WHAT IS A HYSTERECTOMY?
A hysterectomy is a surgical procedure to remove the uterus (womb) — the organ where a pregnancy grows. Depending on your specific condition, it may also involve removing the cervix, and in some cases, the ovaries and fallopian tubes.
Once a hysterectomy is done, menstrual periods stop permanently and pregnancy is no longer possible. It is generally considered a permanent, one-time solution for conditions that have not responded to medication, hormonal treatment, or less invasive procedures.
Why hysterectomy is recommended (common medical reasons):
- Fibroids (uterine growths) causing heavy bleeding, pain, or pressure
- Adenomyosis or endometriosis causing debilitating pain
- Abnormal or prolonged uterine bleeding not controlled by other treatments
- Uterine prolapse (womb slipping down)
- Chronic pelvic pain with a confirmed uterine cause
- Precancerous changes or confirmed cancer of the uterus, cervix, or ovaries
- Certain complications during or after childbirth (in emergency situations)
TYPES OF HYSTERECTOMY: WHAT GETS REMOVED, AND WHY IT MATTERS
This is where most patients get confused, because “hysterectomy” is used as one word for several different operations. Here is the honest breakdown:
Total Hysterectomy
What is removed: Uterus and cervix
When it’s typically used: Most common type; used for fibroids, abnormal bleeding, some cancers
Subtotal (Partial) Hysterectomy
What is removed: Uterus only, cervix preserved
When it’s typically used: Selected benign cases where cervix preservation is safe and desired
Total Hysterectomy with Bilateral Salpingo-Oophorectomy
What is removed: Uterus, cervix, both fallopian tubes, and both ovaries
When it’s typically used:Cancer cases, high genetic risk (e.g., BRCA), or specific ovarian conditions
Radical Hysterectomy
What is removed: Uterus, cervix, surrounding tissue, upper vagina, and nearby lymph nodes
When it’s typically used: Confirmed cervical or certain uterine cancers — this is gynae-oncology territory, and my specific area of expertise
HOW DOES A HYSTERECTOMY WORK?
In simple terms, under general or spinal anaesthesia, the surgeon removes the uterus through one of three approaches. The right approach for you depends on your diagnosis, the size of your uterus, any previous surgeries, and your overall health — all of which we assess carefully before the operation date is even set.
- Abdominal Hysterectomy
Performed through a cut in the lower abdomen. Usually recommended for larger fibroids, cancer cases, or complex pelvic conditions.
- Vaginal Hysterectomy
Performed entirely through the vaginal canal, with no external cut. Often suitable for uterine prolapse cases.
- Laparoscopic (Minimally Invasive / “Keyhole”) Hysterectomy
Performed using small incisions and a camera-guided instrument. Laparoscopic hysterectomy typically means:
– Smaller scars, less visible
– Less blood loss during surgery
– Shorter hospital stay (often 1–2 days versus 4–5 for open surgery)
– Faster return to normal daily activities
– Less post-operative pain
Not every case qualifies for laparoscopy — very large fibroids, extensive scar tissue, or certain cancers may require an open approach for safety. We will tell you clearly which category you fall into after your scans and examination.
ตรวจสอบสารก่อภูมิแพ้ที่หลากหลายและเจาะลึกถึงระดับโมเลกุล
Lady READY 1
Lady Ready 1 is a comprehensive women’s health screening package designed to support early detection of cervical cancer and common gynecological conditions.
Package Includes
ThinPrep Pap Test – A cervical cytology test that detects abnormal cervical cells and precancerous changes with improved sample quality and accuracy.
HPV DNA Test (14 High-Risk Strains) – Identifies high-risk human papillomavirus (HPV) types associated with cervical cancer, helping assess future cancer risk.
Transvaginal Ultrasound (TVS) – Provides detailed imaging of the uterus and ovaries to evaluate conditions such as fibroids, ovarian cysts, endometrial abnormalities, and other pelvic disorders.
