The surgical excision of a woman's uterus is called a hysterectomy. It is performed to treat conditions such as uterine fibroids, uterine prolapse, endometriosis, uncontrolled menstrual bleeding, cancer of the uterus, cervix, or ovaries, adenomyosis, and pelvic inflammatory disease.

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I am a 34-year-old female and my urinary bladder got injured during surgery. What should I do?

Query: Hi doctor, I am a 34-year-old female. I have an injured urinary bladder and left side ureter during hysterectomy surgery by laparoscopy five years ago. Then I underwent a cystoscopy and nephrostomy a month later on the left side with a catheter in my urine bladder. A contrast dye test was performed ...  Read Full »

Dr. Karthik Rajan

Answer: Hi, Welcome to icliniq.com. I have gone through your query and reports (attachments are hidden to protect the patient's identity). I need to know whether the dye test was done through the nephrostomy tube only or both through the nephrostomy tube and the urinary bladder catheter. From the images, it...  Read Full »

My farts come from my urethra and menstrual blood comes from my anus. Is it due to a fistula?

Query: Hello doctor,I have had severe stomach pain and diarrhea for the last two weeks. For many years, I have experienced frequent farts from my urethra or vagina. They smell exactly like farts that should only come out of the anus. During my menstruation, menstrual blood comes from my anus, especially wh...  Read Full »

Dr. Shivpal Saini

Answer: Hello, Welcome to icliniq.com. I understand your concern. As per your description, it looks like a rectovesical fistula (a connection between your rectum and urinary bladder). Rectovesical fistulas are less common in females as the uterus comes in between. As you are also passing blood from th...  Read Full »

I had serious health issues, most of which I was able to overcome with the exception of thyroid hormone problems. Is it possible to perform a vaginal hysterectomy after delivery?

Query: Hi doctor, I was completely sedated after delivery. After that, I experienced severe health problems such as dehydration, diabetes, hormonal problems, thyroid problems, and fatigue. I resolved most of the problems except thyroid hormone problems. After delivery, I had gauze but no menstrual bleeding...  Read Full »

Dr. Donalyn S. Barcial

Answer: Hi, Welcome to icliniq.com. Thank you for your query, You haven't had a period in years after having a vaginal delivery? If it has been years that you did not have menstrual period, then you are already in menopause state. In fact, menopause is defined as the absence of periods for one year. So,...  Read Full »

I am a 41-year-old woman with a 6 cm fibroid and my salpingectomy is scheduled for next week. Should I go ahead with this treatment?

Query: Hello doctor, I am a 41-year-old woman having a 15-year-old son. I have heavy periods and iron deficiency anemia. I was given an appointment for a salpingectomy next week and my coil got removed. The scan showed a six-centimeter fibroid in the muscle. I am also having pressure in the bladder and a f...  Read Full »

Dr. Uzma Arqam

Answer: Hello, Welcome to icliniq.com. I went through your query and understood your concern. It would be better if you send the scans and blood reports that have been done recently. For a woman of your age with multiple reasons for hysterectomy, it is better to have the ovaries and tubes to be removed a...  Read Full »

Are there any risks of hysterectomy for a Crohn's disease patient?

Query: Hi doctor, I am 38 years old. I have Crohn's disease and it was diagnosed 15 years back. I had ileum resection in the same year. Currently, I am taking Humira and Methotrexate. Previously, I was taking Remicade and Cimzia. But it did not help me and so my gastroenterologist suggested to take Humi...  Read Full »

Dr. Mashfika N Alam

Answer: Hi, Welcome to icliniq.com. I suggest you do a hysterectomy soon as adenomyosis can damage your health. It should not affect your Crohn's disease. You need to take additional precautions before and after surgery. Your diabetic levels and hypertension should be managed carefully for doing surgery. ...  Read Full »

I am a 47-year-old female who underwent a hysterectomy. Why do I have chronic abdominal pain now?

Query: Hi doctor, I am a 47-year-old female and weigh 85 kg. I had undergone a hysterectomy operation, in which the right ovary was operated on, and the left ovary was bulky without a cyst, as the USG report suggests. So what is the reason for my chronic abdominal pain now?  Read Full »

Dr. Uzma Arqam

Answer: Hello, Welcome to iciniq.com. I thoroughly read your query and understand your concern. It would be better if you describe your previous or present medical, surgical, gynecological, obstetrical, and drug history so that it could be answered in more detail. Your description tells us that the long-...  Read Full »

What are the chances of an ovarian cancer to come back after total abdominal hysterectomy?

Query: Hello doctor, I am sending the details of my relative, who had a total abdominal hysterectomy and then took six cycles of chemotherapy. Her recent CA-125 result was 89 units/mL and her USG reports also observe a few new lesions. Would you please guide us on what shall be her subsequent treatment...  Read Full »

Dr. Pawar Satyajit Jalinder

Answer: Hi, Welcome to icliniq.com I have gone through your query and have looked at the reports you have provided (attachments removed to protect the patient’s identity). A 53-year-old woman was diagnosed with stage III ovarian carcinoma. And received neoadjuvant chemotherapy, debulking surgery, and s...  Read Full »

Why is my 50-year-old mother still getting her periods?

Query: Hello doctor, I am sharing the ultrasound reports of my 50-year-old mother, who is still getting her periods. Kindly advise.   Read Full »

Dr. Arvind Guru

Answer: Hello, Welcome to icliniq.com. I understand your concern. I have seen the attached documents (attachments removed to protect the patient's identity). Based on the reports, she has three issues. A large uterine fibroid, which is likely the cause of her bleeding. An ovarian cyst, which can som...  Read Full »

How can cervical prolapse be treated?

Query: Hello doctor, I am a 72-year-old female and I have a severe prolapse. I was told four years ago that I had a problem in my cervix. So was unable to have a ring fitted around the prolapse. I have been told that it is unlikely cancer. Now after having it all this time, I have been told there are alter...  Read Full »

Dr. Mahmoud Ahmed Abdelrahman Abouibrahim

Answer: Hello, Welcome to icliniq.com. Cervical prolapse has four stages according to severity. In severe cases, surgery is the best solution to relieve the pressure symptoms and to prevent complications such as urinary incontinence. The best solution is hysterectomy but in your case you refused it. I th...  Read Full »

I had a hysterectomy 30 years ago and have been having pain for a few days now. Please help.

Query: Hi doctor,I had a complete hysterectomy 30 years ago and I am really worried about it. It hurts and I am not feeling good.I hope you can help me.  Read Full »

Dr. Uzma Arqam

Answer: Hi, Welcome to icliniq.com. I understand your concern. It could be a local vaginal infection or a sexually transmitted infection. It is better to have a local vaginal swab and have strict hygiene. Use soft cotton undergarments. Use only water to clean the local area. Avoid transmission of sexuall...  Read Full »

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