Why you may need a hysterectomy
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- เผยแพร่เมื่อ 18 มิ.ย. 2024
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We've all heard of hysterectomies, but when do you actually need one? With the help of Michelle, one of my incredible hysterectomy patients, we created a video to give you insight on when you or someone you know may need a hysterectomy. Check out my new video for more information about:
1) When and why a hysterectomy is needed.
2) Michelle’s hysterectomy recovery story after a robotic hysterectomy.
3) How a hysterectomy can enhance overall women's health for the right patients.
4) Michelle’s experience as a patient of Doctor Rich!
#hysterectomy #womenshealth #obgyn #doctorrich #drrich #gynecology #urogynecology #hysterectomystories #realpatient #realdoctor
QUESTION: How would you react if you were told you needed a hysterectomy?
** The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a consultation with your own doctor/health professional **
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Ugh! My experience was awful. At 38 I finally was approved for a hysterectomy. I was told it would only be an hour and a half surgery. It ended up being 4 hours and I was never told why. After my surgery I was put into a room with a 90 year old dementia patient who had lost control of her bowels. She was doing things to my IV machine while I was sleeping and I couldn’t get away from her. My room was covered in feces so I said I was leaving. Well the nurses threatened to phone the police on me and have me arrested if I took out my IV!!! I had to call my doctor and beg him for help. I am traumatized by the experience and would rather die than ever end up in the hospital for any reason ever again! 😢
That's awful! I'm so sorry you experienced that! That's not a common experience and I'd hate to see you risk your health and quality of life because of an unusually bad experience. I've had several surgeries and everything around them has been full of kindness and concern for my well being. Except for making me fast almost 2x longer than necessary when I had afternoon surgery. Ask friends where they've had good experiences and check them out instead of denying yourself needed care. You deserve to be whole and healthy!❤
What the heck? They can't have your arrested for leaving the hospital!
You, Dr. Rich literally saved my life by allowing and performing my total hysterectomy.
I was 23 with no kids and endometriosis took over my life. I had surgery after surgery and you were on my side about having the hysterectomy.
Fast forward and I’m almost 30! Absolutely no problems (other than Lupus).
@Lexus Salinas: Thanks for sharing! We appreciate you support
I had a partial hysterectomy (I retained my cervix and ovaries) 4 years ago, with keyhole surgery. I had 5 entry points, the three shown in the video and another 2 lower down. There are no scars, and apart from my daughter telling me it was weird because my belly button looks like normal bellybutton... but it doesn't look like my bellybutton no one would know I had surgery at all.
My surgeon is amazing and he and all the staff took excellent care of me, and I will never be able to thank them enough for everything they did for me.
Not being in pain is incredible!!
After my surgery the nurses kept asking me for a pain rating 1 to 5 and I was 0.
It took a year for me to be 100% but I was back at work 4 weeks later and able to do most things after 3 months.
I had Indometrosis, I am not sure if you call it something else, but it is when the lining grows inside the muscular wall of the uterus and then has to tear through to come out. It is a degenerative disease, so gets worse over time.
I had issues since my first period at 11. They were extremely heavy, lasted 10-14 days and beyond painful!! I was anaemic for most of my life, would often be in so much pain I would turn white, faint or throw up. I felt like I was being torn apart (which it turns out I was).
The hardest part though is getting doctors to take you seriously.
For years I was told I was exaggerating, or hysterical and that all women get cramps and although i had heavy periods it was normal, for many years I was also told my anaemia wasn't caused by the excessive bleeding (although that did change eventually).
I am allergic to codeine so managed my pain with paracetamol and ibuprofen, as I was undiagnosed, and no one really took me seriously when I tried to get assistance, i wasn't given the pain medication I could have, and pain management is the only treatment until you are ready to have a hysterectomy.
For years I was told it would get easier after I had a baby but it actually got worse (I now know this is normal for my disease, as it is beleived to be trauma related).
