Hysterectomy Specialist in Swindon, Wiltshire

Alternatives to Hysterectomy

If you have been advised to have a hysterectomy then it is important that you have explored alternative options before committing yourself to surgery.

The questions you need to ask are:

  1. What are the alternative treatment options for my symptoms?
  2. Will a hysterectomy relieve all of my symptoms?
  3. If I don’t have the surgery what is likely to happen?
  4. Do I still want children?

At the Hysterectomy Centre we are able to offer alternative treatments for your symptoms:

Mirena Coil

As well as being a good contraceptive a Mirena coil is also recommended as an initial treatment for heavy bleeding by National Institute for Health and Clinical Excellence (NICE). The main drawback with the Mirena coil is that irregular spotting can occur for 3-6 months. Other side effects include, bloating, feeling low, nausea and headaches. If you know that your body does not tolerate hormones well it is probably advisable to avoid a Mirena coil.

Endometrial Ablation

An ablation is a minor procedure which involves removing the lining of the uterus. It is very effective for bleeding problems when the womb is not enlarged. Approximately about 50% of women will not have a period after an ablation. The remainder will find that their periods are much lighter.


Fibroids are very common growths of the muscle of the womb. Depending on their size and position in the womb they can cause heavy or irregular bleeding and pressure symptoms.

Treatment may involve both medical and surgical options:

  1. LHRH analogues – these are monthly injections to temporarily shrink fibroids e.g. Prostap
  2. Esmya – a daily tablet for three months to shrink fibroids, usually prior to surgery.
  3. Myomectomy – this involves removing the fibroid(s) from the womb. This is either performed by keyhole surgery, through the cervix or through an open abdominal incision.
  4. Uterine artery embolisation – this is undertaken by Radiologists to block the arteries to the uterus thereby cutting off the blood supply.

Vaginal Prolapse

A pelvic organ prolapse is very common with approximately 50% of women who have experienced a vaginal delivery will exhibit some degree of prolapse. However, only 10% will undergo surgery for their symptoms.

Non surgical options include physiotherapy, a pessary to support the prolapse and topical hormone replacement therapy. There are many surgical options which may or may not include a hysterectomy.