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HomeExclusiveCan Having Your Tubes Removed Cause Early Menopause

Can Having Your Tubes Removed Cause Early Menopause

Commonly Asked Questions: During Your Hospital Stay

Early and premature menopause

Will I have pain after my surgery?

You may have some pain after your surgery, especially in the first few days. Your healthcare providers will ask you about your pain often and give you medication to manage your pain as needed. If your pain isnt any better, tell one of your healthcare providers. Its important to control your pain so you can cough, breathe deeply, use your incentive spirometer, and get out of bed and walk.

What side effects can I expect after my surgery?

Its common to have some discomfort in your abdomen and shoulders after surgery. This is from the air that was pumped into your abdomen during surgery. Your discomfort should go away after a few days. Walking around can help with this. You should also drink 8 glasses of liquids a day and make sure to take the stool softeners you received to prevent constipation.

You may also have normal symptoms of menopause, such as night sweats, hot flashes, and vaginal dryness. Talk with your healthcare provider about ways to manage these symptoms.

What side effects can I expect after my D& C?

If you also had a D& C, you may have some vaginal spotting or light bleeding. Wear a pad or panty liner. Dont use tampons or place anything in your vagina until your healthcare provider says its OK. Dont have sexual intercourse until your healthcare provider say its OK. If youre having heavy bleeding, such as bleeding through a pad every 1 to 2 hours, call your healthcare provider right away.

Will I be able to eat?

If My Cervix Was Removed In My Hysterectomy Do I Still Need To Have Pap Tests

If you have had a total hysterectomy in which the cervix was removed along with the uterus, you will not usually require Pap testing. An exception is if your hysterectomy was done because of cervical cancer or its precursors. Ask your health care provider if you need to have periodic Pap tests. It is important for all women who have had a hysterectomy to have regular gynecologic exams as part of their health care.

Are There Any Risks

The risks associated with hysterectomy are among the lowest for any major surgery. However, as with any major surgery, problems can occur, including:

  • Blood clot in the veins or lungs
  • Infection
  • Bleeding during or after surgery
  • Bowel blockage
  • Injury to the urinary tract or nearby organs
  • Problems related to anesthesia
  • Early menopause

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Increasingly Doctors Are Turning To Prevention For This Hard

Ovarian cancer is a challenging foe. It’s often found at an advanced stage when it’s difficult to treat.

In recent years, researchers have learned that many cases of ovarian cancer don’t even start in the ovaries. “It turns out that ovarian cancer is a bit of a misnomer. We think a portion of ovarian cancers actually arise from cells in the fallopian tubes,” says Shelley Tworoger, adjunct associate professor of epidemiology at Harvard Medical School and associate center director of population science at the Moffitt Cancer Center.

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Can Early Menopause Be Reversed

Hysterectomy and Tubal Ligation: 2 Causes of Menopause

Early menopause cant usually be reversed, but treatment can help delay or reduce the symptoms of menopause.

Researchers are investigating new ways to help women who are in menopause to have children. In 2016, scientists in Greece announced a new treatment that enabled them to restore menstruation and retrieve eggs from a small group of women who were in perimenopause.

This treatment made headlines as a way to reverse menopause, but little is known about how well it works.

The scientists reported treating more than 30 women, ages 46 to 49, by injecting platelet-rich plasma into their ovaries. PRP is sometimes used to promote tissue healing, but the treatment hasnt been proven to be effective for any purpose.

The scientists claimed the treatment worked for two-thirds of the women treated. However, the research has been criticized for its small size and lack of control groups. Though the research might have potential for the future, its not a realistic treatment option right now.

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Within 30 Days Of Your Surgery

Presurgical Testing

Before your surgery, youll have an appointment for presurgical testing . The date, time, and location will be printed on the appointment reminder from your surgeons office. Its helpful to bring the following things to your PST appointment:

  • A list of all the medications youre taking, including prescription and over-the-counter medications, patches, and creams.
  • Results of any tests done outside of MSK, such as a cardiac stress test, echocardiogram, or carotid doppler study.
  • The name and telephone number of your healthcare provider.

You can eat and take your usual medications the day of your appointment.

During your PST appointment, youll meet with a nurse practitioner . They work closely with anesthesiology staff . Your NP will review your medical and surgical history with you. You may have tests, such as an electrocardiogram to check your heart rhythm, a chest x-ray, blood tests, and any other tests needed to plan your care. Your NP may also recommend that you see other healthcare providers.

Your NP will talk with you about which medications you should take the morning of your surgery.

Identify your caregiver

Your caregiver plays an important role in your care. Before your surgery, you and your caregiver will learn about your surgery from your healthcare providers. After your surgery, your caregiver will take you home when youre discharged from the hospital. Theyll also help you care for yourself at home.

