The Essential Guide to Hysterectomy

Advice from a Gynecologist on Your Choices Before, During, and After Surgery

In this second version of her groundbreaking book, gynecologist and leading women’s health expert Dr. Lauren Streicher— in a direct, clear, and often humorous way—reveals: What your doctor isn’t telling you;; nonsurgical ways to control heavy bleeding; hormone therapy post surgery, how to decrease your risk of uterine or ovarian cancer without removing your uterus or ovaries; uterine sparing methods for treating fibroids. For women who are scheduled for a hysterectomy, there is detailed information about what to expect and choices to be made including removal of your cervix, fallopian tubes and ovaries. While this book is slightly out of date, the majority is still accurate and relevant for women who are faced with surgery.

5-Star Reviews

“This physician provides so much information about who REALLY needs a hysterectomy and who may have alternatives. I definitely recommend you read this, (, make notes or highlife , and write lots of questions to ask your doctors BEFORE undergoing a hysterectomy.I found an option that my doctor had not discussed and opted for that before undergoing surgery. I was blessed, in that the option often fails for most women, BUT was successful for me. Thank goodness I read this book!!!

“..internet searching takes the reader to all kinds of web sites with all sorts of conflicting, confusing information: "You can stop or cure endometriosis through diet and exercise. The only cure for endometriosis is radical hysterectomy. You can never cure endometriosis, even if you do have radical hysterectomy. Hysterectomy is bad, you'll get osteoporosis and cancer and die. Hysterectomy is good, you will be less likely to get cancer and die. Hysterectomy will make you into an old woman overnight. HRT is bad, HRT is good, HRT will give you cancer and then you'll die..." All very upsetting and confusing to someone who just wants the best most current information.”

“Great book. Really helped me figure out what type of surgery I wanted and how to prepare for post-op. Author did a great job of addressing all aspects of a hysterectomy from a physician's point of view, along with womens personal experiences on having had a hysterectomy. I recommend this book if you're debating a hysterectomy or waiting for the procedure to happen”

“A must-read for any woman who finds herself in the midst of having to navigate treatment options for problematic fibroids, ovarian masses or cancer. Read this book first before wasting your time online or money on other resources…. You will feel empowered with correct medical information to help you ask the right questions, make the right treatment decisions, and care for yourself during and afterwards; thereby, helping to alleviate the normal anxiety of this difficult journey with which some of us are confronted. I strongly recommend this book if you or someone you know are facing these tough issues.”

absolutely love this book! The content was extremely relevant and beneficial. I have referred the book to my sisters (several have had hysterectomys), friends in the nursing profession, and anyone who would listen. I am 51 years old and had never had any type of surgery. ..I really enjoyed learning about the history of hysterectomys from the second century AD to present (I was a history major in college). Awesome book that I have recommended to at least 10 people! Thank you!”

Table of Contents

Part I: Hysterectomy Past and Present

Chapter 1.
The History and Politics of Hysterectomy

Chapter 2.
Anatomy 101

Chapter 3.
Who Gets a Hysterectomy? Who Absolutely Needs One?

Part II: Uterine Disorders and Alternatives to Hysterectomy

Chapter 4.
Fibroids—What, Where, and How

Chapter 5.
Nonsurgical Treatment of Fibroids

Chapter 6.
Removing Fibroids

Chapter 7.
Uterine Prolapse

Chapter 8.
Pain and Abnormal Bleeding

Chapter 9.
Precancerous Conditions and Cancer

Part III: Surgery and Recovery

Chapter 10.
Abdominal Hysterectomy

Chapter 11.
Vaginal Hysterectomy and Treatment of Urinary Incontinence

Chapter 12.
Laparoscopic and Robotic Assisted Hysterectomy

Chapter 13.
Choosing a Surgeon

Chapter 14.
Anesthetic Issues

Chapter 15.
Preparing for Surgery

Chapter 16.
The Day of Surgery

Chapter 17.
Recovering from Surgery

Chapter 18.
Complications and How to Reduce Your Risk

Part IV: Decisions Regarding Surgery

Chapter 19.
The Cervix Decision

Chapter 20.
The Ovary Decision

Chapter 21.
Women at Genetic Risk for Ovarian Cancer

Chapter 22.
Time for That Tummy Tuck? Plastic and Associated Procedures

Part V: Life After Hysterectomy

Chapter 23.
Exercise and Other Activities

Chapter 24.
A Word (or Two) About Hormones

Chapter 25.
Alternatives to Estrogen Therapy

Chapter 26.
Sex After Hysterectomy

Chapter 27.
Pregnancy After Hysterectomy

Chapter 28.
What I Have Learned from My Patients (and Their Husbands)