If you are young enough and would like to have more children (or even your first child), then it’s usually recommended that you undergo a myomectomy first to try to relieve your symptoms. In a myomectomy, the uterus is actually left intact and attempts are made to only remove the fibroids (myomas or muscular growths). Hysterectomies and myomectomies are discussed for several of the following reasons:

• Chronic constipation

• Heavier than normal menstrual cycles

• Bleeding during your periods that lasts longer than a week

• Pelvic pain or pressure

• Leg pain or backaches

• Urinating more frequently

• Difficulty starting a urine stream

On the other hand, a hysterectomy may be the best form of treatment for more serious conditions, such as:

• Cancer, including ovarian, cervical or endometrial

• Uterine prolapse, when your uterus falls out of place

• Adenomyosis, when endometrial tissue moves outside of your uterus

• Severe endometriosis that hasn’t responded to other treatments

• Uncontrolled bleeding while giving birth

• Chronic pelvic pain

• Vaginal bleeding that continues despite various treatments

• Fibroids that are too large and have irreparable changed the structure of the uterus

All symptoms should always be evaluated with a thorough consultation and examination by your local NYC gynecologist Dr. Fernando Mariz for an accurate diagnosis and treatment plan to exclude any underlying serious condition.

Hysterectomy is the second most common surgery performed in the U.S., accounting for about half a million surgeries per year. Depending on your age, severity of your symptoms and future lifestyle plans, you and your ob gyn in NYC can decide which hysterectomy option is best for you. Some options are:

• A radical hysterectomy removes all of your reproductive organs. It’s usually performed when you’ve been diagnosed with cervical or endometrial cancer.

• During a partial hysterectomy, only your uterus is taken out. A laparoscopic myomectomy may be performed on the rest of your organs to remove fibroids.

• A total or simple hysterectomy removes just your uterus and cervix. It’s ideal for women with fibroids who don’t want to lose their ovaries.

• Laparoscopic or robot assisted laparoscopic hysterectomy is the most minimally invasive procedure.

Manhattan Women's Health & Wellness

Nearby Locations:

Upper East Side

Yorkville | Manhattan Valley | Lenox Hill | Sutton Place | Carnegie Hill | East Harlem

10028 | 10025 | 10021| 10022 | 10029