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Alternatives to Hysterectomy

A hysterectomy is the surgical removal of the uterus and is the second most common major operation in women of childbearing years.

The most common conditions for hysterectomies include fibroid tumors, endometriosis, and uterine prolapse.  However, a hysterectomy is only one way to treat uterine problems.

Because a hysterectomy ends menstruation and the ability to become pregnant, women who want to have children should consider treatments other than hysterectomy.  Our Omaha OBGYNs take the time to consult with you regarding all options available to treat your condition.  Such options can include medications, hormone therapy, uterine artery embolization, or other surgeries.

The following are some common alternatives presented by condition:

  • Uterine Fibroids
  • Gonadotrophin-releasing hormone (GnRH) medication
  • Uterine artery embolization
  • Surgical removal (myomectomy)
  • Endometriosis
  • Oral contraceptives
  • GnRH medication
  • Laparoscopic Surgery
  • Laparotomy without hysterectomy
  • Uterine Prolapse
  • Pelvic floor exercises
  • Pessary
  • Hormone replacement therapy (HRT)
  • Cervical dysplasia
  • Loop electrosurgical excision procedure (LEEP)
  • Abnormal vaginal bleeding
  • Progestins (hormones)
  • GnRH
  • Dilation and vaginal curettage (D&C)
  • Nonsteroidal anti-inflammatory medicine (NSAID)
  • Hysterectomy with polypectomy, myomectomy, or ablation