Gynecologic Oncologist Consultation Fee – Includes specialist consultation for clinical assessment, result interpretation, and personalized recommendations.
Hospital’s Service Fee
Suitable For
Women aged 30–65 years for routine cervical cancer screening.
Women with a history of HPV infection, abnormal Pap smear results, or other cervical cancer risk factors.
Women experiencing irregular menstruation, pelvic pain, abnormal vaginal bleeding, or fertility concerns.
Women seeking a comprehensive preventive health check for their reproductive health.
WHO ACTUALLY BENEFITS FROM THIS SURGERY?
A hysterectomy is genuinely life-changing , in a positive way, for the right patient. In BNH Hospital, the women who benefit most are those who have:
- Lived with years of heavy, debilitating periods that medication could no longer control
- Chronic pelvic pain that has taken over their daily life, work, and relationships
- Fibroids large enough to cause pressure on the bladder or bowel
- Completed childbearing and are certain they do not wish for future pregnancy
- A confirmed cancer or precancerous diagnosis where removal is the safest path forward
- Tried other treatments (medication, minor procedures, hormonal therapy) without lasting relief
If a patient is still building your family, still exploring fertility-preserving treatments, or unsure about your diagnosis , the medical team will explore every alternative first rather than pushing the patient toward hysterectomy.
WHAT TO EXPECT — BEFORE, DURING, AND AFTER
Before Surgery
- A full consultation, physical examination, ultrasound/MRI as needed, and blood work
- A clear conversation about your diagnosis, in your language, with your reports in hand
- Discussion of which type of hysterectomy and which surgical approach suits you
- Pre-operation clearance and fasting instructions
- Time for you to ask every question — including the uncomfortable ones
During Surgery
- You will be under general or spinal anaesthesia — you will not feel during the procedure
- Depending on the approach, surgery typically takes 1–3 hours
- Our team monitors you continuously throughout
Immediately After Surgery
- Hospital stay: 1–2 days for laparoscopic surgery, 3–5 days for open (abdominal) surgery
- A urinary catheter may be used briefly and removed after 01-02 days
- You’ll be encouraged to start gentle walking early — this actually speeds recovery and reduces complication risk
- Vaginal spotting/discharge for a few weeks is normal
Recovery Timeline
- Laparoscopic surgery: most patients resume light daily activities in 2–3 weeks
- Open (abdominal) surgery: full recovery typically takes 6–8 weeks
- Driving, lifting heavy objects, and sexual intercourse should be avoided until your doctor confirms you’re ready — usually around 6 weeks, confirmed at your follow-up visit
Hysterectomy exercise guidance
Movement is part of healing, not a threat to it — but timing and type matter:
- Week 1–2: Gentle walking indoors, short distances, several times a day. No lifting anything heavier than a light bag.
- Week 3–4: Gradually increase walking duration. Light stretching and pelvic floor breathing exercises, if your doctor approves at your check-up.
- Week 6 onward (after clearance): Gradual return to normal exercise — walking longer distances, light yoga, and eventually resuming your pre-surgery routine.
- Avoid core-intensive exercises (sit-ups, heavy lifting, high-impact cardio) until your surgeon confirms your internal healing is complete — usually not before 6–8 weeks.
We provide every patient a printed, personalised recovery and exercise plan at discharge, and review your progress at follow-up
WHAT ARE SIDE EFFECTS OF HYSTERECTOMY?
Temporary bloating, fatigue, and spotting are common initially. If ovaries are removed, menopause-like symptoms may occur. As with any surgery, small risks of infection or bleeding exist and are closely monitored. Emotional adjustment afterward is normal and something we check on at follow-up.
WHY WOMEN CHOOSE BNH HOSPITAL FOR THIS DECISION
- Specialist-led care — Your case is assessed personally by a Consultant Gynae-Oncologist, not just a general surgeon, meaning even complex or cancer-related cases are managed by someone trained specifically for it.
