The surgical removal of the uterus is called hysterectomy. It is done in conditions like uncontrolled vaginal bleeding, uterine fibroids, endometriosis, pelvic inflammatory disease, chronic pelvic pain, uterine cancer, and adenomyosis.
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Is removing the uterus the only option for neoplasia and fibroid in the uterus?
Query: Hi doctor, My wife is 51 years old, and she weighs 60 kg and 1.58 m tall. She took a Pap smear test and found out that she has neoplasia 3 and a fibroid of 5 to 6 cm. We consulted a gynecologist and, who advised removing the uterus and ovaries. Please advice. Is removing the uterus the only option? Read Full »
Answer: Hi, Welcome to icliniq.com. I will also advise for surgery since Pap smear shows grade 3 changes. Preserving the uterus is only advised in young women requiring fertility, who also need lifelong follow-up later. In your wife's state, since she is already 51, what is the point of preserving the uteru... Read Full »
Should we remove my mother's uterus based on the tests that we had taken?
Query: Hello doctor, My mom is 47 years old. Her periods lasted 15 days. So, she consulted a doctor, who asked her to get a scan done. The scan showed bulky uterus, a mildly thickened endometrium, and a right simple ovarian cyst. She was advised a uterus removal surgery to avoid further discomfort. Kindly... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your query and understand your concerns. I have reviewed the report (attachment removed to protect patient identity). Bulky uterus with a cyst in the anterior wall and thickened endometrium is most likely due to a dysfunctional uterine bleeding... Read Full »
What are the treatment options for adenomyosis?
Query: Hi doctor, My wife has been diagnosed with adenomyosis. What should we do next? Read Full »
Answer: Hi, Welcome to icliniq.com. The best treatment for adenomyosis and endometriosis, is hormonal therapy or a hormonal IUD (intrauterine device). Also, if you are planning for pregnancy, then plan for it immediately. As time passes by the problem may increase and interfere with the fertility. So, ... Read Full »
I am having leg swelling and vaginal spotting after C-section. Kindly advice.
Query: Hello doctor, I am a 32-years-old female. My second baby was delivered by LS/CS method before a week after completing 36.5 weeks. Doctor also removed my uterus as I had been suffering from a complication of central placenta previa with increta/parcreta. And I had even bled a few little clots during... Read Full »
Answer: Hello,Welcome to icliniq.com.Placenta previa with increta is a severe condition, so uterus has to be removed due to bleeding. Swelling may be due to anemia or blood transfusions. Take tablet Lasix one tablet once a day, it will cause frequent urination. Blood spots will disappear after a few days. T... Read Full »
Can uterus removal cause urinary incontinence?
Query: Hi doctor, My wife is suffering from urinary incontinence at the time of sleeping. She gave birth to two babies through operation, and now they are aged 9 and 5. After which she got her uterus removed through operation. Please help us. Read Full »
Answer: Hi, Welcome to icliniq.com. I have read and understood your problem. Urinary incontinence is a common complication after surgical removal of uterus. You should do her urine culture and sensitivity test, also blood sugar PP (postprandial). If the problem is only at night then she should stop taki... Read Full »
Is it a routine procedure to do blood transfusion before uterus removal?
Query: Hi doctor, My mother is 64 years old. She has a fibroid above the uterus. The doctor has advised removing the uterus. She has a low level of hemoglobin, and she is given injections to increase the range. But it got increased from 10 g/dL to 10.4 g/dL. But the doctor advises my mother to have hemogl... Read Full »
Answer: Hi, Welcome to icliniq.com. As your mother is 64 years old, it is better to have uterus removal and removal of fibroid along with it. Please mention about the symptoms faced by her. Please send the ultrasound report to guide you further. For increasing the range of Hb (hemoglobin), iron injection... Read Full »
My mom had hysterectomy for adenocarcinoma. Is radiation therapy compulsory?
Query: Hello doctor, My mother had complex endometrial hyperplasia for which surgery was fixed and last week, hysterectomy along with salpingo-oophorectomy and pelvic lymphonodectomy was done. After surgery, the parts were sent for histopathology. It was diagnosed as stage-2 endometrial adenocarcinoma. The... Read Full »
Answer: Hello, Welcome to icliniq.com. It depends on the extent of disease within the myometrium and endocervical extent. For further queries consult a medical oncologist online --> https://icliniq.com./ask-a-doctor-online/medical-oncologist Read Full »
Why do I have a right-sided incision for a left tube ectopic pregnancy?
Query: Hello doctor, I have an ectopic pregnancy in my left tube. I had two MTX and because of the embryo's heartbeat, I had salpingostomy six days ago. My questions are: I have a post-operative incision on my right side and nothing on my left side. I do not even feel pain... Read Full »
Answer: Hello, Welcome to icliniq.com. The incision taken is for the surgeon's comfort. A right-handed surgeon will take a right incision. The incision site usually does not depend on the site of the problem. Yes, you can definitely have a vaginal birth in future and there is no doubt in that. Laparosco... Read Full »