Many gynaecological problems such as fibroids, endometriosis, adenomyosis and Ovarian cysts can be managed conservatively or medically.
Fibroids are fairly common and one in five women would be found to have fibroids of various sizes, number and location. Many women with fibroids are asymptomatic and hence will not need any treatment. However if the fibroids are causing symptoms such as heavy bleeding, pain, pressure or inability to fall pregnant or retain pregnancy, they will need treatment. This may be medical or surgical depending on various factors.
Similarly, endometriosis and adenomyosis can be managed medically except in certain situations. Ovarian cysts are also amenable to medical treatment or conservative approach depending on their size, nature and symptoms.
Most importantly, hysterectomy is required only as a last resort in many cases and should be considered after weighing the risks and benefits of the procedure.