To Keep or Remove the Cervix During Hysterectomy: Understanding Your Options
Deciding whether to keep or remove the cervix during a hysterectomy is a significant choice that depends on various personal health factors. As a gynecologist, I often guide patients through this decision by highlighting the main reasons for both options. Here are two key considerations for each choice.
Reasons to Keep Your Cervix:
Pelvic Support: One of the primary reasons to retain your cervix is the additional pelvic support it provides. This can be especially important for maintaining the structural integrity of your pelvic region post-surgery.
Cervical Orgasms: Yes, this is a real phenomenon. If you experience cervical orgasms, keeping your cervix might be an important factor in your sexual satisfaction and overall quality of life.
Reasons to Remove Your Cervix:
History of Abnormal Pap Tests: If you have had abnormal pap tests in the past, which indicate a higher risk for cervical cancer, removing your cervix during a hysterectomy can eliminate this risk.
Endometriosis or Adenomyosis: For those with a history of endometriosis or adenomyosis, retaining the cervix can sometimes result in continued pain and bleeding. Removal, in this case, might offer significant relief.
Each woman’s situation is unique, so it’s crucial to have a detailed discussion with your gynecologist. They can provide personalized advice based on your medical history, lifestyle, and individual concerns. Remember, making an informed decision is key to your health and well-being during and after a hysterectomy.
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