My current doctor wanted me to get my tubes tied because he wanted me to stop taking the pill and I burst into tears at the thought of having unregulated periods, I had been using the pill to skip most of them, and appart from getting out of cycle bleeding sometimes it made it more manageable.
He sent me to see the surgeon, and for the first time in my life someone took me seriously, after talking to him I agreed to have the hysterectomy even though we didn't know what exactly was wrong, and I was warned I may never know.
During the surgery they discovered the indometrosis and my uterus was twice its normal size.
I am so grateful to Dr Rowland (my surgeon) for listening to me and taking care of me.
It is genuinely life changing to no longer be in chronic pain, and to be able to go out without taking a change of clothes in case I leaked (a regular occurrence, despite the super tampons and extra large pads) or sleeping with towels on the bed because of how often I would wakeup covered in blood.
If you are suffering unusually painful periods, it is not normal and it can get better with the right treatments!!!
Irene O: So many great points. Thank you for sharing. Many women will find your post very helpful. The majority of ob/gyn doctors do not receive training in advanced excisional surgery for endometriosis. See link below:
th-cam.com/channels/wRgkPHphwu1C3XtlTGFwbA.html
Many doctors managed the patients painful symptoms the best they can with medications or ablation type surgeries. However There are very few endometriosis surgery experts. Patients travel to our center from 38 stages and four countries. Follow the link below for an endometriosis expert near you.
www.endo-resolved.com/endometriosis_specialist.html
I couldn't have that.
I had a vertical cut and every day I was healing the incision would draw up tighter into the new belly button. Now I have very little scar showing and below my belly button. I was amazed.
Did you always feel bloated?
Recovery time is entirely dependent upon the reason for the hysterectomy. I had Endometriosis, uterine polyp, and severe fibrosis. The fibrosis was a complete surprise because it didn't show up on imaging. So it's important to be prepared for recovering from a more extensive surgery than just a hysterectomy. But that's even more reason to have the surgery sooner than later. Don't put it off because of work or kids. Those are reasons TO get surgery. Fix the disease, don't let it progress. I was on hormonal suppression for decades because I was told it would prevent progression. At 48 my surgeon said I looked like I'd had 3 C-sections when I've never been pregnant. Don't delay surgery! Also, people without kids also have responsibilities, not just moms.
Thank you for the information
Awesome video! Two week recovery is amazing! I agree I had plenty of surgeries and two weeks is valid especially when you know you have ppl to take care of and things to do, but of course no sex, lifting weights, ect until after about 6 to 8 weeks. Just walking and relaxing 🤗
Amazing doctor. So glad I had it done with Dr. Farnam. Highly recommend Dr. Farnam.
It is an honor to serve! Thank you for sharing
I going to have my surgery November 2021, I watch and trust I like your show it give me hope
How are you doing since your surgery?
Thanks alot
excellent video thank you for the info
I went thorugh the same thing of thinking it was normal to have 14 to 30 day periodes I had taken all sorts of birth control things to try to help the bleeding slow down or stop and I've had four babies so I kept thinking this was normal even a microdermal oblasion after five years I'm in the process of getting my surgery done in Sept so thank you for this video and putting the information out for others
@ToshReady: Thanks for being a subscriber! Thanks for sharing your story
Not gonna lie the hardest thing is not having sex in three months I had partial at age 37 Seems like my sex drive went up afterwards that was the only negative I have no kids 😟My last period was continuous for a whole month had to get numerous blood transfusions several times I was severely anemic Had to choose what was more important My ability to have kids in the future or my health I chose me
Great Video !!! I am age 59 and started menstruating after 4 years of no mensus. An ultrasound revealed that my lining was 29 mm... I had an endometrial biopsy..
and was diagnosed with Complex Hyperplasia with Atypia.
