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Your Alternatives to Hysterectomy

By Tracee Cornforth, About.com

Updated: April 30, 2007

About.com Health's Disease and Condition content is reviewed by the Medical Review Board

Uterine Fibroid Tumors


Surgical Hysterectomy Alternatives

  • Myomectomy
  • Endometrial ablation
  • Uterine artery embalization
  • Uterine balloon therapy
  • Adhesiolysis

Hormonal Pharmacological Hysterectomy Alternatives

  • GnRH agonists with add-back therapy
  • Oral contraceptives
  • Androgens
  • RU-486
  • Gestrinone

Non-Hormonal Pharmacological Hysterectomy Alternatives

  • NSAIDs - Non-Steroidal Anti-Inflammatory Drugs

Other Options

  • Observation

Endometriosis


Surgical Hysterectomy Alternatives

  • Excision of endometrial ablation
  • Resection of cul-de-sac obliteration
  • Nerve blocks
  • Uterosacral nerve ablation

Hormonal Pharmacological Hysterectomy Alternatives

  • GnRH agonists with add-back therapy
  • Danazol
  • Progestins
  • Oral Contraceptives
  • Tamoxifen
  • RU-486

Non-Hormonal Pharmacological Hysterectomy Alternatives

  • NSAIDs
  • Analgesics
  • Anxiolytics

Other Options

  • Observation
  • Biofeedback
  • Acupuncture
  • Hypnosis Lifestyle changes - diet and exercise

Uterine Prolapse


Surgical Hysterectomy Alternatives

  • Anterior or posterior colporrhaphy
  • Laparoscopic or vaginal suspension

Hormonal Pharmacological Hysterectomy Alternatives

  • Estrogen

Non-Hormonal Pharmacological Hysterectomy Alternatives

  • None

Other Options

  • Observation
  • Kegels
  • Pessaries
  • Electrical stimulation
  • Urethral beads
  • Periurethral injections of GAX, collagen, fat, silicon

Abnormal Uterine Bleeding


Surgical Hysterectomy Alternatives

  • D & C
  • Endometrial ablation

Hormonal Pharmacological Hysterectomy Alternatives

  • Progestins
  • Estrogen
  • Oral contraceptives
  • Danazol
  • Prostaglandin inhibitors
  • GnRH agonists
  • Antifibrinolytic agents
  • Luteinizing hormone agonists

Non-Hormonal Pharmacological Hysterectomy Alternatives

  • None

Other Options

  • Observation
  • Antidepressants

Chronic Pelvic Pain


Surgical Hysterectomy Alternatives

  • Adhesiolysis
  • Nerve blocks
  • Denervation procedure
  • Uterosacral nerve ablation

Hormonal Pharmacological Hysterectomy Alternatives

  • Danazol
  • GnRH agonists with add-back therapy
  • Oral Contraceptives
  • Medroxyprogesterone acetate

Non-Hormonal Pharmacological Hysterectomy Alternatives

  • NSAIDs
  • Analgesics
  • Nerve blocks
  • Narcotics

Other Options

  • Observation
  • Counseling
  • Biofeedback
  • Relaxation
  • Trigger point injections
  • Acupuncture
  • Psychotropic drugs
  • Antidepressants
  • Physical therapy

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