Hysterectomy

A hysterectomy is surgical removal of your uterus. It’s one of the most common gynecologic surgeries performed to treat pain, heavy bleeding or certain medical conditions affecting the uterus and reproductive system. 

At Banner Health, our women’s health experts provide personalized care and education to help you understand why a hysterectomy may be recommended, what’s involved and how to prepare for it. 

Why is a hysterectomy performed? 

Your provider may recommend a hysterectomy if other treatments have not relieved symptoms or if there’s a medical indication for surgery. 

Common reasons include: 

• Uterine fibroids - Noncancerous growths that cause pain or heavy bleeding 
• Endometriosis - Uterine-like tissue growing outside the uterus 
• Adenomyosis - Uterine lining growing into the uterine wall 
• Abnormal or heavy periods interfering with daily life 
• Uterine prolapse - Uterus slips into the vaginal canal 
• Cancer - Including uterine, cervical, ovarian or fallopian tube cancers 
• Chronic pelvic pain related to a gynecologic disorder 

Your provider usually tries less invasive treatments first, such as medication or minimally invasive procedures, before recommending a hysterectomy. 

What does a hysterectomy remove? 

A hysterectomy always removes the uterus. In some cases, your surgeon may also remove other reproductive structures, including: 

• Cervix - Removed during a total hysterectomy 
• Ovaries - Often removed to reduce cancer risk or treat disease 
• Fallopian tubes - May be removed to lower ovarian cancer risk 

After a hysterectomy: 

• You will no longer have periods 
• You cannot become pregnant 
• Your hormone levels may change depending on whether your ovaries are removed 

Types of hysterectomy procedures 

Your provider will recommend the type based on your health condition: 

• Total hysterectomy - Removes the uterus and cervix 
• Partial (supracervical) hysterectomy - Removes the uterus, leaves the cervix 
• Radical hysterectomy - Removes uterus, cervix and surrounding tissue (usually for cancer) 
• Salpingo-oophorectomy - Removes one or both ovaries and fallopian tubes 
• Salpingectomy - Removes fallopian tubes only 

Surgical approaches 

There are several surgical methods: 

• Vaginal hysterectomy - Removed through the vagina 
• Laparoscopic hysterectomy - Small incisions with a camera 
• Robotic-assisted hysterectomy - Enhanced precision using robotic tools 
• Abdominal hysterectomy - Larger incision through the abdomen 

Minimally invasive and robotic techniques often mean smaller scars and faster healing.  

How to prepare for a hysterectomy

Preparing ahead can help reduce complications and support a smoother recovery. 

Before surgery you may be asked to: 

• Review all medications and supplements with your provider 
• Stop certain medications (such as blood thinners) 
• Complete pre-surgical tests like blood work or imaging 
• Avoid eating or drinking for a set time prior to surgery 
• Stop smoking weeks before surgery to lower risk of complications 
• Arrange for someone to drive you home and help during early recovery 

Your care team will walk you through specific instructions tailored to your health history and surgical plan. 

Is a hysterectomy major surgery? 

Yes - a hysterectomy is considered a major surgical procedure. It carries risks, including: 

• Bleeding 
• Infection 
• Blood clots 
• Injury to nearby organs 
• Early menopause if ovaries are removed 

Your surgeon will review risks and benefits with you based on your situation. 

How will a hysterectomy affect menopause? 

If both ovaries are removed, you will enter surgical menopause immediately. This can cause symptoms such as hot flashes, night sweats or vaginal dryness. 

If one or both ovaries remain, menopause may occur naturally later, though sometimes slightly earlier than expected.  

Your provider can discuss hormone management options to help you navigate symptoms after surgery. 

Side effects and recovery expectations 

While your recovery details are covered on our dedicated recovery page, common effects you may experience include: 

• Light vaginal bleeding or discharge 
• Mild cramping or bloating 
• Fatigue or trouble sleeping 
• Emotional ups and downs 

Most people gradually return to normal activities over several weeks.  

Learn more about hysterectomy recovery. 

Questions to ask your provider 

Consider asking: 

• Are there alternatives to hysterectomy? 
• What type of hysterectomy do I need? 
• Will my ovaries be removed? 
• How long will recovery take? 
• Will the surgery affect my hormones or sexual health? 

Asking questions helps you feel confident in your decision. 

Hysterectomy care at Banner Health 

At Banner Health, you get: 

• Experienced gynecologic surgeons 
• Expertise in minimally invasive and robotic techniques 
• Personalized care plans tailored to your lifestyle 
• Support from pelvic floor therapy, menopause specialists and behavioral health when needed 
• Convenient follow-up care in person or online 

If you’re considering a hysterectomy, schedule an appointment with a Banner Health provider to explore options and plan your care.