Introduction
Understanding your reproductive system

Hysterectomy
When a hysterectomy is recommended – Reasons for needing a hysterectomy – Alternatives to hysterectomy, some treatment options – The different types of hysterectomy – Some risk factors

Vaginal repair for anterior and/or posterior vaginal wall prolapse
Causes of prolapse – Vaginal repair – Sexual activity

Surgery for stress incontinence
Colposuspension – Tension-free vaginal tape (TVT) – Alternatives to colposuspension and TVT

Prepare for your operation
General advice – Physical fitness – Smoking – Diet – Emotional wellbeing – Cultural/religious issues – Pre-operative assessment

Admission to hospital
Pre-operative preparation – During the operation

General care after your operation
Pain relief – The first few days following your operation – Depression, or ‘post-op’ blues – Food and drink – Bladder care – Bowels and wind – Wound care – The stitches – Hygiene – Vaginal bleeding or discharge – Rest – Circulation, and prevention of thrombosis – Leg exercises – Deep breathing – Coughing – Back care in bed – Turning over in bed – Getting out of bed – Posture

Exercises after your operation
The pelvic floor – The pelvic floor exercise – The abdominal muscles – The deep abdominal exercise – Pelvic tilting – Knee rolling

After leaving hospital
Rest and exercise – The convalescent period – Fatigue – Vulnerability – Concentration – Personal cleanliness – Weight control and eating sensibly – Constipation – Urinary problems – Bladder care – Walking – Stairs – Housework – Lifting – Driving – Back to work – Sport and other activities – Sexual activity

Smear tests

The menopause

Hormone replacement therapy (HRT)

In conclusion

Useful sources of information

Additional reading