10 Common Myths regarding Hysterectomy

22 July 20255 min read

There appears to be a huge amount of misunderstanding regarding a hysterectomy, and therefore this article will attempt to make the operation of laparoscopic hysterectomy easier to understand by exploring the common myths. There are 32,000 hysterectomies performed in Australia each year. The majority are for heavy menstrual bleeding, but other indications might include prolapse, endometriosis, cancer, or fibroids. Most surgeries nowadays are performed laparoscopically through 3 x 5 mm incisions in the abdomen. By Dr Graeme Walker, Gynaecologist & Colposcopist. Founder of the Menstrual Misery Clinic.

Myth 1

Will the hysterectomy cause instantaneous menopause with all its devastating side effects? The answer is no. In the majority of cases we only take the womb, cervix and tubes, the ovaries are left behind, which has no immediate effect on hormones and therefore does not result in any menopausal symptoms at all. There are a few rare cases when the ovaries are removed, but this is because the patient has ovarian or endometrial cancer or for other specific genetic reasons. For 95% of the general female population, the ovaries are not removed.

Myth 2

Will I still get a period after a hysterectomy? I am pleased to say that although patients may experience spotting for up to 6 weeks post-surgery, patients will never have a period again, which is excellent news for women in general, but more so for those women requiring multiple iron infusions due to heavy periods.

Myth 3

After a hysterectomy, is there a hole created in the pelvis? The uterus is usually quite small, certainly less than 10 cm in diameter, and the space created by removing it is filled almost instantly with the small bowel, which quite happily fills the very small space generated by a hysterectomy

Myth 4

Does the cervix have to be removed? No, it can remain. However, there is no difference in prolapse, sexual function, urinary incontinence, or complications if we leave or remove the cervix, but if left behind, it may lead to annoying spotting, and you will have to continue to attend for pap smears.

Myth 5

A Hysterectomy results in a long and difficult, restricted recovery: This is absolutely not the case. Most people go home either on the day of surgery or the following day. In my private practice, I review all of my patients seven days post-op, and interestingly, for the majority, you cannot tell that they had surgery a week ago. There are however, certain rules to follow post-operatively, as there are for any surgery, and these include no swimming, taking baths, or going to the gym for up to4 weeks, although showers are perfectly fine. In addition, no sex for 8 weeks.

Myth 6

For those patients who have HPV identified during a pap smear, a hysterectomy will get rid of it: Absolutely not. The virus can live in the cervix or the vagina. Getting rid of the cervix via a hysterectomy will remove the cervix but not the virus. You will still require a pap smear of the vagina, potentially for several years. Patients who are HPV negative at the time of hysterectomy and are on a 5-year recall will never require another pap smear though!

Myth 7

Hysterectomy is the only treatment for heavy periods: False. There are many other treatment options for heavy periods, and these include fairly basic options such as the contraceptive pill, Mirena, endometrial ablation, Ukraine Artery embolization and, in some cases, a drug called Zoladex. However, there are a certain number of patients who have tried a selection of the above options to no avail. When they comment during the consultation, “I am over it,” you know that the patient has reached the end of their tether and is essentially requesting a hysterectomy in the knowledge that post-procedure, these patients will join a growing band of women who state that “hysterectomy is the best thing that they have ever done.”

Myth 8

A hysterectomy will result in a prolapse: There are mixed results in the published literature, and the conclusion really is that prolapse is likely to be multifactorial and increased by multiple factors, including the presence of pre-existing prolapse, age, menopausal status, surgical technique, and the number of pregnancies. In my experience, prolapse following a hysterectomy is not at all common.

Myth 9

Sex will be worse following a hysterectomy: Again, no definitive conclusion is reported, but most women seem to report improved or better sexual function after a hysterectomy, perhaps because those who suffer from chronic pelvic pain or discomfort from other conditions such as endometriosis or fibroids have that source of pain removed, therefore enhancing overall sexual wellbeing. For those women with profound, uncontrolled, heavy irregular periods, there are obvious benefits to having no uterus!

Myth 10

A hysterectomy is a risky surgical procedure: Thankfully not. Like any surgical procedure, there are risks, but serious ones are rare. Most commonly, there are superficial wound infections, maybe a UTI or constipation. Risks such as bleeding, damage to the bowel or bladder or clots in the leg are minimised due to advances in laparoscopic surgical techniques and improvements in theatre efficiency and vast improvement in the clarity of laparoscopic vision.

