- Abdominal Hysterectomy-
This traditional method involves a larger incision in the lower abdomen. It may be recommended for larger fibroids, cancer, or when other conditions make minimally invasive surgery risky. - Vaginal Hysterectomy-
In this approach, the uterus is removed through the vaginal canal, without external incisions. It’s typically used for conditions like uterine prolapse and can offer faster recovery times. - Laparoscopic (or Robotic) Hysterectomy-
This minimally invasive option uses small incisions and a camera-guided instrument. A laparoscopic hysterectomy often results in less pain and quicker recovery compared to open surgery.
Each method has its pros and cons. Your doctor will weigh the hysterectomy risks and benefits before recommending a specific approach.
When Is a Hysterectomy Necessary?
So, when is a hysterectomy necessary? It depends on the diagnosis, severity of symptoms, and how other treatments have performed. Common reasons include:
- Hysterectomy for Fibroids-
Uterine fibroids can cause heavy bleeding, pelvic pain, or pressure symptoms. If medication or less invasive options fail, surgery may be the best choice. - Endometriosis-
When endometrial tissue grows outside the uterus, it can cause severe pain and infertility. A hysterectomy may be necessary for women with persistent symptoms despite other treatments. - Chronic Heavy Bleeding-
If you have prolonged, heavy periods that haven’t responded to medication or other procedures, surgery may provide long-term relief. - Chronic Pelvic Pain-
For some, pelvic pain is tied to uterine issues that don’t respond to therapy. In these cases, a hysterectomy might be considered after thorough evaluation. - Gynecologic Cancer-
Cancers of the uterus, cervix, or ovaries often require removal of the reproductive organs as part of treatment.
At North Carolina OBGYN & Midwifery Holly Springs Health Care UNC, we offer the advantage of In-Office Hysteroscopy to diagnose these and other types of intrauterine issues.
Alternatives to Hysterectomy
Before choosing surgery, your provider will explore alternatives to hysterectomy, especially if you hope to preserve fertility or avoid major surgery. Options may include:
- Medications to manage pain, bleeding, or hormonal imbalance
- Uterine artery embolization (for fibroids)
- Endometrial ablation
- Myomectomy (surgical removal of fibroids only)
Not every patient is a candidate for these options, but it’s important to ask about them.
What to Expect After Surgery
Hysterectomy recovery depends on the type of surgery performed and your overall health. Vaginal and laparoscopic procedures usually involve shorter hospital stays and faster recovery times compared to abdominal surgery. Common aspects of recovery include:
- Limited physical activity for 4–6 weeks
- Temporary fatigue and discomfort
- Follow-up visits to monitor healing
- Emotional adjustments, especially for those struggling with fertility loss
Your doctor will provide a personalized plan to help you heal well and regain strength.
Trusted Women’s Health Care in Holly Springs—Backed by UNC Health
With practice locations also serving Raleigh, Cary and Wakefield, visit the following pages to learn more about OBGYN Services at North Carolina OBGYN & Midwifery at Holly Springs UNC Health Care or Contact Us today to book a consultation and talk with a provider.