Indications for a Hysterectomy

August 1, 2011

Three years ago, I was giving a lecture to a large group of women.  One of the topics which I discussed was about hysterectomies. Out of curiosity I asked the audience through a show of hands to let me know how many had hysterectomies. The response shocked me. More than ½ raised their hands. They were women between 35- 60 years of age and there were more than 100 in attendance.

I decided to investigate the reason why this was the case. We were in a small town in the Midwest and I quickly discovered that there were only two local practicing gynecologists. The indications for a hysterectomy made by the physicians were apparently simple and quite broad:

1.The patient had a uterus
2.The patient was finished having children
3.The patient had complained of irregular or heavy bleeding, fibroids or any other possible problem linked to the uterus

As a patient advocate and practicing physician for more than 20 years, I was mortified.

I stopped my planned lecture and focused on the issue of preventing unnecessary hysterectomies and helped the audience develop the confidence and knowledge to protect themselves from potentially unnecessary hysterectomies.

Since that experience, I no longer take for granted the fact that all doctors are protective of women’s uteruses. I now make sure every woman I speak with knows the true indications for a hysterectomy. Once every woman knows that, she can no longer be pushed into this often unnecessary surgery that robs more than 600,000 women of their uteruses each year in the US.

Here are the indications for hysterectomy:
1.Uncontrollable Bleeding
2.Cancer of the uterus or cervix
3.Severe uncontrollable endometriosis

Anything else, including fibroids, most cases of endometriosis, irregular bleeding, thickening of the uterine lining, hormonal imbalances causing abnormal bleeding, are not absolute indications for a hysterectomy.

Hysterectomies should be a last resort as a treatment option even if the woman is finished having children regardless of age.

Before considering a hysterectomy, natural, bioidentical hormone therapies should be undertaken for at least 6- 12 months and evaluation of the response should be of utmost importance. Thickening of the uterine lining often occurs with the aging process and treatments with only estrogen will increase the thickness of the uterus. That situation is not an indication for a hysterectomy. Adding progesterone and providing better balance of the bioidentical hormone regimen will prove a safer and less damaging treatment in the long run.

You can always have a hysterectomy, but once it’s done you can never get your uterus back. No matter what the surgeon will tell you about how easy and simple the surgery is and how your recovery will be a walk in the park. Keep in mind that the doctor is not undergoing the surgery.

Finally, a year after the initial seminar, I was asked to return to the same venue to give another talk. I was pleased to see that my audience had doubled in attendance. When I asked to see how many women had had hysterectomies by a show of hands, fewer than 10 women raised their hands.

From my perspective, I had accomplished my goal. Women need to protect their health. Do not allow glib, uncaring and hasty decisions made by a physician to remove your uterus cause your health to suffer!


Written By: Steven F. Hotze, M.D.

Steven F. Hotze, M.D., is the founder and CEO of the Hotze Health & Wellness Center, Hotze Vitamins and Physicians Preference Pharmacy International, LLC.


One response to “Indications for a Hysterectomy”

  1. Hotze Team says:

    Dear Krisha,

    Thank you for your question. We cannot give medical advice through the website, however if you are experiencing symptoms of hormone imbalance, please take our symptom checker to find out what could possibly be the underlying cause of your symptoms: It would be best to consult with your doctor who is treating you as for the best course of action to take.

    Here’s an article that may be helpful:

    If we may be of service to you, please call our Wellness Consultants for a complimentary wellness consultation at 281-698-8698. It would be our privilege to serve you.

    To your health,

    Hotze Team

Leave a Reply

Your email address will not be published. Required fields are marked *

Contact Us

"*" indicates required fields

By filling out the above, you agree to receive educational, informative emails on alternative medicine and hormone balancing. You will have the option to unsubscribe at any time.


AboutHotze Health & Wellness Center

Since 1989, Hotze Health & Wellness Center has helped over 33,000 patients get their lives back using bioidentical hormones that restore hormones to optimal levels, strengthen immune systems, and increase energy levels. Our treatment regimen addresses the root cause of hypothyroidism, adrenal fatigue, menopause, perimenopause, low testosterone, allergies, and candida.

Led by best-selling author, radio host and leading natural health expert, Steven F. Hotze, M.D., our medical team has over 100 years’ combined medical experience backed by a staff of nearly 100 caring professionals who provide an environment of hope and extraordinary hospitality for each of our patients, who we call our guests. It is our deepest desire to help you obtain and maintain health and wellness naturally so that you may enjoy a better quality of life, pure and simple.



Do you want to live a healthy, happy, purpose-driven life? Do you want to restore your health so that your loss of energy, weight gain, joint pain, depression and lack of drive or motivation won’t hold you back from achieving your personal and professional goals?

Dr. Steven Hotze wants that for you, too. In fact, in his powerful and passionate video entitled, “What I Believe”, Dr. Hotze shares how his Christian worldview and pivotal experiences have ignited a deep desire to offer the message of hope and optimal health to all who need to hear it.

Follow Us

As seen on:

  • ABC
  • Fow News Channel
  • NBC
  • CNN
  • The Biography Channel
  • Bloomberg Businessweek
  • The Early Show
  • Good Morning Texas
  • Great Day Houston

Our Doctors

At Hotze Health & Wellness Center, our doctors are changing the way women and men are treated through the use of bioidentical hormones. Our natural treatments have helped over 33,000 individuals with hypothyroidism, adrenal fatigue, menopause, perimenopause, low testosterone, allergies, candida, detoxification and nutritional deficiencies.

Meet our doctors

Guest Testimonials

Peggy W.

"After just 3 weeks into the program, my joint pain was gone, climbing stairs became easy, my energy level increased from 2 to a 9 (out of 10) and I lost almost 30 pounds! ”

Read More guest testimonials
Pam White
Pam White
At Hotze Health and Wellness YOU can truly find restoration of your health and vibrant life! You will find the most caring and effective healthcare available! Don't hesitate call them today!!!
Ron Guidry
Ron Guidry
Doctors are not the final authority in our journey of achieving/maintaining health and wellness but having a good team of doctors in your support and guidance community is not only helpful it is wise and also essential. The team and staff at Hotze Health and Wellness are health professionals that you can trust to help you navigate all the misinformation that may be keeping you separated from your optimal level of health.
Caral Reeves
Caral Reeves
Hotze Beauty is a first class facility! Extreme level of professionalism , knowledge & genuine care❤️‍🩹
Julie Hryszko
Julie Hryszko
I’ve been a guest at this facility for 15 years. They are the most efficient, thorough and caring group of individuals I’ve ever experienced. Dr Hotze looks to change the way a typical doctor treats patients and looks for root causes to eliminate medical issues instead of treating “symptoms”. My life has improved 100% since my initial visit. The cost of the treatments are worth it.
Shavon Sisson
Shavon Sisson
Always a great experience dealing with everyone at Hotze Heath and Wellness! Everyone is kind and helpful.
Kori Misson
Kori Misson
I cannot accurately describe in words how I feel about this practice and the entire staff. I have had quite a few health issues throughout the years, rheumatoid arthritis, sjogrens, weight gain, hair loss, irritability, and that is just the beginning. I had pretty much given up on feeling good, just decided to "live with it" and hope for the best. Two very close friends love the Hotze Wellness Clinic and they have experienced life changing health. Made my appointment and from the beginning I felt heard. Not a in and out fast food style practice. They are looked and are looking at my entire body for overall health and wellness. Connections from mind and body to clinical blood work, even dental questions....they care and I feel as if I can trust them. I am on a path to complete wellness and my goal is to have my RA back in remission as it once was....make yourself a priority. Having hope is an incredible feeling!