Should I get a hysterectomy if I have precancerous cells?

If the precancerous disease is more extensive or involves adenocarcinoma in situ (AIS), and the woman has completed childbearing, a total hysterectomy may be recommended. 1 During a total hysterectomy, the entire uterus (including the cervix) is removed.
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Can precancerous cells come back after hysterectomy?

If these cancerous cells continue to spread, you can still develop cervical cancer even after the cervix is removed. In fact, one early study on the topic found that over 18 percent of patients who underwent a total radical hysterectomy for cervical cancer experienced a recurrence of the condition.
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Should I get a hysterectomy if I have HPV?

Hysterectomy is commonly requested by patients upon learning of cervical dysplasia, particularly if they have chronic human papillomavirus (HPV) infection and have experienced years of frequent surveillance and interventions.
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Why should you not get a hysterectomy?

For many women, the biggest drawback to a hysterectomy is loss of fertility. Once you have a hysterectomy, you cannot conceive, and for many women of childbearing age, this is a significant loss. Women who feel pushed into a hysterectomy may also have a negative reaction to it.
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What stage of cervical cancer do you need a hysterectomy?

A radical hysterectomy is the standard treatment for early-stage cervical cancer. That includes stage I cervical cancer, and more specifically, stage IA2 and IB1. Often these patients are younger, between ages 20 and 40. Surgery is not the standard of care for advanced-stage cervical cancer patients.
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What Steps Should Women Take Before They Decide to Have a Hysterectomy?



Can having a hysterectomy stop cervical cancer?

Simple hysterectomy can be used to treat certain types of severe CIN or certain types of very early cervical cancer.
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Should I have a hysterectomy for cervical cancer?

Depending on the woman's age and the type of cancer, removal of the ovaries & fallopian tubes may also be recommended. Most women with cervical cancer are treated with a radical hysterectomy. Sometimes some of the abdominal lymph nodes may be removed in addition to the pelvic lymph nodes during a radical hysterectomy.
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What is the average age for a woman to have a hysterectomy?

Although it's commonly thought of as an operation for older women, the average age of women getting hysterectomies is actually 42, which means that many younger women have the procedure.
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Does having a hysterectomy age you faster?

Having a hysterectomy is a big change for your body. Depending on where you are in your menopause journey, this type of procedure can cause hormonal changes resulting in different side effects. A hysterectomy by itself usually doesn't affect your hormones and aging as much.
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What are the signs that you need a hysterectomy?

The most common reasons for having a hysterectomy include:
  • heavy periods – which can be caused by fibroids.
  • pelvic pain – which may be caused by endometriosis, unsuccessfully treated pelvic inflammatory disease (PID), adenomyosis or fibroids.
  • prolapse of the uterus.
  • cancer of the womb, ovaries or cervix.
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What happens to HPV after hysterectomy?

Cytologic abnormalities and HPV infection are both relatively common in individuals who have undergone hysterectomy. HPV infection of the vagina is found with similar frequency as HPV infection of the cervix and the prevalence of hrHPV is similar between individuals with and without hysterectomy.
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Will removing my cervix get rid of HPV?

Surgically treating genital warts doesn't cure a human papillomavirus (HPV) infection, however, and warts can return after surgery if the immune system does not eliminate the infection. Surgery may be used to treat moderate to severe cervical dysplasia by removing abnormal cells on the cervix.
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How long are you out of work for a hysterectomy?

If you had a vaginal or laparoscopic hysterectomy, you might begin driving with a few days. Resume your exercise routine in four to six weeks, depending on how you feel. You can usually go back to work in three to six weeks, depending on what kind of work you do.
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How serious are precancerous cells?

Often, precancerous lesions are not invasive and a person will not develop cancer. In some cases these precancerous cells, if left alone, may go on to become “invasive” cancer cells. Sometimes, it may take these cells a few years, or even decades to progress.
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What does Stage 3 precancerous cells mean?

CIN 3 is not cancer, but may become cancer and spread to nearby normal tissue if not treated. Treatment for CIN 3 may include cryotherapy, laser therapy, loop electrosurgical procedure (LEEP), or cone biopsy to remove or destroy the abnormal tissue. CIN 3 is sometimes called high-grade or severe dysplasia.
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What happens if you have precancerous cells in uterus?

Precancerous conditions of the cervix are changes to cervical cells that make them more likely to develop into cancer. These conditions are not yet cancer. But if they aren't treated, there is a chance that these abnormal changes may become cervical cancer.
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Will I gain weight after a hysterectomy?

It's a fairly prevalent post-op side effect, even in the absence of adjustments to diet or physical activity level. A Journal of Women's Health study concluded that there is indeed a greater chance of weight gain after a hysterectomy, especially in the first year.
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What are the disadvantages of a hysterectomy?

³ Major complications include hemorrhage, bowel injury, bladder injury, pulmonary embolism, adverse reactions to anesthesia, wound dehiscence, and hematoma. And between 10% and 15% of women who undergo hysterectomy require blood transfusions.
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Can a man feel when a woman has had a hysterectomy?

Some husbands worry their wives may feel different or no longer express interest in them. The reality is that sex after hysterectomy for the man may feel surprisingly similar. In all procedures, the surgeon takes steps to maintain vaginal functionality.
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Do your hips get wider after a hysterectomy?

The uterine ligaments are the pelvis' support structures so the torso collapses after those ligaments are cut to remove the uterus. The hips widen and the spine and rib cage fall. This explains why hysterectomized women have shortened and thickened midsections and no curve in their lower backs.
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Do you lose weight after hysterectomy?

Weight loss isn't a side effect of a hysterectomy. Some people experience a few days of nausea following a major surgery. This can be a result of pain or a side effect of the anesthesia. For some, this can make it hard to keep food down, resulting in temporary weight loss.
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Does your skin change after hysterectomy?

Skin Changes After a Hysterectomy

Post-hysterectomy, some women report increased oiliness and breakouts while others experience skin dryness. The type of hysterectomy one's undergone and whether they are using hormone replacement therapy (HRT) plays a major role in the skin's reaction.
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Can a Dr see cancer during a hysterectomy?

Laparoscopic hysterectomy: Laparoscopic surgery is done with a tiny camera and special instruments. The surgeon puts these tools through several small incisions (cuts) in the belly. In a laparoscopic hysterectomy, the surgeon usually is able to see the organs well enough to find out the extent of the cancer.
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What type of cancer requires a hysterectomy?

A hysterectomy may be used to treat endometrial, cervical, ovarian and uterine cancers. The type of hysterectomy performed depends on the type of cancer, as well as its extent. The procedure may involve removing the ovaries and fallopian tubes in a surgery called a salpingo-oophorectomy.
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What are the signs that cervical cancer has spread?

The most common places for cervical cancer to spread is to the lymph nodes, liver, lungs and bones.
...
Symptoms if cancer has spread to the liver
  • discomfort or pain on the right side of your abdomen.
  • feeling sick.
  • poor appetite and weight loss.
  • swollen abdomen (called ascites)
  • yellowing of the skin (jaundice)
  • itchy skin.
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