This causes your body to make too much insulin. But vitamin D levels must be sufficient in order for this to work. Some of these foods may have protective effects when consumed in small to moderate amounts, but have negative effects when consumed in high amounts. Sad but true: Alcohol is a hormone disruptor, meaning it can exacerbate estrogen imbalances in the body. Fibroids, also known as myomas or leiomyomas, are non-cancerous tumours made up of muscle and fibrous tissue that grow in or around the uterus (womb). What did I have to lose at that point? Soy may have a slight protective effect, but many people are skeptical about soy. Uterine fibroids are more common and more severe among Black females than other groups. How? Its primary use is to undertake most metabolic functions. You can use fresh greater celandine plant (a teaspoon of the plant to a cup of hot water and infused for 15 minutes) or dry - no more than 1.5 g per cup of hot water. However, more research is needed to . Phytoestrogens are compounds that naturally occur in plants. A range of surgical options can also help treat fibroids. Some of the herbs we suggest in this list are also sources of naturally-occuring phytoestrogens. Fibroids range in size from as small as a seed to larger than a grapefruit. According to new research, hormonal dosage in contraceptives can be lowered by as much as 92% and still suppress ovulation. Oily fish include salmon, mackerel, tuna, herring, sardines and others. This condition may also be genetic. 7. If banning booze altogether is out of the question, focus on reducing how much you drink. These cookies ensure basic functionalities and security features of the website, anonymously. For these reasons, fiber may help prevent and slow the growth of fibroids. Small scale research studies have looked at the effects of various herbal remedies for fibroids, such as green tea and Chinese medicine. However, after taking seeds for a few months, Im happy to report my success story. DOI: Moore AB, et al. Replacing red meat (beef, ham, or lamb) with white meat (chicken or turkey) may help. ikely two people will respond to a supplement in exactly the same way. Vitamin E: Fact sheet for consumers. Considering that fibroids are also associated with excess weight, eating healthily will help balance out your weight, which may have some effect on estrogen, and then your fibroids. Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. National Library of Medicines list Excess insulin can cause weight gain and affect fibroid growth. Not only do they deliver plant-based omega-3s (also known as ALA), but flaxseeds are also a great source of fiber, which is important for people with fibroids, especially if they struggle with constipation. Avoid or limit alcohol to help reduce your risk. This issue of xenoestrogens, which are false estrogens that can come from plants, foods, and man-made chemicals, is highly debated, especially concerning issues like fibroids. It could be helpful for women who have painful cramping during periods because it has an antispasmodic effect, meaning it can relieve cramps, and it helps replenish blood in the Chinese conception. Uterine fibroids are common. Having lower blood pressure can reduce the risk of some chronic diseases, such as cardiovascular disease. Foods that contain certain vitamins may protect against fibroids and also increase the healthfulness of a persons diet. Sesame seeds may be a rich source of natural oils, lignans, antioxidants, protein, dietary fiber, and vitamins and minerals like calcium, iron, potassium, phosphorus, magnesium, B-vitamins, and vitamin E according to the USDA. Probably one of the most consumed seeds, pumpkin seeds contain high levels of monounsaturated fats, omega-6 fats and phosphorus apart from many other essential nutrients. People cultivate it for its edible seeds, which are a popular addition to many dishes all over the world. Add these potassium-rich foods to your daily diet: Add dairy products such as yogurt and full-fat cheese to your diet. We also use third-party cookies that help us analyze and understand how you use this website. "Anything that supports gut health is going to support healthy hormones by default," Groves tells LIVESTRONG.com. Diet alone is unlikely to shrink fibroids, but it will help make any other natural treatments you try far more effective. The participants took either 800 milligrams (mg) of green tea or a placebo for 4 months. It supports natural progesterone production, which is helpful in estrogen-dominant conditions such as fibroids. Fibroids are cellular growth in uterus due to some hormonal imbalance in women's body. Roasted dandelion root makes a mild, tasty tea with lots of health benefits; it is safe to drink all day long if you choose! Research demonstrates that soy is fairly neutral and even has protective benefits against certain cancers. These include: If a person is unable to get enough of a particular vitamin through their diet, they can consider taking vitamin supplements. 