It has been recommended that I have a hysterectomy, removal of cervix, removal of ovaries. I have PCOS, Hypothyroid, never had children. My Mom had endometrial cancer at age 70...she had the complete hysterectomy, ovaries removed, cervix removed...
I have been advised that 4 out of 10 women with my background are found to have endometrial cancer once the uterus etc is removed...
Here's the question...Isn't there a less invasive way to determine if I have endometrial cancer ?
Dr I will like to have you as a Doctor you explained very good. I have 3 months with a Radical hysterectomy and When I trying to do my normal life like home work I have lower back pain is normal and when I will be completely healed and back to normal? Thanks 🙏.
Healing times vary greatly by procedure, operator, and patient. If you are not feeling better by three months, you should follow-up with your physician to take a closer look.
Dr . At Kaiser recommended a hysterectomy for 1 fibroid on my uterus . Now I have hyperplasia without atypia and still want me to do a hysterectomy 😭
Thanks for sharing your story. Healthcare providers should offer all treatment options, and allow the patient to choose the best option for her.
The longest cycle I’ve had is 7 weeks. And I’ve heard of one person topping me so far at 9 weeks.
Menstrual bleeding that is.
It’s July 9th been bleeding since may 30th..hysterectomy is scheduled for August 1oth
Oh girl, I gotchu… 8 months straight.
Hi! Which surgeon would you recommend here in Arkansas? Specifically Little Rock? I’m so nervous about it.
I am not aware of a specialist in Little Rock. you can check out this link for the closest specialist to you. Often times it is worth traveling to get the care that you need. www.endo-resolved.com/endometriosis_specialist.html
Hi Dr.Dich! What is your take on doctors who are quick to offer a hysterectomy before a laparoscopy needed to investigate unexplained symptoms?
Jenn S
Risque-Business: Great physicians will always educate and offer a comprehensive overview of all treatment options. This will include: conservative medications and surgery as well as evidence based dietary and alternative therapies. A hysterectomy is a definitive option, and is typically not a first line treatment. However every circumstance is different and care will be individualized by your provider.
Is it possible to have a hysterectomy and tummy tuck done at same time? How would a dr know if you had a bunch of scar tissue from previous c sections?
Deirdre: Patients are able to have a hysterectomy and abdominoplasty at the same time. There is no way for a surgeon to know in advance that a patient will scaring. However they may have a higher suspicion in patients who have had large incisions, multiple, incisions, or hernia mesh
As a woman in my mid seventies, to what extent would you expect my recovery from laproscopic robotic surgery to be longer than that of a much younger person? Obviously, one's level of health and if a person is diabetic or has high blood pressure may play a part. I am also interested in programmes that enhanse healing after surgery. Please would you be kind enough to elaborate? Thank you.
S Jordan: Thanks for being a subscriber. Age and other comobidities are independent risk factors for surgery complications and prolonged recovery. However laparoscopic or robotic surgery is associated with fewer complications and shorter recovery at any age compared to open surgery
I'm 8.5 weeks post and that first month recovery was miserable.
How common is it to have bladder incontinence taken care of at the same time as a hysterectomy, or must that involve a urologist? What is your opinion about keeping ovaries, in women who have a family history of heart and stroke diseases?
