is the surgical removal of the uterus if indicated by a gynecologic diagnosis such as adenomyosis, fibroids,severe bleeding/anemia or oncologic diagnosis such as cancer of endometrium, ovaries or cervix. In a total hysterectomy, the uterus and cervix are removed. In somecases, the fallopian tubes and ovaries are removed along with the uterus (called hysterectomy with bilateral salpingo-oophorectomy). In a subtotal hysterectomy, only the uterus is removed. In a radical hysterectomy for oncological cases, the uterus, cervix,ovaries, oviducts, lymph nodes, and lymph channels are removed. The type of hysterectomy performed depends on the reason for the procedure and approach can be abdominal (TAH), vaginal (TVH), Laparocopic (TLH) or laparoscopy assisted (LAVH) . In all cases, menstruation stops and a woman loses the ability to bear children.