Medical Reasons for a Hysterectomy

Abnormal Uterine Bleeding
If other methods of treatment can't bring relief for heavy and irregular periods, a hysterectomy may be an appropriate option to discuss with your doctor.

Cancer (Uterine, Endometrial, Cervical)
Cancer of the uterus, endometrium, or cervix is the most common condition with an urgent need for treatment.  The type of cancer and how advanced it is will determine treatment options. Discuss cancer treatment options with your doctor.

Endometriosis is a condition where cells grow on the surface of the uterus or other organs in the abdominal cavity that should only be found on the inside of the uterus . This condition can be painful and can result in irregular bleeding or even infertility. Medication or other surgical techniques are available for endometriosis, but if these options do not improve the condition, there may be a need for a hysterectomy.

The most common reason for performing a hysterectomy is the presence of fibroids, or non-cancerous growths in the muscular wall of the uterus. Symptoms of fibroids can be pain, pressure, or abnormal bleeding. Fibroids are common and may be treated by non-surgical means; a hysterectomy is a permanent solution for fibroids.

Prolapse can occur when supporting ligaments and tissues weaken, causing pelvic organs to fall from their usual position into the vagina. Prolapse can lead to urinary incontinence, pelvic pressure, or difficulty with bowel movements. If other treatments, such as medications or specific exercises, do not relieve the condition, then you may wish to speak with your doctor about a hysterectomy.

For each of the conditions described above, discuss appropriate treatment options with your doctor.