Vaginal Hysterectomy in Andheri East
Vaginal hysterectomy is performed on the vagina, avoiding any incisions on the abdomen. There are no external incisions, so most women do not suffer as much pain as they do with open surgery, have a shorter hospital stay, and can return to normal life sooner. When it is feasible to remove the uterus safely, it is considered the “gold standard” approach to hysterectomy.
According to Dr. Pallavi Chauhan, a gynecologist in Andheri East the surgery is only recommended when it is absolutely the right choice, and wherever possible, the vaginal route is selected for the procedure.
Doctor Quote
“If there is a uterus that can be taken out safely from the vagina, that is almost always the better route for a woman’s body to take, since it reduces pain and recovery time.” — Dr. Pallavi Chauhan
Been advised a hysterectomy, or want a second opinion? Book a consultation with Dr. Pallavi Chauhan in Andheri East for a clear, honest assessment.
Types of Vaginal Hysterectomy
There are two types of vaginal hysterectomy: if the uterus has not sunk (prolapsed) or if it has sunk. The right treatment is determined based on exam and imaging.
Vaginal Hysterectomy
For women whose uterus has dropped as a result of pelvic organ prolapse, this is the regular process employed. The descent allows for natural access, and the uterus can be removed through the vagina, and support repair can be performed simultaneously. It is frequently used for uterine prolapse in women where there is poor support of the pelvic floor.
Non-Descent Vaginal Hysterectomy (NDVH)
If a uterus hasn’t descended, it stays in its normal position and is removed by NDVH. This is more challenging and a sign of the surgeon’s skill, because they are operating without the convenience of prolapse. NDVH provides a scarless solution for conditions like fibroids, heavy bleeding, etc., which would be treated with open or laparoscopically performed hysterectomies.
Doctor Quote
“Non-descent vaginal hysterectomy lets us treat fibroids and stubborn bleeding without a single cut on the abdomen — all the benefits of vaginal surgery even when there is no prolapse.” — Dr. Pallavi Chauhan, Gynecologist in Marol, Andheri East
Conditions That May Need a Vaginal Hysterectomy
A vaginal hysterectomy might be recommended if other treatments didn’t work or if a condition can be treated more successfully by the removal of the uterus.
Common reasons include:
Weakened pelvic floor support, cause for uterine prolapse.
Heavy, easy to pass blood clots or pain or pressure from uterine fibroids, which is not relieved by medication
Bleeding that doesn’t stop or keeps coming, which makes it difficult to carry on with your everyday routine.
Severe cramps and heavy periods due to adenomyosis.
Hysterozensuralgia
Some abnormal changes in the tissue inside the uterus (endometrial hyperplasia)
This is on a case-by-case basis, and the least invasive treatment method that works for a person is always the best.
Who Is a Candidate for Vaginal Hysterectomy?
The vaginal approach is not appropriate for all women requiring a hysterectomy, and examination of the patient will help determine this.
You could be a good candidate if you have:
Weakness of the pelvic support, uterine prolapse.
A smaller to moderate-sized uterus that can be safely removed vaginally.
A fibroid or heavy bleeding that is suitable for a focus of symptoms and is suitable for NDVH.
Completed your family and no longer wish to retain the uterus
No significant previous abdominal surgery with extensive previous adhesion.
Laparoscopic or open approach may be safer in cases of a very large uterus, multiple previous abdominal surgeries, suspected cancer or significant endometriosis. Dr. Pallavi Chauhan evaluates your symptoms, exam and scans, and advises you on the path that is the safest for you and will provide the best recovery.
Wondering whether vaginal hysterectomy is right for you? Schedule an evaluation with Dr. Pallavi, a gynecologist in Andheri East.
The Vaginal Hysterectomy Procedure: Step-by-Step
Knowing what happens removes much of the worry. A typical vaginal hysterectomy follows these stages:
Step 1: Pre-operative preparation.
