hysterectomy - Page 3

Uterus and Ovaries: Fountain of Youth

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Numerous studies have shown a strong correlation between removal of both ovaries / bilateral oophorectomy (castration) and accelerated aging as measured by an increased risk of chronic health conditions. Hysterectomy / uterus removal with preservation of both ovaries is also associated with some of these chronic conditions. These include heart disease, stroke, metabolic syndrome, osteoporosis, hip fracture, lung cancer, colorectal cancer, dementia, Parkinsonism, impaired cognition and memory, mood disorders, sleep disorders, adverse skin and body composition changes, adverse ocular changes including glaucoma, impaired sexual function, more severe hot flushes and urogenital atrophy. Wow, that’s quite a list!

Ovaries: Health Powerhouses

This 2016 article titled “Study: Remove ovaries, age faster” sums up the findings of Mayo Clinic researchers proving yet again the harmful and unethical practice of ovary removal. The study found that ovary removal (oophorectomy) is associated with a higher incidence of 18 chronic conditions and should be discontinued in women who are not at high risk for ovarian cancer. Although this study cites the increase in chronic conditions in women who undergo oophorectomy before age 46, other studies have shown that oophorectomy even after menopause does more harm than good. Here is one that showed that to be true up to age 75.

The ovaries have both reproductive and endocrine functions as detailed in this International Menopause Society article. After menopause, the ovaries produce mostly androgens, some of which are converted into estrogen. Testosterone levels are more than 40% lower in women without ovaries compared to intact women. Women without their uterus likewise have lower levels but not as low as women without ovaries per this article. Estrogen therapy mitigates some but not all of the increased health risks of oophorectomy. But estrogen further reduces androgen levels increasing risk of osteoporosis and fracture. Nothing can replace the lifelong functions of the ovaries (and uterus).

The Uterus / Ovaries / Tubes Connection

The harms of ovary removal would also apply to ovarian failure that commonly occurs after hysterectomy and some other medical treatments. As previously cited, women who have had a hysterectomy have lower levels of testosterone. According to this 1986 publication, 39% of these women showed signs of ovarian failure. This study showed a nearly 2-fold increased risk of ovarian failure when both ovaries were preserved and nearly 3-fold when one was preserved. This likely explains the increased risk of heart disease and metabolic conditions as shown by multiple studies including this recent Mayo Clinic one. However, per this 1982 study, the uterus itself protects women from heart disease via the uterine substance prostacyclin. Loss of bone density is another harm of hysterectomy as shown by multiple studies such as this one.

Removal of even one ovary (unilateral oophorectomy) without hysterectomy is also harmful. Studies out of the Mayo Clinic showed increased risks of cognitive impairment or dementia and parkinsonism. Colorectal cancer is another increased risk according to this Chinese study and this Swedish one.

The Fallopian tubes appear to impair ovarian function to some degree as evidenced by Post Tubal Ligation / Sterilization Syndrome. This study shows an increase in Follicle Stimulating Hormone (FSH) after tube removal (salpingectomy).

Ovarian impairment after hysterectomy or salpingectomy is thought to be the mechanism of the reduced risk of ovarian cancer which is already rare.

The Uterus: Anatomy, Sex, Cancer Prevention

Hysterectomy is associated with other harms besides impaired ovarian / endocrine function. The uterus and its ligaments / pelvic support structures are essential for pelvic organ integrity as well as skeletal integrity. The effects on these structures and functions are detailed here and here. This article shows the many hysterectomized women lamenting their “broken bodies” – changes to their figures, back, hip and midsection pain, pelvic pain, bladder and bowel issues, and effects of severed nerves and blood vessels.

The uterus and associated nerves and blood vessels play a key role in sexuality and vibrancy. You can hear the desperation in women’s comments about the devastating sexual losses and feelings of emotional emptiness.

There is an increased risk of renal cell, thyroid, and colorectal cancers after hysterectomy. How ironic when cancer fear tactics are commonly used to market hysterectomy and/or oophorectomy.

Adhesions that commonly form after these surgeries can cause serious problems especially in the long term. Surgical complications – nerve injuries, bladder, bowel and ureter injuries, vaginal cuff dehiscence, a too short vagina, infections, hemorrhage – are more common than indicated by gynecologists.

Although “The Miraculous Uterus” article fails to mention the anatomical harms, it is otherwise “spot on.” It talks about the “ovarian conservation scam” and that “passion, love, ecstasy, the emotional essence that drives human achievement, forever after elude them.” This explains why “there’s no effective outrage against the barbarism of hysterectomy.”

Compelling Evidence of Harm

Clearly, there is compelling medical evidence that both hysterectomy and oophorectomy are destructive surgeries. Unfortunately, some hysterectomy forums censor negative posts giving a slanted view of the life shattering effects. Here is a sampling of women’s experiences on the Gyn Reform site.

The medical literature on the harms of these surgeries dates back over a century. Listed below are a small number of the numerous publications (minus the ovarian failure studies cited above). The Gyn Reform website has a fairly comprehensive list of resources on oophorectomy. Its Ovaries for Life sister site provides a good overview of the lifelong importance of our ovaries.

1912 – The Physiological Influence of Ovarian Secretion

1914 – Nervous and Mental Disturbances following Castration in Women

1958 – The controversial ovary

1973 – Osteoporosis after Oophorectomy for Non-malignant Disease in Premenopausal Women

“Oophorectomy before the age of 45 years was found to be associated with a significantly increased prevalence of osteoporosis within three to six years of operation.

1974 – Endocrine Function of the Postmenopausal Ovary: Concentration of Androgens and Estrogens in Ovarian and Peripheral Vein Blood

1978 – The emotional and psychosexual aspects of hysterectomy

1981 – Premenopausal hysterectomy and cardiovascular disease

1981 – Sexual response after hysterectomy-oophorectomy: Recent studies and reconsideration of psychogenesis

1981 – The role of estrogen and oophorectomy in immune synovitis

1982 – Prostacyclin from the uterus and woman’s cardiovascular advantage

1989 – The effects of simple hysterectomy on vesicourethral function

“The results show that simple hysterectomy is associated with a significant incidence of post-operative vesicourethral dysfunction and that there is an identifiable neurological abnormality incurred at operation which is pertinent to the subsequent disordered voiding.

1990 – Effects of bilateral oophorectomy on lipoprotein metabolism

1994 – The climacteric ovary as a functional gonadotropin-driven androgen-producing gland

1996 – Urinary incontinence in older women: who is at risk? Study of Osteoporotic Fractures Research Group

“Urinary incontinence is a common problem in older women, more common than most chronic medical conditions. Of the associated factors that are preventable or modifiable, obesity and hysterectomy may have the greatest impact on the prevalence of daily incontinence.

1997 – Bladder, bowel and sexual function after hysterectomy for benign conditions

1998 – Ovaries, androgens and the menopause: practical applications

1998 – Impairment of basal forebrain cholinergic neurons associated with aging and long-term loss of ovarian function

1998 – Influence of bilateral oophorectomy upon lipid metabolism

1999 – Estrogen and movement disorders

2000 – The hypothalamic-pituitary-adrenal and gonadal axes in rheumatoid arthritis

2000 – Risk of myocardial infarction after oophorectomy and hysterectomy

2000 – Hysterectomy, Oophorectomy, and Endogenous Sex Hormone Levels in Older Women: The Rancho Bernardo Study

2005 – Ovarian conservation at the time of hysterectomy for benign disease

Ovarian conservation until age 65 benefits long-term survival…. There is sustained, but decreasing, benefit until the age of 75, when excess mortality for oophorectomy is less than 1%.

2007 – Ovarian conservation at the time of hysterectomy for benign disease

Approximately 78% of women between the ages of 45 and 64 years have prophylactic oophorectomy when hysterectomy is performed for benign disease. Therefore, the decision to perform prophylactic oophorectomy should be approached with great caution for the majority of women who are at low risk of developing ovarian cancer.”

2009 – Ovarian conservation at the time of hysterectomy and long-term health outcomes in the nurses’ health study

In no analysis or age group was oophorectomy associated with increased survival.

2010 – Current indications and role of surgery in the management of sigmoid diverticulitis

A previous history of hysterectomy is a valuable clinical clue to the correct diagnosis as colovaginal and colovesical fistulas are rare in females with their uterus in place, as the uterus becomes a screen interposed between the inflamed colon and the bladder and vagina.”

2012 – Oophorectomy for whom and at what age? Primum non nocere

2016 – Study: Remove ovaries, age faster

2017 – Cardiovascular and metabolic morbidity after hysterectomy with ovarian conservation: a cohort study

A Harmful Practice That Won’t Die

Ovary removal / castration was introduced by Robert Battey in 1872 and “was practised widely for several decades….. Better insight into female physiology and ovarian function finally pushed the sinister operation of Robert Battey from the scene.” This publication refers to Battey’s operation as “barbaric.”

Despite the long-standing and compelling evidence of harm, these surgeries continue at alarming rates. Publications are misleading in that they report inpatient surgeries despite the large majority being outpatient (70% in 2014). This 2008 article reported that oophorectomies “more than doubled in frequency since the 1960’s.” According to results of a FOIA request by Ovaries for Life, there are over 700,000 oophorectomies every year despite there being only ~22,000 cases of ovarian cancer. Hysterectomy figures obtained by Ovaries for Life are also shocking at 830,000 in light of less than 70,000 cases of endometrial and cervical cancers.

Many media reports have questioned the high rate of these surgeries since gynecologic cancers are rare. The oldest one I could find was dated 1969. I found about three articles per decade in the mainstream media since then. According to the Athena Institute, half of U.S. medical schools in 1986 “had changed their suggestions and were now recommending a reconsideration of the common practice of ovariectomy.” Evidently, that never took hold.

Congress held two hearings on hysterectomy, one in 1976 and one in 1993. The 1993 transcripts state that the hysterectomy rate increased 250% in women ages 15 to 24 and 186% in ages 25 to 34 from 1965 to 1984! Despite these shocking statistics, it appears that no action was taken after either hearing.

