Hysterectomy : Procedure to remove the womb (uterus)

What is the meaning of hysterectomy?

Hysterectomy or removal of the uterus is an operation performed in general by a gynecologist to remove the uterus partially or totally. The act is irreversible and renders the woman sterile and can in some cases cause a menopause. Removal of the uterus is a procedure commonly performed and does not present any particular complications.


What is a hysterectomy?

Hysterectomy is indicated for women over the age of 50 who have already had children. In young women, the removal of the uterus is chosen as a last resort for those who still want to get pregnant. The gynaecologist indicates  hysterectomy surgery  for cervical or uterine cancer as well as endometrial cancer. When the patient has endometriosis inside the uterus causing bleeding and pain, ablation may be indicated as well as for other pathologies such as myomas, fibroids, polyps that present more and more discomfort for the patient and that could not be eliminated by medical treatment. Tunisia Medical Travel will assist you in your approach to a removal of the uterus.

Who is a suitable candidate for a hysterectomy?

A hysterectomy is a surgical procedure that involves the removal of the uterus. It is typically considered for individuals who have certain medical conditions that do not respond to other treatments or when conservative management options are not appropriate.

Potential candidates for a hysterectomy include :

  • Uterine fibroids : Women with symptomatic uterine fibroids that cause severe pain, heavy bleeding, or other complications may be suitable candidates for a hysterectomy;
  • Endometriosis : In cases where endometriosis causes significant pain and does not respond to other treatments, a hysterectomy may be considered;
  • Adenomyosis : This condition occurs when the tissue lining the uterus grows into the muscular wall, causing pain and heavy menstrual bleeding. If conservative treatments fail to provide relief, a hysterectomy might be recommended;
  • Uterine prolapse : Hysterectomy can be considered for women experiencing severe uterine prolapse, a condition where the uterus descends into the vaginal canal;
  • Gynecologic cancers : In cases of gynecologic cancers like uterine cancer, cervical cancer, or ovarian cancer, a hysterectomy may be part of the treatment plan depending on the stage and extent of the disease;
  • Radical hysterectomy : in some cases of advanced cervical cancer, a radical hysterectomy may be necessary, involving the removal of the uterus, surrounding tissues, and nearby lymph nodes;

How much does a hysterectomy cost?

The cost of hysterectomy  is proposed from 1000 euro. To receive a personalized quote with a cheap  removal of the uterus cost, please contact us. Tunisia Medical Travel can organize for you the transfer from the airport to the clinic and plan your stay for a uterus removal.

What are the different types of hysterectomy?

Hysterectomy is the partial or total removal of a woman’s reproductive system.

Total hysterectomy

We speak of total hysterectomy when there is the removal of the uterus, the bottom of the uterus and the neck of the uterus. Total hysterectomy is also called non-conservative or with adnexectomy if the removal includes the uterus and cervix subtotal hysterectomy if the it is called cervix is left in place.

 Partial hysterectomy: The possibility of experiencing an ectopic pregnancy after the procedure

Partial hysterectomy is performed when the uterine body is removed without touching the cervix. Partial hysterectomy is also called supracervical. Conservative or interannexal hysterectomy is performed if the ovaries and fallopian tubes are left in place. It is also called ovarian conserving hysterectomy.

Radical hysterectomy

The surgeon removes the uterus, the cervix, the upper part of the vagina, most of the tissue surrounding the cervix, and sometimes the lymph nodes in the pelvis. Radical hysterectomy may be an option for cancer treatment.

What are the causes of hysterectomy?

Clearly, it is not an easy decision for a woman to remove her uterus. The gynaecologist recommends a hysterectomy surgery in cases where a benign tumor of the uterus has been detected following fibroid removal, or in cases of abnormally heavy bleeding. a removal of the uterus for endometriosis, removal of the uterus may also be indicated. Some patients suffer from abnormal pelvic pain that causes problems in their daily lives. In this case, a removal of the uterus  may be indicated.

What do I need to know before undergoing a removal of the uterus?

A removal of the uterus  can cause menopause and the hormonal imbalance that follows. It is necessary to be prepared for this operation and to get information from your gynaecologist for the effects of hysterectomy on the body. Tunisia Medical Travel remains at your disposal for further information.

hysterectomy or endometrialctomy

An endometroidectomy is an outpatient procedure that removes the endometrium, the lining of the uterus. Endometroidectomy is indicated instead of removal of the uterus if the patient has heavy bleeding during her period. Endometroidectomy significantly reduces fertility in women and the patient must be made aware of this before any surgical procedure.

hysterectomy or a myomectomy?

Myomectomy allows the fibroids hysterectomy that have developed outside the uterus and in the uterine muscle. Fibroids can grow back and the radical solution to fibroids is a removal of the uterus. Myomectomy is preferred if the patient plans to become pregnant.

Difference between tubal ligation and hysterectomy

Hysterectomy is indicated as an irreversible contraceptive solution when other pathologies associated with the uterus are present. Otherwise, tubal ligation allows for temporary sterility. In fact, the woman can resort to IVF if she wants to get pregnant.

