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What Takes the Uterus' Place after Hysterectomy?

From the Hysterectomy Recovery Articles List

what takes the place of uterus when it is goneWhat is the normal size of a uterus? What will fill up the space when it is gone?


Your uterus is a pear-shaped organ that typically is the size of your fist. According to Medscape, the average dimensions of a woman’s uterus are 8 cm long, 5 cm across, and 4 cm thick, or approximately 3 in. long, 2 in. across, and 1 in. thick. An average uterus weighs between 80–200 g or 3–7 oz. depending on various conditions.

The uterus can change sizes depending on age, hormonal situation, and diagnoses. The uterus is smaller before puberty, then grows in response to hormonal stimulation. The hormonal changes that occur throughout a normal menstrual cycle can also affect uterus size on an ongoing basis. Following menopause, the uterus can shrink as hormones are depleted. Conditions such as fibroids, tumors, or adenomyosis can cause the uterus to be enlarged, and it usually remains larger following a pregnancy.

Because the uterus is not really that big, your other organs will easily move around to fill in what little space might be created when it is removed. All of those organs fit together rather snugly so a little bit more elbow room is not usually a problem. Consider that your small and large intestines are around 25 feet long, so they could easily use a bit more space! If you have a large uterus, your organs are currently being pushed out of place and/or closer together, so after your hysterectomy they can move back to their normal locations and not be so squished!

Here is how one HysterSister describes it: Imagine a plate of spaghetti with a meatball hiding in the middle of it. If the meatball is removed and you look at your plate of spaghetti, you will not see an empty space left by the absent meat ball. Instead, the spaghetti and sauce will have filled in the area where the meatball had been. That is what it is like when the uterus is removed--the other organs in the pelvic cavity shift to fill in the space so no empty area is left.

Most women will not notice their missing uterus or feel as if there is an empty space in their abdomen or pelvic region. On the other hand, those who had an enlarged uterus pressing on the bladder and other organs may feel a sense of relief as the abdominal and pelvic pressure will be gone.


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.

01-16-2014 - 04:11 PM


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