4. We may not know for sure which foods cause fibroids to grow, but based on research, people with fibroids are better off limiting the following: 1. (2016). Grinding them isnt necessary if they are sprouted. People can also bake or buy bread, crackers, and cereal bars containing sesame seeds. Also it offers anti-inflammatory and anti-emetic effects, making Red Raspberry a powerful herb for easing menstrual symptoms related to uterine fibroids. It is also very mineral-rich, which makes it a great restorative tonic for women with bad menstrual symptoms. People can use sesame seeds in a variety of ways. You should aim for at least 2 tablespoons per day if you already have fibroids. Healthline Media does not provide medical advice, diagnosis, or treatment. These include: Fibroids are more common in people who are overweight or obese, so maintaining a healthful weight can also protect against fibroids. For example, naturally occurring, Parabens (found in many skin and beauty products), Polybrominated biphenyl ethers (PBDEs) (flame retardants used in plastics, foams, building materials, electronics, furnishings, motor vehicles), Butylated hydroxyanisole / BHA (food preservative), Estrogenic pharmaceutical drugs and pesticides, Some of the herbs we suggest in this list are also sources of. These cookies track visitors across websites and collect information to provide customized ads. Physiochemical characteristics of sesame seeds. Certain foods may also help ease fibroid symptoms. They are full of nutrients that are vital to hormonal balance, including zinc, magnesium, selenium, and vitamin E. Women experiencing hormone-related issues are often deficient in nutrients needed for proper hormone balance. What's more: "A higher consumption of alcohol has been linked to fibroid development and fibroid pain." DOI: Terry KL, et al. Balancing blood pressure is vital for your overall health. (2010). Super Seeds Known as nutritional powerhouses, seeds are packed with healthy fats, protein and a range of micronutrients. People can also use tahini as an ingredient in dips and sauces or stir it through dishes to add nutrition and flavor. Getting regular exercise and eating a healthful diet are very effective ways to lose weight. Having overweight or obesity increases your risk, as does having low levels of some nutrients. These changes include eating a healthful diet, getting regular exercise, and using relaxation techniques. At one point, I decided to remove them from my seed cycling routine until I was able to get a clearer picture of the effect of lignans on the body. Vitamin A: Fact sheet for health professionals. For example, naturally occurring phytoestrogens (phyto means from plants) are in flax and soy. Drinking green tea may, therefore, help with fibroids. New data from Pew Research Centers shows that more Americans say its difficult to access abortion care in their area and think it should be easier to, New evidence and findings from a global study suggest cranberry juice and supplement products can help prevent UTIs in women, children, and people, Access to mifepristone, the widely-used medication for abortion, is hanging in legal limbo. (2019). This cookie is set by GDPR Cookie Consent plugin. Ginger also supports digestion, including digestion of oestrogen. 2023 Healthline Media UK Ltd, Brighton, UK. Fibroids or not, we should all befriend flaxseeds. Fibroids form in and around the uterine walls. You can consume this herb in capsules, tincture, or tea. A small August 2013 study from the International Journal of Women's Health reported that daily supplementation with green tea extract significantly reduced the size of study participants' uterine fibroids. The National Institutes of Health (NIH) recommend a daily intake of 1,000 mg of calcium for people aged 19 years and older. Note the huge amount of estrogen . If you are looking to shrink fibroids naturally there are a few things you need to consider. (2019). Enzymes are all throughout our body. There are three main types: Intramural - develop in the muscle wall of the womb However, more research is needed before healthcare professionals recommend green tea for fibroids. Consuming a variety of red, yellow, and orange foods will provide rich antioxidants. In most cases, treatment isnt needed. They often go undiagnosed because only about a third are large enough to be discovered in a physical exam. Enzymes will help eat up abnormal tissue in fibroids and help clear thickening agents in the blood. Of the studies that do exist, most cite research from cell cultures or animals. Healthline only shows you brands and products that we stand behind. Groves recommends combining probiotics found in fermented foods with prebiotics, the fibers that feed our good gut bacteria. Research shows that eating these foods regularly may help lower your risk for fibroids. Over 60% of