Hysterectomy & alternatives
FAQ’s on hysterectomy, partial hysterectomy, and hormones
What happens in a hysterectomy?
There are several types of hysterectomy, the main ones being the partial and the complete. In a partial hysterectomy, only the uterus is removed. In a complete or total hysterectomy, the uterus and cervix are removed, sometimes along with the fallopian tubes and ovaries. The medical term for removal of the ovaries is oophorectomy. A hysterectomy where all these structures are removed is termed a TAH/BSO.
For a woman who’s premenopausal, a complete hysterectomy will have a significant impact on hormonal balance because the ovaries are such an important source of hormone production. Even a partial hysterectomy can have a significant effect, first because the uterus plays a role in hormonal balance, and second because in most cases the circulation to the ovaries is impaired enough by the surgery to affect their function.
When a hysterectomy is absolutely necessary, at our clinic we usually recommend the latest surgical technique called laparoscopic supracervical hysterectomy. This cutting-edge surgery is far less invasive than a traditional hysterectomy and does not involve removing the cervix — and leaving the cervix intact will help support the pelvic floor. If necessary, one or both ovaries can be removed with much less recovery time. Be aware that a partial hysterectomy, in strict medical terms, usually involves removal of the cervix — so you must ask your doctor to keep your cervix intact.
See our full article on hysterectomy and alternatives for more information on your options.
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Our Personal Program is a great place to start
The Personal Program promotes natural hormonal balance with nutritional supplements, our exclusive endocrine support formula, dietary and lifestyle guidance, and optional phone consultations with our Nurse–Educators. It is a convenient, at-home version of what we recommend to all our patients at the clinic.
If you have questions, don't hesitate to call us toll-free at 1-800-798-7902. We're here to listen and help.
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Original Publication Date: 07/20/2006
Last Modified: 08/17/2009
Principal Author: Marcelle Pick, OB/GYN NP,
& Marcy Holmes, Certified Menopause Clinician