Our Summary

This research paper looks at how the COVID-19 pandemic affected the number of hysterectomies (a surgery to remove a woman’s uterus) performed in the U.S. in 2020 compared to 2019. Using data from national databases, the researchers found that over 1 million hysterectomies were performed between January 2019 and December 2020. However, there was a significant drop in the number of these surgeries in 2020, especially between March and May, which corresponds with the early stages of the pandemic. This decrease was more pronounced in vaginal hysterectomies and in procedures done for non-cancerous conditions. After hitting a low in April 2020, the number of hysterectomies started to rise again and then stabilized towards the end of the year.

FAQs

  1. How did the COVID-19 pandemic affect the number of hysterectomies performed in the U.S. in 2020 compared to 2019?
  2. What type of hysterectomies saw a more pronounced decrease during the pandemic?
  3. When did the number of hysterectomies start to rise again after hitting a low in 2020?

Doctor’s Tip

One helpful tip a doctor might tell a patient about hysterectomy is to make sure to follow post-operative instructions carefully, including getting plenty of rest, taking prescribed medications as directed, and attending follow-up appointments. It’s also important to listen to your body and communicate any concerns or changes in symptoms to your healthcare provider. Additionally, engaging in gentle physical activity and maintaining a healthy diet can help with the recovery process.

Suitable For

Patients who are typically recommended hysterectomy include those with:

  1. Uterine fibroids: These non-cancerous growths in the uterus can cause symptoms such as heavy menstrual bleeding, pelvic pain, and pressure on the bladder or bowels.

  2. Endometriosis: This condition occurs when the tissue that normally lines the inside of the uterus grows outside of it, leading to pain, heavy periods, and infertility.

  3. Uterine prolapse: This condition occurs when the uterus slips down into the vaginal canal, causing symptoms such as pelvic pressure or pain, urinary incontinence, and difficulty with bowel movements.

  4. Gynecologic cancers: Hysterectomy may be recommended for patients with cancer of the uterus, cervix, or ovaries.

  5. Adenomyosis: This condition occurs when the tissue that lines the uterus grows into the muscular wall of the uterus, causing heavy menstrual bleeding, pain, and bloating.

  6. Chronic pelvic pain: Hysterectomy may be considered for patients with severe and persistent pelvic pain that does not respond to other treatments.

  7. Abnormal uterine bleeding: Hysterectomy may be recommended for patients with abnormal or heavy menstrual bleeding that does not improve with other treatments.

Ultimately, the decision to undergo a hysterectomy is a personal one that should be made in consultation with a healthcare provider, taking into consideration the patient’s individual medical history, symptoms, and goals for treatment.

Timeline

Before hysterectomy:

  • Patient may experience symptoms such as pelvic pain, heavy menstrual bleeding, fibroids, endometriosis, or cancer
  • Patient consults with healthcare provider to discuss treatment options
  • Patient undergoes pre-operative tests and evaluations
  • Patient is informed about the risks and benefits of hysterectomy
  • Patient schedules surgery date and prepares for the procedure

After hysterectomy:

  • Patient undergoes surgery to remove the uterus
  • Patient stays in the hospital for a few days for recovery
  • Patient may experience pain, discomfort, and fatigue post-surgery
  • Patient follows a recovery plan provided by healthcare provider
  • Patient attends follow-up appointments to monitor healing and address any concerns
  • Patient may experience changes in hormones, menstrual cycle, and sexual function
  • Patient may experience emotional and psychological effects of losing their uterus

Overall, the timeline for a patient before and after hysterectomy can vary depending on individual circumstances and the type of hysterectomy performed. It is important for patients to closely follow their healthcare provider’s recommendations for a successful recovery and long-term health.

What to Ask Your Doctor

  1. What are the different types of hysterectomy procedures available and which one is most suitable for my condition?
  2. What are the potential risks and complications associated with a hysterectomy?
  3. How will a hysterectomy affect my hormonal balance and menopausal symptoms?
  4. What is the recovery process like after a hysterectomy and how long will it take?
  5. Are there alternative treatments or therapies that I can explore before considering a hysterectomy?
  6. Will a hysterectomy affect my fertility and ability to have children in the future?
  7. How will a hysterectomy impact my sexual function and libido?
  8. What will be the long-term effects of a hysterectomy on my overall health and well-being?
  9. How often will I need to follow up with you after the surgery for monitoring and check-ups?
  10. Are there any lifestyle changes or precautions I should take post-hysterectomy to ensure a smooth recovery and optimal health?

Reference

Authors: Emont J, Wen T, Friedman AM, Wright JD. Journal: Obstet Gynecol. 2023 Mar 1;141(3):592-601. doi: 10.1097/AOG.0000000000005087. Epub 2023 Jan 18. PMID: 36649321