Samanthi has been told that she requires a hysterectomy. She is in a state of panic. She is only 37 years old. During a routine checkup, she was found to have a small 3.0 cms fibroid in her uterus, on the ultrasound scan. She has always had regular periods and has minimal pain during the periods. Does she really need this surgery?

What is a hysterectomy?

A hysterectomy is an operation to remove a woman's uterus. Sometimes the ovaries and fallopian tubes are removed along with the uterus. Unfortunately, hysterectomy has become one of the commonest operations being offered to women. Be cautious, and look at your options before agreeing to undergo this surgery.

What should you do if you are told that you need a hysterectomy?

If you have a benign condition such as heavy bleeding, fibroids or endometriosis, there are often other treatments that should be tried first. In most cases, a hysterectomy need not be done immediately. There is time for you to get more information and look into possible alternatives. Before you decide what to do, it is important that you understand your condition and your options for dealing with it.

In cases of serious disease, such as cancer, a hysterectomy is not an option - it is a life-saving choice.  

If you are told that you should have a hysterectomy:

• Talk to your gynaecologist about your options. Ask about other treatments that are available for your condition.
• Consider getting a second opinion from another gynaecologist
• Keep in mind that every woman is different and every situation is different. A good treatment choice for one woman may not be the best choice for another. ‘My sister had a hysterectomy’ is not a good reason for you to have one!
• Remember that a hysterectomy is major surgery. Some women do suffer complications after undergoing a hysterectomy.