When your uterus is removed do they leave ovaries etc or can they?

When a woman undergoes a hysterectomy, the surgical removal of the uterus, the decision to remove the ovaries (oophorectomy) is made based on individual circumstances and medical indications. Here's an overview of what typically happens during a hysterectomy:

1. Total Hysterectomy:

- In a total hysterectomy, the entire uterus, including the cervix, is removed.

- The ovaries may or may not be removed, depending on the woman's age, medical history, and future plans for pregnancy.

2. Ovaries Preservation:

- In many cases, if a woman is still in her reproductive years and does not have specific medical conditions, the ovaries may be preserved during a hysterectomy.

- Preserving the ovaries helps maintain hormonal balance, including estrogen and progesterone production, which are essential for menstrual cycles and overall reproductive health.

3. Ovaries Removal:

- Ovaries removal during a hysterectomy is typically considered in the following situations:

- When the woman is past menopause or close to menopause, ovaries may be removed to reduce the risk of ovarian cancer.

- In cases where there are ovarian cysts, tumors, or other abnormalities, the ovaries may be removed for medical reasons.

- If a woman has a strong family history of certain types of cancer, such as ovarian cancer or breast cancer, ovaries removal may be recommended as a preventive measure.

4. Hormone Replacement Therapy:

- If the ovaries are removed, some women may experience symptoms of hormone deficiency, such as hot flashes, mood changes, and vaginal dryness. To address this, hormone replacement therapy (HRT) may be prescribed to help manage these symptoms.

The decision to remove the ovaries during a hysterectomy is made after careful consultation between the woman and her healthcare provider, considering various factors such as age, overall health, future reproductive plans, and medical history. The aim is to provide the best possible outcome for the woman's health and well-being.