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When a Hysterectomy is the Best Solution

Feb 05, 2025
When a Hysterectomy is the Best Solution
Every year in the United States, more than half a million women undergo hysterectomies. This procedure can enhance the quality of life for some women or even save lives in some instances. Here’s when and why a hysterectomy might be necessary.

Hysterectomy is the second most common surgical procedure for women in the U.S., following Cesarean delivery. Roughly one in three American women over 60 have had this surgery.

The goal of a hysterectomy is to resolve significant gynecological issues that can't be managed with other treatments. Post-surgery, women no longer experience menstrual periods and cannot become pregnant. 

If the ovaries are also removed during the procedure, it triggers surgically induced menopause. This abrupt hormonal change may cause severe menopausal symptoms, often requiring hormone replacement therapy (HRT).

The team at North Atlantic OB/GYN, serving patients in Alpharetta, Marietta, and Atlanta, Georgia, may recommend a hysterectomy to improve quality of life or treat chronic conditions. In some cases, a hysterectomy can be a life-saving emergency procedure or part of advanced cancer treatment. 

Elective hysterectomies can improve your quality of life

We typically recommend elective hysterectomies when other treatments fail to provide relief for specific gynecological conditions. Here are some of the most common conditions that can be resolved with hysterectomy:

Uterine fibroids

Fibroids are noncancerous uterine growths that can cause chronic pelvic pain, heavy menstrual bleeding, and abdominal bloating. If treatments like hormonal therapy or a myomectomy (removal of fibroids) don’t provide relief, a hysterectomy may be the best option – particularly for women who don’t plan on having children.

Endometriosis

Endometriosis occurs when uterine-like tissue grows outside the uterus, causing severe pain and abnormal bleeding. If hormone therapy or surgical removal of endometrial tissue doesn’t resolve symptoms, a hysterectomy may offer long-term relief.

Uterine prolapse

Uterine prolapse occurs when weakened pelvic floor muscles allow the uterus to descend into the vaginal canal. This condition is common in women who’ve had multiple vaginal births, are postmenopausal, or carry excess weight. While pelvic floor therapy or minimally invasive surgery can help, severe cases may require a hysterectomy.

When a hysterectomy can save your life

In some cases, a hysterectomy is a necessary, life-saving measure. If you have uncontrollable uterine bleeding, which can occur following childbirth or trauma, a hysterectomy can save your life.

Aggressive cancers of the uterus, cervix, ovaries, or endometrium often require a hysterectomy as the first line of treatment. While early-stage cancers may respond to conservative therapies like radiation or chemotherapy, advanced cases may require immediate surgical intervention.

Making the right decision for you

Whether you’re considering an elective hysterectomy or require one for a critical health condition, the North Atlantic OB/GYN team is here to help. We provide professional surgical expertise and personalized support to ensure the best possible outcome for your health and well-being.

If you’re exploring your options or need guidance on whether a hysterectomy is right for you, contact our North Atlantic OB/GYN team to learn how to set up an appointment. We’re here to support you every step of the way.