How Long Is This Going To Last
Now, I then get asked, “Well, how long is this going to last?” On average, from the minute your hormones start to change until you would have been two years without a period when you are considered through the menopause, is roughly about five years. So if you’re in this situation, you would have a normal menopause lasting the normal length of time as well.
So from the moment that you start to see any significant changes, you’re going to be counting roughly five years, and that would be you postmenopausal. Again, it’s one of these things. It’s going to be different for absolutely every single one of you.
Weighing The Hormone Replacement Therapy Pros And Cons
When it comes to getting HRT after surgical menopause, deciding what to do isn’t easy. The contradictory headlines in the media in recent years haven’t helped. It’s easy for women to feel like they are making the wrong choice, no matter what they do.
When you’re deciding, you have to consider a lot of different factors, including your age, your family history, and your habits. Just take it slowly and don’t allow yourself to be rushed into a decision you’re not ready to make. Check the latest research into HRT. Remember that both the potential long-term benefits and risks of hormone therapy are really quite small for any individual person.
Finally, don’t discount your gut feelings. The decision to get hormone therapy after surgical menopause is personal. The right answer depends as much on your preferences as it does on the facts in your medical chart.
A Note From Cleveland Clinic
The decision to take hormone therapy needs to be a very personalized one. Hormone therapy is not for everyone. Discuss the risks and benefits of hormone therapy with your healthcare provider at an office visit specifically dedicated for this conversation. Youll need the time to address all the issues and answer questions in order to arrive at a decision that is best for you. Factors considered should be your age, family history, personal medical history and the severity of your menopausal symptoms.
Be sure to talk about the pros and cons of the different types and forms of HT as well as non-hormonal options such as dietary changes, exercise and weight management, meditation and alternative options.
What Is Hormonal Imbalance After Partial Hysterectomy
A partial hysterectomy may cause hormonal imbalance symptoms in some people that affect them both emotionally and physically.
If a hysterectomy is performed in which the uterus is removed but the ovaries are not, the body will still produce hormones, but at a lower level. Removal of the uterus without the ovaries causes less dramatic changes in hormone levels than a full hysterectomy does, but a partial hysterectomy can still cause a hormonal imbalance.
Hormones are the bodys chemical messengers they tell your body what to do, when, and for how long. They affect many different things like:
- Growth and development
What About My G
The Ã¢G-spotÃ¢ is not a medically recognized part of the female anatomy, but you may have a spot on the anterior wall of the vagina that is highly sensitive and contributes to sexual arousal and satisfaction. Whether yours is affected can depend on the type of hysterectomy, whether your need repairs, and exactly where yours is located. If you have concerns about it being changed, talk to your doctor prior to your surgery.
This content was written by staff of HysterSisters.com by non-medical professionals based on discussions, resources and input from other patients for the purpose of patient-to-patient support. Reprinted with permission: 10 Concerns about Intimacy after Hysterectomy
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Can You Walk Too Much After Hysterectomy
After a hysterectomy, the hospital where you were treated should give you information and advice about suitable forms of exercise while you recover. Walking is always recommended, and you can swim after your wounds have healed. Do not try to do too much as youll probably feel more tired than usual.
The Cons: Reasons To Lean Against Hrt After Surgical Menopause
- Your menopausal symptoms arenât bothering you, or other treatments work fine. Some women donât have very severe symptoms after surgical menopause and donât want or need treatment. Even if you do have acute symptoms, HRT is not the only way to control them. Other drugs or lifestyle changes can help. Talk to your doctor.
- Youâre 50 or older. Many women who go into surgical menopause at 50 or older â the natural time of menopause â decide not to get HRT. Thatâs because their supply of estrogen would naturally drop during menopause anyway. There is some evidence that the older you are when you start HRT, the higher the cardiovascular risks â at least initially.
- You have liver disease. Estrogen pills can put a lot of stress on the liver. So if you have liver disease, your doctor may not want you to take oral HRT. Other ways of getting estrogen â like patches and gels â bypass the liver and are safer options.
- Youâre concerned about the side effects. HRT can also cause symptoms of its own. Many resemble the symptoms of premenstrual syndrome â swollen and painful breasts, headaches, and nausea.
- Youâre at a higher risk of health problems like:
o Strokes. Hormone therapy can increase the risk of stroke, although your odds are still very low.
o Blood clots. Oral estrogen, at least, may also raise the risk of blood clots. Estrogen patches and creams may pose a lower risk, but thatâs still unclear.
Uterine Fibroid Embolization At Usa Fibroid Centers
At USA Fibroid Centers, we understand your concerns about fibroid treatment and early menopause. Fortunately, you have options. If you are experiencing symptomatic uterine fibroids that limit your daily activities, we can help identify the best treatment for you.
