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Minimally Invasive Hysterectomies – Dallas, TX

Expert Care with a Gentle Touch

It is important for you to ensure that you make your own decision about whether or not you have a hysterectomy. This can be a difficult and emotional process, and it is important for you to be well informed about the procedure so you can confidently discuss all available options. Our clinic is able to offer multiple, non-invasive forms of this treatment, and he’ll make sure you have all the information you need to make a confident decision about your health.

Why Choose Designs for Wellness for Minimally Invasive Hysterectomies?

  • Led by an OB/GYN with 30+ Years of Experience
  • Comfortable Procedures That Drastically Reduce the Amount of Scarring
  • Personalized Hormone Replacement Therapy Available

What is a Hysterectomy?

A hysterectomy involves the removal of the uterus. It is important that you realize that you will no longer menstruate or be able to conceive after the procedure. For some, the prospect of no more periods and the removal of the fear of pregnancy will bring relief. Other’s may find the finality of the ending of their reproductive capability distressing. It is advisable to bring your husband, your partner, or a friend to your appointment to provide support and take notes and ask questions.

Different Types of Hysterectomy Operations

There are four different types of hysterectomy operations:

Sub-total or Partial Hysterectomy

This involves the removal of the fallopian tubes, the upper two-thirds of the uterus, and the preservation of the cervix. The cervical tissue left behind can continue to cause bleeding in approximately 3-5% of patients. This procedure must be completed through an abdominal incision.

Hysterectomy with Ovarian Conservation

This involves the removal of the fallopian tubes, uterus, cervix, and the preservation of the ovaries. This procedure is a total hysterectomy and can be performed either vaginally or laparoscopically, which reduces the need for incisions that may leave scars on the abdomen.

Hysterectomy with Oophorectomy

This involves the removal of the fallopian tubes, uterus, cervix, and one or both ovaries. This procedure will only be recommended after something suspicious has been seen during an exam and has been confirmed to be cancerous or diseased.

Radical or Wertheim's Hysterectomy

This involves the removal of the fallopian tubes, uterus, cervix, ovaries, nearby lymph nodes, and the upper portion of the vagina. This type of hysterectomy is used for the treatment of gynecological cancer cases and is performed by a gynecologist with special training in the treatment of cancer.

Risks and Benefits of Keeping Your Ovaries

Studies have shown that the side effects of ovary removal, combined with the relatively low risk of ovarian cancer and a reluctance of many women to take hormone replacement therapy, indicate that retaining healthy ovaries during a hysterectomy often benefits future health.

Low Risk of Ovarian Cancer

While ovarian cancer is an extremely serious diagnosis, particularly because it tends to be at an advanced stage when diagnosed, it is important for you to be aware that the risk of developing ovarian cancer is quite low compared to other cancers. The rate of ovarian cancer in the United States is 10.7 cases per 100,000 females compared to 16.3 cases for cancer of the uterus and 112.4 cases for breast cancer. It is the ninth most commonly diagnosed cancer among females and accounts for only 3% of all reported cancer cases in women.

High Risk of Hormone Imbalance

The side effects of ovary removal can be significant. Ovaries produce sex hormones called androgens, including testosterone, which are important for maintaining strong muscles and bones, a positive protein balance, sexual desire, and overall wellbeing. Studies have shown, for example, that the surgical removal of ovaries can cause a 50% reduction in testosterone levels, which has been associated with a significant deterioration of sexual desire, particularly in younger women. Women who suffer either premature menopause or who undergo surgical removal of both ovaries early in life commonly experience great distress at their loss of libido.

The ovaries also convert testosterone to estrogen. Removing the ovaries of a pre-menopausal woman results in a reduction of the female hormones estrogen and progesterone, bringing on an instant menopause referred to as “surgical menopause.” This drop in hormone levels may cause instant menopausal-related symptoms such as hot flashes, night sweats, vaginal dryness, and increase the risk of heart disease and osteoporosis.

Possible Side Effect – Early Menopause

In some cases, pre-menopausal women who keep their ovaries during a hysterectomy procedure can experience menopause earlier than might be expected. Theoretically, when the ovaries are retained after a hysterectomy, the only change should be the cessation of periods and a resolution of the reason for the surgery. In practice, however, a significant number of women whose ovaries remain after a hysterectomy experience symptoms of menopause up to four years earlier than might be expected. Possible explanations for this are that the surgery alters the blood supply to the ovaries, or the condition that resulted in the need to have a hysterectomy in the first place, such as endometriosis or cysts, had already reduced the natural life of the ovaries prior to surgery.