According to this “Reassessing Hysterectomy” article, the Agency for Healthcare Research and Quality sponsored research and conferences on the overuse of hysterectomy in the 1990’s. This article is packed with information on the prevalence and harms of hysterectomy and oophorectomy as well as alternative treatment options. Yet, the high rate of hysterectomy has continued such that 45% of women will end up having one. Citing 2006 data, the oophorectomy rate was 73% of the hysterectomy rate.

How to End the Harm?

I’ve been researching this subject for over 10 years and sharing my experience and knowledge on various websites. It’s shocking how many women are misled and deceived into these surgeries. Age doesn’t seem to matter; younger and younger women are undergoing these surgeries. This appears to be the biggest surgical racket and women’s healthcare con as discussed here.

There are a number of issues that perpetuate the gross overuse of these harmful surgeries. These include:

  1. These surgeries and “forever after” care are very lucrative.
  2. The public has been led to believe that the female organs are disposable after childbearing is complete.
  3. Medical education and decades of practice have made these surgeries “a standard of care.”
  4. Informed consent is seriously lacking.
  5. Gynecology consent forms are open ended giving surgeons “carte blanche” to remove organs unnecessarily.
  6. We still live in a climate of gender disparity / male dominance.

As you can see from the list of publications above, some study authors have called out the practice of ovary removal as unethical. Numerous professional societies have issued guidelines discouraging its use in most women. But most have been silent on the overuse of hysterectomy despite its many harms.

Why has our government not stepped in to address this egregious harm? Women who have contacted their legislators have been met with indifference. Gyn Reform reported on their experiences with legislators and other authorities who can effect change. The non-profit HERS Foundation has been educating women and advocating for informed consent legislation since the 1980’s.

Why do insurance companies approve so many of these surgeries that are rarely necessary? Not only are the surgeries themselves expensive, treatments for the chronic after effects are costly. Reining in unnecessary treatments especially those that cause lifelong harm would go a long way towards making healthcare more affordable.

Why has Graduate Medical Education (GME) not changed their surgical requirements to favor organ preservation? Each resident must do at least 70 hysterectomies but there is no requirement for myomectomy (fibroid removal). Residents don’t need to do any cystectomies (cyst removals) either which is partly why so many women lose ovaries for benign ovarian cysts. Here are the GME ob/gyn requirements.

A popular mantra at Tufts in the 1970’s – “There’s no room in the tomb for the womb” – reflects this culture of the disposable uterus and gynecologists’ obsession with its removal. Insurance reimbursement rates are also to blame as they incentivize hysterectomy and oophorectomy over myomectomy and cystectomy. In many cases, medical management versus surgery is the appropriate course. The “Reassessing Hysterectomy” article cited above lists a number of treatment options for gynecologic problems. Revamping reimbursement rates to strongly favor organ preservation should eventually force GME to change their requirements. But how do we make that happen?

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Sexual Function after Hysterectomy

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Whether a hysterectomy will affect sexual function is a common concern amongst women considering the surgery, as well it should be. Sex is a vital part of life and the loss of sexual function can be devastating. Whether and how hysterectomy affects sexual function is not very clear, however, and depends upon a number of variables, not the least of which is sexual function pre-hysterectomy, and particularly, pre-gynecologic problems. In many cases, women have a hysterectomy to rectify conditions associated with heavy bleeding and/or excessive pain like fibroids, endometriosis, adenomyosis and cysts. Reducing pain and bleeding should positively affect sexual frequency; however, effects on function may vary. Hysterectomy can diminish sexual function either directly because of the disconnection of the nerves and blood vessels that supply sexual energy or indirectly via the loss of critical hormones when or if the ovaries are removed or cease to function. And for many women, those with endometriosis, the hysterectomy itself provides only temporary relief from the disease process.

When evaluating the possibility of having a hysterectomy relative to sexual function outcomes, there are a few things women must consider.

Understanding the “Anatomy” of Sexual Function

According to Masters and Johnson, there are four phases of sexual response – Excitement, Plateau, Orgasm, and Resolution.

Sensation to any body part requires proper nerve conduction and adequate blood flow. Many nerves, blood vessels, and ligaments are severed to remove the uterus. The uterus and its ligaments themselves are rich sources of blood supply. As a result, sensation to the vagina, clitoris, labia, and nipples can be diminished by hysterectomy. This loss of sensation can hamper sexual function.

The Excitement phase is triggered by sexual stimuli, either physical or psychological. The stimuli triggers increased blood flow (vasocongestion) to the genitalia. With a blood vessel and nerve network altered by hysterectomy, this process may be hampered.

Contractions of the uterus are listed as a part of the Orgasm phase. So without a uterus, orgasm is not complete. Hence, it would make sense that orgasm is negatively impacted by hysterectomy, ovary removal or not. I have read, however, that some women do not experience uterine orgasm. So for them, a hysterectomy may not affect their orgasms.

My Personal Experience Post Hysterectomy

I realized very quickly after my hysterectomy that my libido, arousal, and ability to orgasm were broken. A steamy sex scene in a novel or movie or a hot looking guy no longer elicited sexual feelings. And the thought of sex was repulsive. That was a very sad day for me and I still mourn the loss of my intact sexuality. Some may question whether these changes are really due to the loss of my uterus or more so from the loss of my ovaries. When my hormone replacement was inadequate, the thought of sex was repulsive. However, I did have occasional orgasms but they were difficult to achieve and very infrequent as well as disappointing compared to before hysterectomy. Before my surgery, I had a good libido and an intense uterine orgasm every time I had intercourse. I have been on a good hormone regimen for over 6 years now. Sex is no longer repulsive but I do not have a libido or feel sexual in any way. Arousal takes much longer and orgasms are still weaker than before hysterectomy, do not always happen, and rarely occur during intercourse. Testosterone did not improve libido or arousal nor improve orgasm frequency or quality. Nipple sensation has been absent since surgery. These losses to my sexuality have affected my marriage relationship as well as social and professional relationships as I lack what I would call “sexual energy” and confidence.  

Other Possible Sexual Sequelae Post Hysterectomy

Removing the Cervix. The changes to the vagina after hysterectomy can further hamper sexual function. The removal of the cervix (the lower part of the uterus) requires that the vagina be shortened and sutured shut. This is called the vaginal cuff. The shortened vagina can present problems with deep penetration. Also, the vaginal cuff sutures can tear (dehiscence) which is a serious medical problem, although this is rare. Retaining the cervix eliminates these concerns and may preserve some of the nerves and sensation. During sex, the tip of the penis is “grabbed” by the cervix enhancing the man’s pleasure. However, even if the cervix is retained, this “grabbing” sensation may not occur without the uterine contractions.

emale sexual function after hysterectomy

Reduced Lubrication. Many women report diminished vaginal lubrication post-hysterectomy even when ovaries are not removed. Lubrication is critical for sexual activity as well as sensation. When the ovaries are removed or fail from the loss of blood flow, lubrication is lost and the vagina atrophies making sex painful. Over time, the vagina may prolapse as it no longer has the uterine ligaments to anchor it. Changes to bladder, bowel, and vagina position and function post-hysterectomy can likewise affect sexual function and satisfaction. A falling vagina and urgency and incontinence are certainly not sexy!

Body Changes. The hysterectomy induced changes to a woman’s figure which include a thick, shortened midsection and protruding belly are another source of sexual dysfunction and anxiety. Appearance changes from hormonal effects such as hair thinning, graying, and texture changes, skin dryness and aging (including loss of plumpness and pinkness in the genitalia), and loss of muscle mass and tone can also negatively impact sexuality. I have written about the anatomical and skeletal effects of hysterectomy here and here.

Emotional Changes. Many hysterectomized women with whom I have communicated report a loss of feeling connected to others including their loved ones. At first I thought the loss of my romantic and maternal feelings was solely attributed to the loss of my ovaries (despite taking estrogen). But after hearing from other women who still had functioning ovaries and reported the same feelings, I realized that maybe our uterus is what makes us loving and social beings. A renowned gynecologist on a talk show a few years after my hysterectomy referred to the uterus as “a woman’s heart center.” And for women love and sex are very much intertwined.

Hysterectomy and Sexual Function

Why is it that so many dismiss sexual problems post-hysterectomy as psychological? If a man has his prostate and/or testicles removed or penis shortened (heaven forbid!), sexual problems are attributed to the loss or surgical alteration of his SEX organ(s). So why would it be any different for women?

Although there have been some studies on sexual function after hysterectomy, I have not been able to make much sense out of them. It seems that most use a benchmark of (impaired) sexual function shortly before hysterectomy when gynecologic problems impede sexual activity and function versus prior to the gynecologic problems that are the reason for the hysterectomy. This observational study compared sexual pleasure, activity, and problems by type of hysterectomy at 6 months post-operative. It concluded that “sexual pleasure significantly improved in all patients, independent of the type of hysterectomy.” However, it also concluded that “the prevalence of one or more bothersome sexual problems six months after vaginal hysterectomy, subtotal abdominal hysterectomy, and total abdominal hysterectomy was 43% (38/89), 41% (31/76), and 39% (57/145), respectively.” With these high rates of “bothersome sexual problems” I cannot imagine how this could have been an improvement. However, if the benchmark was based on the time frame when pre-operative heavy bleeding, discomfort, or pain impaired sexual activity and function, then it would certainly be possible for sexual function to improve post-operatively. That does not mean it was an improvement over NORMAL sexual function (pre-gynecologic problems).

This Boston University School of Medicine article discusses post-hysterectomy sexual dysfunction. It says,

“Desire, arousal, orgasm and pain disorders may all be seen post-hysterectomy…..Internal orgasms are often changed significantly after hysterectomy. This is observed in part due to the inability to have rhythmic contractions of uterine muscles without the uterus present. Also, internal orgasms are changed after hysterectomy due to injury to the nerves which pass near the cervix. Surgeons should try to spare these nerves, but efforts to spare them are limited at the present. The result is that after hysterectomy, many women lose the ability to have an internal orgasm.”