Americans Think Abortion Should Be Legal in Most Cases, It's True, Cranberry Products Can Help You Avoid UTIs, Supreme Court Allows Full Access to Abortion Pill Mifepristone for Now, Hysterectomy and Cardiovascular Disease: What Women Should Know About Ovary Removal, Birth Control Pills Might Be Able to Work with 92% Fewer Hormones, Mifepristone: Everything to Know about What's Going on With the Abortion Pill. We include products we think are useful for our readers. However, there is very little research to say that they are effective. When we're constipated there's more time for estrogen to become reactivated in and reabsorbed from the gut, Groves explains, potentially resulting in elevated levels of estrogen in the body a risk factor for uterine fibroid development. Other ways to balance estrogen levels include: Losing weight. [4] Additionally, these tiny seeds might also be packed with potent amino acids like tryptophan and fat-burning polyphenols like sesamin . In fact, sesame seeds are a good source of protein and fiber, as well as key minerals like copper, manganese and calcium. [] seeds are a suitable replacement for flax if youre practicing seed cycling. Living with fibroids can be painful, but the good news is that there are plenty of natural remedies for fibroids that do not include invasive surgery. Dandelion root and leaf.This plant has been greatly despised as a weed that it was hard to recognise its nutritious and healing . These cookies will be stored in your browser only with your consent. Learn about other good sources of protein here. Although they may not be cancerous, they can affect a persons quality of life. Cruciferous vegetables like broccoli, kale, cauliflower, and brussels sprouts contain a phytonutrient called diindolylmethane (DIM) which supports the activity of enzymes that improve estrogen metabolism. "You don't need to avoid these proteins completely," Ruth says. Analytical cookies are used to understand how visitors interact with the website. Learn about other sources of vitamin E here. However, consuming phytoestrogens may have a protective effect against fibroids. Interestingly, flaxseed could also be an effective therapeutic option for diseases other than uterine fibroids. DOI: Handa Y, et al. Avoid refined carbs and added sugars such as: Some foods contain natural ingredients that mimic the estrogen in the body, called phytoestrogens. Diet can help balance hormones that may trigger these growths. However, according to the Academy of Nutrition and Dietetics, sesame seeds do not irritate the gut for most people with diverticulitis. Dark greens are also nutrient dense and will provide healthful benefits. U.S. Department of Agriculture, Agricultural Research Service. In any case, smoking is harmful to your health and may increase your risk of fibroids. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. Oxidative stress is a significant cause of disease. For the majority of symptom-less fibroids, no treatment is required. Hypertension risk in Dutch women with symptomatic uterine fibroids. Sesame seeds are a good source of calcium. The cookie is used to store the user consent for the cookies in the category "Analytics". This can help detox excess hormones, which could help with fibroids. Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors. Further research is needed on why this might happen. "Opt for three to four servings per week.". Vitamin D isn't the easiest nutrient to find in your diet, but the following foods are good sources: Ruth recommends prioritizing seafood if you're looking to add more D to your diet: "Aim for three to four servings per week of fatty fish like salmon, herring, tuna and mackerel for maximum omega-3 benefits. Lots of dominant companies now sell all-natural versions of products that typically contain endocrine-disrupting chemicals. Its recommended that you grind sesame seeds and flax seeds for easier digestion, but I make it a habit to grind them all. Fiber-rich foods like yams and lentils are among the best to eat if you're aiming to shrink fibroids. MNT is the registered trade mark of Healthline Media. At the same time, by avoiding these foods you can ease your symptoms. When the bleeding is severe, doctors may also recommend medication or surgery. They can increase the risk for complications in some cases, though, and may also make it more. A 2019 study suggested that phytoestrogens, which include lignans, may help reduce the risk of osteoporosis, menopausal symptoms, and breast cancer. If you buy through links on this page, we may earn a small commission Heres our process. As many as 1 in 5 women may have fibroids during their childbearing years (the time after starting menstruation for the first time and before menopause). Alcohol may also trigger inflammation. Earlier in my journey, Pinterest was one of my favorite research tools. While some people never even realize they have fibroids, others have painful