If you have any questions, please contact our team at [email protected] Dr Walker has performed well over 1000 laparoscopic hysterectomies with a highly selective dedicated team performing each operation resulting in exceptional efficiency and minimal complications. He is the only surgeon in Australia that routinely allows patients to go home on the same day of surgery if that is the wish of the patient. 250 patients have chosen that wish of day case hysterectomies as their first choice, with the patient’s journey being published in the peer-reviewed RANZCOG journal.

Skincare Through Perimenopause and Beyond

By Samara Searle, Registered Nurse Wrinkles aren’t the only skin change women may notice as they move through perimenopause and menopause. As oestrogen levels decline, changes to collagen production, hydration and the skin barrier can leave skin feeling drier, thinner, more sensitive and less elastic. Some women may also notice slower wound healing, increased facial hair or the return of adult acne as hormone levels shift. The good news is there are ways to adapt your skincare routine and treatments to support your skin through these changes – and it doesn’t need to be complicated. Start with the foundations For women approaching or going through menopause, healthy skin should come before chasing individual lines, pigmentation or other concerns. My background in intensive care and plastic surgery nursing has shaped the way I approach treatment planning. Rather than jumping straight to intensive treatments, I start by looking at overall skin health and how the skin is functioning day to day. For many women, that means rebuilding hydration and supporting the skin barrier before introducing treatments designed to improve thickness, texture or elasticity. Choose ingredients that work harder You don’t need a bathroom cabinet overflowing with products. Instead, look for ingredients that address the changes happening within the skin. Retinoids: Among the most well-evidenced topical ingredients for supporting collagen production and cell turnover. They can be irritating, however, so should be introduced gradually and appropriately for your skin. Peptides: A gentler option that can help support skin firmness and may suit more reactive skin. Niacinamide: Helps support the skin barrier while improving tone and texture. Hyaluronic acid: Helps attract and retain moisture, making it particularly useful as skin becomes drier. Vitamin C and other antioxidants: Help protect against oxidative stress and can support collagen production. Ceramides: Look for ceramide-rich moisturisers to help strengthen a skin barrier that may become drier and more vulnerable. SPF: This remains non-negotiable. UV exposure accelerates collagen breakdown and pigmentation, making daily sun protection particularly important. Be careful not to over-treat More isn’t necessarily better. Menopausal skin can become more reactive, so continually adding strong active ingredients, peels or intensive treatments can sometimes do more harm than good. A philosophy I live by is that if something doesn’t genuinely support skin health or barrier function, I won’t recommend it, regardless of how well it is marketed. If you are considering in-clinic treatments, options such as micro-needling can be used for collagen remodelling, while laser treatments may help address texture and pigmentation. The right treatment, however, will depend on your individual skin, concerns and medical history. Don’t forget what happens outside the bathroom Skincare products are only one part of the picture. Adequate protein intake supports the body’s normal tissue repair processes, while resistance exercise is important for maintaining muscle and bone health as we age. Sleep matters too, with chronic stress and poor sleep potentially affecting skin health and recovery. In other words, the lifestyle side of ageing well deserves just as much attention as what you apply to your face. Think long-term The aim shouldn’t be to wage war on every sign of ageing. Instead, think about building resilient, healthy skin that functions well for the years ahead. And you don’t need to wait until significant changes appear. A simple, tailored routine that supports hydration, the skin barrier and sun protection can be established well before visible hormonal changes begin. The key is to build the right foundations, introduce active ingredients thoughtfully and adjust your routine as your skin changes. After all, good skincare through perimenopause, menopause and beyond isn’t about trying to turn back the clock – it’s about giving your skin what it needs at every stage