- Second opinions welcomed — If you’ve already been told you need a hysterectomy elsewhere, bring your reports. We will review them honestly, even if it means confirming another doctor’s advice or suggesting a different path.
- Laparoscopic expertise — Minimally invasive options are available and offered whenever medically appropriate, to minimise your scarring, pain, and recovery time.
- Privacy and dignity — Consultation rooms, examinations, and counselling are conducted with complete confidentiality and by a team sensitive to the cultural weight these conversations carry in our society.
- Clear cost conversations upfront — No surprises. Our patient services team walks you through costs and insurance before any decision is made.
FREQUENTLY ASKED QUESTIONS
You feel nothing during the surgery itself due to anaesthesia. Afterward, some discomfort is normal and actively managed with pain medication — laparoscopic patients typically experience less pain than those who have open surgery, and discomfort generally eases significantly within the first week.
Yes, for most benign conditions. Laparoscopic (keyhole) hysterectomy means smaller scars, less blood loss, a shorter hospital stay, and faster recovery. Your suitability for this approach is confirmed after your scans and examination.
The uterus itself has no role in metabolism, so its removal does not directly cause weight gain. However, if your ovaries are also removed, the resulting hormonal shift (loss of oestrogen) can sometimes make weight management a bit harder for some women, similar to what happens during natural menopause. Reduced activity during recovery can also contribute short-term. The good news: with continued activity once you’ve healed, and — if needed — hormone therapy, weight management remains entirely achievable
If ovaries are preserved, they continue releasing eggs monthly; since there’s no uterus, the egg is simply reabsorbed by the body — the same way an unfertilised egg is reabsorbed every month regardless of hysterectomy. It causes no harm.
Intercourse remains possible once cleared by your doctor, but pregnancy cannot occur since there’s no uterus. Sperm is naturally absorbed by the body, causing no discomfort or health concern.
If your ovaries are preserved, your body continues producing hormones naturally, and HRT is usually not required. If both ovaries are removed and you are not yet at natural menopause age, HRT is often recommended to protect your bone density, heart health, and manage menopausal symptoms — and we will discuss the right type and duration specifically for your health profile, not a one-size-fits-all approach.
Coverage varies by provider and policy, especially when the surgery is medically necessary or cancer-related. Our patient services team reviews your specific policy with you and guides you through pre-authorisation and documentation before your surgery date.
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Regular Price
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Special Price
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5,450 Baht
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2,990 Baht
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Transvaginal Ultrasound Package
A uterine and ovarian ultrasound uses high-frequency sound waves to accurately diagnose the characteristics of the uterus, uterine fibroids, endometrial lining, and the presence of normal or abnormal ovaries. This internal scan allows the probe to be positioned closer to the uterus and ovaries than an abdominal scan, providing clearer images on the monitor. There’s also no need to wait or hold your urine before this examination.
Examinations
- Pelvic Examination by an Obstetric and Gynaecologist
- Transvaginal Ultrasound
Terms and Conditions
- All packages are inclusive of doctor’s fee, medical supplies, and hospital and nursing services fee.
- Expenses for additional consultation, investigation, or treatment other than the package are not included.
- All packages are transferable
- Please make an appointment at least 2 days prior to using the services via BNH Cares at LINE @BNHhospital or contact our staff for assistance at LINE @Mbrace
- Services are available at the Women’s Health Centre, 4th floor, zone A, BNH Hospital. Monday – Sunday at 7 am. – 7 pm.
- For more information, please contact the Women’s Health Centre, BNH Hospital at 02-022-0788 and 02-022-0850
- Services valid until 15th September 2026.
Preparation
- It is recommended to undergo the examination at least 3 days after your period has ended.
- Before the examination, you should not douche or use vaginal suppositories for at least 2 days.
- Avoid sexual intercourse for at least 1 day before the examination.
- Please empty your bladder before the examination.
Wear comfortable, loose-fitting clothing.