What to expect from hysterectomy for uterine fibroids

Fibroids are non-cancerous growths in or around the uterus. During hysterectomy, the uterus is removed, so fibroids cannot grow there and menstrual periods stop. The cervix, tubes, and ovaries may be kept or removed depending on your symptoms, age, medical history, and surgical plan.

The operation may be abdominal, laparoscopic, or vaginal. Large fibroids, the uterus’s position, previous operations, and other pelvic findings can influence the route. Ovaries do not have to be removed simply because the uterus is removed; ask how each choice affects hormones and future health.

Discuss anaesthesia, medicines, anaemia from heavy bleeding, fertility wishes, and alternatives before consenting. Arrange a ride home and help with shopping, meals, children, and lifting. Follow the hospital’s instructions about fasting, bathing, and medicines.

After surgery, fatigue, abdominal or vaginal soreness, constipation, and light discharge can occur. Walk gently as advised, drink fluids, and use prescribed pain relief. Avoid heavy lifting and vaginal intercourse until your surgeon confirms that healing is adequate. Ask when driving and work are appropriate for your route.

Contact your care team for fever, worsening pain, increasing bleeding, unpleasant discharge, wound redness or drainage, repeated vomiting, difficulty passing urine, or a painful swollen leg. Get emergency help for chest pain, severe breathlessness, fainting, or sudden weakness.

Ask which route fits your uterus, whether the cervix and ovaries will remain, how anaemia will be managed, what symptoms should improve, when activity can increase, and what follow-up is planned.