Your provider may recommend a hysterectomy if you have fibroids, severe endometriosis, a prolapsed uterus, cervix, ovarian, or uterine cancer, vaginal bleeding or chronic pelvic pain. An hysterectomy is the surgical removal of the uterus, and may include other pelvic organs. Partial hysterectomies may only remove a portion of the uterus.
Abdominal hysterectomy - The uterus is removed through the abdomen via a surgical incision about six to eight inches long. It's most commonly used when the ovaries and fallopian tubes are being removed, an enlarged uterus, or when disease has spread to the pelvic cavity, as in endometriosis or cancer. The main surgical incision can be made either vertically, from the navel down to the pubic bone, or horizontally, along the top of the pubic hairline.
Vaginal hysterectomy - The uterus is removed through the vaginal opening. This procedure is most often used in cases of uterine prolapse, or when vaginal repairs are necessary for related conditions. No external incision is made, which means there is no visible scarring.