Introduction
Abdominal hysterectomy removes the uterus through an incision in the lower abdomen. Whether the ovaries and fallopian tubes are removed depends on the reason for surgery and shared decision-making.
It is major surgery. Less invasive options—medicines, IUDs, or laparoscopic or vaginal hysterectomy—may be appropriate first. After the uterus is removed you cannot become pregnant. Recovery and hormone effects depend on whether ovaries remain.
Why it is done / when it is considered
Abdominal Hysterectomy is commonly discussed in situations such as:
- Large fibroids, heavy bleeding, or pain not controlled with other treatments
- Uterine cancer or suspected malignancy requiring surgery
- Selected cases of adenomyosis, endometriosis, or uterine prolapse
- Prior cesarean or adhesions when minimally invasive routes are not feasible
How the procedure is done
- Performed under general anesthesia through a lower abdominal incision
- Surrounding tissues are examined; biopsies may be taken if needed
- The incision is closed with sutures or staples; a drain is sometimes placed
- Hospital stay of several days is common
Preparation
- Complete blood work, imaging, and anesthesia assessment
- Discuss blood thinners and hormonal treatments with your gynecologist
- Pregnancy testing may be required before surgery
- Plan for blood transfusion possibility and home support after discharge
Risks and possible complications
Risks differ by procedure. Your age, other illnesses, and anaesthesia plan change the picture—your care team will explain what applies to you.
- Bleeding, infection, and blood clots (DVT/PE)
- Injury to bladder, ureters, or bowel—uncommon but serious
- Anesthesia complications and wound healing problems
- If ovaries are removed, menopausal symptoms may begin; retained ovaries still require counseling
Recovery
- Pain control, early walking, and breathing exercises are important in the first weeks
- Heavy lifting, sex, and tampon use are restricted for a defined period
- Full recovery often takes about 6–8 weeks or longer
Aftercare and follow-up
- Keep the incision clean and dry; report fever or foul drainage
- Seek emergency care for leg swelling, chest pain, or shortness of breath
- Review pathology results and any hormone or follow-up plan with your surgeon
Frequently asked questions
Will I still have periods after hysterectomy?
No menstrual periods occur once the uterus is removed. Hormones may continue if ovaries remain.
Abdominal or laparoscopic—which is better for me?
That depends on uterine size, prior surgery, and surgeon assessment—not one answer for everyone.
Will I lose weight from hysterectomy alone?
Weight change is not guaranteed; long-term weight depends on diet and activity.
Important caution
This article is general health information. It is not personal medical advice, a surgery recommendation, or a cost promise.
Decide on need, alternatives, risks, and cost with your doctor and hospital. If you have emergency symptoms, go to hospital without delay.