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Hysterectomy, the surgical process of removal of the uterus and oophorectomy that involves the surgical removal of the ovaries needs consideration in women’s health care. It is important to notice that such procedures are often used in the treatment of various gynecologic conditions such as fibroids, endometriosis, or ovarian cancers. 

Removal of the uterus and ovaries can help alleviate severe symptoms and minimize the possibility of getting specific types of cancer, but it is similarly important to know more about the risks. One of the prime concerns is the imbalance in sex hormones and its impact on reproductive health. In particular, removing the ovaries leads to sudden menopause in premenopausal women, which may be associated with various physical and emotional changes. Moreover, similar to most surgical operations, the removal of the uterus and ovaries is known to be associated with specific risks for instance infections, bleeding, and complications arising from anesthesia. These risks must be taken into risk-benefit analysis despite the potential advantages.

The following article explores in detail the indications, advantages, disadvantages, and different types of approaches to uterus and ovary removal.

What Is The Surgical Procedure Done For The  Removal Of  Uterus and Ovaries ?

Removal of the uterus and ovaries can be done via a hysterectomy process. The types of hysterectomy done to remove the uterus and ovaries are as follows:

  • Total hysterectomy with bilateral salpingo-oophorectomy: Removing your uterus, cervix, fallopian tubes (salpingectomy) and ovaries (oophorectomy). Removing your ovaries will cause menopausal symptoms if you have never experienced them before.
  • Radical hysterectomy with bilateral salpingo-oophorectomy: During a radical hysterectomy with bilateral salpingo-oophorectomy, your ovaries, fallopian tubes, uterus, cervix, and upper vagina are removed along with some surrounding tissue and lymph nodes. When malignancy is present, a hysterectomy of this kind is done.

What Are The Indications For The Removal Of Uterus And Ovaries?

Your medical professionals may recommend you perform the surgery to remove the uterus and ovaries in the following conditions:

  • Heavy or abnormal vaginal bleeding which can not be managed by other treatment methods like medications and lifestyle adjustments
  • Severe periods of pain which can not be managed by other treatment methods
  • Uterine fibroids or Leiomyomas (non-cancerous tumors)
  • Increased pelvic pain related to your uterus that can not managed by other treatment methods
  • Uterine prolapse, which can result in urine incontinence or trouble passing stool, is the uterus that has "dropped" into your vaginal canal as a result of weakening support muscles.
  • Cancer prevention: Abnormalities that could result in cancer, such as cervical or uterine cancer. 
  • Disorders affecting the lining of your uterus, such as adenomyosis, recurring uterine polyps, or hyperplasia.
  • Endometriosis and pelvic inflammatory diseases

What Are The Advantages Of Removal Of Uterus And Ovaries?

The following are the advantages of removing uterus and ovaries include:

  • Controlling heavy, irregular or abnormal periods
  • Preventing ovarian or uterine cancer
  • Removing cancerous tissue
  • Improving the quality of life
  • Restoring pain-free intercourse
  • Alleviating pelvic pain and severe menstrual cramps 

What Are The Disadvantages Of Removal Of Uterus And Ovaries?

The following are the disadvantages of the removal of the uterus and ovaries:

  • Loss of fertility: The patient will not be able to become pregnant after the procedure
  • Experiencing the symptoms of early menopause, symptoms include hot flashes, mood swings, and insomnia
  • Excessive bleeding and requirement of blood transfusions
  • Formation of blood clots to lungs or legs
  • Severe injury to adjacent organs such as the bladder, intestines, ureters, blood vessels and nerves
  • Scar tissue formation
  • Hernia
  • Pain
  • Infection
  • Reaction to anesthesia 
  • Rupture of tumor cells, which leads to the spreading of cancer cells
  • Low sex drive

What Are The Different Approaches Utilized For The Removal Of Uterus And Ovaries?

The different approaches used for the removal of uterus and ovaries include:

  • Vaginal hysterectomy: Uterus is removed through an incision at the top of your vagina and is most commonly performed in cases of uterine prolapse and other noncancerous conditions.
  • Laparoscopic hysterectomy: A small incision at your belly button is used to insert a laparoscope, which is a thin tube with a video camera on the end, into your lower abdomen. Multiple tiny incisions are made in order to implant surgical instruments. Small incisions made in your abdominal or vagina can be used to remove your uterus in small parts.
  • Robotic-assisted laparoscopic hysterectomy: Your healthcare professional will perform the procedure with the help of a robotic machine. To view your pelvic area, a laparoscope is introduced into your abdomen. Three to five incisions are made around your belly button to implant tiny, thin surgical instruments. The surgeon operates robotic arms and equipment.
  • Abdominal hysterectomy: A six- to eight-inch-long abdominal incision is made in order to remove your uterus. Either the top of your public hairline or the area between your belly button and pubic bone is cut. To close the wound, the surgeon will use staples or stitches. Most frequently applied when uterine enlargement, malignancy, or disease spread to other pelvic regions are present.

Among the above approaches, Robotic-assisted laparoscopic hysterectomy has many advantages. This includes less invasive than open surgeries, the need for small incisions, minimal scarring, less blood loss, shorter hospital stay and faster recovery.


Removal of the uterus and ovaries (Hysterectomy and oophorectomy) can be very useful as they help eliminate certain ailments and prevent kinds of cancer but they also have major drawbacks and side effects. Some of the risk factors are reproductive complications such as infertility, early miscarriages, risks during surgery and long-term health effects.

Anyone thinking of undergoing these procedures has to consult their doctor to determine the benefits against the risks, including the possibility of potential harm or complications, with an aim of making informed decisions that can help one achieve their health-related goals.

If you've been having irregular periods, heavy bleeding, or any other menstrual irregularities, schedule an appointment with the gynecologists at Eternal Hospital to get the best care. Book your appointment now!

Frequently Asked Questions (FAQs):

Q: What happens if a woman removes her uterus and ovaries?

A: Apart from the obvious hazards associated with surgery, there can also be long-term health and psychological effects such as depression and decreased libido. There is also an increased risk of osteoporosis and heart disease if the ovaries are removed together with the uterus before menopause, or the change in life.

Q: Is removing the uterus and ovaries a major surgery?

A: There are hazards and adverse effects related to the removal of the uterus and ovaries. It is therefore typically only taken into consideration in cases where other treatments are not capable of managing the symptoms.  However, a hysterectomy can be required to remove the tumor if a woman has ovarian or uterine cancer.

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