you know hysterectomies were done almost on every woman back twenty years ago it was like oh you need a hysterectomy. today i look at a hysterectomy done when a patient has severe bleeding from fibroids that cannot be controlled in any other way. she’s tried medication she’s tried birth control pills she’s tried possibly even ablation or a d&c. she’s bleeding she’s anemic the fibroids are the cause she may need a hysterectomy. someone who has enlarging fibroids they are just getting bigger and bigger. there is embolization which could decrease your fibroids by 60% however some women do not respond to it or they are not wanting to do an embolization and they may need a hysterectomy. and of course women that have uterine cancer or have some other form of ovarian cancer possibly may even need a hysterectomy. but i think that birth control pills sometimes can be used instead to control abnormal bleeding. there are other options out there first. i think it should be your last resort.
when should a hysterectomy be performed?