Does an obstetrics and gynaecology specialist perform a hysterectomy?

A hysterectomy removes the uterus. Depending on the reason for surgery, the procedure may also involve removing the cervix, fallopian tubes or ovaries. It can be performed through an abdominal, vaginal or keyhole approach. The choice depends on your symptoms, examination findings, uterine size, previous surgery and overall health. Removing the uterus ends periods and means pregnancy is no longer possible; ovarian removal has separate effects that should be discussed clearly.

Ask the specialist why surgery is being recommended and whether medicines, monitoring or another procedure could address the problem. Discuss the planned surgical route, fertility consequences, recovery needs, pain control and whether the ovaries will remain. Bring your medication list and tell the team about allergies, bleeding problems and previous operations.

Arrange review for persistent heavy bleeding, worsening pelvic pain, pressure symptoms or bleeding after menopause. After surgery, urgent assessment is needed for heavy bleeding, fever with worsening pain, breathlessness, chest pain, or a painful swollen leg. Follow the discharge instructions provided by your surgical team.

Ask: What is the goal of surgery? Which organs will be removed? Which approach is planned? What alternatives exist? How may this affect hormones, fertility and recovery? What symptoms require urgent help afterward?