Changing the Mindset: Removing a Woman’s Sex Organs Impairs Sexual Function

First and foremost, we need to stop referring to women’s sex organs as reproductive organs since they have vital, lifelong functions far beyond reproduction. In addition to the sexual functions, these include endocrine/hormonal, bladder and pelvic floor and anatomical and skeletal as detailed in my articles and the HERS Foundation’s video.

Secondly, women need to be more open about the effects hysterectomy has had on their health and quality of life, sexual and otherwise. It seems that some do not connect their problems with the surgery and many others choose not to talk about it. Before surgery, we are likely to believe that hysterectomy is fairly harmless since it is such a common surgery (second to c-section). No surgery is harmless. One that removes a woman’s sexual organs cannot help but cause problems with sexual function.

Some other factors that may be in play are that women seem to value their sex lives less than men. We tend to shortchange ourselves in other areas as well, putting others’ needs ahead of our own. Women of older generations were taught to trust and obey authority figures. So we typically trust our doctors and follow their recommendations. We are particularly vulnerable with gynecologists as we tend to have a long history with them through annual well woman checkups and pregnancies and deliveries. We are easy prey for hysterectomy marketing.

Clearly, there are far too many women being harmed by unwarranted hysterectomies and castrations. According to this 2000 study, 76% of hysterectomies do not meet ACOG criteria. Yet the rates have not declined and the use of robotics seems to be fueling even more hysterectomies with promises of quicker recoveries. Hysterectomies are big business with revenues rolling in to the tune of over $16 billion annually. With so much money at stake, we cannot count on the medical establishment to restrain themselves. It is up to us to spread the word.

Does Hysterectomy Affect Sexual Function?

Yes, it does. How can it not, given the nature of the surgical procedure? Whether the effects are generally more negative or positive is not clear. It largely depends on the reason for the hysterectomy including the severity and prolonged nature of those gynecologic problems. There is very little research and even less consideration or conversation regarding women’s pre- and post- hysterectomy sexual functioning. That is something we can change together by sharing our stories and communicating our needs.

Additional Resources

I highly recommend the non-profit HERS Foundation’s video “Female Anatomy: the Functions of the Female Organs.” It taught me most of what I know about the consequences of hysterectomy and/or ovary removal (castration). When I first discovered the video, some of it did not make sense. But as more time elapsed, the changes became clearer. My body and life have changed in ways I never could have imagined. I only wish I had found the video prior to my unwarranted hysterectomy.

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This article was published originally on April 10, 2014. 

Hysterectomy and the “C” Word

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I have connected with many women in the nine years since my unwarranted hysterectomy. I have been appalled and saddened by the number of women who were railroaded into hysterectomy and/or oophorectomy (ovary removal – castration) by being told that it was necessary. Some were misled into believing they had cancer or pre-cancer when they did not. Some were referred to oncologists unnecessarily to further instill fear.

The fact that only 2% of these surgeries are done for a cancer diagnosis and most pre-cancerous conditions are treatable without organ removal, something is certainly “rotten in Denmark.”

Gynecologic Cancer Statistics

According to U.S. government cancer statistics, the average woman’s lifetime risk of gynecologic cancers is rare. Specifically, statistics are:

  • Cervical – 0.7%
  • Endometrial – 2.7%
  • Ovarian – 1.3%

With these low rates of cancer as well as the organ-sparing treatments available for almost all gynecologic maladies including abnormal or precancerous cells (that may never even turn into cancer), why are surgeons removing so many female organs?

Using Cancer to Market Hysterectomy

With the prevalence of cancer scare tactics by surgeons and the media, women tend to focus on ridding themselves of the potential for cancer even though that risk is very low for all but a small percentage of women. This focus on the cancer aspect is oftentimes to the exclusion of considering the long-term adverse effects of losing the uterus and/or ovaries. Very few people encourage women to question their doctors. This is even rarer when the “c” word is used.

The Big C: Is it Cancer or Conspiracy?

With the cancer rates so low, one has to wonder whether the big C we all hear about, is cancer or something else. Based on all the research I have done and the many women with whom I have connected since my unwarranted hysterectomy and castration, I have concluded that the “C” isn’t about cancer at all. It is about conspiracy.

The Free Dictionary defines “conspiracy” as “An agreement to perform together an illegal, wrongful, or subversive act.” Let’s break down the definition of “conspiracy”:

  • “an agreement to perform together”

There are many players in the annual $17B hysterectomy and oophorectomy industry – the surgeons and their nurses and office staff, the anesthesiologists, the hospitals and their nurses and other staff, the medical device manufacturers (e.g., da Vinci robot), and indirectly the pharmaceutical companies that manufacture and market hormone “replacement” drugs and other drugs to treat conditions resulting from post-hysterectomy side effects.

  • “an illegal, wrongful, or subversive act”

A medical treatment that is procured through misleading or dishonest information and omission of facts from a doctor or other medical professional is, plain and simple, wrong. And the unnecessary removal of organs with vital, lifelong functions is a most egregious act which should be treated as assault and battery as well as fraud.

How else can one explain the removal of 1 in 3 women’s vital sex organ(s) by age 60 and 1 in 2 by age 65 with these very low cancer rates? And how else can one explain that 78% of women ages 45 to 64 lose healthy ovaries at the time of hysterectomy?

Prophylactic Ovary Removal with Hysterectomy: More Deadly than Cancer

What else would account for the fact that these damaging surgeries are a $17B industry despite the many medical studies showing the long-term harm? This article highlights the absurdity of pre- and post-menopausal prophylactic ovary removal due to the “higher risks of coronary heart disease, stroke, hip fracture, Parkinsonism, dementia, cognitive impairment, depression and anxiety in many studies. While ovarian cancer accounts for 14,800 deaths per year in the USA, coronary heart disease accounts for 350,000 deaths per year. In addition, 100,000 cases of dementia may be attributable annually to prior bilateral oophorectomy.” And post-hysterectomy ovarian failure which occurs at a fairly high rate would have these same risks. Although the heart disease fact sheet on the Centers for Disease Control and Prevention’s (CDC) website lists heart disease as the #1 killer of women, there is no mention of the link between female organ removal and heart disease. Nor does the CDC’s dementia fact sheet list it as a risk factor for dementia.

ACOG Says: Most Hysterectomies not Medically Necessary

A 2000 study showed that 76% of hysterectomies did not meet ACOG criteria and 70% were deemed unnecessary. An excerpt says “The most common reasons recommendations for hysterectomies considered inappropriate were lack of adequate diagnostic evaluation and failure to try alternative treatments before hysterectomy.” Another excerpt says “Hysterectomy is often recommended for indications judged inappropriate. Patients and physicians should work together to ensure that proper diagnostic evaluation has been done and appropriate treatments considered before hysterectomy is recommended.”

In other words, women need to proceed with extreme caution and not rely on their Gynecology specialists’ treatment recommendations. So who can women trust??

Women to Women “Support” for Hysterectomy Decisions? Maybe. Maybe not.

Can women count on other women who have had hysterectomies and/or oophorectomies to share the negatives? In my experience, not so much. This is likely due to a number of factors but primarily, if a woman believes the removal of her organ(s) was necessary, as many are led to believe, she is less apt to share the negatives because she assumes the surgery was necessary for her and must be necessary for other women. Even when the organ removal was truly her choice, the horrifying effects can be too much to bear, much less admit to others. It is difficult to admit when one makes a medical mistake, especially when there is nothing available to fix the mistake.

After I had my hysterectomy, the last thing I wanted to do was call attention to my severely thinning, dry, frizzy hair, my rapidly aging / sagging skin, and horrifying figure changes. I have since become outspoken and hope that the visible effects of having my organs removed have made an impact on those who know my situation. For those who did not know me or my situation, I am sure there were whispered questions “what happened to her?”

Post-hysterectomy, I experienced  personality changes. My vivacious, happy, social disposition changed drastically almost overnight to the exact opposite. I became a recluse, seldom talked, never laughed, and was suicidal with depressed and anxious thoughts. This was before any of the classic menopausal symptoms kicked in. These changes had to be obvious to my co-workers, friends, and family members. The loss of my sexual “energy” may have been lost on many but was very apparent to me (and my husband). Even though talk of sex and sexuality is all over the media, it is still somewhat taboo to share such intimate information. And who wants to admit that they have lost their sexuality? From my experience, it can be difficult to share the breadth and depth of symptoms experienced after the ovaries are removed and so, woman to woman support may not be as forthcoming as we might hope. You can read my unnecessary hysterectomy story here.

Post Hysterectomy Symptoms Develop Gradually

Another reason woman to woman support is not always helpful is that many of the negative effects of hysterectomy do not develop immediately, especially when ovaries are not removed. Women who have been suffering with severe and/or prolonged health issues prior to the hysterectomy, are happy to get relief and, therefore, tell others they were glad they had the surgery. Once the problems start stacking up, they may not want to reverse course and admit that their hysterectomy and/or oophorectomy was a mistake. Moreover, they may not associate new symptoms with the surgery, especially those that developed gradually or cropped up many months or years down the road. Regardless of the problems that led up to the surgery, it is human nature to justify our decisions and discount the negatives of those decisions.

Finally, many people (women and men) find it difficult to believe that a surgery that is so common can have such serious and permanent side effects. Why would these surgeries be so prevalent if they can cause so much harm? Don’t doctors take an oath to “do no harm?” When I was told I needed organs removed, I know my first thought was surely my doctor (one I had respected for 19 years) would not remove organs needlessly. Boy, was I wrong!

Hysterectomy Forums are not Entirely Balanced

You would think internet hysterectomy forums would give women ample information about the many negative effects and the gross overuse of hysterectomy and oophorectomy. Speaking out anonymously on a forum is “safer” than doing so in person, but for any number of reasons, balanced discussions regarding the risks versus the benefits of hysterectomy and/or ovary removal are rare on public hysterectomy forums.

Many women don’t seem to take the time to read old posts before proceeding to surgery. Instead, they post asking for input and tend to base their decisions on the responses they get. These opinions, along with their surgeons’ input tend to omit or gloss over the long-term effects of hysterectomy. In some cases, time constraints derail a woman’s ability to research her options. From my experience, surgeons tend to rush women into surgery.

