Hysterectomy is indicated as a treatment of
chronic pelvic pain only when a documented disease or
surgically correctable condition of the pelvic organs is present. When
hysterectomy is performed solely for relief of pelvic pain, the results may be
disappointing-pain may not improve after the surgery.
Hysterectomy is used as surgical treatment for chronic pelvic pain
By Lori Gottlieb
Remember the scene at the end of the first Sex and the City movie, when the fabulous foursome was sitting down to cocktails? Samantha had just left Smith, her gorgeous, adoring boyfriend — whom she loved and who had lovingly supported her through breast cancer — because "I love myself more." That's right: She dumped a keeper using what was arguably the most idiotic grrrl-power proclamation in the history of chick flicks (and there's some formidable competition there). And how did...
medication has failed to relieve pelvic pain or other symptoms.
severity of the chronic pain syndrome outweighs the risks of surgery.
The size, location, and involvement of other abdominal organs
hysterectomy procedure is most appropriate.
Removal of the
ovaries (oophorectomy) is commonly required because
the ovaries are often involved in chronic pelvic pain.
How effective is it?
When hysterectomy is performed solely for pelvic pain, the results
may be disappointing. Hysterectomy is indicated as a treatment for chronic
pelvic pain only when a documented disease or surgically correctable condition
of the pelvic organs is present.
Women who have significant relief of pelvic pain after a 2-month
trial of a gonadotropin-releasing hormone agonist (GnRH-A) drug (which "shuts
down" the ovaries) may be more likely to have relief of pelvic pain following
hysterectomy and oophorectomy.
What else should I know?
An accurate diagnosis is essential to the successful outcome of a
hysterectomy. If your symptoms are not accurately diagnosed, a hysterectomy may
not relieve your pain.
The symptoms of chronic pelvic pain may stop when
menopause occurs. Hysterectomy has no long-term
advantage over waiting for natural menopause to occur. If you are considering
this surgery, weigh the value of eliminating your pain against the risks and
costs of a hysterectomy.
Primary Medical Reviewer
Sarah Anne Marshall, MD - Family Medicine
Specialist Medical Reviewer
Kirtly Jones, MD - Obstetrics and Gynecology
July 15, 2010
WebMD Medical Reference from Healthwise
July 15, 2010
This information is not intended to replace the advice of a doctor.
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