Table Of Contents

 

Acknowledgments      5

Introduction                7

 

Part I: Hysterectomy Past and Present

 1.        The History and Politics of Hysterectomy    10

 2.        Anatomy 101  26

 3.        Who Gets a Hysterectomy? Who Absolutely          

            Needs One?     34

 

Part II: Uterine Disorders and Alternatives to Hysterectomy

 4.        Fibroids—What, Where, and How     46

 5.        Nonsurgical Treatment of Fibroids     59

 6.        Removing Fibroids      75

 7.        Uterine Prolapse         93

 8.        Pain and Abnormal Bleeding   104

 9.        Precancerous Conditions and Cancer  134

 

Part III: Surgery and Recovery

10.       Abdominal Hysterectomy      149

11.       Vaginal Hysterectomy and Treatment of      

            Urinary Incontinence  166

12.       Laparoscopic and Robotic Assisted Hysterectomy

            178

13.       Choosing a Surgeon     199

14.       Anesthetic Issues        220

15.       Preparing for Surgery  231

16.       The Day of Surgery    245

17.       Recovering from Surgery        266

18.       Complications and How to Reduce Your Risk           287

 

Part IV: Decisions Regarding Surgery

19.       The Cervix Decision   304

20.       The Ovary Decision   313

21.       Women at Genetic Risk for Ovarian Cancer   327

22.       Time for That Tummy Tuck? Plastic and     

            Associated Procedures            341

 

Part V: Life After Hysterectomy

23.       Exercise and Other Activities 352

24.       A Word (or Two) About Hormones  368

25.       Alternatives to Estrogen Therapy  392

26.       Sex After Hysterectomy         409

27.       Pregnancy After Hysterectomy         427

28.       What I Have Learned from My Patients       

            (and Their Husbands) 436

29.     Resources                      472

Index