Causes of Hysterectomy
Introduction
Having a hysterectomy can be one of the most difficult decisions a woman ever has to make. It can threaten your identity, sexuality, and fertility, and lead to lingering feelings of grief, depression, and loss. But sometimes a hysterectomy is necessary in order to increase quality of life, reduce painful symptoms, or even save lives. If you are thinking about having a hysterectomy, it is important to weigh your decision carefully. This report is designed to give the reader some important background information on hysterectomy procedures and on how a hysterectomy might affect you or someone you love.
But first, what is a hysterectomy? The Webster’s New World Medical Dictionary defines
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In endometriosis, this endometrial tissue begins to grow in places outside the uterus. Typical sites include the fallopian tubes, intestines, vagina, and on scars that my form after abdominal surgery. The misplaced endometrial tissue thickens, engorges with blood and bleeds during the menstrual cycle, just like the normal tissue in the uterus. However, there is no place for the abnormally placed endometrial tissue outside the uterus to shed blood. This results in the formation of cysts, scars, and adhesions. This process can also block or affect the fallopian tubes so that conception and pregnancy are less likely to happen. It can also result in complete infertility. Other symptoms of endometriosis are often associated with heavy or painful periods. Risk factors for the development of endometriosis include having a mother or sister with the disorder, never having children, starting the menstrual period at an early age, and frequent or long periods. According to Dr. Camron Nezhat, Laparoscopic Surgeon at Stanford University, 5.5% of women in the U.S are infected with Endometriosis and 30% to 40% are infertile as a result of it.
PID- Pelvic Inflammatory Disease
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The Professional Guide to Diseases states that Pelvic Inflammatory Disease refers to a variety of infections of the female reproductive organs. It can affect the uterus, fallopian tubes, ovaries and nearby tissues. PID is most commonly
Therefore, the scope of information provided is limited to essential information directly related the purpose providing women facts about endometriosis. The facts are brief enough to what the health consumer can reasonably learn in the time allowed. The headings are clearly stated which makes the information provided on this pamphlet easy to follow and promotes learning and interaction among women. This information can aid women to understand about their diagnosis and empower them to make an informed decision. 1,2,2
In fact, three women had disease that could not easily be excised and thus could not be histologically confirmed; one patient had extensive endometriosis that could not be resected at all, and two others had cul-de-sac disease that could not be biopsied. In
Coming from a small, broken home, Mary always knew she wanted to have a large family of her own. Having an emergency hysterectomy at the age of 27, three children was all that Mary could have, not fulfilling her dream of a great, overbearing family. All of her three girls coming from a previous marriage, adoption was the only option for Mary and her new husband. Now, one mother faces the horrors of; attempted murder, mental disabilities and an agonizing lifetime commitment all because of international adoption.
Endometriosis is an often painful disorder in which tissue that normally lines the inside of your uterus, the endometrium, grows outside your uterus. Endometriosis most commonly involves your ovaries, bowel or the tissue lining your pelvis. Rarely, endometrial tissue may spread beyond your pelvic region (Staff, 2010). They can also be found in the vagina, cervix, and bladder, although less commonly than other locations in the pelvis. Rarely, endometriosis implants can occur outside the pelvis, on the liver, in old surgery scars, and even in or around the lung or brain. Endometrial implants, while they can cause problems, are benign (Stoppler, 2011). In endometriosis, displaced endometrial tissue continues to act as it normally would: It
Later on in life, the mother may have to have a hysterectomy, which is when doctors perform surgery to completely remove a woman’s uterus. If her uterus is removed, it will prevent her from having children naturally. If a hysterectomy is not needed, then the mother may experience miscarriages later on due to the complications from an abortion. These side effects may lead to many emotional effects for the mother and severe hemorrhaging may also occur right after the abortion or several months later due to the procedure
