What should you know about elective hysterectomy?

A hysterectomy removes the womb, so pregnancy is no longer possible afterwards. The cervix may also be removed. The fallopian tubes and ovaries can be discussed separately; keeping or removing them affects hormonal function and future care. Surgery may be abdominal, vaginal or keyhole, depending on the womb’s size, the diagnosis, previous operations and the surgeon’s assessment.

Reasons for planned surgery can include troublesome bleeding or pain from fibroids, adenomyosis or endometriosis, and treatment of some womb, cervical or lining conditions. A hysterectomy is a major decision, so alternatives and fertility wishes should be addressed before consent.

Before surgery, review medicines, anaesthesia, expected hospital stay, wound care and arrangements at home. Ask when you can drive, work, exercise and lift objects. Walking little and often can support recovery, while the surgical team’s restrictions take priority. Vaginal bleeding or discharge can occur during healing; use the guidance given about pads, bathing and intercourse.

Take prescribed pain relief as directed and attend follow-up. If fertility matters to you, ask about non-surgical options or fertility preservation before scheduling the operation.

Contact your surgical team urgently for heavy bleeding, worsening pain, fever, a red or draining wound, persistent vomiting, chest pain, shortness of breath, or a swollen painful leg. Seek emergency help for severe breathing difficulty, collapse or sudden chest pain.

Ask what will be removed, which surgical route is proposed, what alternatives fit your diagnosis, how ovaries may affect menopause, how recovery will be managed, and which symptoms need urgent review.