To consider hysterectomy...?

[CantRememberWhichUsernameImOn]

When I have a caesarean?

We 100% won't be having any more children but I'm concerned about the practical side of it... how risky is the operation? How unwell will I be and for how long after?
Is it a good idea with a newborn?

Any advice would be great!

Why a hysterectomy rather than your tubes being tied? If it's just for contraceptive reasons a hysterectomy sounds a bit OTT

It’s a hugely major operation and you’d be out of action for six weeks, definitely not ideal when you have a newborn. I’d second the idea of getting your tubes tied.

I doubt they will give you a hysterectomy, that's a bit OTT.

I did have my tubes tied though. It added an extra 2 mins on to the c-section, and I have no regrets.

I doubt they would agree to this without some other reason medically, not just as a form of sterilisation. Also, even when ovaries are left in situ, a hysterectomy can cause early menopause, with all the associated health issues that can bring.
Although the C section has a similar recovery period, people I know who have been through both say the hyst was harder to recover from, so with those things and a newborn I would say go for the tubal ligation instead.

You're very likely to go into early menopause, even with ovaries left intact (50% of women experience menopause within 5 years of hysterectomy)

Do yu have other gyne issues that are leading you to this choice? (fibroids etc) if not, I'd go with the tubal ligation.

The only way to have a hysterectomy after csection is to have a catastrophic haemorrhage where they can't stop the bleeding ant other way.
They will cut your tubes though.

Just get your tubes tied? I have it in my birth plan that should I need a c-section could they please tie my tubes after!

I've had a hysterectomy and a emcs [not together] ; the c-section and subsequent recovery was a walk in the park compared to the hysterectomy.

The nhs doesn’t offer pick’n’mix!

A hysterectomy is a huge operation. I wouldn't be considering it with a newborn.

Get sterilised instead! I had an endometrial ablation last year but if it hadn't worked they planned to do a hysterectomy. Am so glad it didn't come to that.

I had a uterus extirpation and it was the best thing I ever did. No more worries, no more periods.

However, it will seriously keep you on the sofa for 6-8 weeks and lifting is not a good idea, so it's not something I'd have done with a newborn.

It's keyhole surgery through the vagina nowadays which will leave you with fewer bad scars, but as my uterus was too small to be turned inside out I had to have the belly gash which was very meh.

Do you have a medical reason for wanting one? My MIL just had one and her recovery was long and hard, and no newborn to care for either.

Hi. Yes I have PMDD which can be horrific at times which is why I was looking into it.
I'm not sure if having my tubes tied would have the same affect.

Calvinlookingforhobbs - I don't know what that is supposed to mean.

Echoing others I think not only will they not do a hysterectomy but it will be unwise to have major surgery and look after a newborn.
I believe there may also be a higher failure rate of sterilisation at C-section but that might be outdated medical school knowledge!
Have you had a coil? Actually has a power failure rate than sterilisation and may help your other symptoms!

*lower

You can't ask for any operation on the NHS unless it's medically necessary and even if you stumped up a few grand for a private operation no dr in sound mind would do this as a means of contraception. It's a major operation not a lifestyle choice.

If you don't want any more children, use contraception, doubling up if necessary. And/ or sterilisation.

If you PMDD you'd need your ovaries removing too. This would put you into surgical menopause. You'd need HRT for life more or less, which is fine, but the NHS won't fund operations on demand.

If you want treatment for your PMDD you need to see a consultant and discuss your options.

Having a hysterectomy performed at the same time as a section is a very risky procedure and is only undertaken in an emergency situation, one of the risks being haemorrhage due to an increased blood supply to the pregnant uterus and changes to blood clotting mechanisms in pregnancy.

I had a uterine rupture after an emergency section, then a hysterectomy all on the same afternoon/evening. It was major surgery and no picnic trying to take care of a newborn when feeling quite grim. They tried everything to avoid doing the hysterectomy so I doubt they’d do one without a very good reason that had been pre planned and discussed.

I've had a hysterectomy and a emcs [not together] ; the c-section and subsequent recovery was a walk in the park compared to the hysterectomy. I was the opposite, 30 hrs in labour and run into theatre, had to have GA as no time for epidural. Couldn't stand up straight for 3 weeks, stitches tore apart, it was like watching a red waterfall. Hysterectomy was a breeze, they sorted out my horrendous scar and I felt wonderful afterwards.

As a fellow PMDD sufferer I wouldn't until a later date.

After DC2 was born I suffered horrendously with my moods and a very clingy crying baby.

I can't imagine having to recover from a hysterectomy at that time too.

It's definitely something I want to have done and will be referred by GP when DC's more independent.

Thank-you everyone for your information and advice!