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Total vs. Partial Hysterectomy

From the Surgery Options and Choices Articles List



The more I read and soul search, and the more I talk things over with my husband, I am thinking I don’t want to lose my cervix. I am leaning towards asking my doctor about taking my tubes and uterus, and leaving my ovaries and cervix. But I want minimally invasive surgery, and I’m pretty sure my doctor is going to push for a total hysterectomy. How do I decide between a partial and total hysterectomy?

First, the cervix is not a separate organ. It is the neck of the uterus. So depending on your diagnosis, it may not be possible to keep the cervix. For instance, if your uterus is prolapsing, the cervix is what is making its exit from the body! If you have adenomyosis, endometriosis, cancer concerns, or fibroids, the cervix could be affected pre- and post-hysterectomy.

If you choose da Vinci or other minimally invasive surgery, you would need to check with your doctor about the possibility of keeping your cervix. If he or she delivers the uterus vaginally, keeping the cervix won't be an option. Find out the specific technique your doctor uses and also get a second opinion.

If you do opt to keep your cervix, it can be removed later if it is an issue. That procedure is called a trachelectomy. If your doctor indicates that he or she believes the cervix will have to go, though, it’s better to just get it done all at once and have one recovery.

Keeping or removing the cervix can be a very personal decision. There are doctors and patients who are adamant about each choice, each with information to back up their opinion. Be sure to get a second, and maybe even a third opinion, before you decide. A hysterectomy is a major surgery and a life-changing procedure. You will definitely want to be comfortable that you have made the right choice for you—one that best serves your particular medical needs.

This content was written by staff of HysterSisters.com by non-medical professionals based on discussions, resources and input from other patients for the purpose of patient-to-patient support.

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HysterSisters Articles

Options to Hysterectomy
Pre-Op Hysterectomy
Post-Op Hysterectomy
Hormone and Menopause
Intimacy after Hysterectomy
Pelvic Floor
Fitness after Hysterectomy
GYN Cancer
Grief and Loss
Endometriosis
Uterine Fibroids
Hysterectomy Stories
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Find a Surgeon

HysterSisters Doctor Directory
John Miklos, M.D.
3400 Old Milton Parkway
Bldg. C, Suite 330
Alpharetta GA 30005
770-475-4499
Leonard Rosen, M.D.
3650 Joseph Siewick Dr. #203
Fairfax VA 22033
703-391-1500
Samuel Wheatley, M.D.
627 Jefferson St
Whiteville NC 28472
910-642-3294
Dionysios Veronikis, M.D.
621 S. New Ballas Road, Tower B, Suite 2002
St. Louis MO 63141
314-251-6753
Ruslana Kadze, M.D.
5525 Etiwanda Avenue
Suite 228
Tarzana (Los Angeles) CA 91356
818-343-1717
Jennifer Hayes, M.D.
Visionary Centre for Women
2695 Ulmerton Rd
Clearwater FL 33762
727-540-0414
Quanita Crable, M.D.
8160 Walnut Hill Lane
Ste. LL-001
Dallas TX 75231
(469)364-3764
Linda Wrigley, M.D.
4200 Lake Otis Pkwy Ste 101
Anchorage AK 99508
907-569-8810
Geoffrey Bowers, M.D.
2401 E Evesham Rd
Suite A
Voorhees NJ 08043
856-424-3323

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April 16,2014

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