S Jordan: excellent question. Urogynecology surgeons routinely perform hysterectomy and repair bladder prolapse and incontinence during the same surgery
please watch "What is Urogynecologist" video:
th-cam.com/video/sMGlU4jyNRo/w-d-xo.html
ovary retention or removal is a personal decision. Patient's should discuss this with their physician. Generally speaking however premenopausal women are more likely to retain their ovaries and postmenopausal women are more likely to remove ovaries during hysterectomy
I had a ablation because of bleeding it stopped the really heavy period, well the bleeding stopped for 6 years and lite bleeding started back up . So gynecologist put me on medroxyprogesterone to help stop the bleeding again. Yea I might be on my 10th day of a period again and the cramps are horrible
My ablation took my days from 7 to 4 to now however many days… hysterectomy in2 days… did you have a hysterectomy? If so what kind and how was your recovery
Is it safe to have hysterectomy for people who have rheumatic heat disease☺️
I'm 30 years old who is going to have open hysterectomy in June. I had a unsuccessful vbac in July 2020 which resulted in uterine rupture.The obgyn who performed emergency c section said she was able to save utreus. But while I was in hospital i had a catheter for 3 days.I was experiencing blood in urine they did ct scan.It was normal except the uterus part which wasn't clear. Fast forward in bw i experienced bladder incontinence for 2 months which got resolved with plevic floor exercises. The main issue started when i got my 1st menstruation after c section. I was experiencing cyclic hematuria. I tried hormonal therapy it doesn't worked. After number of tests cystoscopy, hysteroscopy etc.( all my ct scans from very beginning was normal and even ct cystogram ).It tooked 8 months to diagnose the actual cause. Im diagnosed with utero vesico fistula some where bw lower segment of uterine and cervix. As the surgery date getting closer by I started feeling anxious and depressed. What would you advice.Dr Rich.Is just a fistula repair without hysterectomy is possible. My obgyn says with previous 2 csection scars and UR the chances of reoccurrence of fistula chances are higher.She was unable give a number such as 40 % or etc.
Thank you for sharing your story. This is a very challenging case, and you provider is going to recommend the treatment option they are most comfortable with. Although we can not give personalized medical advise, in a case such as this our approach would be to perform a Robotic Hysterectomy with vesico-uterine fistula repair.
Thank you for quick response!! My obgyn ,urologist & urogyno said an open abdominal hysterectomy is better( they were saying loaction of fistula matters as mine is in tricky place)They are going to do hysterectomy and bilateral salpingo and bladder repair too ( stents).Is anyway i get your contact information or email so that i can send my providers summary reports. I did researched was able to read many cases studies regarding utero vesico and especially some of the cases studies ( Youssef's syndrome ).Their were success stories especially one who had same rupture as mine was able to get fistula repair ( she had ruptured uterus and bladder) without hysterectomy. With 2 previous cesarean and UR what are chances of reoccurrence of fistula ( i would appreciate if you are able to give an estimation). TIA!!
@@DoctorRich Can i live with fistula without any repair..
@@sindhurireddy7327 yes. A fistula is a significant quality of life issue, but not life threatening
@@DoctorRich 👍
There is still uncomfort and healing going on in the inside and so 2 weeks is an unreasonable recovery time! I’m a month in and still feeling the inside recovery so it’s not that simple as they made it sound like with robotic surgery
This is an excellent point. Thank you for bringing this up. Thanks for sharing your personal experience as Michelle also shared her personal experience in this video. Patients who have their surgery with the most experienced surgeons will have much shorter recoveries due to less tissue trauma and shorter anesthesia exposure. Also individual patient may recover very quickly or very slowly depending on their individual metabolism. With our experience of over three thousand cases, the average recovery in our practice is two weeks.
@@DoctorRich everyone heals differently and has a different level of tolerance. I had to have my vertically. I found it easy, hardly any pain and went right back into a soft schedule but felt like doing more. Also even in the hospital the only thing I took was extra strength tylenol.
@@jewel1953 Did you have to staple type of stitches or the dissolvable ones for your vertical incision? Thanks for sharing!
@@michelleinfo-vlog2449 staples.
@@jewel1953 saying people have different levels of "tolerance" is really invalidating of people's pain experience. Just because someone's pain is more debilitating doesn't mean they have a lower pain tolerance, it means they had more pain. Also, it is not a good idea to "push through the pain" after you have had abdominal surgery. If it hurts badly enough you really shouldn't do it because it will just slow your recovery. Recover time has to do with how much time your body needs to rest and recover, not now tough you are.
Can you do this for large fibroids and enlarged uterus?
