Patient's question:
Main symptoms: 8 years ago, it was excessive menstrual flow accompanied by blood clots, but without pain. The menstrual period was long and irregular. Always feeling weak. Medical examinations did not reveal a cause, but after treatment, it improved significantly. However, it returned last year. Huaxi diagnosed it as uterine fibroids combined with adenomyosis, along with multiple cysts. Onset time: Test results: It is recommended to undergo surgery. Please ask about the disadvantages of a total hysterectomy and postoperative displacement.Doctor's answer:
Here are the disadvantages and aftereffects:1. Constipation, urinary retention, and incontinence. These are symptoms that occur when the uterus is absent, creating a void in the pelvic cavity, causing the rectum, bladder, and urethra to shift inward.
2. Weight loss and weakness, inability to carry heavy objects. This is caused by the rupture of pelvic ligaments and a decline in pelvic support strength.
3. Sexual disharmony, primarily due to the lack of sexual climax. The clitoris is connected to the uterus via nerves; after its removal, it no longer responds to stimulation, and the loss of the cervix exacerbates this issue. Secondary to this is dyspareunia (pain during intercourse), which is caused by the shortening of the vagina.
4. Premature ovarian failure, as one of the blood supply branches to the ovaries comes from the uterus.
5. Amenorrhea and infertility, often humorously referred to as being "castrated."
6. A heavy or occasionally painful sensation in the lower abdomen, among other symptoms. This is a form of "voiding," as the uterus is positioned between the bladder and rectum in the pelvic cavity, serving as support for these organs. After its removal, it’s like leaving a "gap" after a tooth extraction, with surrounding organs filling the defect.
7. If the removal is performed via laparotomy, it may result in large abdominal scars, affecting aesthetics.
8. Psychological stress, as many women experience personality changes after total hysterectomy, feeling they are no longer "whole" women.