A hysterectomy is the removal of the uterus and cervix but not necessarily the removal of ovaries. Hysterectomy surgery at Ogden Clinic can be performed abdominally, laparoscopic, or vaginally. A hysterectomy involves removing the uterus and cervix. The ovaries can also be removed at the same time. Each technique has its advantages.
Total Laparoscopic Hysterectomy
Laparoscopic hysterectomy combines the best of both worlds. It has less pain, quicker recovery time and the ability to evaluate the whole abdomen. It involves placing 3 small incisions in the abdomen. Using these holes we place instruments to remove the uterus. It takes about an hour. Most patients go home in 10-23 hours after a Laparoscopic hysterectomy in Ogden.
Abdominal hysterectomy
Abdominal hysterectomy is the oldest and most common method to perform removal of the uterus. This hysterectomy procedure involves making an incision into the abdomen to remove the uterus. It usually takes less that 1 hour, but has increased pain and recovery time. This is the best option for very large masses or uteruses or when there have severe adhesions.

Vaginal Hysterectomy Surgery
Going through the vagina to perform a hysterectomy reduces recovery time and pain, but can't be performed on all women. Vaginal hysterectomy surgery is not a good option for large uteruses, adhesions, or if evaluation of the abdomen is desired. 

Does a hysterectomy immediately put me into menopause?
Removing your uterus does not immediately put you into menopause. Menopause can have hormone related symptoms (hot flashes, mood swings, vaginal dryness, decrease libido) associated with decrease in female hormones. These hormones are produced by the ovaries, not the uterus. All women go through menopause, regardless of hysterectomy. The average age of menopause is 51. While hysterectomy will stop your periods, it does not cause menopause unless you opt to have both ovaries removed at the time of your hysterectomy. Some advantages for keeping the ovaries is that hormones produced by the ovaries help keep bones strong, prevent heart disease, prevent menopausal symptoms, and increased quality of life. However, if a woman keeps her ovaries, there is a risk for ovarian cancer of ovarian diseases that may require surgery in the future. A few reasons for removing the ovaries are endometriosis, family history of breast or ovarian cancer, pain associated with recurrent ovarian cysts, ovarian tumors, PMS, or other hormonal symptoms. Hormone replacement therapy may be an option for women who have their ovaries removed. The decision to remove or not to remove one or both ovaries at the time of your hysterectomy is an individualized decision each patient makes with her physician. 

What is my recovery time after a hysterectomy?
Recovery time for a hysterectomy is between 6-8 weeks. This depends on if you work, and what type of work you do. If your work requires paperwork, all FMLA and short term disability paperwork should be turned in at your pre-op visit.