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I'm just wondering. Based on all the medical diagrams I've looked at, the cervix seems to be just the bottom portion of the uterus. Does it have a special purpose that makes it more beneficial to keep it if you can?
I asked my doctor that and she said it was a matter of choice. She recommends removing it all but some doctors don't. She said there are alot of myths out there and she could tell me that she had her cervix removed when she had her hysterectomy and everything has been fine.
I have heard it keeps your pelvic floor intact but I don't know if it really does since so many I know have had their's removed with no problems or complaints since the surgery.
I don't know either. I had mine removed because I had heard of cervical cancer, so, I said to the doc....take it all. Some people say it helps make sex better. But, I don't know. I personally can't tell any difference at all.
The cervix helps with pelvic floor support and is partially responsible for secreting moisture for the vagina (there are other glands that do that as well, so don't worry if you don't keep your cervix, you'll still be able to get aroused).
Some women can feel their cervix during intercourse and many women experience orgasms centered there (during contractions during an orgasm, the cervix "dips" into the vagina supposedly to get better contact with the semen).
It's a personal choice. Not all procedures allow for keeping the cervix (the vaginal ones) so you have the advantage with the abdominal one to choose.
If you do choose to keep your cevix, have your doctor test you for the strains of HPV (human papilloma virus) that can cause cervical cancer (not all strains cause cervical cancer and not all women who have HPV will get cervical cancer). If you keep your cervix you'll still have to have regular paps.
My suggestion is to observe how you are aroused, where you feel good during sex and how your body reacts to an orgasm.
I am always of the mind to keep whatever is healthy.
I kept my cervix and my orgasms seem to be absolutely the same as they were before surgery. I haven't had sex yet, and I'm hoping that's even better now that I don't have those huge fibroids pushing on me.
All DR's seem to have different opinions about the cervix. This is the way my DR explained it to me (and I value her opinion, that's why you should discuss it with your own DR, I assume his/her opinion is more important to you than someone else's opinion): the cervix is not a separate organ; it is part of the uterus, basically just the opening to the uterus. Once the uterus is gone it no longer has a function. It is about the size of a coat button. It serves no function in supporting other organs. During surgery the vagina is attached to other structures in the abdomen. Keeping the cervix there is still a risk for cervical cancer, and if you keep one or both ovaries there is also a chance of “mini periods”. The bladder has its own ligaments for support.
My experience with sex is it is the same without the cervix as it was with it. I also haven't had any problems with my bladder. My surgery was 2 1/2 years ago.
Please remember pap smears are still needed even if you don't keep your cervix. The test will be done for vaginal cancer, even tho that type of cancer is rare. Some Drs. recommend every yr., some say every 2 and some say every 5 yrs. I'm going w/every yr. Why take the chance?
I kept mine for support reasons, and for sex reasons. VERY glad I did.
Doctor did cauterize it really well to avoid mini-periods, but since she had to remove both ovaries, there was little chance of that.
I can say that my moisture during sex has greatly INCREASED since the surgery - along with my sex drive. I think my body was overwhelmed with too much estrogen from malfunctioning ovaries. Also, I tend to feel my cervix during sex, and I didn't want that feeling to go away.
It's YOUR decision - I actually had to be very firm about wanting to keep the cervix (made them cross out TAH on my consent form, and write in SAH, and keep cervix).
For me, with no history of cervical cancer in the family, and my own reasons for wanting to keep it, I am very happy I did.
Interestingly, my physician asked me about my cervix at the last appointment, kind of off topic. He said it comes as a decision point for him with other patients so he wanted to know how I felt about mine, if it helped with sensation. I suppose everyone is different. My answer to him was yes, as to when was an option for him to spare it for other patients, if I felt it helped me. (I had not chosen, it was done emergently, so the hyst choices were made while I was unconscious).