Health and Wellness

A Guide to Different Dermalogica Cleansers and Their Uses

A Guide to Different Dermalogica Cleansers and Their Uses Choosing a facial cleanser sounds simple until you start comparing formulas for oily skin, dryness, breakouts, and sensitivity. The right cleanser should remove daily dirt, excess oil, sunscreen, and makeup without leaving your skin feeling uncomfortable. A formula that works well for one person may feel too rich or too drying for another. Understanding Dermalogica cleanser types can help you narrow down the options according to your skin’s needs and your daily routine. Dermalogica offers different cleansing products, including gentle daily cleansers, oil-based formulas, and exfoliating options. Each serves a slightly different purpose, so knowing how they differ can make it easier to choose a suitable starting point. Why Choosing the Right Cleanser Matters Cleansing is the first step in many skincare routines. It helps remove substances that accumulate on the skin throughout the day, including sweat, excess sebum, environmental dirt, and cosmetic products. However, effective cleansing does not require your skin to feel tight or completely stripped afterwards. Over-cleansing or using a formula that does not suit your skin can contribute to dryness and irritation. What to Consider Before Choosing a Cleanser Your skin type, current concerns, and preferred routine can all influence your choice. Oily Skin: You may prefer a cleanser that removes excess oil without leaving a heavy residue. Dry Skin: A gentle formula that cleanses without excessive dryness may be more comfortable. Combination Skin: A balanced cleanser can help manage oilier areas while remaining comfortable on drier cheeks. Sensitive Skin: A simple formula with ingredients your skin tolerates is often a sensible starting point. Makeup and Sunscreen Users: You may benefit from an additional first-cleansing step to help remove persistent products. Skin type can also change with weather, age, medication, and other factors. Review how your skin responds instead of assuming one formula will always meet your needs. Understanding Different Dermalogica Cleanser Types Dermalogica’s cleansing range includes products designed for everyday cleansing, removing makeup, and addressing particular skin concerns. The following examples illustrate some of the differences between its well-known Dermalogica cleanser types. Special Cleansing Gel for Everyday Use Special Cleansing Gel is a soap-free foaming cleanser intended for daily use. It is an option to consider if you prefer a traditional gel texture that rinses away easily. Its role is to cleanse the skin rather than provide intensive exfoliation or replace targeted skincare treatments. Consider it if you prefer a lightweight, foaming cleanser. Use it according to the product directions as part of your regular routine. Monitor your skin for tightness or dryness, particularly if you already use active ingredients. Foaming cleansers are not automatically unsuitable for dry skin, but the overall formulation and your individual tolerance matter. UltraCalming Cleanser for Sensitive Skin UltraCalming Cleanser is formulated for skin that needs a gentle cleansing approach. It may be worth considering if your skin frequently feels uncomfortable or reacts to products. When choosing a cleanser for sensitive skin, pay attention to the full ingredient list rather than relying on the product name alone. Avoid known personal triggers. Cleanse gently without scrubbing. Follow the product’s instructions for application and removal. Stop using it if irritation develops. Persistent redness, burning, or itching may require professional advice rather than repeated cleanser changes. Special Cleansing Options for Makeup Removal Daily sunscreen, long-wear foundation, and waterproof makeup can be difficult to remove with a single wash. Dermalogica’s PreCleanse is an oil-based cleansing product designed to help dissolve oil-based impurities before a second cleanser is used. This approach is commonly known as double cleansing. Apply the first cleanser as directed to help loosen makeup, sunscreen, and excess sebum. Follow the product instructions for adding water and rinsing. Use a suitable second cleanser to complete your routine. Double cleansing is not essential for everyone. If your regular cleanser removes your sunscreen and makeup effectively, an additional step may not be necessary. Choosing a Cleanser for Specific Skin Concerns Beyond basic cleansing, some products are formulated for people who want to address uneven texture, congestion, or excess oil. The important distinction is between a cleanser that supports a particular concern and a treatment designed to manage it directly. Daily Microfoliant and Exfoliating Cleansers Dermalogica’s Daily Microfoliant is a rice-based exfoliating powder activated with water. It differs from a conventional gel cleanser because it provides exfoliation as part of the cleansing process. Exfoliating products may help improve the appearance of uneven surface texture, but they are not necessary for every skin type. Follow the directions for the recommended amount and application method. Avoid aggressive rubbing, particularly if your skin is sensitive. Be cautious when combining exfoliating products with retinoids or other potentially irritating active ingredients. Reduce use or stop if your skin becomes persistently red, tight, or uncomfortable. Clearing Skin and Managing Excess Oil People with oily or blemish-prone skin may prefer products formulated to cleanse away excess sebum and impurities. Dermalogica offers products within its broader range that address these needs, but the most appropriate choice depends on the specific formula and your skin’s condition. Avoid trying to eliminate all oil from your skin. Excessively harsh cleansing can compromise comfort without necessarily preventing future breakouts. If acne is persistent or severe, a cleanser alone may not provide sufficient treatment. A dermatologist can help you choose appropriate products and treatments. How to Use a Dermalogica Cleanser Correctly Even a suitable cleanser can feel uncomfortable if you use too much, scrub too hard, or combine it with too many active products. For most routines, consistency matters more than the number of products you use. Wet your face or prepare your skin as directed by the specific cleanser. Massage gently using your fingertips rather than abrasive tools. Rinse thoroughly, avoiding water that feels excessively hot. Pat your skin dry instead of rubbing it vigorously. Follow with a moisturiser suited to your skin and sunscreen during the day. Conclusion Understanding the different Dermalogica cleanser types makes it easier to select a product based on your skin’s needs rather