Some hysterectomy forums exude camaraderie and sisterhood amongst the hysterectomy ranks. However, if your experiences are negative and you discourage hysterectomy, your voice is drowned out by all those encouraging hysterectomy, both ones who have had the surgery (many who are recently post-op) and ones who are considering or scheduled for surgery. Posts will be hidden or blocked if the staff considers them too negative or members or staff report your posts as “frightening.”

The hiding or blocking of posts does not align with providing women thorough discussion of hysterectomy risks versus benefits. In fact, hiding posts from women who have had negative experiences with hysterectomy and/or ovary removal, biases the forum in favor of organ removal. For women considering surgery, not seeing the potentially negative consequences can skew their decision making. Biased discussions, hidden or blocked posts also occur on surgical menopause forums. I was banned from a surgical menopause forum for talking about the anatomical and skeletal changes that develop post-hysterectomy, information women should have prior to making a decision. This article explains the post-hysterectomy figure changes.

C = Conspiracy

Clearly, conspiracy is much more at play than cancer when it comes to female organ removal. Buyer beware! Any woman considering a hysterectomy and/or oophorectomy should watch the HERS Foundation’s video of “Female Anatomy: the Functions of the Female Organs.” Yes, it IS frightening but wouldn’t you want to know the possible repercussions before consenting to something so permanent especially if you do not have cancer?

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This post was published originally in October 2014.

Hysterectomy, Hormones and Suicide

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It may seem like quite the leap from hysterectomy to suicide, but it really isn’t a leap at all. Hysterectomy with ovary removal induces what doctors refer to as “surgical menopause.” There’s really no such thing as “surgical” menopause. Hysterectomy with oophorectomy is the female equivalent to male castration and as such carries with it all the risks and associated hormone changes that one might expect when primary endocrine producing glands are removed. The precipitous drop in hormones, much like those experienced following childbirth, can and does have calamitous effects on mental health, not to mention physical health. Perhaps the only difference between male castration and female castration is the fact that female castration is performed regularly and without regard to the physiological and psychological side effects that ensue.

Why Write about Hysterectomy and Suicide?

I decided to write this post because I was castrated, against my will, without consent and have struggled with a myriad of health problems ever since. You can read my story here, here and here. In the years since my ovaries were removed, I have worked hard to spread awareness about the devastating health consequences that this common surgery elicits. Over those years, I have heard from hundreds of women who have experienced similar suffering.

“I was a bright light until a doctor murdered me on (she gives the “exact” date of her surgery). Only a woman with a complete hysterectomy can remember that date. I have had surgeries before, but I never remembered any of those dates. You will always remember when you went into have something done simply to stop heavy bleeding and going in as one person and then the doctor switching you with some kind of alien when you wake up.  Within a year, I was 50 pounds overweight and my thyroid had a nodule on it that was cancerous. I had the worst fatigue and suicidal depression there could be.

I can’t believe I made it. I remember telling my 10 year old I didn’t want to live anymore and he kept saying “don’t say that momma, yes you do”. There is no one that could ever comprehend this hell unless they have been through it. I’m overweight with fibromyalgia and fatigue, talking myself out of suicide constantly. I have metabolic syndrome and I’m insulin resistant. I have constant lightheadedness, difficulty swallowing, broken out and dry skin. I have never even tried to go back to having sex simply because I stopped dating. I stopped being the happy, vivacious, beautiful woman I once was. I have been to 45 specialists in the last 10 years including Mayo Clinic to the point where I know I know more about hormones then they do!”

Another woman wrote to me recently stating she too was suicidal just thinking about the 1 year anniversary of her hysterectomy. She wrote:

“Exactly one year ago today, I was on an operating table being castrated and mutilated – the pain too much to bear. I wish I could stop this rapidly aging skin, body and hair loss. My body and soul are devastated. Shaking and in utter disbelief. The person I was before died the day of hysterectomy: my life, body, personality and every other aspect of the life I once knew is dead and over.

So, it is a rebirth of this hideous and painful existence of a stranger living inside a new broken body, soul, personality, etc. I very much relate to Frankenstein who was created in a laboratory unwillingly and without forewarning (informed consent) and awakened to a strange world he could not relate to nor understand. He was full of pain inside and out with all of those gory stitches, having to learn to walk, talk and the great torment he had of being here. Frankenstein is a fictitious character, but I can relate, for I, feel like a monster. I would give anything to be whole again. I know what I now am, and that is a “Castrati” and “Eunuch”.

More recently, a good friend that I came to know through my website committed suicide after years of struggling with post hysterectomy health issues. Before she died, Toni sent me her story in her own words and asked me if I’d post it on my site so other women could be warned about what life post-surgery is really like. She didn’t want what happened to her to be in vain. She wrote in part:

“I am a changed human being. I sometimes do not even want to get out of bed. My poor husband… he misses the woman and wife I was. She is gone. She was taken the day I had a hysterectomy. I am a “shell” of a woman now.”

This shouldn’t happen. Young women should not be castrated and then thrust into a world of ill-health and darkness. Hysterectomy, especially when the ovaries are removed too, should be an option of last resort, not something cavalierly recommended to young women, nowhere near menopause.

I wrote this post for the women who have lost their ovaries, lost their health, their vitality, their sex lives and their hope. I am not sure that I can give you hope, but I can give you a voice until you can find your own voice and together we can stop this practice and prevent other women from suffering.

Natural Menopause, Hysterectomy and Castration: It’s all about the Hormones

Natural menopause. It is important to talk briefly about the effects of “natural” menopause in order to better understand the effects of hysterectomy and castration. Even natural menopause is a “game-changer” for most women with some of the more commonly discussed symptoms being hot flashes, mood swings and dry vagina. ACOG lists over twenty adverse effects of menopause in their Menopause Patient Information Pamphlet including but not limited to: hot flashes, insomnia, dry/thin vagina, increased risk of urinary and bladder infections, increased bone loss and risk for fracture, loss of heart protection and increased risk of heart attack and stroke, emotional changes such as nervousness, irritability and fatigue, loss of libido and difficulty achieving orgasm. There are more symptoms not specifically listed, but these are enough to take your breath away. It is important to keep in mind that these symptoms develop gradually over years during the natural process of endocrine senescence or aging. The process is complicated and researchers still don’t understand the full spectrum of changes that happen when women age. Some hormones decline, others increase to compensate, immune factors are involved and the entire body changes to adapt to the new reality. The experience of menopause in each woman differs with some experiencing very few symptoms and others experiencing great difficulties. The key points are that menopause is gradual and complicated. It is not just the removal of estrogens and progesterone. Many other hormone systems recalibrate.

Hysterectomy without Oophorectomy.  Hysterectomy without ovary removal is common. The thought is that if the ovaries are left in place, vital hormones will continue to be produced and circulated. To some extent that is true and women who retain their ovaries seem to fair better than those who do not. However, hormones work through feedback loops, the uterus contains many important hormone receptors that communicate with the ovaries. When the uterus and cervix are removed, those receptors are removed too. Without those receptors, communication ceases and the ovarian production of hormones will cease as well; more gradually than if the ovaries had been removed, but more rapidly than in natural menopause.

Castration. When the ovaries are removed, we call this castration. It is no different than removing a man’s testicles. Oophorectomy precipitates a radical change in hormones overnight. Symptoms hit within a matter of hours rather than years. Ovary removal is akin to a ‘cold turkey’ full throttle withdrawal from very strong drugs, the complexity of which we still don’t fully understand.

Concentrations of the estrogens and progesterone drop to nearly nothing, almost immediately, while testosterone concentrations decrease by half. In natural menopause, the adrenals can pick up some of the slack and produce more estrogens and other hormones, but with oophorectomy there is no time, just an immediate crash; a crash that most women, their families or their physicians are not prepared for, because nowhere in the literature given to the patients is this discussed.

Female Castration According to Experts

The American Congress of Obstetricians and Gynecologists (ACOG) calls female castrations ‘surgical menopause’  and although they recognize the severity of hormone changes in their professional literature:  “The effects of surgical menopause are severe due to hormone levels decreasing all at once,” the severity of the hormone dysregulation initiated by surgical menopause is not even mentioned in their patient literature: ACOG’s Hysterectomy Patient Information Pamphlet. In fact, the term “surgical menopause” is not even used. Instead, the pamphlet says

“Depending on your age, if your ovaries are removed during hysterectomy, you will have signs and symptoms caused by a lack of estrogen, which include hot flashes, vaginal dryness and sleep problems. You also may be at risk of a fracture caused by osteoporosis at an earlier age than women who go through natural menopause. Most women who have these intense symptoms can be treated with estrogen.”

There’s no mention of castration or even the more benign term surgical menopause. If these terms were mentioned, some women might think to look for a pamphlet about those topics. In other words, they’d connect the dots. As things stand now, there are no dots to connect. The severity of the side effects are downplayed considerably.

The Myth of Hormone Replacement Therapy Post Hysterectomy

To make matters worse, many castrated women are left with no way of supplementing the hormones they’ve lost. They’re simply sent on their way. Others are prescribed a “one size fits all” hormone therapy such as Premarin which is derived from the urine of pregnant mares. While it may work for some women, it comes with serious side effects and doesn’t seem to work for women who have been castrated, likely because the ovaries produce more than just the estrogens and synthetic hormones are not capable of replacing what the body produces on its own.

“I am a 46 old and had a hysterectomy for which my uterus, cervix and both ovaries were taken in 2011. This was due to having endometriosis since I was 22 and having it laparoscopically removed three times, for which my doctor had advised to just have total hysterectomy instead of surgeries. I, however, wanted to hold on to my ovaries. That day did come that I agreed to have all removed, and can I say that I count that as the last day of my life. I have been living in a life just short of a Stephen King novel. I decided after surgery to wing it with no HRT at all and done that for a whole year. In 2012, I decided to try Premarin at the suggestion of my doctor. This was because of the night and day sweats, intense cold spells, horrific mood swings, insomnia, drastic weight gain, memory loss and forgetfulness and loss of libido to name a few symptoms that had gotten to me severely. The hormones worked for 1 month. Then all symptoms came back with a vengeance! My doctor wanted to double my dosage of premarin, but my scare of cancer quickly stopped that. I am now holding on day by day. I have lost half of my hair since coming off HRT. Every day, suicidal thoughts are in my mind, I mean it is all so hopeless to me. Just wish I could reverse the surgery, but that is not possible. HELP”

Sadly, many doctors even prescribe psychotropic drugs, as if they could somehow replace a woman’s own natural hormones.

