A vaginal hysterectomy is typically performed for several reasons, including:   ● Abnormal uterine bleeding - Heavy or prolonged menstrual periods, or abnormal bleeding between periods, can be caused by a variety of conditions, such as fibroids, endometriosis, or polyps. A hysterectomy can be used to treat these conditions and stop the bleeding. ● Uterine prolapse - Uterine prolapse occurs when the muscles and ligaments that support the uterus become weak, causing the uterus to droop or sag into the vagina. ● Cancer - Uterine cancer, cervical cancer, and ovarian cancer are some of the types of cancer that may require a hysterectomy. ● Endometriosis - This is a condition in which the tissue that lines the uterus grows outside of it, causing pain and bleeding. ● Fibroids - These are noncancerous tumors that grow in the uterus, which can cause heavy bleeding, abdominal pain, and pressure on the bladder. ● Chronic pelvic pain - If other treatments haven't worked, a hysterectomy may be recommended to relieve chronic pelvic pain caused by conditions such as endometriosis or pelvic inflammatory disease.