symptoms, including heavy or elongated periods, pelvic pain, increased urination, constipation and backaches, per the Mayo Clinic. Currently, Dr Nowak and her team are investigating the effects of flaxseed on chronic gut-associated diseases such as Crohn's colitis and inflammatory bowel disease (IBD). "It's also a good idea to eat foods that are supportive of liver health to support estrogen metabolism, like cruciferous vegetables, citrus, berries, flaxseed and artichokes.". To do this, buy or make your own natural cleaning, beauty, lawn, and other products. Getting regular exercise and eating a healthful diet are. Check out a beginners guide to the Mediterranean diet for tips and a meal plan. Why? Fibroids range in size from a few millimetres (pea) to massive growths of 20cm diameter and more (melon). It makes sense, then, that "studies have shown that a diet high in fiber has been linked to lower estrogen levels," Groves says. However, for women who are in discomfort or have other symptoms of their fibroids, there are natural ways to treat the symptoms, and some that may reduce the size of fibroids. It is also considered as the best essential oil for the female reproductive system. Add plenty of fresh and cooked green vegetables, fresh fruit, legumes, and fish to your plate. It concluded that although some foods might reduce the risk of developing fibroids, others might increase the risk. The sesame plant grows in tropical and subtropical parts of the world, including Asia, Africa, and South America. Not all women have symptoms, so many have fibroids that may grow and shrink without them ever knowing. Copyright 2023 - Log in, Click to share on Twitter (Opens in new window), Click to share on Facebook (Opens in new window), Click to email a link to a friend (Opens in new window), Click to share on Pocket (Opens in new window), Click to share on Reddit (Opens in new window). Polyps and fibroids are similar, but there are a few differences. Doctors can prescribe drugs that shrink fibroids, called gonadotropin-releasing hormone agonists (GnRHa), such as Lupron. As with any type of treatment, get in touch with your body and pay attention to how you react to different remedies. A study from 2004 looked at the link between fibroids and alcohol and caffeine in black females in the United States. reasons. The seeds used encourage the production and metabolism of estrogen and progesterone. Not all fibroids require treatment. Theyre made of muscle and other tissues. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction. If people think that they may have a sesame allergy, they should visit a doctor or allergist for a skin prick test, which shows how antibodies react to potential allergens. We avoid using tertiary references. greatly reduces the risk of developing fibroids and uterine cancer as they are a great source of good cholesterol and Omega-3 fatty acids. of signs you need emergency medical attention or call 911. It sounds so simple, yet in my experience, it has been very effective. American Academy of Allergy, Asthma & Immunology. A numbe rof studies have shown the plant compounds in these seeds may help improve heart health and symptoms of prostate can urinary disorders. beans, peas, soy milk, goats milk, nut milk, sesame seeds, and green leafy vegetables. The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional". The cookie is used to store the user consent for the cookies in the category "Other. "Research on dairy and fibroids is conflicting," Ruth admits. Effect of increased potassium intake on cardiovascular risk factors and disease. (2016). When they stop taking them, the fibroids often grow back. According to the American Heart Association, meat contains high levels of saturated and trans fats, which can raise cholesterol and worsen heart disease. While the key of the false xenoestrogens fits in the lock of the estrogen receptor sites, they do not have the exact same effect as human estrogen would in those same sites. Lycopene and other carotenoid intake in relation to risk of uterine leiomyomata. Not only are supplements unregulated, but their contents are much more concentrated than whole foods (or in this case, drinks). Researchers estimate that hundreds of thousands of people have a sesame allergy. DOI: Radin RG, et al. One 2016 article investigated the possible role of diet and complementary or alternative medicine in treating fibroids. Fibroids, also called leiomyomas, are noncancerous tumors that sometimes develop in the uterus. Estrogen dominance is thought to be one of the contributors to fibroids. Sesame seeds contain phenolics, such as lignans, which have high antioxidant properties. Seeds are really absorbent, so they can hold large amounts of pesticides. Doctors can recommend some medical treatments for fibroids, but some people may also try dietary methods and herbal medicines to relieve symptoms. The seeds are tiny and tend to slide around whenever I use the pestle and mortar. On the other hand, eating beef, ham, lamb, and other red meat may raise your risk. In this article, we explore the evidence behind natural treatments for fibroids, including herbal remedies, and dietary and lifestyle changes. Empty receptor sites would signal, Produce estrogen, these receptors are empty! while full receptor sites signal, The receptor sites are all full, better slow down the production upstream.. Other healthy, high-potassium foods include: Some people claim that celery juice can shrink fibroids. Cobalamin 0%. