Hysterectomy for heavy menstrual bleeding
When hysterectomy is considered
For some women, heavy menstrual bleeding (HMB) can be so severe that other treatments — such as medication, hormonal therapy, or endometrial ablation — do not provide enough relief. In these cases, hysterectomy may be recommended as a definitive treatment.
A hysterectomy involves removing the womb (uterus), which means periods stop permanently. It is usually offered only when other options have been tried, or when there are additional reasons for surgery, such as large fibroids or prolapse.
Types of hysterectomy for HMB
- Total hysterectomy: removal of the womb and cervix
- Subtotal (partial) hysterectomy: removal of the womb while leaving the cervix in place
- Vaginal hysterectomy: performed through the vagina, usually with quicker recovery
- Laparoscopic (keyhole) hysterectomy: minimally invasive, using small cuts in the abdomen
- Abdominal hysterectomy: performed through a larger cut in the lower abdomen, used in complex cases
Your consultant will explain which approach is best based on your symptoms and health needs.
Benefits vs risks
Benefits | Risks |
|---|---|
Stops periods permanently | Major surgery with recovery time |
Relieves symptoms of HMB | Risk of infection, bleeding, or blood clots |
May also treat fibroids or prolapse | Possible changes in bladder or bowel function |
Ends the need for medication or further procedures | Emotional adjustment to loss of fertility |
Improves quality of life for many women | Rare risk of long-term complications |
Alternatives before hysterectomy
Because hysterectomy is a major operation, it is usually considered after other options have been tried. These may include:
- Hormonal treatments (contraceptive pill, progesterone therapy, Mirena IUS)
- Non-hormonal medication (tranexamic acid, NSAIDs)
- Endometrial ablation (removing or destroying the womb lining)
- Fibroid removal (myomectomy)
Support at Transform Femme
At Transform Femme, hysterectomy for heavy menstrual bleeding is carried out by consultant gynaecologists in UK regulated hospitals. Every patient receives tailored advice, full surgical care and unlimited aftercare to support both recovery and emotional wellbeing.
Frequently Asked Questions
Is hysterectomy the only option for heavy menstrual bleeding?
No. It is usually offered only when other treatments have not worked or are unsuitable.
Will I still have periods after hysterectomy?
No. Periods stop permanently after the womb is removed.
Does hysterectomy affect fertility?
Yes. Pregnancy is no longer possible after hysterectomy.
How long is recovery?
Recovery usually takes six to eight weeks, depending on the type of hysterectomy.
What if I don’t want surgery?
Other treatments are available and will be discussed before hysterectomy is recommended.