For caregivers


How Is Premature Menopause And Primary Ovarian Insufficiency Treated

Management of the condition can vary depending on why menopause started earlier than normal. Given the health risks associated with early menopause, hormone replacement therapy is routinely recommended to all women with premature menopause or primary ovarian insufficiency, unless there is a compelling reason it cant be used. There is a lot of confusion about the safety of hormone therapies. Many of the risks of hormone therapy used after natural menopause are not thought to apply to women who have premature menopause. It is important to discuss the pros and cons of hormone therapy with your doctor. Some healthcare providers have additional certification in the management of menopause, and these providers will be a valuable resource when receiving conflicting information about the safety of hormone therapy.

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How Long Does It Take To Recover From A Hysterectomy

The length of your hospital stay and recovery will depend on the type of hysterectomy you had abdominal, vaginal or laparoscopic. Most women stay in the hospital for one to two days, though some may stay up to four days. It takes longer to recover from an abdominal hysterectomy, with complete recovery usually taking four to eight weeks. Most women can return to normal activity in one to two weeks following a vaginal or laparoscopic hysterectomy.

What Is An Irregular Period

Early Menopause Mayo Clinic Womens Health Clinic

Your menstrual cycle is counted from the first day of your last period to the start of your next period and lasts, on average, 28 days. Most women, however, are plus or minus a few days. In fact, its normal to have anywhere between 21 and 35 days between periods. What makes your period irregular is if the length of your menstrual cycle keeps changing significantly. Apart from varying greatly in length, an irregular period can also include a cycle which occurs more frequently than every 21 days or less frequently than every 35 days.

If you are in your 40s and experiencing an irregular period, it is very likely a sign of Perimenopause.

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The Surgery Itself: Getting Prepared

A hysterectomy lasts around 1-2 hours and is performed in a hospital under general anesthesia. Your doctor will advise you on how to prepare in the days building up to your procedure. This might include:

Consuming soft foods for several days prior to surgery and then fasting in the 12 hours immediately beforehand.

You may be instructed to shower using soap provided by your doctor on the morning before surgery in order to reduce the risk of infection.

You might benefit from making extra effort to maintain a nutritious diet in the weeks leading up to surgery.

Once your surgery is complete, the recovery process beings. Your stay in hospital will generally last from between a day up to a few days.

Recovering at Home

At this stage youll be advised to avoid any strenuous or even moderate physical activity for the first 4-6 weeks. Since youll be spending a significant amount of time in bed at first, you might benefit from purchasing a wedge pillow to improve your comfort whilst sitting.

Women have also reported benefit from using a hospital-style table. This allows you to write, read, or use a computer without having to rest the object on your abdominal area.

And, remember, dont feel ashamed to call in help and assistance from family and friends. You deserve all the support you can get while you recuperate from surgery.

Things to be Aware of

Core Lesson

You Can Keep Your Ovaries Even If You Don’t Have A Uterus

Should you need your uterus removed due to concerns like fibroids or endometriosis, your ovaries can definitely stay put. In fact, considering the risks of losing your estrogen, you probably want them to stay. Yes, Siedhoff says, a hysterectomy is a natural time to bring up ovary removal, and the two were frequently done simultaneously in premenopausal women in years past. “Now most women elect to keep their healthy ovaries for the benefit of the hormones,” he says.

However, if you do have a hysterectomy, you need to monitor those hormone levels afterward, Sarrel says. He published a study that found 6 months after surgery, 25% of women’s ovaries had stopped functioning due to lack of blood flow. Three years after surgery, that was the case among 40% of the women. The other 60% were totally fine, he says. “You can assume ovaries are going to continue to function, but we need to make sure they are producing regular amounts of estrogen,” he says. A surefire sign that they’re not, he says, would be the beginnings of menopause-related symptoms like hot flashes, sleep problems, and feeling depressed. “All you need to do is replace estrogen, and that’s the end of the symptoms.”

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My Experience Of Periods Changing Prior To Menopause By Aisling Grimley Founder My Second Spring

At 47 I missed my period one month and thought I might be pregnant as I also experienced some hormone surges that reminded me of pregnancy. I had some red rage moments and very tender breasts.

During the following 5/6 years of perimenopause, I went through times of having regular monthly periods in my classic pattern for a few months. Then I might skip up to 6 months only to have periods return to normal again. During the gaps with no period, I sometimes had PMS like symptoms and mild cramps when I reckon I should have had a period. Sometimes my cramps were very painful, at other times I had no pain at all. My last periods were quite light and I never experienced flooding but I know it is very usual to have one or two very heavy periods before they stop altogether.

At 53 I had my last period and I am now period-free for 15 months so I declare myself to be in The Menopause! Aisling

Can Menopause Cause Depression

Conditions That Increase Your Risk of Early Menopause ...

Your body goes through a lot of changes during menopause. There are extreme shifts in your hormone levels, you may not be sleeping well because of hot flashes and you may be experiencing mood swings. Anxiety and fear could also be at play during this time. All of these factors can lead to depression.

