What are the short & long-term side effects of Uterus+Cervix removal for Diffuse Adenomyosis in a 40 year old patient? Will the ovaries lose their life early, will organ prolapse happen, will pelvic muscles get weak & what are the other problems one could face? Request your honest answers Dr. since these things are not discussed with the patients & we have to rely on Google to get all the information. Thank you
Endometriosis
Top Endometriosis Specialist Florida: Your Path to Pain-Free Living
Endometriosis affects approximately 10% of women in Florida, impacting their daily lives and overall well-being. This chronic condition, characterized by the growth of uterine-like tissue
March 17, 2025
If the ovaries are not impacted during the surgery, the hysterectomy should (in theory) not impact the ovarian function. That being said, its harder to track hormonal fluctuations without a period. There is some evidence that a hysterectomy can impact the pelvic floor, including prolapse, but that is not guaranteed and there are treatments available, like pelvic floor physical therapy to ensure your muscles are working adequately and supporting you. Other factors such as changes in estrogen and testosterone as we age (menopause) also can compromise the tissue elasticity so it is important to talk to your provider if you are noticing vulvovaginal changes or discomfort, or seek out a sexual medicine provider. The directory I would recommend is https://www.prosayla.com/find-a-provider.
Recovery from a surgery like hysterectomy varies a lot by the patient and it’s not possible to anticipate all of the changes one will experience on a personal level. You will see a significant improvement in quality of life in terms of pain and bleeding symptoms. That will be an immediate benefit. From a risk standpoint, aside from the standard risks of surgery, patients that have a hysterectomy on average go into menopause two years younger and are at greater risk for prolapse. We don’t know that these things are directly related to hysterectomy versus the indication for the hysterectomy in the first place. Anecdotally, the closer a patient is to menopause, the more likely that a hysterectomy will trigger menopause. Unless at 40 you have very diminished ovarian reserve, you have on average 11 years until menopause, so you are not at particular risk for surgery immediately triggering menopause. Further, in terms of prolapse, this occurs on average 14 years post-surgery when you are in menopause. That gives you time to strengthen the pelvic floor with physical therapy and to get into good habits that may reduce your risk (maintain a normal weight, no bearing down with bowel movements or urination, no smoking or triggers of frequent coughing). At 40, you are at a great age to have the most benefit from a hysterectomy. Nothing in life comes without some risk, but if you are suffering and not able to do the things you enjoy with the people you love, a hysterectomy can lead to lasting relief.