Uterine Fibroid Embolization can help eliminate fibroid symptoms, retain fertility, and quickly get you back to normal life. To discover whether you are a good candidate for UFE, simply call 855.615.2555 or use our online scheduling form to make an appointment. For your safety and convenience, we also offer telemedicine consultations.
Ial Hysterectomy Leaving The Ovaries In Place
With this kind of operation most women will get the menopause at roughly the same time they would have done had they not had the operation, because their ovaries are still able to produce hormones and go through the normal menopausal process of producing fewer and fewer around the age of 50 or so. You can therefore treat all the symptoms naturally if you wish, as long as they are not too severe.
The confusing issue is that because you are not getting any periods, you cant use changing/missing periods as a guideline to when things start to change. Instead you need to rely on spotting some of the other usual symptoms such as flushes, joint pain, low mood, etc.
In general the average age to start the menopause is 45-55, so if you are getting menopause-like symptoms at this point then it is more than likely you are on your way! Your doctor may be able to test your hormone levels and this will give you a better idea as to what is happening.
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What You Can Do
If you are planning to have both ovaries removed during a hysterectomy, you may want to discuss hormone therapy with your medical professional. This treatment can help your body slowly adjust to the loss of estrogen so the signs and symptoms of menopause arent so sudden and severe.
In turn, hormone therapy can help reduce your risk of age-related health issues common in people with a hysterectomy and ovary removal, including bone loss and osteoporosis.
Some people may be able to take hormone therapy short term. Others may need to remain on it until they reach the age of natural menopause, or 45 to 55. The average age of menopause is 51.
Likewise, your healthcare professional may recommend lifestyle adjustments that can help prevent health issues related to early menopause and estrogen loss. Exercise and an improved diet may be helpful.
Early Menopause From A Partial Hysterectomy
A partial hysterectomy is another name for a subtotal hysterectomy, a surgical procedure that involves the removal of the uterus while leaving the cervix intact. Since a hysterectomy also leaves the ovaries in place, most women continue to ovulate and release hormones, only without menstruating since the uterus is gone. However, sometimes removing the uterus causes trauma to the ovaries, cutting off their blood flow and shutting them down. Most of these cases are temporary, but for some women, it is permanent. The risk of going through an early menopause from a partial hysterectomy is low, but it does happen to some women.
Early menopause caused by a partial hysterectomy causes the exact same symptoms as menopause that occurs naturally. These symptoms include hot flashes, mood swings, weight gain, fatigue, anxiety, insomnia, night sweats, low sex drive, poor memory and vaginal dryness. Early menopause also causes several health problems that women normally dont have to worry about until later in life. The hormonal changes cause bone loss, which raises the risk of osteoporosis at an earlier age than naturally occurring menopause. Heart disease and stroke are also health risks associated with early menopause, probably due to the lower amount of estrogen in the body after ovulation ceases. The risk of developing arthritis also increases after menopause, so early menopause can cause achy joints at an earlier age.
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Can A Partial Hysterectomy Make Major Changes In Your Life
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The Female Reproductive System
The female reproductive system is made up of the:
- womb a pear-shaped organ in the middle of your pelvis where a baby develops the lining of the womb is shed during a period
- cervix the neck of the womb, where the womb meets the vagina the cervix is the lower part of the womb and not separate
- vagina a muscular tube below the cervix
- fallopian tubes tubes that connect the womb to the ovaries
- ovaries small organs by the fallopian tubes that release an egg each month
Page last reviewed: 01 February 2019 Next review due: 01 February 2022
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Why Does Inducing Menopause Help With The Symptoms Of Endometriosis
Endometriosis means that deposits of endometrium exist outside of the womb cavity and they thicken and bleed with every cycle. Inducing menopause causes suppression of the menstrual cycle and activity of the ovaries meaning that the symptoms of endometriosis may resolve. The methods of inducing a menopause are:
- Hormones by injection or nasal spray: These suppress your own hormones and stop your menstrual cycle. This means that your periods stop and you are likely to experience menopausal symptoms.
- Surgery involving removal of both ovaries. This may be with or without a removal of your womb but will permanently induce a menopause. The loss of libido is often felt more with a surgically induced menopause.
What Other Changes May Occur
You may encounter information saying that a hysterectomy makes you gain weight or lose your sex drive. These issues may develop, but only if both ovaries are removed. A hysterectomy alone doesnt affect your weight or desire for sex.
Many women feel healthier because the symptoms they had before surgery are gone. As a result, they become more active and find sex more enjoyable.
