What are the consequences and effects of uterus removal?

Sep 03, 2024 Source: Cainiu Health
Disease description:

Because certain diseases may require the removal of the uterus, I am very concerned. I would like to ask about the consequences and effects of having a hysterectomy.

Doctor's answer (1)
Dr. Zhang Lu

Removal of the uterus, known as hysterectomy, is a common gynecological procedure primarily used to treat various conditions such as uterine fibroids, endometriosis, uterine prolapse, severe uterine bleeding, and uterine cancer. The consequences and effects of hysterectomy include:

1. Loss of fertility: The uterus is where a fetus develops, and after its removal, a woman can no longer become naturally pregnant.

2. Cessation of menstruation: The uterus is a key organ involved in menstruation, and after hysterectomy, menstrual periods will stop permanently.

3. Impact on ovarian function: It may lead to a decline in ovarian function, changes in hormone levels, earlier onset of perimenopause, premature entry into menopause, and even early ovarian insufficiency.

4. Changes in sexual life: Reduced ovarian function may decrease estrogen production, leading to vaginal dryness, pain during intercourse, or vaginal bleeding during sex, which can affect sexual quality.

5. Psychological effects: Some women may experience emotional distress, irritability, insomnia, or vivid dreams after hysterectomy. In severe cases, anxiety and depression may develop.

For women who have not yet reached menopause, menopausal symptoms caused by hysterectomy, such as hot flashes, night sweats, and mood swings, can be alleviated through hormone replacement therapy.

If you have concerns or experience discomfort, it is recommended to seek medical advice promptly.