What to expect from radical hysterectomy for endometrial hyperplasia

Endometrial hyperplasia means the womb lining has become thicker than expected. Management depends on the biopsy type, bleeding pattern, age, future pregnancy plans and whether abnormal cells are present. Hormone treatment or a less extensive operation may be considered in some situations. A radical hysterectomy removes the womb, cervix and nearby tissue, so ask what specific concern makes this extent appropriate.

Bring your biopsy and scan reports if available, plus a list of medicines and your pregnancy plans. Ask whether a specialist pathology review or another biopsy is needed. If surgery proceeds, arrange transport and help at home, and discuss anaesthesia, bladder care, wound care, activity limits and the effect on fertility and sexual wellbeing.

Seek medical advice for heavy or persistent vaginal bleeding, dizziness, severe pelvic pain, fever, foul-smelling discharge or difficulty passing urine. After surgery, increasing wound redness, vomiting, sudden breathlessness, chest pain or a swollen painful leg needs prompt or urgent assessment.

Ask what the biopsy shows, whether abnormal cells are present, which alternatives fit your goals, why a radical rather than simpler operation is proposed, and how the final tissue examination will affect follow-up.