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Hysterectomy for Endometriosis: Pros and Cons

Hysterectomy is one of the most common surgical treatments for endometriosis, including removing the uterine body itself or the simultaneous removal of the cervix, ovaries, fallopian tubes and para-uterine tissue. 

The surgical methods include subtotal hysterectomy, total hysterectomy and extensive hysterectomy. The surgical approaches include abdominal, laparoscopic, vaginal, vaginal and abdominal combinations. 
According to the U.S. Centers for Disease Control(CDC), up to 600,000 American women undergo hysterectomy every year.
The uterus is an organ that produces menstruation and gives birth to the fetus. The benefit of hysterectomy mainly lies in its therapeutic effect. When the disease develops to a certain extent or relapses repeatedly, and the patient has no fertility requirements, taking into account economic factors, a hysterectomy is a better treatment.
The advantages of hysterectomy are apparent. Total hysterectomy can effectively relieve various symptoms, such as pain in patients with adenomyosis, control the distant metastasis and spread of early cervical cancer and endometrial cancer, and prevent the continued growth of uterine fibroids or multiple uterine fibroids and anemia caused by increased menstrual volume.
After female patients have their uterus removed, they can effectively prevent symptoms such as uterine and ovarian lesions. At the same time, it can reduce the risk of ovarian cancer and cervical cancer.
But no matter how many benefits there are, it can only be a kind of treatment measure that can only be done when other treatment methods are useless. Cindy Pearson, executive director of the American Women's Health Network, once said that "unnecessary hysterectomy puts women unnecessarily at risk.
The drawback of hysterectomy lies in its short-term and long-term complications, which are common:
1. Accidents of surgical anesthesia;
2. Postoperative complications: including bleeding, organ injury, postoperative infection, poor wound healing, pelvic adhesion, chronic pelvic pain;
3. Organ prolapse, constipation, urinary retention, urinary incontinence, falling sensation, uncoordinated sexual life, rare intestinal prolapse after sexual life, etc., caused by anatomical changes in the pelvic floor after surgery;
4. Effect on ovarian function: Because the ovary lacks blood supply from the uterus or the ovary is removed at the same time as the uterus is removed, the age of ovarian failure of women who remove the uterus is about 2 to 3 years earlier than those who do not cut the uterus;
5. Psychological impact: Due to the lack of women's main reproductive organs, there is always no menstruation, and they can no longer have children, which makes women feel that they are no longer women, and menstrual blood will stasis in the body, causing various psychological disorders.
6. Hormonal effects: Total hysterectomy may remove the ovaries on both sides of the uterus according to the patient's condition. The ovary is the main source of sex hormones, including estrogen, progesterone, and testosterone. The loss of ovaries means that women lose most of the ability of sex hormones, and women enter "surgical menopause" with symptoms including hot flashes and loss of sexual desire.
7. Impact on the body: As neighbors, the blood supply of the ovaries after the uterus is removed, the blood supply of the ovaries may be affected to a certain extent. In addition to the problem of early menstruation, removing the uterus may also cause complications such as urinary incontinence, vaginal shortening, pelvic prolapse, abnormal vaginal particles, etc.
The uterus is not just a carrier of life. If it is not enough to remove the uterus, you can communicate more with the doctor. It is best to choose a treatment method that can preserve the uterus and be less harmful. 
Herbal medicine Fuyan Pill can be a nice option. It can eliminate symptoms and causes without any side effects. 
In short, before a hysterectomy, doctors should strictly grasp the surgical indications, fully communicate with patients and weigh the pros and cons before operating.
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