A woman has a hysterectomy for reasons such as uterine prolapse, problematic uterine fibroids, endometriosis, abnormal vaginal bleeding, chronic pelvic pain or adenomyosis. Ovarian, uterine and cervical cancers are also reasons a woman can have a hysterectomy, according to WebMD.
For noncancerous reasons, a hysterectomy is normally considered only when all other alternatives have been unsuccessful. Waiting for uterine fibroids to shrink or using fibroid shrinking treatment, performing Kegel exercises and using a vaginal pessary for uterine prolapse, and taking medicine for endometriosis are some alternatives that are considered before a hysterectomy, states Women’s Health.
The reason for the surgery determines whether the surgeon performs a subtotal hysterectomy that removes only the upper part of the uterus, total hysterectomy that removes the entire uterus and cervix or radical hysterectomy that is done only when cancer is present, notes WebMD.