There are different approaches used to perform a hysterectomy. Likewise the reason for hysterectomy may vary and both that and what else might need to be done will have some relevance to the method I suggest to you. Most often hysterectomy includes the uterus and cervix. Whether or not the ovaries and tubes are removed will depend on your age, the reason for the procedure and any other risks or symptoms you may have.
The methods I use are as follows:
There is least pain with a vaginal hysterectomy and usually a shorter stay, but it is often combined with surgery for prolapse so sometimes this delays going home until your bladder and bowel start working again. The average stay after hysterectomy is 2-5 days.
Regardless of the method used, the same structures are being operated on internally and so full recovery is six weeks and it is common to feel tired for up to three months after surgery.
The type of operation you have determines how rapidly you can return to normal activities for example walking and general mobilisation around the home. With regard to driving check what your insurance company advise.
All operations carry a risk of complications.
For hysterectomy the most common short term complications are:
Long term complications can include:
You can expect some vaginal discharge for several days after the procedure. You should wear sanitary pads during this time. The good news is there will be no more periods! It is normal to feel a little low in mood after this procedure. Some of that is what the surgery represents psychologically and some will be the effect on your hormones and of course some relates to pain. You are likely to require six weeks off work. You should have returned to normal activity by three months if everything has been straight forward. Sex can usually resume at 6 weeks. If you had an abdominal wound it is common for it to feel numb around this and still have occasional twinges of pain for up to 1 year. Most women do not have ongoing issues with their wound however.
For women who were still having periods prior to surgery, identifying the time of menopause is not as easy after hysterectomy. It generally happens about 12 months earlier than it would have otherwise. If required, Hormone Replacment Therapy (HRT) can be used for menopause symptoms and is usually more straightforward.
Bowel and bladder function may be different after hysterectomy. There is also an increased risk of developing prolapse of the vagina. Maintaining pelvic floor muscle strength and avoiding constipation and heavy lifting will reduce this risk. The effect on your sex life once fully recovered is usually positive, but is not always predictable.