Depression Post Hysterectomy

Depression is a very common problem for women who’ve been castrated, but one that is rarely acknowledged appropriately.  Given the vast biochemical changes a woman’s body is thrust into, it seems likely that she could be propelled into a severe depression and should be warned accordingly, before the surgery.

To better understand how traumatic castration can be, consider a few things we now know about women going through “natural” menopause: 1) women going through natural menopause are three times more likely to be diagnosed with depression than the general population 2) this is true even when there is no prior history of depression and maybe most surprising 3) natural menopause is a time in a woman’s life when she is most likely to commit suicide. Of course, women who’ve been castrated are at the highest risk of all due to the immediate drop in hormones and the severity of symptoms. Add this to the fact that a castrated woman’s adrenal glands are suddenly placed under the extreme stress of taking over for missing ovaries and other organs throughout the body become likewise stressed. All of this additional stress on the body’s organs and systems can, of course, lead to diabetes, autoimmune diseases, heart disease, brain diseases, cancer, etc.

Depression Post Female Castration

Depression brought on by castration is unique in that it only happens to women undergoing this certain type of life change – this specific surgery. It’s much more than just a bout of the blues. It isn’t a weakness or flaw in character, nor is it something that you can simply “snap out” of.  No – this type of depression may require long-term treatment. Stanley West MD, author of “Hysterectomy Hoax”, wrote “…this is much more than the blues; it is serious enough to require hospitalization for some women, lengthy counseling and drug treatment.” The chemical imbalances brought on by castration can lead to a woman becoming clinically depressed. And if the depression continues, then suicide becomes a genuine risk factor.

Is There Help?

So, where exactly does a castrated woman turn for help? Since this type of depression stems from an imbalance of hormones that includes the loss of vital estrogens, progesterone, and androgens, hormone therapy becomes all the more important since it raises those levels again to some extent. However, castrated women may also require a wide range of hormone supplements. Combinations of estradiol and estriol may be necessary and these should be balanced with progesterone and sometimes testosterone. DHEA might need to be added too. Because sex hormones are important to so many other hormone systems in the body, a woman who has undergone castration may also need supplements to help with her thyroid and adrenal glands.

For counseling, reach out to the resources in your area. A brief list can be found here.

Castration requires close follow-up care. And yet, very few doctors seem to be seriously engaged in helping castrated women regain their health and vitality. This is yet another reason women become depressed. There’s really nowhere to turn for help. Instead, most women find out very quickly that all of their post-surgery “complaints” will be dismissed as a mental problem of some sort. ACOG mentions only one reason for “emotional changes” post-hysterectomy: “Some women feel depressed because they can no longer have children.” Personally, I’ve not heard from one woman who said they felt depressed for this reason. The women I hear from tell me they’re often made to feel that nothing is “really” wrong with them – that it must all be in their head. In short, they’re made to feel “crazy”. But the issues are real.  Read any of the stories below and there is no doubt that the suffering is legitimate. Hormones impact brain chemistry as well as every other physiological system in the body. Remove a primary source for those hormones and there will be problems. How can there not be?

The Reality of Ovary Removal

This is what women who have been castrated say about their lives post-surgery. Let me warn you: it’s not pretty. Please note that some comments have been edited for brevity. It’s the same story over and over and over again. Only the names change.

“I have not been the same woman since my hysterectomy. Within one week of surgical menopause, at age 42, I became clinically depressed. It went downhill from there — no sex drive, weight gain, anxiety plus depression, bone loss and energy loss. Basically, I’ve felt like I was falling apart. I have been on the estradiol patch and an antidepressant since my hysterectomy. I would have kept my ovaries if I had known what would happen.”

“I had a hysterectomy 2 years ago. Since then, I have had nothing but trouble. The surgeon took away my ovaries, so I have no estrogen in my body – only testosterone. This makes me very angry all the time. I refuse to take HRT because my mother had breast cancer. I have no interest in sex whatsoever, and am on anti-depressants all the time. Hysterectomy has ruined my life, and if I could go back, I would not have had it done. I would have just put up with the fibroids. My advice to anyone contemplating this is to think long and hard. If there is an alternative route you can take, do so! I would not wish this on my worst enemy!”

 “I will be turning 40 this year and 3 years ago I had my hysterectomy. Ever since then, I have not been the same. I’ve gained weight, have hot flashes, aches and pains everywhere and am moody. If I had to do it over, I would never have a complete hysterectomy. I used to be full of life and now all I want to do is hate the world or cry over everything.”

“When I woke up in ICU almost 24 hrs later with a tube in my throat I motioned for a pen and wrote the word hysterectomy with a question mark. I don’t know how I knew, I just did. After the doctor carelessly punctured my uterine artery he decided that the best way to fix his mistake was to take out everything that made me a woman. He nearly killed me. They had to give me 15 units of blood while they frantically carved out more and more. He never even came to see me after he butchered me to explain what happened or why he ruined my life and my families’ future. I have never seen him again. I am 35yrs old in surgical menopause. Some days I wonder if my young husband will leave me for a woman that can still have children. I have never posted a comment on any site about anything. I read your story and felt that you were the first person that knew what I was feeling.” 

Sadly, there are more similar hysterectomy comments and stories on my website which I refer to as “hysterectomy hell”. You can read those stories here and here. There are forums and blogs all over the Internet too where women gather and pour out their inner-most feelings about their lives after surgery. Most women can’t sleep, so they reach out during the night for help, seek answers for what’s happened to them and otherwise just try to fill the void.

Families of Women Who Have Been Castrated

One adult child wrote about her mother’s hysterectomy:

“After we moved to a ranch house in an exclusive residential suburb of Minneapolis when I was 8, my mother stopped singing. That wasn’t the only change in her during the summer of our elevation from middle- to upper-middle class. Her hair seemed to turn white very suddenly and her personality altered just as drastically.

I learned to test the air when I got home from school, trying to discover what mood she was in that day: playful, full of games and secrets, or grim and tight-lipped, on the edge of tears.

Later, I discovered from old medical records that Mother had had a hysterectomy during the summer of our move, when she was only 38. Being plunged into early menopause could explain her mood swings, I now realize, the tearful scenes, the tranquilizers, but then my 8-year-old mind developed a theory that my sweet, raven-haired mother had somehow been kidnapped and replaced by a white-haired virago who resembled her. I remember poring over the family photographs in the mahogany sideboard, trying to determine when the substitution had taken place. Mother never sang to us again after that summer and when we asked her to, she replied that her voice was gone: ‘I’m too old to sing’.”

I could share so many more heart-wrenching comments and messages like these, but I feel I’ve shared enough to substantiate that women who undergo hysterectomy and castration, especially when uniformed, misinformed or not informed at all, suffer beyond words really and so do the families. There’s certainly no shortage of post-hysterectomy horror stories. Maybe woman who undergo hysterectomy and castration to save their life are better able to cope. I don’t know. What I do know is that far too many hysterectomies are performed for other reasons and many of those women feel extremely betrayed. They never get over it as the many comments here suggest. In the case where there’s no consent, hysterectomy and castration is considered assault and battery. That’s criminal and that’s a very big deal. Women who’ve been surgically “assaulted” have even more trauma to come to terms with. There’s not much a woman in this situation can do other than file a medical malpractice suit against her doctor. Maneuvering and enduring the legal system is yet another nightmare all its own and isn’t a reality for most women (“victims” in the case of unconsented surgery).

There can be no question that so many women are experiencing profound depression. This is not something we can continue to ignore. This is a very real problem everybody should take seriously. After all, we’re talking about over half a million women going through this every year just in the United States alone. From a public health point of view, depression is a substantial illness with significant morbidity for patients (and their families). If the depression continues, then suicide absolutely becomes a genuine risk factor. It is so important for families of women who’ve undergone hysterectomy and castration to realize how serious the resulting depression can be and what it can lead to.

Personally, I’d love to see a huge drop in the number of women undergoing these mostly “unnecessary” and “elective” surgeries. Until such time, we’ve no choice but to begin this discussion in hopes of saving precious lives. Depression can be managed only when we talk about it openly – when there is no shame. Managing depression may include: hormone replacement therapy, talk therapy, proper diet, exercise, meditation (including prayer of course) and medication too if necessary.  While I’m no psychologist, I can tell you what has helped me survive post-hysterectomy depression. I’ve learned that it is critical to fix what’s fixable. Restore balance back by doing what you’re still able to do – whatever that is; it will be different for every woman. Like the “Prayer of Serenity”  change what you can, deal with the rest. We all only have so much energy left after such a life-altering surgery, so we need to learn to focus and use our energy on things we can change. This is by no means easy to do.

My Story

To be completely honest, I still struggle with depression since my unconsented hysterectomy. I guess I always will. And yes, I’ve been suicidal at times too. And while there may not be a “cure” for this type of depression, it helps a lot for women to know and understand they are not “crazy” or alone. Before social media and personal computers, women mostly suffered in silence. There’s no need for that today though.  A doctor from Australia who specializes in menopause and hormones once told me not to waste what I’ve suffered and so I’m trying to follow his advice. Specifically, he said

“You can’t waste what you have suffered. Others need not just to know, but to understand the depth of that hole, and how hard it was for you not just to climb out of it, but how hard it was to even have the energy or will to turn around as you plummeted to the bottom. And more than anything, they need to know that you can!”

So, we absolutely must start talking about the hysterectomy hole. We must share our stories so that others do not suffer as we have. And doctors too must stand up and speak out. If you’d like to share your story here on Hormones Matter, Write for Us.

Help us understand the consequences of hysterectomy – take a survey. The Hysterectomy Survey.

Sign a Petition to End Unnecessary Hysterectomies

Contact the Author

This post was published previously in July 2014. 

