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While there is not really a way to prevent necessary gynecologic surgery, you should carefully consider alternatives to elective surgery. The most common alternatives to hysterectomy as a treatment for fibroids, endometriosis and abnormal uterine bleeding, for example, are watchful waiting and hormonal therapies.

For example, birth control pills may be used successfully to treat abnormal bleeding or pain caused by endometriosis.

If you decide surgery is your best option, ask your surgeon:

• Is there a minimally invasive approach to this type of surgery?

• What are the risks and benefits associated with this choice?

• How many times have you performed this procedure?

• How long will I be hospitalized and approximately how long will it take for me to recover?

• How can I prepare before and after the surgery?

• Where can I learn more about the surgery?