hysterectomy

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Related to total hysterectomy: total abdominal hysterectomy

hysterectomy

(hĭstərĕk`təmē), surgical removal of the uterusuterus,
in most female mammals, hollow muscular organ in which the fetus develops and from which it is delivered at the end of pregnancy. The human uterus is pear-shaped and about 3 in. (7.
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. A hysterectomy may involve removal of the uterus only or additional removal of the cervix (base of the uterus), fallopian tubesfallopian tube
, either of a pair of tubes extending from the uterus to the paired ovaries in the human female, also called oviducts, technically known as the uterine tube.
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 (salpingectomy), and ovariesovary,
ductless gland of the female in which the ova (female reproductive cells) are produced. In vertebrate animals the ovary also secretes the sex hormones estrogen and progesterone, which control the development of the sexual organs and the secondary sexual characteristics.
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 (oophorectomy). It may be performed through a conventional abdominal incision or through the vagina. It is performed in cases of malignant tumors, endometriosis, prolapsed uterus, or fibroids that cause bleeding and pain. An emergency hysterectomy is sometimes necessary to end uterine hemorrhaging.

Removal does not physically interfere with sexual activity, but it does eliminate the uterine contractions of orgasm. It also eliminates the possibility of childbearing and precipitates menopausemenopause
or climacteric
, transitional phase in a woman's life when the ovaries stop releasing eggs, ovarian production of estrogen and other hormones tapers off, and menstruation ceases.
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 in premenopausal women. Surgical removal of the ovaries eliminates their production of estrogenestrogen
, any one of a group of hormones synthesized by the reproductive organs and adrenal glands in females and, in lesser quantities, in males. The estrogens cause the thickening of the lining of the uterus and vagina in the early phase of the ovulatory, or menstrual, cycle
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 and progesteroneprogesterone
, female sex hormone that induces secretory changes in the lining of the uterus essential for successful implantation of a fertilized egg. A steroid, progesterone is secreted chiefly by the corpus luteum, a group of cells formed in the ovary after the follicle
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 along with these hormones's protective benefits to the heart, bones, and skin.

Some women's health advocates have questioned what they feel is the overuse of hysterectomy in the United States, where it is the second most common surgical procedure. Some studies have judged that up to 25% of hysterectomies performed in the United States are unnecessary and that more conservative treatments (laparoscopic surgery, hormone therapy, or simple removal of fibroids) would suffice in these cases.

hysterectomy

[‚his·tə′rek·tə·mē]
(medicine)
Surgical removal of all or part of the uterus.

hysterectomy

surgical removal of the uterus
References in periodicals archive ?
In the current case, the patient underwent a total hysterectomy without oophorectomy, which implied that hormone stimulation may play a role in the progression of DPL.
I had a total hysterectomy which killed my sex drive and medication, Arimidex - an aromatase inhibitor, gave me prickly heat, hot flushes and nausea.
Out of 6 cases of EPH, subtotal hysterectomy was performed in 5 and total hysterectomy in only one case.
Because your vagina may be shorter after a total hysterectomy, you and your partner may want to experiment with different positions to find one that is comfortable.
Routine screening for cervical cancer by Pap testing is no longer recommended for women who have undergone a total hysterectomy (the removal of the uterus, including the cervix) or for adequately screened women after age 65 years.
She continued to have excessive bleeding and, after exhausting other conservative medical treatments, underwent a total hysterectomy in May 2001.
Conservative treatment may be offered as a first-choice option before total hysterectomy.
Total hysterectomy with bilateral salpingo-ophrectomy was performed and thorough peritoneal lavage was done.
Women who have had a total hysterectomy and no history of high-grade cervical intraepithelial neoplasia should discontinue cervical cancer screening altogether.
The sampling criteria were: 1) had a total hysterectomy with or without oophorectomy in the preceding 3-12 months, 2) been medically diagnosed with uterine myoma, adenomyosis, endometriosis, or no uterine cancer, and 3) having no complications and no hormone therapy after the hysterectomy.
Female-to-male transsexuals should examine the risks and benefits of including total hysterectomy and oophorectomy as part of sex reassignment surgery.
Q I'm in my 50s and have gone off sex since having a total hysterectomy.

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