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Medical Rape: Coerced Hysterectomy, Oophorectomy, and Lymphadenectomy

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I was one of those lucky women who never suffered any gynecological problems in the 58 years I had my precious female organs fully intact. I trusted the female GP who did my yearly Pap smear (which she insisted I have every year, despite never, ever having abnormal cells). I did not know she was in cahoots with corrupt gynecologists looking for easy prey to perform hysterectomies. She forced me into seeing a gynecologist, writing that I had post-menopausal bleeding. This was a blatant lie, as I NEVER had a single drop of blood since my menopause finished 5 1/2 years before. She would not take “NO” for an answer. She did everything to gain my trust, so I didn’t understand what was going on. She wore me down until I gave in. I went to the gynecologist she referred me to so he could examine me, say I’m fine and send me home. I’d never seen him before in my life.

As soon as I sat down, he opened the referral, and the first words out of his mouth was: “You have bleeding. I’m giving you a curettage.” I was shocked. He didn’t ask me one single question, and he didn’t examine me. I said I had no bleeding and I’m not having a curettage, but he would not take “NO” for an answer. He already had me booked in for the pre-admission and the curettage at a hospital I’d never been to before. I was not told that it is my choice. He manipulated and coerced me until I gave in.

At the post-op appointment two weeks later, he said that I had cancer and had to have a hysterectomy. He’d already sent the referral to a public hospital I had never been to before, and was not told was a teaching hospital. I only went there to be examined, told I’m fine, and sent home. The Clinical Fellow in Gynecology/Oncology called me in after the waiting room was empty. He then mentioned the bleeding. I was so angry, I said:

“Why do you people keep saying I had bleeding, when I hadn’t had a single drop since my menopause finished over five years ago, until I was given the curettage and bled for 3 days.”

He ignored me and told me he was going to take out my cervix, my uterus, my Fallopian tubes, and my ovaries. And he was going to do it by laparoscopy, but still may have to cut me open. Again, I was shocked. I said:

“I have no bleeding, no pain, no symptoms whatsoever, and begged for another option.”

His face was full of anger and contempt as he yelled at me:

“YOU HAVE NO OTHER OPTION. YOU SHOULD CONSIDER YOURSELF LUCKY YOU DON’T HAVE TO HAVE CHEMOTHERAPY. NOT LIKE ALL THOSE WOMEN IN THE WAITING ROOM”, and he flicked his hand toward the empty waiting room and said: “THEY WEREN’T SO LUCKY”.

I was shocked.

He then answered every question I asked with:

“You’ll be fine,” and insisted I go in, in two days.

Next, he shoved a piece of paper in front of me and pointed where to sign. He did not go through one thing written on that consent form. I asked him if he’d done laparoscopy surgery before, and he looked me in the eye and told me he’d done hundreds, that he could do them with his eyes closed. A blatant lie. I did not know that after I left, he added on the form he bullied me into signing that he may take out some pelvic lymph nodes as well. He sprung that on me just before the surgery.

To make a long story short. He mutilated six organs from my body, and God knows how many lymph nodes, as that was covered-up. He botched it beyond repair leaving me wailing in agony every day and bleeding out since he butchered me in June 2005.

The morning after he slaughtered my organs, he smugly told me that I was as clean as a whistle; that all my removed organs had been healthy.

He removed healthy organs.

I was coerced into having an unneeded hysterectomy; a hysterectomy that has left me in agonizing pain ever since. For what? Profit? Medical training? I don’t know, but I am devastated.

When I tried to bring a complaint against him and the hospital, the whole system took his side and did everything to discredit me and spread the word I was paranoid. They denied that I was in any pain, and kept sending me to psychiatrists who just kept pushing drugs on me and telling me they found nothing wrong in the tests when I kept telling them how much pain I’m in.

I’ve never in my life been touched by such evil. I was a victim of fraud and criminal medical malpractice, and my health and my life has been destroyed by those evil doctors. Why aren’t women warned about these corrupt doctors who trick healthy women into unnecessary hysterectomies. This surgical racket has been going on for decades and will never stop because the system is geared to protect doctors, and not patients, from unnecessary harm. As Dr. Phil Hammond said: “The system is still geared to protecting doctors’ reputations rather than protecting patients from unnecessary harm.”

Share your Story

If you have a hysterectomy story, please consider sharing it on Hormones Matter.

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Victimized by Medicine: Hysterectomy Without Consent

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I don’t particularly like saying I’ve been “victimized” nor do I like thinking of myself as a “victim”. I never have. The truth is though, according to the Merriam Webster Dictionary, I have been victimized. Merriam defines victimized as follows: to treat (someone) cruelly or unfairly: to make a victim of; to subject to deception or fraud. Victim is defined as: a person who has been attacked, injured, robbed, or killed by someone else; a person who is cheated or fooled by someone else and someone or something that is harmed by an unpleasant event (such as an illness or accident).

In 2007, I was knocked out with Versed and surgically assaulted. I wrote about what happened to me here. The reason I use the word “assaulted” is because I did not consent to surgery – more specifically I did not consent to castration. Indeed, I was treated cruelly. I was attacked, injured, and robbed.

When there is no consent for surgery, it’s absolutely considered assault and battery. With over half a million women undergoing hysterectomy each year, it’s hard to imagine that there is informed consent in all of those cases – really hard to imagine. It would be bad enough if women were only up against hysterectomy and castration abuse, but sadly, there are many more ways women are being abused and victimized by medicine. You can read more about that here.

So what’s a victim to do? How does a victim start over and find purpose in her life again? Where exactly does a victim turn for help? How does a victim heal from the trauma? I suspect the answers to these questions might differ from one victim to another. The answers would also likely depend largely on the circumstances. And, while I can’t answer for other victims, I can certainly explain how I’ve managed to go on and even find purpose again.

One of the most important steps I took was to reach out. I know from experience that it is never a good idea to isolate oneself – although it is often human nature to do just that during times of trauma. For me personally, I knew that I needed to contact lawyers to see how I might go about pursuing a medical malpractice suit, since I did not consent to surgery.

I also contacted the police to see if filing criminal charges was an option for me. I found out it wasn’t because, according to the police officers I spoke with, it’s considered a “civil” case when a person’s been harmed by a doctor inside a hospital. More regarding how I feel about that another day though.

I reached out to local lawmakers and testified in both Indiana and Kentucky regarding hysterectomy informed consent laws or rather the lack of them. And last but not least, I reached out to other women who’ve been abused by medicine. Sadly, there are many – too many.

And while contacting lawyers, police, lawmakers, and other women made make me feel less like a victim externally, I still felt like a victim internally. I have never allowed myself to assume the role of victim and I didn’t want to do that in this case either. I searched my heart and knew what I needed to do. I needed to write. So, I created a blog site here and then a website here and eventually a Facebook page here. And, I’ve written a variety of articles for Hormones Matter as well.

The way I process, heal and communicate is through my written words. Ultimately, as negative and painful as undergoing unconsented hysterectomy and castration has been for me, it forced me to connect with and understand who I am at the deepest level of my being. When my former doctor took the violent actions he did against me, something so precious –so incalculable- was taken from me in that instant: my value and my worth – as a human being and especially as a woman. I had to dig deep to find myself again. I’m still digging…

As the anniversary of my surgical assault draws near on September 27, I can’t help but think about that day that changed my life, health and sexuality forever. I’ve asked myself over and over again why was I targeted for unnecessary surgery and why was I knocked out against my will, sliced open, and castrated. This is what I have concluded. During the two hours I was in surgery, I was nothing more than an object that happened to possess the pieces or body parts necessary to make money for that doctor and that hospital. Behind those surgical doors, I was treated as property (though never purchased), that my former doctor felt he had the right to touch and use for his own purposes.

During those two hours, I had no voice, no thoughts, no feelings, no soul, no mind, no emotions, no power and no potential. I only had a vagina and the life-sustaining organs that lived inside of it. And he felt entitled to that – entitled to take away my life-sustaining organs and my womanhood without actually knowing or caring anything about me. He violated me in the worst possible way one human being can violate another human being. That doctor ruined my life, my sexuality, and my health without even the slightest regard for how profoundly my life would change. Every dream I carried inside of me was crushed beyond recognition because of what he did with his scalpel.

If there’s one thing I’ve learned through this nightmare experience, it’s that I have to speak out about what happened and call things the way they are – even if that’s not necessarily what others are comfortable hearing and knowing.

I don’t sugarcoat what happened to me. I can’t. What was done to me was violent, shameful, wrong, immoral, unacceptable and downright evil. It was painful, hurtful, disrespectful, discriminatory, barbaric and criminal. I try to soften the trauma of what happened by reaching out to other women who’ve been victimized to let them know they are not alone in their devastation.

And, of course, my hope is to help women who’ve not yet been victimized know the truth about hysterectomy and castration that their doctors simply will not tell them. In other words, in helping other women, I’m taking the horror of what happened to me and I’m turning it into something of worth. I’m turning my pain into something I can at least live with and not lose my sanity completely.

I feel. I connect. I cry. I learn. I speak. I fight. I write.

The devastation I’ve endured in this situation is matchless to anything I have ever experienced before other than the loss of my two youngest children. There’s no way I can say it isn’t. At my weakest moments, I remember my strength. I remember that I have a voice. I speak and I speak loudly. I speak not only for my own sake, but for the sake of millions of other women. When I tell my story, I’m telling the story of all women who’ve been abused and victimized by medicine. Knowing I am helping someone else, helps me survive.

Speak Up! Speak Out!

I would love for more women to take a stand with me against the medical abuse of women. Please consider sharing your own story on the Hormones Matter site. Let’s connect and see what we can do together as one large voice!

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This post was published originally on Hormones Matter in September 2014.

