Surgeons conduct laparoscopic hysterectomy in two ways. One involves keeping intact the cervix, called laparoscopic supracervical hysterectomy (LSH). The other involves removing the cervix, called total laparoscopic hysterectomy (TLH).
Many women think that TLH also involves removal of ovaries, but this is not always true. It depends on the discussion between the surgeon and the patient. It is possible to remove ovaries during TLH.
However, if you have no cancer or are at a higher risk of cancer, your surgeon may advise to keep the ovaries, as hormones produced by them have protective benefits.
Always discuss with your obgyn near Noida Extension about pros and cons of the surgery that you are about to undergo.
Best candidates for LSH
Women with a record of normal pap smears are the best candidates for LSH. Apart from this, you must not have had cervical bleeding, especially while having sex.
Also, you must carry no evidence of prolapse of cervix into vagina, no pain in your cervix during sexual intercourse or cervical examinations.
Women who experience severe cramping, bleeding or not, should discuss with their surgeon about keeping their cervix. Also, if your gyno thinks that you may be suffering from adenomyosis, which is endometriosis of uterus, he/she may not prefer keeping the cervix. It is good to remove it.
Side effects of keeping cervix intact during LSH
Women who under LSH may notice cyclic spotting, which happens from the cervix. According to doctors, this means you will experience spotting during your periods. This happens due to the presence of endometrial tissue that is left in the endo-cervical canal of your cervix.
Although surgeons take care not to leave behind any tissue during LSH, it does get left behind in about 4-10 per cent of cases. However, with advancement in surgical technologies, it is found that only about 2 per cent of women experience this.
Removal of cervix and sexuality
According to older studies, women experience sexual gratification better with their cervix intact. However, recent and more in-depth studies reveal that women, who have had undergone hysterectomy, experience good sexual satisfaction whether their cervix is removed or kept.
Studies show no evidence that says that the capacity of experiencing orgasms changes with the removal of cervix.
This means that it actually does not matter whether your cervix is there or not. You can still enjoy a sexually satisfied life.
So, whether you undergo a laparoscopic supracervical hysterectomy or total laparoscopic hysterectomy, you need not worry about your sex life. However, in case you have concerns, you must discuss about this with your obgyn near Noida Extension before undergoing the surgery.
Last but not the least, you should be in overall good health before undergoing LSH or TLH. This affects your recovery. Your surgeon will give you instructions for after care. Please abide by them religiously for better and faster recovery.