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what causes lower back pain after hysterectomy

what causes lower back pain after hysterectomy

The treatment of fibroids depends mainly on the amount of problems due to their presence. Many women do not even get to know the presence of fibroids unless some women have medical check up.Most also carry a pregnancy after most easily through the surgical options, is more difficult to carry a pregnancy.

OIF fibroids are not causing problems and inconvenience that there is need for more treatment than checkups.

OIF fibroids cause pain, heavy or prolonged menstrual bleeding, or other pregnancy related problems, surgery may be necessary. The two types most common surgical hysterectomy and myomectomy.

OIF fibroids occur just before menopause then medicines or surgery Simple can be used to decrease as naturally shrink during menopause.

There are many treatment options available depending on the particular the patients condition and age:

1.Hysterectomy

2.Myomectomy

3.Hysteroscopic resection

4.Embolization

5.Laparoscopic surgery

6.Medication

Hysterectomy

Hysterectomy is a surgical procedure to remove the uterus, usually in conjunction with cervix.This is the most common and permanent cure for fibroids. But a major drawback of this surgery is that a pregnant woman can not ecom or carry a baby after this surgery. This option is only considered if the fibroids are very large. A hysterectomy is performed by making an incision in the abdomen. Sometimes the ovaries are also removed along with the uterus and cervix. The decision to remove the ovaries depends on the closeness of women is menopause or if the ovaries are diseased.

laparoscopic vaginal hysterectomy or vaginal hysterectomy can be performed if the fibroids are smaller, the uterus can be removed through the vagina rather than the abdomen. The stay in hospital for a hysterectomy is 2-5 days. The patient recovered completely after 6 weeks. For six weeks, you should avoid driving, heavy lifting, sexual intercourse and strenuous exercise. Complications after surgery may be infection, internal bleeding (hemorrhage) requiring transfusion of blood or injury to other pelvic organs such as bladder, bowel, or ureters.

Myomectomy

Myomectomy is a method to remove the fibroids without removing the uterus. This surgery allows women to have children but only 50% of women may lead to a successful pregnancy after myomectomy. Myomectomy is performed through an incision in the abdomen with the help of a laparoscope or
hysteroscope.

After surgery risks include:

oHeavy bleeding may occur. A woman is more likely of needing a blood transfusion after myomectomy than after a hysterectomy.

oScarring may happen that covers the ovaries or blocking of one or both of the fallopian tubes that allow the tubes to collect the eggs after ovulation.

ôThe surgery weakens the uterus walls.For delivery A baby that the patient has to undergo a caesarean section as labor contractions may tear or rupture the wall.

oInfection

oBlood clots in the legs.

oReoccurrence of fibroids

For removal of small fibroids new types of surgeries are available. The benefits of these options are

oThese options do not require abdominal surgery.

oThey might require overnight hospital stay, but mostly without stay is needed at all.

oThey are cheaper and recovery is faster and less painful.

oThey better cosmetic results also show almost no stitches are made.

oPatients recover completely within a week or two at most

Hysteroscopic resection

A thin telescope or hysteroscope is inserted through the cervix. A measure that allows the surgeon to see inside the uterus, fibroids can be removed by a laser, an electric knife or cable. It requires no incision.
The procedure is performed under general or local anesthesia.

Embolization

Under this procedure the fibroids are made to reduce the size and blood supply is cut. Using an X-ray image, a small catheter inserted through a small incision in the groin to the main arteries that supply blood to the uterus. Small plastic particles are inserted through the catheter to block these blood vessels. Because the smaller arteries remain connected to the uterus, there is no damage. All this is done local or general anesthesia. The procedure takes a hour.It need to lie on your back for 6-7 hours after surgery to stop bleeding from the wound. Would one week to recover fully during which some patients have fever.

Laparoscopic Surgery

Under this form of surgery laparoscopic surgical telescope called thin pencil is inserted through one or more tiny incisions in the abdomen to remove the fibroids.

or laparoscopic myomectomy is used for small, easily accessible and fibroids in the uterine incision is made to remove them.

oLaparoscopic myolysis is a procedure used for large or difficult to reach the fibroids. A laser or electric needle is used to destroy or shrink them.

Medication

1. Certain drugs called agonists gonadotropin-releasing hormone (GnRH agonists) can also be used to treat blocked indirectly fibroids.They the production of estrogen, which shrinks fibroids. Once the size
Fibroids is reduced to one third, it is easier to remove through of vaginal or laparoscopic hysterectomy rather than abdominal surgery is more complicated. It can also be used for women with menopause, such as fibroids are reduced after natural menopause. It is available as Lupron (leuprolide), Synarel (nafarelin) and Zoladex (goserelin)

Disadvantages and side effects of these drugs are: –

OIF these drugs are used for more than 6 months, cause bone loss leading to osteoporosis or joint pain.

oOnce stops the drug, fibroids grow back.

oMost women stop having periods during the consumption drug.

Othis drug has a similar effect as menopause, so it makes all the problems observed during menopause such as hot flashes, vaginal dryness, irregular vaginal bleeding, mood swings and low libido

2.To reduce heavy bleeding due to fibroids, progesterone or androgens are also given as synthetic hormones. But do not shrink the fibroids. Sometimes prescribed GnRH agonist in combination with a low dose of estrogen or progesterone, which reduces the effects side of GnRH agonists.

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