Hysterectomy alternatives come to mind when the initial shock
starts wearing off. Please be sure to watch as many videos as you can from our
hysterectomy video page, that will
help you make an informed decision. Also, see what types
of hysterectomy exist, then start investigating
into several different directions at once:
1) Instead of classical hysterectomy, is there any other
kind of hysterectomy that might suit you better? In particular, if it needs
to be hysterectomy after all, is there a less invasive variant such as
laparoscopically assisted vaginal hysterectomy!?
Or, there may be a classical surgical procedure that eliminates the need for
hysterectomy, such as abdominal myomectomy.
2) Is there another kind of surgery that might override the
need for hysterectomy? If it can be a minimally invasive type of surgery, with
short hospital stay and rapid recovery aftermath, so much the better. In this
you trade one cumbersome surgery for another.
Laparoscopic and hysteroscopic procedures may fit the bill here perfectly,
ditto for the many types of endometrial ablation.
3) Finally, how about healing yourself without any kind of
surgery at all? (Hint, hint -- this is what this
Surgical Hysterectomy Alternatives For Uterine Fibroids
you want to preserve fertility and you have a case of uterine
fibroids (myoma), go for myomectomy,
which can be abdominal or
myomectomy), and there also is laparoscopic
childbearing is not important any more, you can opt for endometrial
ablation, which destroys endometrium, the inner layer of
the uterus, but preserves the rest of the uterus intact.
destruction of fibroids by methods such as electric electrodes,
laser beams, freezing (cryo techniques). Myolysis has been in
use since the 1990s and is generally abandoned as a treatment
for uterine fibroids.
because any error in surgery will finally lead to hysterectomy.
relatively new method of avoiding hysterectomy is uterine
often shorthened as UAE. Tiny particles are injected into the uterine
arteries and fibroids connected to that artery lose food. In
theory, the result is that 40-60% of the fibroids shrink and
the symptoms disappear, however, currently this procedure is
only at the "investigational level", which means it is not readily
recommended by the gynecologist. The list of what can go wrong
after UAE is too long for anybody's comfort so you would do well
to investigate all other options before taking a plunge into
uterine artery embolization direction.
new method for shrinking fibroids is
MR-guided focused ultrasound surgery. The patient lies on her
back ultrasound waves are guided through the Magnetic Resonance
Imagery. The method is still new, so that not many such machines
exists in the USA and still less in the rest of the world. The
future of this method -- its long term results and complications
are still unknown.
is cutting adhesions, tissue that binds otherwise separated pelvic
organs. About 20% of women have problems because of such adhesions,
which arise from an injury such as previous pelvic or abdominal
surgery, infections, endometriosis,
cancer or radiation therapy, intra-abdominal trauma, say
from ectopic pregnancy, appendicitis etc.
Surgical Hysterectomy Alternatives For Adenomyosis
the penetration and growth of endometrial tissue into the endometrium.
It is also called the internal endometriosis, because just
like in ordinary endomtriosis, the abnomally located endometrial
tissue follows the flow of sexual hormones and bleeds with the
menses. In the end, the uterus becomes swollen, often larger
state of adenomyosis is called adenomyoma, which
look like other uterine masses, especially the fibroids. The
main difference is that the fibroids can be cut away with relative
ease, while the adenomyoma go deep into the uterine muscle. Therefore,
removing the adenomyoma must at the same time be removing of
a part of the uterus itself.
may be pregnancy if the adenomyoma are present, but for many
women who cannot get pregnant and have no other symptoms, the
presence of adenomyoma must be suspected and examined for. It
is best done through MRI -- magnetic resonance imagining, or
through a high resolution vaginal ultrasound. It is
important that the results be examined by a true expert, because
then the adenomyoma can be located
in more than 90% of cases. If the presence of adenomyoma is not
discovered, the patient may have strong dysfunctional uterine
bleeding, which will, in the end, lead to hysterectomy, because
of the nespecific treatment.
far as surgeries go, it is possible to cut away the part of the
uterus with the adenomyoma, and then to repair the rest.
There cannot be a pregnancy after such an intervention, but the
uterus and the ovaries remain as intact as possible, while the
dysfunctional bleeding stops. In many cases, such a solution
is more than enough and the main goal is achieved -- the hysterectomy
is avoided for good.
Surgical Hysterectomy Alternatives For Dysfunctional
is excessive uterine bleeding which is not cause by an organic
condition. DUB is present if none of the following is present: endometrial
polyps, uterine fibroids, adenomyosis, endometrial or cervical
cancer, pelvic infection including endometritis (infection of
the lining of the uterus), endometriosis, polycystic ovarian
disease, ovarian cyst or tumor, thyroid dysfunction (hypo- or
hyperthyroidism) or blood clotting abnormalities (coagulopathy).
All these must be excluded in order to make a proper diagnosis.
Without that proper diagnosis, the treatment will fail, so no
wonder that in the USA 20% of hysterectomies go under the cover
ablation usually resolves 70-80% of DUB cases. However, some
25% of the patients continue with the bleedings, and may have
to undergo repeated ablations. Even that is (much) better than
the all-ending hysterectomy -- if you get diagnosed with
DUB, be persistent and undertake as many examinations as
needed, until the true cause of the bleeding is found. Once it
is found, you can be cured and hysterectomy will stop being an
excuse for improper diagnosing or the lack of will to perform
Surgical Hysterectomy Alternatives For Endometriosis
is the presence of endometrial tissue outside the uterus. Just
as in the uterus itself, the endometrial tissue follows the pattern
of hormonal excretions and "prepares" itself for the conception.
It leads to local bleeding, irritation, scars forming of adhesions,
and inflammation. The best known example are so-called chocolate
cysts (endometriomas), cysts of the ovaries which contain old
blood, which on the ultrasound are seen in the color of chocolate.
of all hysterectomies in the USA are due to endometriosis, which
is a pity in itself. Namely, up to 63% of patients that had hysterectomy
for endometriosis still had recurrent problems which led them
to the hysterectomy in the first place. In other words, hysterectomy
is not a quality answer to endometriosis, unless practically
all the symptoms were located around the uterus and ovaries.
to resolve endometriosis has its place if it's aim is to resect
or destroy endometriotic implants, remove the chocolate cyst,
remove pelvic adhesions and perform turboplasty, which is repairing
obstructed falopian tubes. It is also possible to cut off the
nerves that provide sensation to the uterus and lower uterine
segment, which helps to permanently relieve the menstrual pain
in a bit more than 50% of cases. Such an operation is called
laparoscopic uterosacral nerve ablation, and it is also possible to do a
which severes nerve fibers which convey pain from the uterus and pelvic floor.
in all, hysterectomy for endometriosis may help here and there,
but is far from magic wand. Homeopathy
for endometriosis will
do for you much more than you think is possible, if applied
properly and before the surgery.
Healing Methods As Hysterectomy Alternatives
also are energy
healing methods that can act as hysterectomy alternatives. One
of them might just be your ticket to get better without any surgery
Alternatives to the home page of How To Avoid Hysterectomy.com.