Heavy periods and fibroids can significantly disrupt a woman’s daily life. At Toowoomba Obstetrics and Gynaecology (TOAG), many patients ask whether a hysterectomy could be the solution to these challenging symptoms. This blog aims to clarify the role of hysterectomy in managing heavy menstrual bleeding and fibroids, explain when this surgery might be recommended, and highlight alternative treatments to consider.

What are heavy periods and fibroids?

Heavy menstrual bleeding, also known as menorrhagia, is more than just having a heavy flow during your period. It is characterised by excessive or prolonged bleeding that interferes with your lifestyle, causing symptoms such as severe fatigue, anaemia, and discomfort.

Fibroids, medically known as uterine leiomyomas, are non-cancerous growths that develop in or on the uterus. They vary in size and location and can cause heavy bleeding, pelvic pain, and pressure symptoms affecting the bladder or bowel.

Both heavy periods and fibroids are common conditions that can severely impact quality of life. Understanding treatment options is essential for making informed decisions.

When is a hysterectomy recommended?

A hysterectomy is the surgical removal of the uterus and is considered a definitive treatment for heavy periods and fibroids. It effectively eliminates bleeding and prevents fibroid recurrence because the uterus is no longer present.

However, hysterectomy specialists in Toowoomba, including Dr Lanziz Homar at TOAG, generally recommend this procedure only when:

• Other treatments have not provided relief or are unsuitable
• Symptoms are severe and disrupt daily life
• There are large or multiple fibroids causing significant symptoms
• There is suspicion of other uterine conditions that require removal

Dr Homar, a highly qualified gynaecologist, thoroughly discusses all options with patients before recommending gynaecology surgery to ensure it aligns with their health goals and lifestyle.

What does the procedure involve?

Hysterectomy can be performed in several ways:

• Abdominal hysterectomy: Removal through a larger incision in the lower abdomen.
• Vaginal hysterectomy: Removal through the vagina without abdominal incisions.
• Laparoscopic or robotic-assisted hysterectomy: Minimally invasive techniques using small incisions and specialised instruments for faster recovery.

At TOAG, modern surgical options, including robotic-assisted techniques, are available and may offer greater precision, reduced pain, and shorter hospital stays for some patients.

Recovery usually takes several weeks, with advice provided on managing pain, activity levels, and returning to normal routines.

Are there alternatives to hysterectomy?

Before considering a hysterectomy, other treatments might be explored:

• Medication: Hormonal therapies, such as the contraceptive pill or Mirena coil, can reduce bleeding.
• Non-invasive procedures: Uterine artery embolisation cuts off the blood supply to fibroids, causing them to shrink.
• Myomectomy: Surgical removal of fibroids while preserving the uterus, suitable for women wanting to retain fertility.

Each treatment has pros and cons, and Dr Homar helps patients weigh these against their symptoms and reproductive plans.

Why choose TOAG for your care?

At TOAG, patients benefit from personalised care delivered by Dr Lanziz Homar, a gynaecologist qualified in advanced gynaecology surgery. The clinic offers modern treatments in a supportive environment, ensuring patients feel informed and confident every step of the way.

If heavy bleeding or fibroid symptoms are affecting your quality of life, consult Dr Homar about whether a hysterectomy or alternative treatment might be right for you.

Medical disclaimer

This article is for general information and educational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment, and does not establish a doctor-patient relationship. All medical procedures carry risks, and outcomes vary between individuals. Always seek the advice of your GP, specialist, or another appropriately qualified health professional with any questions you may have regarding a medical condition or treatment. Where further or specialised care is required, your treating practitioner can provide an appropriate referral.