What to expect from hysterectomy for endometrial hyperplasia

Endometrial hyperplasia means the womb lining has become thicker than expected. Some forms contain abnormal cells that need close treatment, particularly when they do not settle with progestogen treatment or when future pregnancy is not planned. A hysterectomy removes the lining’s source and allows the removed tissue to be examined carefully.

The cervix may be removed as part of the operation. The ovaries may be left in place or removed after discussing age, risk, and personal preference. Removing the womb ends the ability to carry a pregnancy; removing the ovaries can cause menopause symptoms if they have not already begun.

Discuss alternatives, including hormone treatment and monitoring, if preserving fertility is important. Give the team a full medicine list and mention anaemia, bleeding, allergies, and previous operations. Arrange help with shopping, childcare, and transport. After surgery, walk as advised, keep the wound clean and dry as instructed, and avoid heavy lifting until cleared.

Mild tiredness, pelvic soreness, altered bowel habits, and light spotting can occur during recovery. Keep follow-up appointments so the pathology result and any further care can be explained.

Seek advice for worsening pain, feverishness, heavy bleeding, foul-smelling discharge, wound redness or drainage, trouble passing urine, or a painful swollen leg. Get emergency help for chest pain, severe breathlessness, fainting, or sudden new weakness.

Ask why surgery is recommended for your biopsy result, whether the cervix or ovaries may be removed, what fertility-preserving options exist, and how the operation will be performed. Clarify recovery restrictions, menopause support, pathology timing, and follow-up.