Difference between a hysterectomy and a hysteroscopy

A hysteroscopy is a diagnostic imaging procedure that allows the physician to look inside the uterus and diagnose any health problems. Hysterectomy is the removal of the uterus.

What are the steps involved in a hysterectomy procedure?

The hysterectomy surgery is performed under general anesthesia. In general, the gynAecologist performs the hysteroscopy by laparoscopy or through the vagina, depending on the case and the condition of the uterus. The procedure takes about 1 hour. The hysteroscopy requires a 2-day hospital stay.

Vaginal hysterectomy

There is no incision in the abdomen and the operation is performed only through the vagina. For a vaginal hysterectomy steps , the surgeon makes an incision in the vagina to access the uterus. Using long instruments, the surgeon squeezes the uterine vessels to separate the uterus from the connective tissue, ovaries and fallopian tubes.

Total abdominal hysterectomy

In a total abdominal hysterectomy, the surgeon will make an incision (surgical cut) in the abdomen. Through the incision the uterus and cervix are removed . The incision is then closed with sutures.

What are the post-hysterectomy?

Symptoms after hysterectomy

The symptoms are : Pain in the vagina and bleeding. If the bleeding persists, you should contact your doctor.

Hysterectomy aftercare

Period of rest

The patient will need to rest for one week.

Hysterectomy aftercare : What not to do after a hysterectomy?

Avoid heavy lifting (i.e., objects weighing more than 20 pounds) for at least six weeks. Do not perform household chores, such as vacuuming, until you have discussed this with your doctor. You should also abstain from sexual contact for at least six weeks. And you should not put anything in your vagina, not even tampons.

Hysterectomy recovery time

The recovery time for an abdominal hysterectomy is 6-8 weeks, while that for a vaginal or laparoscopic hysterectomy is usually much shorter.

What are the side effects of a hysterectomy?

Premature menopause

A removal of the uterus makes infertility permanent. The procedure should be done in consultation with the gynaecologist to understand the consequences. When the hysterectomy is total, the entire reproductive system is removed, namely the ovaries and fallopian tubes. After a removal of the uterus, the patient is in premature menopause.

Hysterectomy and menopause

If the ovaries are not removed, the patient will no longer menstruate, but menopause will occur afterwards.If you have gone through or are going through menopause, it may be advisable to have your ovaries removed, whatever the reason for the removal of the uterus. This is done to prevent the possibility of developing ovarian cancer.

Ovarian cancer

Removal of the uterus  may reduce the risk of ovarian cancer. However, cannot completely excluded this risk . Regardless of the type of removal of the uterus  you have undergone, you should have regular check-ups. However, for ovarian cancer there are no screening tests .
Some of the common signs of ovarian cancer after hysterectomy are:

  • Swelling and discomfort in the abdomen;
  • Difficulty eating or excessive feeling of fullness;
  • Frequent urination or frequent need to urinate;
  • Fatigue;
  • Heartburn or upset stomach;
  • Back pain;
  • Painful intercourse;
  • Constipation;

Vaginal cancer

If a woman has had a removal of the uterus, she can still develop vaginal cancer after removal of the uterus. The symptoms of vaginal cancer may resemble other diseases or medical problems. Always consult your physician for a diagnosis.


A removal of the uterus can relieve symptoms of endometriosis in many people, but the disease may recur and symptoms may persist after surgery. Pelvic pain and dyspareunia are the most common endometriosis after hysterectomy symptoms , although vaginal and rectal bleeding and pain in the lower back and rectum may also occur.

Uterus transplant after hysterectomy

Uterine transplantation is a complex, multi-step process involving a living or deceased donor, a recipient and a genetic partner. Uterine transplantation is the first temporary organ transplantation procedure that ends with the removal of the transplanted uterus to avoid the need for lifelong immunosuppression after delivery.

Hysterectomy and weight gain

One of the consequences ofhysterectomy surgery with ovarian removal is weight gain. In addition to the menopause and the changes that go with it, the patient must manage this weight gain and be monitored by her doctor.

Hysterectomy and rapid weight loss

The removal of the uterus and the associated pain can cause loss of appetite and therefore weight loss. Weight loss after a hysterectomy is relatively normal. However, if you start to feel underweight or rapid weight loss after removal of the uterus, you should consult your doctor.

How to get rid of fibroids without hysterectomy?

Weight loss

Losing weight can help prevent or reduce fibroids.


you maintain your weight and reduce risk A nutritious diet can help you . Certain foods may also help relieve symptoms. Fruits and vegetables can also help reduce inflammation and lower your risk of fibroids.

Vitamins and supplements

Certain vitamins may help reduce the growth and size of fibroids. Studies have confirmed that if you consume small amounts of vitamin D and vitamin A from animal sources, such as dairy products, you may have an increased risk of fibroids.

Contact and request a quote for a hysterectomy

If you want to organize a hysterectomy, Tunisia Medical Travel can assist you during your medical travel from your arrival at the airport. Do not hesitate to contact us for your removal of the uterus.

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Tunisia Medical Travel TMT specializes in arranging medical value trips to Tunisia. We provide comprehensive support to our international patients throughout their entire journey, guiding them to the most suitable specialists and facilities based on their specific medical conditions.

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(+216) 22.960.337


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