Dangers of hysterectomy

Hysterectomy may have certain effects on the body, including reduced ovarian function, pelvic floor dysfunction, and psychological adjustment disorders. Hysterectomy is a common treatment for uterine fibroids, endometriosis and other diseases, but the pros and cons need to be weighed based on individual circumstances.

1. Decreased ovarian function

Hysterectomy may affect the blood supply to the ovaries, resulting in decreased estrogen secretion. Patients may experience menopausal symptoms such as hot flashes and night sweats, and their risk of osteoporosis may also increase. It is recommended to monitor hormone levels regularly after surgery and, if necessary, perform hormone replacement therapy under the guidance of a doctor.

2. Pelvic floor dysfunction

The uterus is an important supporting structure of the pelvic floor, and removal of the uterus may cause pelvic organ prolapse. Patients may experience symptoms such as urinary incontinence and constipation. After surgery, heavy physical labor should be avoided and Kegel exercises should be performed to exercise the pelvic floor muscles. In severe cases, pelvic floor reconstruction surgery should be considered.

3. Psychological adjustment disorder

Some patients will have anxiety about losing their fertility or have trouble with their female identity after surgery. This psychological change may last for several months, manifesting as depression, insomnia, etc. It is recommended to seek psychological counseling support, and the understanding and companionship of your spouse is also important.

4. Impact on sexual life

Hysterectomy may change vaginal anatomy, and a small number of patients may experience pain during intercourse or loss of sexual desire. However, most studies show that sexual life satisfaction can return to preoperative levels 6 months after surgery. Maintaining a moderate sexual life can help restore pelvic floor function.

5. Cardiovascular risk

Hysterectomy may affect endothelial function and increase the risk of arteriosclerosis. This is related to changes in estrogen levels, especially those who have had their uterus removed before the age of 45. It is recommended to maintain a low-salt and low-fat diet and undergo regular cardiovascular health assessments.

After hysterectomy, you should maintain a balanced diet and supplement with appropriate amounts of calcium and vitamin D to prevent osteoporosis. Perform aerobic exercise, such as brisk walking, swimming, etc., 3-5 times a week, for more than 30 minutes each time. Avoid lifting heavy objects within 3 months after surgery, and review pelvic ultrasound regularly. If you have abnormal vaginal bleeding or persistent pain, you should seek medical attention promptly. Maintain an optimistic attitude. Most patients can return to normal quality of life after the adaptation period.