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When uterus removal or hysterectomy is needed?

1 month ago

I am 42 and have been dealing with heavy bleeding, severe cramps, and fatigue for almost a year. My gynecologist suggested uterus removal, but I’m scared. When is hysterectomy actually needed, and how do I know if I’ve tried all other options before choosing surgery?

Asked By Ananya Sharma | Female

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1 month ago

Answers (1)

Pristyn Care Team

Simplifying Healthcare

Answered 14/10/2025

Heavy bleeding, severe cramps, and year-long fatigue can seriously affect your daily life, and a hysterectomy is usually advised only when these symptoms don’t improve with other treatments.

Before choosing surgery, doctors typically try hormonal medicines, bleeding control medications, hormonal IUDs, or minimally invasive options like endometrial ablation or fibroid removal. A hysterectomy becomes necessary if you have large fibroids, adenomyosis, severe endometriosis, precancerous changes, or if symptoms persist despite multiple treatments.

The best way to decide is to ask your doctor what alternatives are still available, what the exact cause of your symptoms is, and how your health would change with or without surgery, so you can make a confident and informed decision.

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