Do you really don't need Hysterectomy? Here are alternatives to hysterectomy.
You might be wondering by now that if you really don’t need that hysterectomy then what other options do you have to get relief from your condition. Let us take a peek into those. It might help you make a right decision on different alternatives to hysterectomy.
Let us say for instance that you have been advised a hysterectomy for the excessive bleeding and the pain that your fibroids have been causing you. As opposed to removing your whole uterus you could opt for a myomectomy that is the removal of the fibroids only. This can be done nowadays through hysteroscopic surgery which is minimally invasive.
Hormones can be given to shrink the fibroids. Progesterone is one. It can be given in the form of a tablet, injection or IUD. Drugs that can create a temporary menopause can also be used to shrink the fibroids, lessen the bleeding and reduce the size of the uterus to make minimally invasive surgery easier. These are given as an injection either once a month or once in 3 months.
Other new treatments can also be used to treat fibroids :
Another option would be to cut off the blood supply of the fibroid by blocking the artery that supplies it. This is done through an injection in the groin. It is called uterine artery embolization. The fibroids shrink in size and symptoms are reduced. You may need to discuss with your doctor however, whether you could still expect to get pregnant. Ultrasound and other new treatments can also be used to treat fibroids but they may not be as easily available.
Reduce all these symptoms :
If you have endometriosis which is causing you menstrual cramps, painful intercourse, excessive bleeding and chronic pain in the lower abdomen a hysterectomy will not cure your condition. Pain and anti-inflammatory medications, oral contraceptives and lifestyle changes could do much to reduce all these symptoms. If medications are not helping then again minimal invasive surgery, that is laparoscopic surgery could remove all endometrial tissue on the outside of your uterus, ovaries, and adenexa without having to remove the uterus.
Hormone replacement therapy is one of the other alternatives to Hysterectomy:
If you have a uterine prolapse, doing Kegel exercises, that is squeezing and releasing the pelvic muscles can strengthen them and help the uterus get back to its proper place. You could also try losing weight. Inserting a plastic or silicone pessary specially designed for the purpose, into the vagina can also keep the uterus in place. Another alternative is hormone replacement therapy.
Alternatives even for cancerous and precancerous conditions :
There are alternatives even for cancerous and precancerous conditions. For example, if your PAP smear has revealed cervical dysplasia which is a precancerous change of the cervix, a loop electrosurgical excision procedure can be used to remove the precancerous cells without having to remove the uterus.