In this new, updated version of the groundbreaking book, gynecologist and leading women's health expert Dr. Lauren Streicher--who in a direct, clear, and often humorous way--reveals the following: What your doctor isn't telling you; robotic hysterectomy and why it is becoming so popular; new nonsurgical ways to control heavy bleeding; the latest on hormone therapy, including bioidentical hormones; how to decrease your risk of uterine or ovarian cancer without removing your uterus or ovaries; new methods for treating fibroids; and a comprehensive guide to websites and resources.

101 Handy Hints for a Happy Hysterectomy was written in response to the questions that women are always asking about the practicalities of having a hysterectomy. From whether they should consider having their cervix removed to when they can have sex again and what sort of exercise they should be doing and when the right time to return to work is.

"Must reading for all women advised to have a hysterectomy and all women who have had one...[and] all physicians performing them."--R. Don Gambrell, Jr., M.D., Department of Physiology and Endocrinology, Medical College of Georgia

This book initiates the descriptions of the practical performance of different hysterectomies with conventional and robotically assisted laparoscopy, laparotomy and vaginal surgery. Laparoscopic hysterectomy has been out as an additional technique for hysterectomies for the last couple of decades. As the necessary light, augmentation and advanced skill has only been introduced into this already 200 year old surgical procedure within the last few decades by laparoscopy, the editors aim to look at the laparoscopic procedures followed by the traditional techniques of hysterectomy with laparotomy and vaginal surgery.

In recent years advances in laparoscopic technologies have led to renewed interest in the vaginal approach to hysterectomy, which has many proven benefits for patients. This volume, dedicated to explaining and promoting the vaginal route of hysterectomy, is written and edited by an international team of experts and provides a much-needed source of up-to-date information and instruction. Importantly, the authors caution that laparoscopic technology can provide a valuable source of assistance for the gynaecological surgeon in certain circumstances, though only in a percentage of cases. This book, beautifully illustrated with line drawings and full-colour photographs, contains step-by-step surgical techniques, enabling the surgeon to gain confidence and experience so that gradually more challenging operations can be managed successfully via the vaginal route. Acknowledged authorities from around the world take the reader through the indications and contra-indications for the vaginal approach, explain crucial preoperative assessment procedures, and offer an evidence-based elucidation of the 'why', 'when' and 'how' of vaginal hysterectomy. Specific topics considered here include: the nulliparous patient, uterine fiboids, debulking, the use of gonadtrophin-releasing hormone agonists, oophorectomy and prophylactic oophorectomy, adnexectomy for adnexal pathology, genital prolapse, the place of sacrospinous colpopexy, urethral sphincter incompetence, hormone replacement therapy, and the psychological and sexual outcomes of hysterectomy. In addition, the authors set forth the arguments for and against vaginal hysterectomy, abdominal hysterectomy, laparoscopic assistance, and transcervical resection of the endometrium. Combined with a full review of the potential complications, morbidity and mortality associated with the vaginal approach, this book provides the reader with a well-balanced, thorough and considered appraisal of vaginal hysterectomy. As the incidence of hysterectomy worldwide continues to rise, Vaginal Hysterectomy will be an indespensable reference for practising gynaecologists, surgeons, consultants and postgraduates.

Are you missing a vibrant, exciting sex life? Do you avoid sex because it is uncomfortable? Or even painful? Are you coping with diabetes, heart disease, cancer, or another illness that makes sex more challenging? Have you lost interest in sex altogether? Yes, anyone can love sex again, or love sex more, with Sex Rx. For millions of women in America, sex isn't always pleasurable or even possible. Instead, sex has become a low priority as they navigate marriage, motherhood, and work . . . not to mention cope with chronic stress and lack of sleep. Throw in the natural fluctuations in hormone levels that all women experience throughout their lives and it's not surprising that sex can become, well, a little less sexy. Additionally, common gynecological problems can make sex uncomfortable, and medical issues can cause it to be downright painful. Dr. Lauren Streicher, a leading women's sexual health expert, offers women the courage, vocabulary, and knowledge to identify and solve problems in the bedroom, for a wide range of issues—from flagging libido, vaginal dryness, and sex after menopause, to hormone supplements and the effects of medication. Sex Rx offers a wealth of knowledge along with a good dose of humor and plenty of encouragement, so that women of all ages can make having great sex a part of their lives forever.

The average woman has about a 50 percent chance of undergoing a hysterectomy before age 65. Dr. Hufnagel believes as many as 92 percent of these operations are unnecessary. She tells how to avoid these operations and gives alternative treatments.