If you are experiencing any of the symptoms of depression, talk to your healthcare provider. During your conversation, your provider will tell you about different types of treatment and check to make sure there isnt another medical condition causing your depression. Thyroid problems can sometimes be the cause of depression.

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Main Causes Of Early Menopause

age, age of normal menopausewhen you’re still in your 20s, 30s, or early 40s.

  • Early menopause refers to menopause before the age of 45.
  • Premature menopause is menopause that occurs before age 40.
  • Chemotherapy or pelvic radiation treatments for cancer. These treatments can damage the ovaries and cause your periods to stop. Effects like having trouble getting pregnant can happen right away or several months later. The chances of going into menopause depend on the type and amount of chemotherapy that was used. Also, the younger a woman is, the lower the chances that she will experience menopause.
  • Surgery to remove the ovaries. Surgical removal of both ovaries, also called a bilateral oophorectomy , causes menopause right away. A womans periods will stop after this surgery, and her hormones drop quickly. She may immediately have strong menopausal symptoms, like hot flashes and diminished sexual desire.
  • Surgery to remove the uterus. Some women who have a hysterectomy , which removes the uterus, are able to keep their ovaries. They will not enter menopause right away because their ovaries will continue to make hormones. But, because their uterus is removed, they no longer have their periods and cannot get pregnant. They might have hot flashes because the surgery can sometimes affect the blood supply to the ovaries. Later on, they might have natural menopause a year or two earlier than expected.

diminished ovarian reserve

Surgical Menopause Vs Natural Menopause

Surgical menopause brings with it a very sudden plunge in your hormone levels.

Unsurprisingly this can bring on very intense symptoms not just classic physical symptoms like hot flashes, but also emotional changes including intense mood swings.

Other symptoms include vaginal dryness, depression and palpitations. These may stabilize once you begin taking hormone replacement therapy .

This is in contrast, however, with a natural menopause wherein symptoms tend to be milder and you follow a course of much more gradual decline in the levels of your reproductive hormones. This typically begins with perimenopause several years prior to the total stop to your periods.

Not only can surgical menopause bring particularly intense menopausal symptoms, but it comes at a time when youre also recovering from serious surgery. Naturally, then, its a time when the understanding and support of family and friends is crucial. Youre undergoing significant physical and emotional trauma and you deserve the compassion and help of those around you.

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Days Before Your Surgery

Follow your healthcare providers instructions for taking aspirin

If you take aspirin or a medication that contains aspirin, you may need to change your dose or stop taking it 7 days before your surgery. Aspirin can cause bleeding.

Follow your healthcare providers instructions. Dont stop taking aspirin unless they tell you to. For more information, read the resource Common Medications Containing Aspirin, Other Nonsteroidal Anti-inflammatory Drugs , or Vitamin E.

Stop taking vitamin E, multivitamins, herbal remedies, and other dietary supplements

Stop taking vitamin E, multivitamins, herbal remedies, and other dietary supplements 7 days before your surgery. These things can cause bleeding. For more information, read the resource Herbal Remedies and Cancer Treatment.

Why Perform An Oophorectomy

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An oophorectomy causes surgical menopause. In most cases, removing the ovaries is a preventive measure against disease. Sometimes its performed alongside a hysterectomy, a procedure that removes the uterus.

Some women are predisposed to cancer from family history. To reduce the risk of developing cancers affecting their reproductive health, doctors may suggest removing one or both ovaries. In some cases, they may also need their uterus removed.

Other women may elect to have their ovaries removed to reduce symptoms from endometriosis and chronic pelvic pain. While there are some success stories in oophorectomy pain management, this procedure may not always be effective.

In general however, if your ovaries are normal, its highly recommended not to have them removed as a remedy for other pelvic conditions.

Other reasons women may want to remove both ovaries and induce surgical menopause are:

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Removal Of The Ovaries

The National Institute for Health and Care Excellence recommends that a woman’s ovaries should only be removed if there’s a significant risk of associated disease, such as ovarian cancer.

If you have a family history of ovarian or breast cancer, removing your ovaries may be recommended to prevent you getting cancer in the future.

Your surgeon can discuss the pros and cons of removing your ovaries with you. If your ovaries are removed, your fallopian tubes will also be removed.

If you have already gone through the menopause or you’re close to it, removing your ovaries may be recommended regardless of the reason for having a hysterectomy.

This is to protect against the possibility of ovarian cancer developing.

Some surgeons feel it’s best to leave healthy ovaries in place if the risk of ovarian cancer is small for example, if there’s no family history of the condition.

This is because the ovaries produce several female hormones that can help protect against health problems such as weak bones . They also play a part in feelings of sexual desire and pleasure.

If you’d prefer to keep your ovaries, make sure you have made this clear to your surgeon before your operation.

You may still be asked to give consent to treatment for having your ovaries removed if an abnormality is found during the operation.

Think carefully about this and discuss any fears or concerns you have with your surgeon.


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