When You Need a Hysterectomy, Know Your Options - Virtua Article

When You Need a Hysterectomy, Know Your Options

By Monica Agar, MD, Obstetrician and Gynecologist—Virtua OB/GYN

Disabling pelvic pain and heavy bleeding may force many women into the decision to have a hysterectomy. In fact, about one in three women in the U.S. chooses to have this procedure before age 60. Thankfully, advances in medicine have given women options beyond hysterectomy for symptom treatment. These include endometrial ablation, uterine artery embolization, and several new medications.

For those who still need to pursue hysterectomy, there are many options to consider, including newer, minimally invasive options that help some women recover more quickly than with traditional surgery.

Options for hysterectomies 

There are risks and benefits to all surgical options. The approach you take can be completely personalized to your needs and lifestyle. The medical condition, the size and shape of the uterus, pelvic anatomy, your body type, and prior surgical history all factor into the decision of what type of hysterectomy is most suitable for you.

  • Open abdominal surgery: an open approach to hysterectomy through a 6- to 12-inch incision in the abdomen to remove the uterus and cervix. 
  • Vaginal hysterectomy: removes the uterus through the vagina without any external incision. This approach often is used with benign (non-cancerous) conditions and when the uterus is of average size and associated with pelvic prolapse.
  • Laparoscopic hysterectomy: a minimally invasive approach used to remove the uterus and the cervix with instruments inserted through three to five small incisions in the abdomen. The surgeon inserts a small scope (camera) through one of the small openings, which provides a two-dimensional image of the pelvic area. 
  • Robotic hysterectomy: an advanced minimally invasive approach often performed through one or more small incisions. While performing this advanced laparoscopic procedure, the surgeon sits at a console a few feet away from the bedside, controlling the movement of three to four robotic arms over the patient. Unlike traditional laparoscopic surgery, the robotic instruments are precisely tuned to simulate the doctor’s wrist movements. A high-resolution camera gives a magnified three-dimensional view of the abdomen.

    This approach to hysterectomy gives the surgeon excellent precision and control, resulting in less pain for the patient, fewer complications, and a quick recovery. Minimally invasive hysterectomies allow most patients to spend only one night in the hospital and, often, they can get back to many of their normal activities in three to five days.

When a hysterectomy is necessary to relieve pain and heavy bleeding, it helps to know you have options and a voice in your treatment.

Call 844-896-6367 to find a gynecologist who can talk to you about hysterectomy options.

Updated January 14, 2022

Personal Health Navigator

Connect with A Women's Health Navigator

Ready to make an appointment? Let one of our women's health navigators schedule an appointment for you to connect you to the care you need. Call us today. 844-896-6367 844-896-6367

You may also like

Your Weird and Wonderful Body Real Talk Presentation Opening Slide

Your Weird and Wonderful Body

Nicole Michalik from 92.5 XTU talks to three Virtua Health physicians about what should be included on every woman’s wellness checklist in this Real Talk! Women’s Health Chat.

Watch Video
three women of various sizes splashing in ocean

It's the Summer of Body Positivity

Body positivity is a movement to love the skin you're in. This summer, we're following these simple steps to help us feel confident all season long.

Read More
Surprising Symptoms May Signal Stroke in Women - Virtua Health, NJ

What to Know About the Unique Signs of Stroke in Women

Did you know that the sudden fatigue or headache you're feeling could be the symptom of a stroke? Learn about the signs of stroke in women and the importance of rapid treatment.

Read More
Showing 3 of 83