Blood tests, an ultrasound, a Pap smear if due, and an anaesthesia review are done beforehand. You will be asked to fast for a few hours before surgery.
Step 2: Anaesthesia.
The procedure is performed under spinal or general anaesthesia, so you feel nothing during surgery.
Step 3: Vaginal access.
Working through the vagina, the surgeon gently separates the uterus from its supporting ligaments and blood vessels — no abdominal cuts are made.
Step 4: Removal of the uterus.
The uterus (and cervix, in most cases) is carefully detached and removed through the vaginal canal.
Step 5: Repair and support.
Where prolapse is present, the pelvic floor and vaginal support are repaired in the same sitting.
Step 6: Recovery room.
Surgery usually takes one to two hours. Most women walk gently for several hours.
Recovery and Aftercare
Recovery after a vaginal hysterectomy is generally faster than after open surgery. Most women go home within one to two days and return to a normal routine within a few weeks.
| Timeframe | What to Expect |
|---|---|
| Day of surgery | Rest, mild cramping, light vaginal bleeding. Gentle walking is encouraged once ready. |
| Day 1–2 | Most women are discharged home. Light spotting and mild discomfort are normal. |
| Week 1 | Comfortable for light activities at home. Avoid heavy lifting and strenuous work. |
| Week 2–3 | Energy returns; desk work and light routines resume. A follow-up visit checks healing. |
| Week 4–6 | Back to full routine. Avoid intercourse, swimming, and heavy exercise until cleared, usually around six weeks. |
Aftercare tips:
- Take prescribed medication and complete any antibiotics
- Avoid lifting heavy weights for a few weeks
- Eat iron- and protein-rich foods to support healing
- Maintain good hygiene and keep follow-up appointments
- Call the clinic if you have a fever, heavy bleeding, foul discharge, or severe pain
Why Choose Dr Pallavi Chauhan for Vaginal Hysterectomy in Andheri East?
With more than a decade of specialised experience in women’s health care, Dr. Pallavi Chauhan specialises in non-descent vaginal hysterectomy, a scarless procedure for those patients who do not have a vaginal prolapse, as well as in minimally invasive surgery and vaginal surgery. She takes the least-invasive-first, patient-centred approach: surgery is only recommended when it is truly necessary, the safest route is always taken, and your diagnosis, options, and alternatives are discussed in layman’s terms. The clinic at Marol, Andheri East, is well connected across the western suburbs of Mumbai, with a calm and supportive environment from the time of consultation till the time of follow-up.
Doctor Quote
“Every woman deserves clarity, safety, and respect when deciding on a hysterectomy.”— Dr. Pallavi Chauhan, a Gynecologist at Marol, Andheri East
Take charge of your health with confidence. Book your consultation with Dr. Pallavi Chauhan today.
Frequently Asked Questions
Is vaginal hysterectomy safe?
Yes. If the vaginal route is appropriate, it is a less invasive surgery and has less of an effect than open surgery, with quicker recovery and less pain. There are some risks associated with this surgery – and like all surgeries, these are small, but your surgeon will discuss them with you before the surgery.
Will there be any scarring that is apparent to others?
No. The uterus is extirpated through the vagina; there are no abdominal cuts or stitches, and no external scars will be visible.
What is the recovery time?
Most women can return home within 1-2 days and resume light activities within 1 week. It often takes 4-6 weeks to resume the normal routine, depending on the individual’s healing process.
Will a hysterectomy bring on menopause?
If just the uterus is removed and the ovaries are not removed, then you will not have menstruation, but are not be in surgical menopause because they continue to function and produce hormones. If the ovaries are also removed, menopause-like changes will only happen if they do; your doctor will discuss this beforehand.
Is a vaginal hysterectomy an option for treating fibroids?
Yes, under special circumstances. For a small to moderate-sized uterus with fibroids, a uterus removal (NDVH) may be an option. Larger fibroids might require laparoscopy or laparotomy, depending on the examination and imaging.