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, pickled vegetable salad with sesame seeds, tahini-balsamic chicken bowls with barley, arugula, and pear, https://www.plantsjournal.com/archives/2018/vol6issue1/PartB/6-1-9-731.pdf, https://www.aaaai.org/about-aaaai/newsroom/news-releases/sesame, https://www.aaaai.org/conditions-and-treatments/allergies/anaphylaxis, https://www.researchgate.net/profile/Ak-Rai/publication/330647276_Sesame_Bioactive_Compounds_and_Health_Benefits/links/5f2c1528a6fdcccc43acabd2/Sesame-Bioactive-Compounds-and-Health-Benefits.pdf, https://ods.od.nih.gov/factsheets/Calcium-HealthProfessional/, https://www.fda.gov/food/food-labeling-nutrition/food-allergies, https://www.sciencedirect.com/science/article/pii/S1658077X15000132, https://www.eatright.org/health/wellness/digestive-health/diverticulitis, https://www.liebertpub.com/doi/abs/10.1089/jmf.2015.0075, https://www.health.harvard.edu/heart-health/key-minerals-to-help-control-blood-pressure, https://www.heart.org/en/healthy-living/healthy-eating/eat-smart/fats/monounsaturated-fats, https://www.heart.org/en/healthy-living/healthy-eating/eat-smart/fats/polyunsaturated-fats, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6429205/, https://www.spandidos-publications.com/10.3892/mmr.2017.6420, https://www.betterhealth.vic.gov.au/health/healthyliving/vitamin-b, https://ods.od.nih.gov/factsheets/VitaminE-Consumer/, https://genomebiology.biomedcentral.com/track/pdf/10.1186/gb-2013-14-1-401.pdf, https://www.hindawi.com/journals/bmri/2016/8495630/, New clues to slow aging? Around 1 in 3 females with fibroids may experience symptoms that can include: In many cases, fibroids shrink and disappear without treatment. Chemical characterization and oxidative stability of seeds and oil of sesame grown in Morocco [Abstract]. Work with a registered dietitian to find the best balance of nutritious foods for you. Researchers do not know if eating foods that contain resveratrol will affect fibroids. A 2013 study looked at the effects of taking green tea extract (epigallocatechin gallate) on 33 females with one or more fibroids. Fibroids arent cancerous or life threatening, but they can sometimes cause complications and health problems. to register? However, sesame is currently not on the Food and Drug Administration (FDA) list of major food allergens, which means that manufacturers do not have to list it as an allergen on product labels. In addition, more research is needed to fully understand how sesame seeds affect inflammation in humans. Dong quai is a traditional Chinese herb that can regulate hormones. The many different types of fibroid surgery include a myomectomy, radiofrequency ablation, and a hysterectomy. Natural foods that contain resveratrol include blueberries, mulberries, raspberries, and grapes. You can use a pestle and mortar, but I find that flax gets a better grinding in the food processor. Scientists use genetic rewiring to increase lifespan of cells, Beyond amyloid and tau: New targets in developing dementia treatments, Napping longer than 30 minutes linked to higher risk of obesity and high blood pressure, Activity 'snacks' could lower blood sugar, complication risk in type 1 diabetes, In Conversation: Investigating the power of music for dementia, Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT. While doctors know that fibroids are connected to hormones, no one knows exactly what causes them. Greater celandine tea is another one of the best home remedies for fibroids. They did not find links with vitamins C or E, folate, or carotenoids. The following sections discuss current research. Sesame seeds are a good source of calcium. Uterine fibroids (also known as uterine leiomyoma) are noncancerous growths of the uterus that often appear during childbearing years. They are benign, meaning non-cancerous, but they can cause symptoms such as heavy periods, cramping, enlargement of the lower abdomen, painful sex, urge to urinate, and lower back pain. The essential oil helps in the lowering of blood pressure and relaxation of nerves and muscle. It has antioxidant, anti-inflammatory, and antibacterial properties. Stirring through the seeds occasionally will help ensure that they toast evenly. Add these whole foods to your diet: Potassium helps to counter the effects of salt to balance blood pressure. noncancerous growths of the uterus that often appear during