A hysterectomy is a surgical procedure to remove the uterus (womb). It may be recommended for women experiencing heavy menstrual bleeding, chronic pelvic pain, uterine fibroids or other gynaecological conditions that haven’t responded to alternative treatments.
As an experienced gynaecologist and hysterectomy specialist in Melbourne, Dr Joseph Sgroi provides personalised surgical care, helping women understand their options and make informed decisions about their reproductive health.
A hysterectomy involves removing the uterus, permanently ending menstrual periods and the ability to carry a pregnancy.
Depending on the reason for surgery, the cervix, fallopian tubes or ovaries may also be removed. However, removing the ovaries isn’t always necessary and depends on your individual circumstances.
A hysterectomy is generally considered when other treatments have been unsuccessful, are unsuitable or when surgery is required for a serious medical condition.
A hysterectomy may be considered when certain gynaecological conditions significantly affect your health or quality of life.
Common reasons include:
A hysterectomy for adenomyosis may be considered when symptoms are severe and other treatments haven’t provided sufficient relief.
There are several types of hysterectomy, with the appropriate procedure depending on the condition being treated.
A total hysterectomy removes the uterus and cervix. It is commonly performed for conditions including fibroids, adenomyosis and persistent heavy menstrual bleeding.
Also called a subtotal hysterectomy, a partial hysterectomy removes the upper portion of the uterus while leaving the cervix in place.
A radical hysterectomy removes the uterus, cervix and surrounding tissues. It is generally performed by a specialist gynaecological oncology team to treat certain cancers.
A hysterectomy can be performed through abdominal, vaginal or laparoscopic surgery, depending on your medical circumstances.
A laparoscopic hysterectomy is a minimally invasive procedure performed through small abdominal incisions.
Dr Joseph Sgroi performs total laparoscopic hysterectomy (TLH), using a small camera and specialised instruments to remove the uterus and cervix, generally through the vagina.
Compared with traditional abdominal surgery, this approach can offer smaller incisions, less postoperative discomfort and faster recovery for suitable patients.
Learn more about Dr Joseph’s advanced laparoscopic surgery services.
Hysterectomy recovery depends on the surgical approach, your overall health and the complexity of the procedure.
Many women gradually return to lighter activities within two to six weeks, although full recovery can take longer, particularly following abdominal surgery.
During recovery, you may experience fatigue, abdominal discomfort and light vaginal bleeding. Strenuous exercise and heavy lifting should be avoided until medically cleared.
If your ovaries are preserved, they generally continue producing hormones, meaning menopause doesn’t begin immediately.
Like any major operation, a hysterectomy carries potential risks, including:
Before surgery, Dr Joseph will discuss the potential benefits, hysterectomy risks and alternative treatments relevant to your circumstances.
A hysterectomy is a significant decision, and the most appropriate treatment will depend on your symptoms, medical history and individual circumstances.
If you’re considering a hysterectomy, Dr Joseph Sgroi can help you understand your surgical options, including the potential benefits, risks and recovery process. Contact Dr Joseph’s team to arrange a consultation.
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