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What can I expect after I am discharged home from the hospital?

Prior to your discharge from the hospital, you will be given very specific instructions about:

What are the potential risks or side effects of a myomectomy or hysterectomy?

The primary surgical risks or side effects of a myomectomy or hysterectomy includes following:

What may I expect to happen when I arrive at the hospital for my hysterectomy?

The procedures may be slightly different with each hospital. In general, you will go first to the admission department of the hospital where your insurance information and ability to pay for your hospital stay will be verified.

What preparation do I need prior to my scheduled hysterectomy?

Before you undergo any major surgery (including hysterectomy), there are several important preparatory steps that must be taken:

How do I get a second opinion?

Getting a second opinion may require some effort on your part. Your gynecologist can provide a recommendation. But it is probably wise to seek an opinion outside of your physician’s own office, especially if your doctor is part of a group practice with other gynecologists.

Can I seek a second opinion even if my insurance company has not requested one?

Yes, you can seek a second opinion for the reasons mentioned in Question 89. But this is definitely an instance in which an insurer would be least likely to cover the second opinion cost.

My insurance company will not cover my hysterectomy until I have had a second opinion.Will my gynecologist feel insulted if I go to another doctor?

Insurance companies are in the business of earning profits. One way to ensure that they do so is to make certain that patients receive effective procedures at the lowest possible cost.

What is endometrial ablation, and is it useful in the treatment of fibroids?

When heavy abnormal uterine bleeding is the chief problem, endometrial ablation may be a very effective measure in women who do not wish to become pregnant in the future.

Explain myolysis and cryomyolysis. These two alternates to hysterectomy sound very similar.How do they differ? Can they preserve fertility?

Unfortunately, neither of these treatments preserves fertility, and they are not widely offered to patients. Both are geared toward eliminating troublesome fibroids that may be a source of excessive bleeding.

I have several uterine fibroids.Does that mean I need a hysterectomy?

No, it doesn’t necessarily mean that a hysterectomy is the right option for you. Hysterectomy is an appropriate option for some women with extremely problematic fibroid tumors, but certainly not all. As mentioned earlier, many women live with fibroids and never experience symptoms.