Hysterectomy Experiences: Organ Dysfunction

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Gynecologic surgeries, particularly hysterectomy (uterus removal), oophorectomy (ovary removal) and C-section, are the top overused procedures in the U.S. Only a small percentage of hysterectomies and oophorectomies are considered necessary since gynecologic cancers are rare. According to this JAMA Surgery article on 2007 inpatient procedures, “Two operations on the female genital system, hysterectomy and oophorectomy, accounted for a total of 930,000 procedures (89.3% and 84.6%, respectively, were elective).” These figures do not include the roughly 300,000 outpatient hysterectomies and oophorectomies done in 2007. This graph (graph B) of indications for hysterectomy is a good visual of how few are done for cancer (~50,000) indicated by the gray line. However, it is misleading in that it appears that hysterectomies have steadily declined since it only includes inpatient procedures. Outpatient hysterectomies have steadily increased since about 2002 and reached 40% of these surgeries in 2012, the last year for which I could find data.  The 89.3% “elective” rate would indicate that these surgeries are “restorative” or at least harmless, but medical literature and women’s experiences prove otherwise.

A few years ago, I began writing for Hormones Matter about the consequences of hysterectomy and oophorectomy. Year after year, these posts generate tens of thousands of views and hundreds of comments. The comments inevitably follow the same pattern of unwarranted removal of organ(s), sometimes without informed consent, and ensuing declining health. We are publishing a series of articles highlighting women’s comments. This is the third of the series. The first article is about the lack of informed consent and can be found here. The second one talks about how our “exterior” settles / collapses after the uterus is removed leading to an altered figure and back, hip, and leg problems in the long run.

Bladder and Bowel Problems

Bladder and bowel problems are common after hysterectomy and usually permanent and progressive. A number of mechanisms seem to be at play – organ displacement, severed nerves and blood vessels, adhesions. Prolapse and risk of urinary and fecal incontinence are increased especially in the long-term. Bowel obstructions can occur many years after hysterectomy due to displacement of the bowel as well as adhesions which, according to this article, develop in 93% to 100% of patients who undergo abdominal surgery. This article cites “matted” versus “band” adhesions as more likely to develop after surgeries done via a vertical incision as well as colorectal surgeries. Matted adhesions are more apt to cause obstruction recurrences than are band adhesions. Here is my article that addresses the impact of hysterectomy on the pelvic floor and bladder and bowel function.

The non-profit HERS Foundation did a survey of 1,000 hysterectomized women. Urinary and bowel problems were frequently reported. The five complaints below were the most commonly cited:

  • constipation = 43.8%
  • urinary frequency = 39.5%
  • urinary incontinence = 31.1%
  • bladder infection = 24.5%
  • diarrhea = 20.8%

 

There are quite a few other complaints related to urinary, bowel and digestive issues as well as many other problems. Here is the complete list broken out by hysterectomy only, hysterectomy with one ovary removed, and hysterectomy with both ovaries removed.

Dysfunction of Other Organs / Glands

Studies have shown that other organs are negatively impacted by hysterectomy. Multiple studies show an increased risk of renal cell cancer after hysterectomy. This article states that risk to be “nearly 2-fold” and conjectures unintentional damage to ureter(s) as the primary mechanism. Thyroid cancer risk is also elevated regardless of whether or not ovaries are removed. According to this Finnish study, both rectal and thyroid cancer risks are increased in hysterectomized women.

Gallbladder disease seems to be fairly common after hysterectomy. However, according to this article exogenous estrogen (estrogen replacement) is the culprit.

Contrary to what many women are told or led to believe, ovarian function is oftentimes compromised once the uterus is removed and even more so if one ovary is removed. This makes sense when one considers that the uterus, ovaries, and Fallopian tubes work together as a system. This study determined that 39% of hysterectomized women showed signs of ovarian failure. This cohort study showed a nearly 2-fold increased risk when both ovaries were preserved and nearly 3-fold when only one was preserved.

The main purpose of this article is to report women’s experiences with bladder and bowel changes after hysterectomy. As such, below are comments from some of my articles that are evidence of these problems.

F De wazieres writes:

“…prolapsed bowl, severe constipation… the list is endless…”

Michelle:

“….  Most recently I’m having bladder issues…”

Rachel:

“I had a total hysterectomy August 13, 2007 a few weeks later I kept getting nauseous. I suffer from IBD and I fluctuate between constipation and diarrhea.”

Rebecca:

“hysterectomy on 6th February 2014 recovery ok. Sex life non-existent major loss of feeling, weak pelvic floor – leaking pee when exercise, sneeze, rarely laugh”

Nicole:

“I have also had some bad kidney infections.”

Nikki:

“I had a total hysterectomy and ureter repair two days later. This was 3 years ago. I have pain in my right side from time to time. I also experience problems urinating. I go ALL the time. I think I am finished, I wipe and when I stand up, I have leakage.”

ATH:

“After surgery I began getting chronic UTI’s, experiencing severe lower back pain, diarrhea and weight loss.”

Ann:

“Everyday is a struggle with bladder pain, constipation and pelvic blood vessel pain.”

SharonJ:

“urinary & bowl issues. … I even had an InterStim device placed in my upper buttocks with the hope that it would help with urinary issues and pain (it didn’t).”

KA:

“always constipated”

Julie:

“my bowel movements changed forever it’s never been the same.”

Lyn:

“I certainly feel and experience of incontinence and leakage of urine and stool.”

SharonJ:

“urinary & bowl issues”

Georgina:

“I can relate i had a hysterectomy in 2006. Today I’m experiencing pain in my stomach that takes my breath away.then i have pressure when i urinate.”

Karen Wood:

“When I work on my feet I have to be aware of holding my muscles tight so I don’t have incontinence!”

Shirley Davis:

“I had my partial in 2003 and since then I’ve had constant bloating and lack of bowel elimination at times it never donned on me until now that it may be from my hysterectomy, I’ve tried practically everything to ease the discomfort but nothing is working.”

Lisa:

“I have had hundreds of problems with my bladder, have to use my hands as a sphincter muscle otherwise the poo doesn’t come out and I have stomach pain for hours and cant sleep.”

Rene:

“I had a hysterectomy in 2004 and I have suffered with swelling in my stomach ever since I look like I’m 9 months pregnant, have trouble going to the bathroom had my gallbladder removed since then i stay in pain my stomach…”

Sue:

“I had a hysterectomy in 2007 and my health has slowly declined ever since to the point that the last few yrs. have been debilitating. My first symptom was constipation, then came…. I can’t go to the bathroom with out some sort of laxative and now they don’t even work at times. I have on and off pain under my right rib, have been to every doctor I can think of.”

Ashley:

“I had a hysterectomy Aug 30th and now my gallbladder is acting up have to go see a surgeon tomorrow”

KME:

“The first thing that became a problem post-op was chronic constipation. No matter what I do, I am always constipated and so much so that I always have a build up of and pass a huge amount of mucus (sometimes just mucus). This has affected my entire gastrointestinal tract of course and I have intermittent issues with enough gas to float a blimp, nausea, heartburn, etc. Over the last two years, I have definitely noticed my intestines shifting down and I may have a rectal prolapse as a result.

Julie in Texas:

“My grandmother had a hysterectomy sometime in the mid to late 60’s. She had already undergone menopause. She was so humiliated by it that she didn’t speak about it for nearly 20 years. I do not know when her complications set in… she apparently experienced all the horrors of pelvic organ prolapse. …I remember that she had multiple bladder stapling surgeries, one of which I swear was reported to have been to staple it to her backbone! What she didn’t confess until years later was that her doctor, frustrated by these many surgeries on what he considered to be just some ancient, obese woman, decided that the best way to treat her organ prolapse, pelvic floor problems, incontinence, etc., was to sew up her vagina! He did not discuss this with her beforehand.”

Irene:

“LAST 3 YEARS I HAVE HAD STRESS INCONTINENCE AND OCCASIONAL PROBLEMS TRYING TO POO AS ITS HARD TO PUSH OUT DUE TO BOWELL PRESSING ON MY VAGINA. Gynecologist told me a month ago that normally the uterus holds the bladder the vagina and the bowel in place as they are all connected. He said when uterus is removed the other organs often become unstable often swinging in the wind and after on average 6 years after hysterectomy women start having problems. I am a week out of major surgery after having a bladder sling repair and an anterior and posteria vagina repair. If I hadn’t had a hysterectomy I wouldn’t have needed this surgery as I was very fit and every thing was where it should have been. If I knew what I know now i would have just had the one ovary removed.”

Sue:

“Hysterectomy in 2007. Chronic constipation ever since. Now laxatives aren’t even working…. My life has been horrible since.”

Joan:

“I am 13 weeks post hysterectomy and I am sorry I had it done. I was a very active women, always running around from 6am till 9pm. It has slowed me down I am incapable of standing for too long and sitting down hurts me as I constantly feel there is something stuck in my rectum.”

Kelisi:

“Lisa, in my case it also improved a lot, though I experienced some incontinence for a while. But the improvement lasted exactly three years and since then its got worse and my life is devastated, not only sexually. I am now in the 6th year post.”

Michelle:

“It’s been a year since my surgery. Most recently I’m having bladder issues and….”

Jadedkrystals:

“I had a complete hysterectomy (including both ovaries) when I was 30 yrs old (am now 49)…. since then have had loose stools and bowel problems w/ pain in stomach, also had my gall bladder out 8 yrs ago, now I have more bowel issues…. now I am having constant pain in flank area all the way around on both sides burning & cool sensations in back around kidney area and tenderness in my belly area, fullness/bloating under my rib cage on both sides after I eat.”

Jen:

“I had TAH kept my ovaries (boy, that was a battle)… had it Aug 2013. I have had so many problems since. … I have been having issues since day 4 post hysterectomy…. I also have severe rib pain right and left. I have bowel problems too and the nausea and fatigue is hell. … It’s interesting talking about loose stools because that has been happening….”

Kimberly Furino:

“I have had a Laparoscopic hysterectomy in February with just my uterus taken out. Since my surgery, I have been nauseous and have bowel problems. I have had every test they can possibly do and no one can figure out what is causing this.”

Ginger:

“I had cervical cancer…. I have my ovaries tacked up high,it hurts, had bladder surgery after that did not work suffered terribly, I have lbaf constipation.”

