Are there non-surgical options to hysterectomy?

Are there non-surgical options to hysterectomy?
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Are there non-surgical options to hysterectomy?

Yes, there are several non-surgical options.

Choosing the right option depends on your condition:  Uterine fibroids, endometriosis, pelvic organ prolapse, chronic pelvic pain or abnormal bleeding. Read more about Hysterectomy Reasons to learn more. As always, talk with your doctor to learn more.

Uterine Fibroids

Hormone treatment: This can be used to treat uterine fibroids, which are small, non-cancerous tumors that grow in the walls of your uterus. The hormone therapy will aim to shrink these fibroid tumors
Uterine artery embolization:  This can be used to treat uterine fibroids.  The uterine artery provides blood supply to uterine fibroid. A radiologist will use this procedure to block the uterine artery. Blocking the artery will stop the blood flow to the fibroids. This will cause the fibroids to shrink
Myomectomy: This is a procedure that can remove uterine fibroids from the wall of the uterus, without removing the uterus

Endometriosis

To prevent the abnormal growth of the endometrium, your doctor may provide you with some hormone therapy or perform a small procedure:

Hormone therapy

  • Oral Contraception:  This can be used to treat the symptoms of endometriosis by controlling ovulation, and therefore the build up and break down of endometrial tissue  growing outside of the uterus
  • Hormone Therapy:  Hormones can be used to shrink the endometrial tissue growing outside of the uterus
Procedure

Laparoscopic surgery can be used to remove the endometrial tissue growing outside of the uterus.

Abnormal Bleeding

  • Hysteroscopy:  This is a procedure where the doctor can look inside your uterus to diagnose the reason for abnormal bleeding
  • Myomectomy: This is a procedure that can remove uterine fibroids from the wall of the uterus, without removing the uterus.
  • Endometrial Ablation:  In this procedure, the doctor will destroy the lining of the uterus (called the endometrium)
  • Dilatation and curettage (D&C):  In this procedure the lining of the uterus and the contents of the uterus are removed
  • Hormonal or Nonhormonal medication can be used
  • IUD:  An intrauterine device can be implanted to decrease bleeding

 

Uterine Prolapse

Kegel exercises can be used to strengthen the muscles of the pelvic floor to improve their ability to support the pelvic organs.

Pessary Device: this is a device that can be placed inside the vagina to support the uterus and bladder

Hormone therapy: can help make the muscles of the pelvic floor stronger