Carla: thanks for your question. Yes. The most experienced robotic surgeons will almost never perform open surgery. Virtually all benign hysterectomy and myomectomy procedures can be done with the robot. We would be happy to schedule a telehealth visit for a second opinion. You can call 915-533-5600 to schedule.
Should I seek out specifically for a board certified doctor? Mine is an MD but she just graduated in 21 and told me that she has another year in order to become board certified but that she’s done over 100 hysterectomies in residency. She plans on doing robotic. I do have a second option with another doctor because I have a history of Desmoid Tumors.
The most important factor is making sure that you feel comfortable with your doctor. That being said there is a universe of difference between a doctor who has 'trained' on a handful of surgeries in residency and a seasoned expert who has done thousands of procedures. Outcomes will be similar unless there is a complication of the anatomy. In this circumstance you want an expert. unfortunately you can't know how difficult the case will be until you start the surgery.
Hello Dr, have been diagnosed with adenomyosis finally after 6 months of severe pain, nausea and never ending bloating. I have a enlarged uterus and I'm feeling a hysterectomy is probably my last resort to get out of this severe pain. I would like to keep my cervix, is this common? Risks? Thank you
Adenomyosis is rare overall, but common among women with severe pain and heavy bleeding. Generally the risks outweigh the benefits for keeping the cervix. Keeping your cervix means that you have a 12% chance of continued cyclic bleeding after hysterectomy, You will still needs pap testing, and have a risk of cervical cancer (1/125 risk). Although previously touted as a benefit, research has show no specific benefit of pelvic support or sexual satisfaction with cervix preservation. Also a slightly larger umbilical incision is required to remove the uterus if the cervix is retained.
@@DoctorRich Since the vagina cervix and uterus are all attached, how does the cervix stay suspended after hysterectomy?
Don't count on 2 weeks! Plan for a month! Arrange for people to pick up your kids, take care of the house etc for at least a month. So much does not show up on imaging. If you have no other issues then 2 weeks lines up with my experience if I hadn't had complications. But I did, my surgery was 2x longer and I needed a stent to my kidney. Luckily I had prepared freezer meals and arranged for my friend to come and help with things around the house. The pain isn't as big of an issue as the fatigue. Plan for the worst, hope for the best because of things do go worse than anticipated the last thing you want to do is be hustling to get help. People will line up to help you, I promise.
Fantastic advise. Thanks for sharing your experience.
Can this type of surgery be done while also removing a large fibroid?
A hysterectomy would remove ALL fibroids. A myomectomy would remove individual fibroids, while retaining the uterus and fertility
I feel alot better about it.
Thank you for your comment. please subscribe and share
Because of my fibroids am hving surgery.
Would a robotic or regular laparoscopic surgery be suited for a very enlarged uterus with multiple massive fibroids starting to implicate other organs?
Robotic, laparoscopic, or open surgery may be appropriate. Recovery with laparoscopic and robotic are similar (2 weeks) and are better than open surgery (8 weeks). It primarily depends on the comfort and experience level or the surgeon. But if you are not offered a robotic option, it way be time to get a second opinion.
Thank you so much for getting back to me! 😊🙏🏾
I’ll definitely look into it.
Im 40 yrs old,my doktor advice me to do hysterectomy,because i hve endemetriosis in my ovaries, endometriosis n mayoma.
Rona: for women with endometriosis, a hysterectomy with excision of endometriosis is the most definitive option.
I want to,but so expensive n afraid to .is there any other solutions or medicine.,maybe that's why i hve 3miscarriage,because i cant produce a healthy pregnancy
Rona: please watch out natural remedy video here:
th-cam.com/video/9qmIw8oVChY/w-d-xo.html
Am having my hysterectomy soon I had my myoactomy 7 years ago will that be a risk or will thy be more complications.
@SadiaKamal: A history of any prior surgery increases the risk of scar formation. It is important to seek out a surgeon with a vast amount of experience.