childbearing years, increase risk of developing uterine fibroids later on, increase the proliferation of uterine fibroid cells in rats, they appear not to stimulate their growth, concentrations of nonylphenol (NP) and octylphenol (OP) were found to be higher in women with uterine fibroids, have a protective effect against fibroid development, placebo-controlled human study of green tea extract, helping the body to regulate its own hormone production, destroy foreign compounds and abnormal cells. [People with fibroids] can absolutely enjoy whole, unprocessed soy products in moderation.. Sesame now the ninth most common food allergy in the United States [Press release]. Some people may find that lifestyle factors can help improve symptoms associated with fibroids, such as painful or heavy periods and depression. That may be part of the reason why studies have repeatedly found that people with uterine fibroids (UF) have lower levels of vitamin D compared to people without UFs. "Fat cells make more estrogen, which can increase your risk for fibroids or make them worse," Ruth explains. All Rights Reserved. It does not store any personal data. Fat cells make more estrogen, so losing weight may help prevent or slow the growth of fibroids. Its use is to control disproportionate menstrual bleeding while strengthening the uterine muscles. Functional cookies help to perform certain functionalities like sharing the content of the website on social media platforms, collect feedbacks, and other third-party features. Instead, it should be incorporated as a part of a holistic lifestyle. Learn about what treatments and medications are available and how to ease the pain. Alternatively, people can store sesame seeds in the fridge to keep them fresh and make them last longer. Nutrition Value of Sesame Seeds. Pumpkin seeds. These foods easily pass through the liver, which results in less . A study found that one of these, epigallocatechin gallate, may help slow the growth of fibroids by bringing down inflammation and high estrogen levels. Our team thoroughly researches and evaluates the recommendations we make on our site. Sesame seed 8008.1 Flax bread 7540 Black bean sauce 5330.3 Multigrain bread 4798.7 Soy milk 2957.2 Hummus 993. At worse, Id just be giving myself some additional nutrients. It is especially supportive of liver function, which is the organ that breaks down estrogen. They also help to keep blood sugar levels steady. This is the first time I have heard of seed cycling. But do these treatments work? There are a number of changes you can make that might help reduce your risk for fibroids. Which Yoga Exercise Helps to Shrink Uterine Fibroids? It's important to note, though, that this research only found an association it didn't establish a cause-and-effect relationship between meat and fibroids. Save my name, email, and website in this browser for the next time I comment. So, I found a few pins about cycle syncing and incorporating seeds into a hormone-balancing diet. Get proteolytic enzymes from a reputable source; there is some overlap with digestive enzymes, but some are different. "Staying at a healthy weight by eating a balanced diet that includes plenty of fresh fruits, vegetables, lean proteins and healthy fats can be helpful to decrease or prevent fibroid growth.". But soy can actually serve as an "anti-estrogen," per a February 2021 review in the International Journal of Environmental Research and Public Health. "While we don't fully understand the causes of fibroids, studies have shown that dietary patterns and foods may be associated with higher or lower risk for developing fibroids," says Melissa Groves, RD, LD, an integrative and functional medicine dietitian specializing in women's health and hormones, and the founder of The Hormone Dietitian. The lignans in sesame seeds have other benefits alongside their antioxidant properties. Bananas are rich in potassium and support good gut health, both of which may help with fibroids. Natural and synthetic chemicals can throw off your endocrine balance, raising estrogen levels. 1. Diet alone cant treat fibroids. According to a report from the American Academy of Allergy, Asthma & Immunology, sesame allergy is the ninth most common food allergy in the United States. Research suggests that resveratrol may stop cell growth and reproduction of uterine fibroid cells. See additional information. A sesame allergy can cause a severe allergic reaction, which can be life threatening. Necessary cookies are absolutely essential for the website to function properly. However, some experts believe that some lifestyle changes can enhance a persons quality of life and help improve some of the symptoms associated with fibroids, such as painful periods and depression. The Department of Justice ordered an appeals court to, Researchers say the removal of ovaries in a benign hysterectomy may not be necessary in younger women or in women with a low risk of cancer.