Why it's done
Health care providers might recommend a C-section if:
Some women request C-sections with their first babies. They might want to avoid labor or the possible complications of vaginal birth. Or they might want to plan the time of delivery. However, according to the American College of Obstetricians and Gynecologists, this might not be a good option for women who plan to have several children. The more C-sections a woman has, the greater the risk of problems with future pregnancies.
After the procedure
A C-section usually requires a hospital stay for 2 to 3 days.
Once the anesthesia begins to wear off, you'll be encouraged to drink fluids and walk. This helps prevent constipation and deep vein thrombosis. Your health care team will monitor your incision for signs of infection. The bladder catheter will likely be removed as soon as possible.
You can start breastfeeding as soon as you're ready, even in the delivery room. Ask your nurse or a lactation consultant to teach you how to position yourself and support your baby so that you're comfortable. Your health care team will select medications for your post-surgical pain with breastfeeding in mind.
When you go home
During the C-section recovery process, discomfort and fatigue are common. To promote healing:
Check your C-section incision for signs of infection. Pay attention to any symptoms. Contact your health care provider if:
A hysterectomy ends your ability to become pregnant. If you think you might want to become pregnant, ask your doctor about alternatives to this surgery. In the case of cancer, a hysterectomy might be the only option. But for other conditions — including fibroids, endometriosis and uterine prolapse — you may be able to try less invasive treatments first.
During hysterectomy surgery, your surgeon might also perform a related procedure that removes both of your ovaries and your fallopian tubes (bilateral salpingo-oophorectomy). You and your doctor should discuss ahead of time whether you need this procedure, which results in what's known as surgical menopause.
With surgical menopause, menopause symptoms often begin suddenly for women after having the procedure done. Depending on how much these symptoms affect your quality of life, you may need short-term treatment with hormones.
It takes time to get back to your usual self after an abdominal hysterectomy — about six weeks for most women. During that time:
Life after a hysterectomy
A hysterectomy permanently changes some aspects of your life. For instance:
To perform the test, your provider collects a tissue sample from the lining of your uterus (endometrium) and sends the sample to a lab for testing. The test can check for:
If more information is needed, your provider then might recommend a D&C, which is usually done in an operating room.
To treat a condition
When performing a D&C to treat a condition, your provider removes the contents from inside your uterus, not just a small tissue sample. This might be done to:
Mirena prevents pregnancy for up to seven years after insertion.
Why it's done
Mirena offers effective, long-term contraception. It can be used in premenopausal women of all ages, including teenagers.
Among various benefits, Mirena:
Mirena can decrease menstrual bleeding after three or more months of use. About 20 percent of women stop having periods after one year of using Mirena.
Mirena can also decrease:
Because of these noncontraceptive benefits, Mirena is often prescribed for women with:
Mirena isn't appropriate for everyone. Your health care provider may discourage use of Mirena if you have:
You and your doctor can discuss the benefits and risks of Pap smears and decide what's best for you based on your risk factors.
Who can consider stopping Pap smears?
In certain situations a woman and her doctor may decide to end Pap testing, such as:
Contraceptive implants aren't appropriate for everyone, however. Your health care provider may discourage use of a contraceptive implant if you:
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