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Surgery Options | Never Given Birth

From the Surgery Options and Choices Articles List

Woman that has never given birth wondering what her surgery options areMy doctor has suggested a total abdominal hysterectomy because I have never given birth. Is that really the only option for me?


There are some reasons why an abdominal incision may be necessary for your hysterectomy but not having had children is not one of them. Though there are several different hysterectomy types, not all choices are appropriate for all women. However, many surgeons are not able to perform every hysterectomy type so they can only offer a choice for which they have training and skill. Additionally, not all medical facilities have the equipment necessary for all hysterectomy types.

If one has never given birth vaginally, it may be difficult to perform either a total vaginal hysterectomy or a hysterectomy where the uterus is delivered vaginally, depending on a woman's specific pelvic structure. Vaginal childbirth naturally broadens the pelvic bones which can allow for the room necessary to perform a vaginal or vaginally assisted hysterectomy. But even if one has not given birth vaginally or at all, a surgeon who is skilled with laparoscopic and/or daVinci methods may be able to complete the hysterectomy through small incisions in the abdomen using one of those methods. An abdominal incision is not necessary simply because a woman has not given birth.

There are some other reasons a surgeon may recommend an abdominal hysterectomy including an enlarged uterus, cancer concerns, fibroids, endometriosis, and/or adhesions. Again, a surgeon who is skilled with laparoscopic and/or daVinci methods may be able to perform the hysterectomy using one of those two methods and avoid an abdominal hysterectomy.

Not only does each woman need to work with her own medical team to find what is best for her, but she also needs to be comfortable with the choices offered her. Seeking a second opinion can insure that not only is a hysterectomy the right treatment option, but the suggested type is the best one for her, too.


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.

03-11-2012 - 11:15 PM


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