The complications associated with a hysterectomy, removal of the uterus, are multiple. Up to 75% of women have negative long term effects after this procedure. Most commonly seen are hormone imbalance (even when ovaries are saved), depression, bladder problems with either incomplete emptying of urine or incontinence, constipation and sexual dysfunction. Short of cancer, and sometimes uterine prolapse, we recommend saving the uterus. If you are having monthly problems……or have been diagnosed with a benign disease like fibroids or adenomyosis, treat the diseases but do NOT remove the uterus, especially as the first line of attack.