Health and Wellness

Feeling Off? It Might Be More Connected Than You Think

For many women, health conversations happen in fragments. You visit one practitioner for a sore back, another for fatigue, and another for hormonal shifts that leave you wondering if you’re just “getting older.” But what if all of those threads were actually part of the same story? That’s the philosophy at the heart of The Good Joint, a Gold Coast integrated health clinic where practitioners don’t just work in the same building, they work together. One Clinic, One Conversation .. A Team Built Around You Under the guidance of Founder and Head Chiropractor Luke Veverka, the team at The Good Joint brings together an exceptional group of women’s health specialists, among them Prue their Naturopath, Hollie their Acupuncturist, Victoria their Physiotherapist, alongside Chiropractor Julie (who also specialises in pregnancy care) and Remedial Massage Therapist and Manual Lymphatic Drainage practitioners Mikayla and Michele. Across chiropractic, acupuncture, naturopathy and massage, each practitioner is part of a connected conversation about your care. Women’s Health, From the Inside Out The team is particularly passionate about hormone regulation and nervous system support, two areas that are deeply intertwined and often underestimated in their influence on everything from energy and mood to pain, sleep, and recovery. “When your nervous system is dysregulated, or your hormones are out of sync, it affects your whole life,” the team explains. “Our goal is to look at the full picture, not just treat the symptom.” Whether you’re navigating perimenopause, recovering from pregnancy, managing chronic stress or simply want to feel more like yourself, Good Joint offers a warm, collaborative space to start that conversation. GOOD JOINT™ Stop Getting Passed Around.Everyone’s already here. thegoodjoint.com.au | 07 5651 65942563 Gold Coast Highway, Mermaid Beach

Health and Wellness

Beat the Sunday Scaries: 7 Things to Try Before Monday

By Zahra Ciardi, Psychologist and founder of Ascendant Bali Sunday evening can sometimes feel like the weekend has ended before it actually has. Your thoughts shift towards Monday, unfinished tasks start circling and suddenly checking your inbox feels difficult to resist. Often called the ‘Sunday scaries’, this dread can be a form of anticipatory anxiety – anxiety driven by what might happen next. Interestingly, it’s often uncertainty rather than workload that fuels the feeling. A packed but predictable week may feel more manageable than a quiet one with a single unresolved issue. There is an important distinction, though. If you’re dreading Monday because you’re returning to a harmful workplace, manager or team, that anxiety has a known cause. These strategies may help manage the immediate feelings, but they won’t solve the underlying problem. Otherwise, try these seven things in the final hours of Sunday. 1. Clear your open loops Spend five minutes writing down unfinished tasks, questions and anything you’re worried about forgetting. Choose one or two priorities for Monday and leave the rest on the page. Getting those thoughts out of your head can free up valuable mental space. 2. Reality-check Monday Separate what you know will happen from what you’re predicting. Ask yourself what might be difficult but manageable and what support you have available. The aim isn’t to convince yourself everything will be perfect, but to bring your thinking back to what’s actually known. 3. Create a moment of control Make one decision, complete a small task or set a boundary. Even when you can’t control the bigger stressor, a genuine sense of agency can help reduce distress. 4. Leave something unresolved Resist the urge to plan away every unknown. Instead, deliberately leave one manageable thing unresolved until Monday. Learning to tolerate small amounts of uncertainty can gradually reduce the need to control every detail. 5. Check messages once If completely avoiding your inbox makes you more anxious, choose one time to check it. Set a firm limit and decide what genuinely requires action. Constant checking can briefly relieve uncertainty, but quickly becomes a cycle. 6. Set a finishing time Choose a realistic cut-off for work messages and planning, then create a physical transition into the rest of your evening. Take a walk, have a shower or change into comfortable clothes – anything that signals the working week hasn’t started yet. 7. Stop solving Monday in bed If anxiety is keeping you awake, add anything you’re worried about forgetting to your list. If you’re still alert, get up briefly and do something quiet in low light rather than reopening your inbox or returning to planning. The goal isn’t to eliminate every uncomfortable feeling about Monday. It’s to stop treating uncertainty like an emergency – and allow some things to remain unknown until morning.