Lynn:

“7 years ago I had a full hysterectomy. (Cervix, Fallopian tubes, uterus and left ovary) during this surgery I also had a bladder suspension. Three years ago I had to have a bladder sling. The suspension lifted my bladder. And the most recent was the sling which pulled my bladder forward. So right now I currently have both the suspension and the sling. As of now I have developed vaginal prolapse to the point where my intestines bulges out from my vagina and I have to push it back in. If I walk for more then half our or so my insides feel like they are just hanging inside. To the point where it hurts and I have to lay down on my back. I can’t explain it any other way then it feels like I have to push as though I am in labor. The pressure on the pubic bone and the pressure on my pelvic floor.”

Stephanie:

“I’ve had pain in my upper stomacher ever science the server. I had the belly button one done on me.I’ve had like a big rock in my upper ABS but now its huge and I’m bleeding from vagina.I’m so scared.”

Nonhlanhla:

“I had partial hysterectomy in 2008 ,I was 32yrs old I was ok till 4 months back am having severe lower abdominal pain and candida which is getting worse I consulted the dr with no effect I am so confused what is wrong with me?”

WS:

“I also developed rather severe diarrhea.”

I caution any woman who is told she needs a hysterectomy and/or oophorectomy or is considering one to heed these comments. With the gross overuse of these surgeries, chances are she’s being sold a false bill of goods. It’s not always a good idea to rely solely on your doctor’s advice as Someone Who Cares cautions:

“After 40 years of enduring this “disabled” existence, it breaks my heart that no matter how many of us try to warn other women, in various ways, the number of these destructive surgeries continues to increase, not decrease.”

A complete list of my articles can be found here. The HERS Foundation is a good resource for understanding the lifelong functions of the female organs. It also has information about gynecologic conditions and treatment options. These two sites, Ovaries for Life and Gyn Reform (especially the studies/citations link), are excellent resources about the gross overuse and harm of ovary removal or loss of ovarian function after hysterectomy.

Unspoken Dangers of LEEP Procedures

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Dyscariosis and the Threat of Cervical Cancer

I was 33. I was in love, although more realistically heartbroken and pining.  This wasn’t unusual for me, I was never very good at choosing a partner, I was fiery and volatile in my lifestyle, and had gone through a series of painful and passionate relationships in my late 20s and early thirties. My addiction to love was always to my detriment. When I fell, I fell hard, and always with the wrong ones. But yet somehow despite the pain, in this wild messy state, I thrived. It drove me forward. It was part of me. I was addicted to life and love.

I saw myself growing old, laughing. I loved to dance, to flirt, to draw and create characters in my mind and in my work. I used to cry, laugh and make jokes. I was employed in a creative job and was passionate and truly alive.

In August 2010, after a routine cervical smear. I was informed that I had a small cellular change in my cervix, known as mild dyscariosis, threatening cancer if left untreated. I was told that I would have to undergo a minor procedure to remove these cells.  The procedure was called a Loop Electrosurgical Excision Procedure, or LEEP. It is also known as LETZ in the US, and is similar to a Cone Biopsy.

No Nerve Endings in the Cervix?

I was slightly worried, but reassured by my doctor that there was nothing to even consider as a side effect with the LEEP procedure. There was no risk at all, she said, as (which you may also have been told), there are apparently ‘NO’ nerve endings in the cervix.

I was surprised and dubious at this statement, having not only experienced pretty much all my pleasure and emotional pain from precisely that region, but also been used to very intense cervical contractions, both though orgasm, and the dull aches of menstruation.

I went online, and even more surprising found nothing to explain this part of the body neurologically, at all.

Nervously I agreed to the procedure and endured it without complaint.

Post LEEP Nerve Damage

On returning home however, things soon began to feel very different. After a few days, possibly a week, I was suddenly struck with a dark, eerie hollow emptiness. I knew I had been cut into, and was therefore injured, and so put it down the possible fragility of healing. But it wasn’t long before I shared my first sexual contact, and then things then became very real.

Where once there had been a rush of blood and sensation, there was nothing. No electricity, warmth or change in my body.  I was even more shocked, however when the orgasm I was expecting, had virtually vanished into thin air. Like the muscle had literally been cut out of my body. I felt hollow inside.

As the horror set in silently, as I suddenly faced the realization that this wasn’t just a fragility, or a healing problem, something I could run away from and escape. This was very serious. A deep and disturbing deadness inside, that as I explored further seemed to become emptier and more upsetting.

I tried to fantasize, to escape. I asked myself, who I could bring to mind for comfort. Something that would previously always entertain and distract me from a discomforting moment of loneliness or boredom, and would easily generate a feeling of hope and love and a rush of desire. But nothing happened.

Damage to Those Nerves Affects Everything

A black hole had appeared in my mind, shrouding the imagery I craved, my past memories and lovers, had vanished and lost all meaning. I literally wasn’t able to visualize or feel. I went to bed, and the room suddenly felt more real, solitary and isolating than it had ever done before. Even loneliness, and the painful ache for another had completely gone.

It felt that in my womb, something had been cut. As though a strong elastic band that held me together in my middle, that resonated and warmed me, and joined my mind and body with the sparks and excitement of life, had been severed.

My creativity soon also turned to a dismissal grey around me, I could see it, but wasn’t able to respond. I couldn’t feel expressions, connections, vibrations or meanings.  As if life itself became fake and tacky, like I was watching a play or performance. I was looking at the actors but could see the ropes being pulled backstage, just waiting for the end of the show. My world had lost its meaning and its colour.

As I seemed no different on the outside, I managed to I hide this for a while at work, but my job was creative, and I knew it would not be long before I would have to leave. Previously I had always felt like I was waiting for my big moment, the next big thing, anticipation that one day my magical hidden talents would be discovered, that I had something amazing to give the world. But now all that was gone. I felt tired, old, and like my cells couldn’t grow or re-generate.

Post – LEEP Side Effects Ignored

I returned to my doctor straight away. But was told to wait. After six months I returned again and persuaded them I wanted a gynecology referral. This however also did not provide any explanation or acknowledgement of the changes in sexual or sensory function I had complained about.

This became the beginning of the nightmare cycle of denial, rejection, and disbelief, which made me realize there was something very wrong in the system that needed addressing.

I went back, time after time, in the hope that there might be some kind of seed of understanding or explanation or support, but I was left searching on my own for many years that pushed me into a deep despair.

I felt like it was neither accepted, talked about, nor considered a medical issue. There was no interest or understanding.

A Culture of Silence in Women’s Sexual Health

There is a culture of silence about women’s sexual health that has shocked me. There are many I have spoken to who have found it so hard to understand why any of this matters, or are too embarrassed, or think that this it is just about the act of having sex, but it isn’t.

The womb, and the vagina-brain connection is a sensory organ, a barometer for so many of our emotions and sensations. From fear, to passion, love, excitement, trust, feeling, hearing music, and of course drive, attraction and sex. If it is damaged, the effects span throughout your whole life and can affect your entire sense of perception.

My Symptoms Are Not Unique

I eventually discovered that the symptoms I was experiencing were not unique to me, and were not, as I had begun to accept, a form of madness that needed desperately to be concealed.

They were not only real, but well documented, and not uncommon in women who have undergone total hysterectomy. The removal of not only the womb but the cervix as well.

Although no doctor had at any stage revealed this to me.

I chilled further when I learned that practitioners now commonly avoid the cervix in order to preserve a woman’s health, sanity, and sexuality.

It seemed unbelievable that they could they be still cutting away at it, seemingly at random in other operations. Young women. Potentially being completely shut down. Without any warning of the statistics, or what is at stake.

How was it they were not making the obvious connection and trying to keep us safe and intact too?

Since this happened, the shame of having lost that sacred sense of feminine, seemed to lurk around every social interaction.

I could no longer get excited about the prospect of a social event, in my neutered state I was no longer a player in the game, or felt of value to anyone.

I felt unarmed, vulnerable and an outsider.

I could no longer command, or desire attention through that unspoken physical energy. An instinctive movement of my hips, or a raised head or glance through a crowd was a lost language. Direct eye contact confused me. I no longer could read or translate these bodies.

Having always known instinctively, and successfully, how to use my body to communicate and to express and perform, meant I now had become terrified of bumping into old friends or having to explain anything.

I felt like I had been hit round the head and had forgotten who I was. For a long time the shame of this affected my entire existence. Something that I have learned every day to try and fight with all the strength I have.

Recovery Post LEEP

At times I think I am getting better, tolerating my body in a new way, and thinking that I have created this whole thing in my mind. But then at other times I am floored again upon realizing it is real.

I am not sure of the facts about neurological re-growth or brain plasticity to heal. But I know this is a good start for a positive outlook. Or perhaps just after such a long time the hope that I will eventually just get used to living in a different mind and body. Learning new ways to live, feel, and accept what I have.

We Are Not Alone

It was such a relief to learn I was not alone out there. I finally found others, and medical practitioners who were also as passionate about this subject as me.

I found within some medical papers online, the names of neurologists specializing in the field of sexual health, and in my search I soon became a point of contact for their work.

This has become the beginning of the collaborative effort to bring this out of the shadows, and into a period of new research, progress and change.

The science behind this could take many years, however this collaboration is making steps that could protect many women from surgical damage in the future.

The threat of cervical cancer is something that must not ever be ignored. We all need to know the facts, but there are less invasive treatments. We need to be given a choice and made aware of the risks.

I have decided to write about my experience in the hope that, whatever the true neurological explanation, our experiences as women will eventually be taken seriously by the medical industry.

We need more women to support us, and we want to help bring this from online to the real world where these issues can be addressed.

More Information about LEEP Side Effects

For more information about problems with LEEP, Cone Biopsy, TVT/Transvaginal Mesh, Labiaplasty or a similar vaginal or pelvic surgery, I found the physicians and researchers at San Diego Sexual Medicine to be very helpful, in particular Dr. Irwin Goldstein.

Web and Reading Resources that Provided Solace and Support

Hormones Matter

HERS Foundation

Books

Vagina, by Naomi Wolf

The Science of Orgasm, by Barry R Komisaruk, Carlos Beyer-Flores, Beverley Whipple

The Brain that Changes Itself, by Norman Doidge

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