Goodbye uterus: Life after a hysterectomy

Ladies, We Need To Talk27mApril 20, 2026

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AI-Generated Summary

For decades, the uterus has been mythologized as a source of madness and emotional instability—rooted in ancient Greek notions of the 'wandering womb' that pathologized women's pain. Today, that legacy persists in medical dismissiveness, as seen when a doctor labeled a patient's serious health discussion as 'teary' and 'emotional.' But in 2026, a growing number of women are reclaiming agency by choosing hysterectomies not as a defeat, but as a radical act of self-liberation. This episode of *Ladies, We Need To Talk* follows Amanda and Belle—two women whose lives were consumed by debilitating pain, heavy bleeding, and incontinence—until they finally said 'enough.' Amanda, facing potentially cancerous ovarian growths, underwent a total hysterectomy with removal of her ovaries and fallopian tubes, while Belle, battling inherited adenomyosis and endometriosis, chose surgery after years of opioids, failed treatments, and being gaslit by doctors. Both describe the surgery not as a loss, but as a liberation: pain vanished, incontinence disappeared, and their quality of life soared. Dr. Pav Nanayakara, a gynecological surgeon, confirms that hysterectomies are often life-saving, especially when treating conditions like adenomyosis or precancerous changes. Yet the emotional weight remains—grief over fertility, fear of menopause, identity shifts—but these are met with deep validation, not shame.

Key Takeaways
1

Hysterectomies are not a loss of womanhood but a reclaiming of bodily autonomy for women suffering from debilitating conditions like adenomyosis and endometriosis.

2

The myth of the 'wandering womb' still influences medical bias—doctors have historically dismissed women’s pain as emotional, not physiological.

3

Removing the ovaries induces surgical menopause, but hormone therapy (MHT) can mitigate severe symptoms like insomnia and mood swings.

4

For many patients, sexual satisfaction improves post-hysterectomy due to the elimination of period pain and heavy bleeding.

5

A hysterectomy can cure adenomyosis and significantly reduce pain from endometriosis, though microscopic deposits may persist.

…and 3 more takeaways available in PodZeus

Chapters
0:00
2 min

The Myth of the Wandering Womb

The episode opens with a dark historical note on the ancient Greek belief that the uterus could roam the body, causing madness—coining the term 'hysteria' to pathologize women's pain. This myth, though debunked, still echoes in modern medicine.

2:00
3 min

Amanda’s Battle with Pain and Incontinence

I was one of the mums that, when I took my son to the trampoline centre, didn't want to be jumping on the trampoline. Sure. Yeah, and I was always taking pads and whatever else to prepare myself for the situation.

Highlight
5:00
4 min

The Decision to Remove the Uterus

I felt like part of my womanhood was going. It was like they're my girly organs. That's what makes me a woman and they're taking them away from me.

Highlight
9:00
5 min

Dr. Pav on Hysterectomy Realities

Dr. Pav Nanayakara explains the medical rationale behind hysterectomies—treating heavy bleeding, cancer risk, adenomyosis, and endometriosis—and emphasizes the importance of preserving ovaries when possible to avoid surgical menopause.

14:00
5 min

Belle’s 22-Year Pain Journey

I was on opioids in the end to manage my pain, and when you're on those, you know, you can't do anything. It got to the point that I would message my partner and be like, I'm going home to pop a poppy.

Highlight
High-Impact Quotes
I don’t believe it’s a choice. I believe it’s a last opportunity to reclaim your life and to be at the driver's seat, you know?
Belle24:54
Viral: 92.0
They had a long teary discussion with me after an appointment. One, I'd paid for that long appointment. Two, I actually never cried in that appointment. So I don't know where they got the word teary from.
Belle15:13
Viral: 90.0
I was on opioids in the end to manage my pain, and when you're on those, you know, you can't do anything. It got to the point that I would message my partner and be like, I'm going home to pop a poppy.
Belle13:25
Viral: 85.0
Speakers

Host

Yumi Steins

Guests

Dr. Pav NanayakaraAmandaBelle
Topics Discussed
hysterectomy95%adenomyosis90%endometriosis90%medical gaslighting88%female pain dismissal87%urinary incontinence85%surgical menopause80%gynecological surgery75%
People & Brands

Amanda

person

12xNeutral

Belle

person

10xPositive

Dr. Pav Nanayakara

person

8xPositive

Yumi Steins

person

3xNeutral

Hippocrates

person

2xNegative

Expanse

media

1xNeutral

Gadigal and Muanina peoples

other

1xNeutral

Australian Institute of Health and Welfare

organization

1xNeutral

ABC Listen

other

1xNeutral

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