@@DoctorRich Thank u so much for replying, yes my sugeon has lots of experience.
Robotic Hysterectomy with large amounts of scar tissues 2 c section?
Definitely. We have published data that demonstrates Robotics is the BEST and safety method for complex surgery.
pubmed.ncbi.nlm.nih.gov/26952352/
Total Hysterectomy in 2 days( Adenomyosis) I’m so scared
So fibroids can still grow if you have a hysterectomy. Is it pointless if it can still grow after the uterus is removed?
Great question. You can NOT grow fibroids once you have had a hysterectomy. In rare circumstance uterine tissue is 'left behind' during a hysterectomy resulting is leiomyomatosis (peritoneal fibroids). However this is less than on in three thousand cases. Most doctors would go an entire career and not see such a rare case.
Having a vertical hysterectomy in a couple days due to the size of my uterus. I am very nervous about that type of cut. I have had 2 c sections which were manageable.
In same position and dr put me in Lupron to reduce fibroid and uterus size.
From many women, it’s going to be relief once done. You got this!
@@karinaayres804 thanks for the kind words. Only 3 more days but waiting is the worst.
Prayers for fast healing! My Hysterectomy is coming up January 7th 😬
Judith: Thanks for sharing your story. Best of luck!
@@SamSkiBaby horrible this happens around the holidays. I wish you all the best with surgery and recovery. I live in a high rise downtown and live alone.
i need a hysterectomy. What is the price for a SELFPAY patient?
The Veggie Biologist: Pricing is typically set by the hospital and ranges from $9000-$25,000. Our facility pricing it towards the lower end of that range. Our office can set up a telehealth visit if you are interested in more information.
Do you have anyone you might be able to refer me to in Central Texas (Harker Heights or Temple?). I just found out I have a “sizable” fibroid tumor. Which explains issues with my periods much like your patient. I’m 37, done having children. And would really like this grapefruit sized unwanted passenger out of me lol.
Dr. Devin Garza in Austin Texas in also a member of the Epicenter network for surgical excellence in Robotic Gyn Surgery! It it common for patient to travel for expert care. Our practice Texas Urogynecology also hosts patient's from every city in Texas at our El Paso Epicenter, and we offer Telehealth visits. 915-533-5600
Hi doctor, how about southern CA? Who do you recommend there? Thank you.
Is this similar to laparoscopic
Precisely. Robotics is 'computer assisted' Laparoscopy. Minimally invasive hysterectomy "vaginal, laparoscopic, and robotic'- are all preferable to 'open surgery'. Robotics with make an extremely skilled surgeon - even more precise.
Are there complications if you’ve had a previous c-section?
Any prior surgery (including C-section), can increase the risk of scar formation. This scaring might lead to a complication. Experienced surgeons are very skilled at carefully taking down these adhesions and avoiding complications. Always make certain you are comfortable with your surgeon's experience with the technology.
@@DoctorRich Thank you!
I hve functional overion cyst my now that remove my age 40 this functional cyst can occur poast manopose it may be occure cancer pls tell me???
Ovarian cancer is more common in menopause, but overall it is rare. You will need to have a consultation with your provider for individualize treatment.
@@DoctorRich i have overioan functional cyst before 2month now it is remove cyst ane now my age 40 can functional cyst occure in post manopose it may be occur cancer???
@@heenagajjar9899 The lifetime risk of ovarian cancer is about 1.2%. It is a rare cancer overall. There are certain features of a cyst that can elevate the risk of cancer such as larger than 10cm, enlarged lymph nodes and CA-125 elevation, but you should discuss specific details and risks with your physician.
I just had my hysterectomy 12 days ago can anyone talk about the estra salivation
Hypersalivation or Sailorrhea is a very uncommon condition. Certain medication and Jaw surgery can cause this. Although not specifically related to hysterectomy, it could be related to medication or fluid shifts. It is likely to resolve spontaneously.