Endometrial cells that shed during menstruation are transported through the fallopian tubes and enter the pelvis, attaching to pelvic structures. Cells can travel outside the pelvis through the lymphatic and blood vessels, during menstruation this tissue responds to hormonal changes and bleeding which can cause inflammation to the surrounding tissue. Inflammation can lead to fibrosis, and fibrosis leads to adhesions that can be painful. (docucare, 2017) Menorrhagia can occur with endometriosis because of the hormone build up caused by the thicken of the uterine wall. (Mayo Clinic 2017)
Pelvic inflammatory disease is an infectious disease that invades the female reproductive organs such as the uterus, fallopian tubes and ovaries. Pelvic inflammatory disease also known as PID, is caused by infectious bacteria such as Chlamydia trachomatis, Neisseria gonorrhea and other bacteria. Bacteria that travel from the vagina to the cervix will cause inflammation, pain, damage and
Pelvic Inflammatory Disease is an infection of the female reproductive organs. PID occurs when sexually transmitted bacteria spread from the vagina to the fallopian tubes, ovaries, or the womb. Pelvic Inflammatory Disease is a bacteria. https://www.gstatic.com/healthricherkp/pdf/pelvic_inflammatory_disease.pdf
The function of the estrogen was undesirably affected by the low level of progesterone in the body in preparing for ovulation and the endometrial to thicken and be ready to nourish an embryo when pregnancy happens, which can cause endometrial hyperplasia and carcinoma. The underlying problem which is anovulation causes irregular menstruation. The inability to ovulate or release matured eggs in the ovary due to decrease production of follicle stimulating hormones to mature eggs in the ovaries. A fluid fill-like cyst will develop in the ovaries leading to infertility. Hyperinsulinemia is the increase of blood glucose in the body which causes insulin resistance. High Insulin combines with abnormal high LH to cause the ovaries to produce more testosterone, which alter the normal development of
Endometriosis lesions can affect the outside of the uterus, fallopian tubes, ovaries, vagina, cervix, bowel and lining of the pelvic cavity. The problem with these lesions is that they contain specialized cells just like the ones present inside the uterus, that are meant to shed during the menstrual cycle. During normal menstruation, the blood and cells leave the body via the vagina, but the blood and cells from the endometrial growths have no way to leave the body.
Gender identity is the sense one has of being male or female. “Transgender and gender nonconforming (TGNC) people identify with a different gender than their birth gender” (Dickey, Budge, Katz-Wise & Garza, 2016, p. 275). Female to male individuals (FtM) want to have hysterectomies and salpingo-oophorectomies performed for different reasons. A hysterectomy and salpingo-oophorectomy (removal of the uterus, cervix, fallopian tubes and ovaries) is not just desired for gender affirmation, but can serve other purposes as well. FtM can experience embarrassment or discomfort with routine gynecological pap smears and may find it more convenient to have surgery as preventative care. Studies show that in long term testosterone treatment FtM ovaries
Pelvic Inflammatory Disease can be a severe infection, which hurts a girl’s reproductive organs. PID is an infection caused by a bacteria or a virus.
Women are mostly affected during the reproductive age about 2% to 22%, and 2% to 4% during menopausal age. The ectopic endometrial cells can be implanted in the abdominal or pelvic cavity, namely ovaries, uterine ligament, rectovaginal septum, and pelvic peritoneum. This abnormal cells goes through the process of proliferation, break down and sloughs off during normal menstrual periods. Inflammation and pain noted during the proliferation process cause fibrosis, scarring, and adhesion from the inflammatory process (Huether & McCance, 2012).
Endometriosis affects 10% of reproductive-age women (Yale School of Medicine). It affects nearly 176 million women, ranging from 15-49, all over the world (World Endometriosis, 2011). “Endometriosis is an often painful disorder in which tissue that normally lines the inside of your uterus — the endometrium — grows outside your uterus (endometrial implant) (Mayo Clinic, 2013)” It most commonly involves your ovaries and the lining of the pelvis, but in extreme cases can spread to other parts of the body. The displaced tissue continues to act like it normally would in the uterus, thickening and breaking down with each menstrual cycle. Since the displaced tissue has nowhere to go, it becomes trapped with no way to get out (Mayo Clinic, 2013).
According to National Women's Health Information Center (NWHIC), in the United States, approximately one-third of all hysterectomies are performed for uterine fibroid (Right Diagnosis, 2015). The 2nd most frequent condition that leads to hysterectomies is endometriosis