(This is the third in my series of blogs associated with my hysterectomy. In my last two blogs, which had covered the basics for hysterectomy when needed and what are the possible routes to the same) br hysterectomy by unknown reasons, has many myths that surround it. In my clinical practice, while counseling a patient before surgery, they often have to answer some of their misconceptions (traditional beliefs, you could say). Let me start some of these questions and my answers to them. br What are the problems associated with the removal of the uterus at early age, say 35 to 40 years old br When we advise a hysterectomy is permanent for the relief of suffering that is unresponsive to conservative treatment line. uterus in the broadest sense has only two physiological functions, to serve as a body to house a fetus during pregnancy and secondly for menstruation cycles. If the uterus is removed, he will not have periods and not conceived (so probably not wanted at this stage). Besides these there are no other changes in body functions. br The physiological functions of the female body are maintained by the estrogen (hormone generated by woman s body Which is typically essential for normal female sexual development and for the healthy functioning of the reproductive system) secreted by the ovary. Removing the ovaries before menopause for women deprived of this hormone that leads to early changes of menopause. Therefore, there is no compelling reason to remove the ovaries (such as suspicious pathology, family history of ovarian or breast cancer, cysts, tumors) that should be conserved as far as possible. br The strong belief in the medical community is that it does not. There are countless numbers of studies have shown that menopause is not accelerated if the uterus is removed and preserved ovaries. br Absolutely not! If only to remove the uterus from the vagina is intact for a normal sexual relationship. When the ovaries are preserved there is no change in desire, arousal or orgasm. br You can have intermittent spotting or minimal amount of bleeding for up to six weeks after surgery, but not beyond that. Even if the uterus is removed white discharge may occur (but not as often as before). This infection can accommodate sometimes that can be cured with medicines. br I have covered this in detail in my previous blog. Removing the uterus vaginally is well ahead of other routes, as many studies have documented. Recovery is quick and convenient. br A hysterectomy can be performed vaginally if there are multiple or large fibroids (common tumorlike growths in the reproductive system of women) br Generally yes, except for rare cases when the size of the fibroid is greater than 10 cm or location is such that vaginal access is difficult. br br