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Read more at www.biobalancehealth.com Dr. Maupin spent almost thirty years as a Gynecologist. She performed many hysterectomies. This week she is going to explain the three different types of hysterectomy that a woman can have. How old you are at the time of your hysterectomy is very important. It is really about whether you are pre-menopausal or postmenopausal. The removal of the ovaries means a loss of estradiol, progesterone and testosterone. The younger you are the more you will be symptomatic without your ovaries, the higher your risk of heart disease and osteoporosis and the more severe your symptoms will be. So, if you are pre-menopausal then you should ask why they must be taken out, because the reasons are really important pieces of information for deciding what course of action to take. If you have ovarian cancer, uterine cancer, advanced cervical cancer, or often even breast cancer there is usually no choice to make, you must take the ovaries to save your life! When you and your physician are discussing having a hysterectomy there are three questions you should ask before you make the decision. 1. Should I take my ovaries out? 2. Which type of surgery is best for you? Should you have an abdominal or vaginal hysterectomy? 3. Do you want to keep your cervix? These are decisions that your doctor should discuss with you before the procedure because once you have the operation there is no going back.