Contents:
- Medical Video: Finding out about Fibroids - information for patients
- When is hysterectomy needed?
- Other surgery options to treat uterine disease
- 1. excessive menstruation
- 2. Uterine fibroids
- 3. Endometriosis
- 4. Down peranakan
Medical Video: Finding out about Fibroids - information for patients
Hysterectomy or uterine lift surgery is certainly a nightmare for women. This operation is often chosen to treat various uterine diseases, especially for women who do not want to have children anymore. But actually, not all uterine diseases always end in uterine lift surgery, how come.
When is hysterectomy needed?
Before determining for uterine lift surgery, you should first understand the advantages and disadvantages. Because, after your uterus is removed, you certainly will not be able to get pregnant again or have children.
You will not even experience another menstrual period every month or stop. Yes, this is because there is no more uterine wall that decays like in a normal menstrual period.
Not all uterine diseases will be treated immediately with hysterectomy. There are several medical conditions that allow you to do a hysterectomy, including:
- Cancer that attacks the reproductive organs, both in the uterus, cervix, ovaries, fallopian tubes, and vagina
- Pelvic inflammatory disease (PID) that cannot be cured
- Heavy bleeding in the vagina
- Complications after childbirth, one of which is uterine rupture (uterine tear)
Other surgery options to treat uterine disease
Reporting from Verywell, about 90 percent of hysterectomy is done because of the patient's personal choice, not because of an emergency to save lives. For example, you experience a certain uterine disease and by chance don't want to have children anymore.
As a result, you just accept it if you are advised to do uterine lift surgery, because after all you do not want to have more children. In fact, hysterectomy should be done as the last medical action to save one's life, not because of personal desires.
If your doctor recommends that you do a hysterectomy, you should first ask if there are other alternatives to treat your uterine disease. This is intended to reduce the amount of unnecessary hysterectomy.
If you experience severe menstrual pain with heavy bleeding, uterine fibroids, endometriosis, or other uterine diseases, you can choose other alternatives to help treat the disease of your uterus.
1. excessive menstruation
Menstrual bleeding that is too heavy, prolonged or irregular is called menorrhagia. Bleeding is said to be excessive if a woman loses more than 80 milliliters of blood in each menstrual period. Especially if this causes severe pain, mood swings, and disrupts activity.
In addition to hysterectomy, menorrhagia can be overcome by:
- Contraception: Your doctor may give birth control pills or IUDs that contain the levonorgestrel hormone to reduce bleeding.
- Endometrial ablation: Eliminate the abnormal uterine lining with heating techniques, balloon therapy, or radio waves. The success rate of this method reaches 80 to 90 percent in reducing symptoms.
- NSAID drugs: NSAID drugs are useful to help reduce bleeding from the lining of the uterus.
2. Uterine fibroids
Uterine fibroids are benign lumps or tumors that grow in the part of the uterus. This disease usually does not cause any symptoms until the size of the fibroid increases and causes pain.
This disease is one of the most common reasons why women undergo uterine lift surgery. In fact, there are other treatments that can still be done, namely:
- Myomectomy:Surgical removal of fibroids or benign tumors. This is done through abdominal surgery, laparoscopy (entering through the abdominal area), or hysteroscopy (inserting a thin instrument through the vagina). The recovery time tends to be shorter.
- Endometrial ablation: Destroys scar tissue by heating, fluids, balloon therapy, and microwaves. This method can reduce or even stop bleeding from the uterus.
- Uterine artery embolization: Cut blood vessels around fibroids. If the benign tumor does not get a blood supply, the fibroid will slowly shrink until it is completely gone. As many as 85 percent of women can return to normal activities after one week postoperatively.
- NSAID drugs: Symptoms of uterine fibroids can be treated with NSAID drugs, for example Motrin. If it is still not effective, the doctor may prescribe drugs that can inhibit the production of estrogen from the ovary. However, this drug has side effects in the form of early menopausal symptoms and decreased bone density.
3. Endometriosis
About 18 percent of hysterectomy is done because of endometriosis. Unfortunately, this procedure does not always cure the disease completely.
The type of treatment for endometriosis depends on the symptoms and severity. For the long term, laparoscopy can be the right choice. Laparoscopy is done by removing a cyst or scar tissue using heat or a laser.
While for the short term, symptoms of endometriosis such as pain and heavy bleeding during menstruation can be overcome with birth control pills or other hormonal drugs to reduce estrogen levels.
4. Down peranakan
Descending or uterine prolapse is a condition where the uterus appears to be decreasing from its normal position and pressing against the vaginal wall. This can be caused by many things, but mostly because of the effects of normal labor (vaginal delivery).
Down the breed can be overcome with anterior or posterior colporafi, a procedure to repair the front and back walls of the prominent vagina. In addition, the doctor may perform a uterine suspension, which is the placement of the uterus in its position by reconnecting the shifting pelvic ligaments.
