Our Summary

This study looked at the results of hysterectomy surgeries, which is the removal of the uterus, in two different groups of patients: those who had the surgery as part of their transition (gender-affirming) and those who had the surgery due to non-cancerous disorders related to menstruation.

Out of over 40,000 patients who had this surgery from 2009 to 2018, a little over 500 were identified as gender-affirming. The study found that the gender-affirming patients were generally younger and healthier, had less diabetes, and were more likely to have the surgery done on an outpatient basis, meaning they were discharged sooner. The rate of complications after surgery was similar for both groups.

The study also found that the chance of needing to return to the operating room wasn’t significantly different between the two groups.

Based on these findings, the researchers suggest that gender-affirming patients could be good candidates for donating their uterus, but more research is needed to explore this possibility.

FAQs

  1. What were the main findings of the study on hysterectomy surgeries?
  2. Was there a significant difference in the rate of complications after surgery between gender-affirming patients and those with non-cancerous disorders related to menstruation?
  3. Could gender-affirming patients potentially be good candidates for uterus donation based on this study?

Doctor’s Tip

One helpful tip a doctor might tell a patient about hysterectomy is to discuss with them the potential risks and benefits of the surgery, as well as alternative treatments that may be available. It’s important for the patient to understand the potential long-term effects of hysterectomy, such as hormonal changes and the impact on fertility, so they can make an informed decision about their healthcare. Additionally, the doctor may recommend that the patient follow a healthy lifestyle, including regular exercise and a balanced diet, to help with their recovery after surgery.

Suitable For

In general, patients who are recommended for hysterectomy include those with conditions such as:

  1. Uterine fibroids: Non-cancerous growths in the uterus that can cause pain, heavy menstrual bleeding, and other symptoms.

  2. Endometriosis: A condition where tissue similar to the lining of the uterus grows outside of the uterus, causing pain and other symptoms.

  3. Adenomyosis: A condition where the tissue that normally lines the uterus grows into the muscular wall of the uterus, causing pain and heavy bleeding.

  4. Prolapse: When the uterus slips down into the vaginal canal due to weakened pelvic floor muscles.

  5. Chronic pelvic pain: Persistent pain in the pelvic region that does not have a clear cause.

  6. Abnormal uterine bleeding: Heavy or irregular menstrual bleeding that does not respond to other treatments.

  7. Gynecologic cancers: In some cases, hysterectomy may be recommended as part of treatment for uterine, cervical, or ovarian cancer.

It is important for patients to discuss their individual medical history and concerns with their healthcare provider to determine if hysterectomy is the best treatment option for them.

Timeline

Overall, before undergoing a hysterectomy, a patient will typically experience symptoms related to their condition, such as heavy or painful periods, fibroids, endometriosis, or adenomyosis. They may have tried other treatments without success, leading them to consider surgery.

After the hysterectomy, the patient will likely experience some pain and discomfort, as well as fatigue and possible emotional changes. They will need time to recover and may need to take time off work or limit their activities for a period of time. Over time, the patient should experience relief from their previous symptoms and may see improvements in their quality of life.

It’s important for patients to follow their doctor’s instructions for post-operative care, including taking any prescribed medications, attending follow-up appointments, and gradually increasing their activity level. With proper care and time, most patients should be able to resume their normal daily activities and enjoy the benefits of their hysterectomy surgery.

What to Ask Your Doctor

Some questions a patient should ask their doctor about hysterectomy include:

  1. What are the reasons for recommending a hysterectomy in my case?
  2. Are there any alternative treatments or procedures that could be considered before proceeding with a hysterectomy?
  3. What are the potential risks and complications associated with a hysterectomy?
  4. How will a hysterectomy impact my overall health and quality of life?
  5. What is the expected recovery time after a hysterectomy?
  6. Will a hysterectomy affect my ability to have children in the future?
  7. What are the different types of hysterectomy procedures available and which one is recommended for my specific situation?
  8. How often do complications occur after a hysterectomy and what steps can be taken to minimize the risk?
  9. What is the long-term outlook after undergoing a hysterectomy?
  10. Are there any lifestyle changes or precautions I should take before or after the surgery?

Reference

Authors: Siringo NV, Boczar D, Berman ZP, Chaya BF, Kimberly L, Rodriguez Colon R, Trilles J, Brydges H, Rodriguez ED. Journal: Perspect Sex Reprod Health. 2023 Dec;55(4):222-228. doi: 10.1363/psrh.12246. Epub 2023 Nov 3. PMID: 37923702