For many women, the word hysterectomy carries weight… physical, emotional, and symbolic. Whether it’s a decision made from necessity or through careful choice, this surgery can stir up deep questions about identity, function, and femininity.
Let’s bring some clarity and compassion to the conversation.
What Is a Hysterectomy?
A hysterectomy is the surgical removal of the uterus. Depending on the reason and the individual’s health, the procedure may also include the removal of other reproductive organs:
Partial (Supracervical) Hysterectomy: Uterus removed, cervix left in place
Total Hysterectomy: Uterus and cervix removed
Radical Hysterectomy: Uterus, cervix, part of the vagina, and surrounding tissues removed (often due to cancer)
With or Without Oophorectomy: Ovaries may be removed (oophorectomy) or left intact
Why Do People Have a Hysterectomy?
There are many valid and medically supported reasons for this surgery, including:
Fibroids causing pain or bleeding (the most common reason)
Endometriosis or adenomyosis
Chronic pelvic pain
Uterine prolapse
Heavy or irregular bleeding unresponsive to treatment
Certain types of gynecological cancer
Sometimes, it’s about reclaiming quality of life. Sometimes, it’s about saving it.
What Happens When the Ovaries Are Removed?
If ovaries are removed, hormone production drops off, this is called surgical menopause, and symptoms are often immediate and intense.
If ovaries are left intact, they may continue to cycle and produce hormones (estrogen, progesterone, testosterone), although hormonal patterns may change over time.
With or without a uterus, you are still a woman.
Your identity is not defined by a single organ.
Your womanhood isn’t erased with surgery.
You are still whole, still wise, still cycling in your own way.
For some, a hysterectomy is a profound relief.
For others, it’s layered with grief.
For most, it’s both.
You Are Not Less, You Are Rewritten
Let’s hold space for all the emotions that can come with this choice or necessity.
And let’s say it clearly, again:
You are still a woman.
You are still worthy.
You are still deeply connected to your body, your wisdom, and your story.