Over the past few years, some women, doctors, and medical insurance providers have questioned the need for hysterectomy (surgical removal of the uterus). Alternative therapies have evolved to treat some of the conditions that hysterectomy has routinely been used for. Consequently, the number of unnecessary hysterectomies performed is on the decline.

Hysterectomies are still warranted for:

• Large fibroids
  
• Severe hemorrhaging not controlled with medication
  
• Irreversible damage from an untreated infection
  
• Cancer of the cervix or uterus
  
• Endometriosis

Alternative treatments exist for heavy, painful periods, fibroid tumors, endometriosis, and prolapsed uterus. If these conditions don't respond to more conservative treatment, then a hysterectomy may be warranted. So if you're told you need a hysterectomy:

• Ask about alternatives to surgery.
  
• Ask for specific details about the condition you're being treated for and the expected outcome of surgery.
  
• Ask if your ovaries can be spared, to prevent shutting off the release of estrogen and,
  subsequently, premature menopause.
  
• Don't hesitate to get a second opinion if you question the need for a hysterectomy.