You should plan on six to eight weeks to rest and heal, depending on the type of hysterectomy and whether Dr. Macey performs minimally invasive surgery or you need conventional open surgery.
Many women struggle with unexpected emotions following their hysterectomy, so during your recovery, you may feel a sense of loss or struggle with depression. Though theres no way to predict how youll react or feel, please know that Dr. Macey is available, and you should call if you encounter challenges during your recovery.
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You May Be Able To Avoid A Hysterectomy
Depending on the condition you are facing, you may be able to keep your uterus intact. Alternatives are out there for about 90 percent of hysterectomies surgeons do, according to Streicher in her book The Essential Guide to Hysterectomy. Fibroids, for example, may be treated using a nonsurgical procedure called uterine artery embolization that cuts off the fibroids’ blood supply. Another option is myomectomy, which removes fibroids but spares the uterus. For heavy bleeding, an ablation procedure which freezes or burns the uterine lining may be a treatment option. Before scheduling a hysterectomy, have a discussion with your doctor about the alternative treatments for your condition.
Induced Menopause Following Prophylactic Bilateral Oophorectomy
Approximately 1 in 9 women aged 35â45 years has undergone hysterectomy, with 40 percent undergoing bilateral oophorectomy at the same time, resulting in the abrupt onset of menopause . The practice of prophylactic oophorectomy has increased over time and more than doubled between 1965 and 1990 . Meanwhile, reports now link induced menopause from bilateral oophorectomy with serious health consequences including premature death, cardiovascular and neurologic disease, and osteoporosis, in addition to menopausal symptoms, psychiatric symptoms, and impaired sexual function.
4.2.1. Mortality and cardiovascular disease
The Mayo Clinic Cohort Study of Oophorectomy and Aging involved a population-based sample of 4,780 women and reported increased all-cause mortality in women who underwent prophylactic bilateral oophorectomy before age 45 years . The increased mortality was mainly observed in women who did not take estrogen after the surgery and up until age 45 years . Cardiovascular mortality was also increased in the women who underwent bilateral oophorectomy before age 45 years and did not take estrogen .
In summary, data consistently show an increased risk for cardiovascular disease in women who undergo bilateral oophorectomy inducing premature menopause or early menopause. Estrogen replacement proximate to bilateral oophorectomy appears to be particularly important for reducing premature coronary heart disease and death in this group of women.
4.2.2. Neurologic outcomes
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Joint Pain All Over Since My Hysterectomy Surgery
Some women ask if the joint pain in their hands is related to their hysterectomy surgery. That is possible. After the operation, there may be a sudden onset of widespread joint pain. It usually affects the hips, knees, and shoulders and leads to pain and stiffness of fingers, wrists, and ankles. Apart from the pain, there may be swelling, redness, and even fever.
What Is A Partial Hysterectomy
A total hysterectomy involves the removal of the entire uterus and the cervix. The cervix is the narrow structure with an inch long canal which connects the lower end of the uterus to the upper portion of the vagina. A radical hysterectomy involves the removal of the uterus, cervix, upper vagina as well as parametrium.
A partial hysterectomy involves the removal of the body of the uterus while leaving the cervix intact. There are many ways of performing a partial hysterectomy including by making an incision slightly above the pubic bone and removing the uterus, through the vagina, through incisions made in the abdomen and so on and so forth.
Other procedures may also be performed with a hysterectomy including oophorectomy and salpingectomy
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How Will Endometriosis Affect You
While some women never have symptoms, others have severe pain that can make it hard to enjoy daily activities. In some cases, the problem can affect how well your bowels, bladder, or other organs work.
Pain from implants may be mild for a few days before your menstrual period. It may get better during your period. But if an implant grows in a sensitive area such as the rectum, it can cause constant pain or pain during sex, exercise, or bowel movements.
Symptoms often get better during pregnancy and usually go away after menopause.
What Can I Do To Help With Lack Of Sex Drive
Lack of libido or sex drive can be due to many factors but in women with endometriosis it can relate to pain during intercourse or an induced menopause causing lack of the male hormone testosterone which plays an important role in the sex drive. Vaginal estrogen treatment can help vaginal dryness and pain and can be used along with lubricants during sex. An HRT called Tibolone can also be helpful as it has some androgen in it along with estrogen and progesterone and may help with women with a reduced sex drive. In some cases, your doctor may suggest using a small amount of testosterone gel alongside your continuous combined HRT to increase libido. This may take several months to take effect.
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What Is Known About Hormone Therapy And The Risk Of Heart Disease
Scientists continue to learn about the effects of HT on the heart and blood vessels. Many large clinical trials have attempted to answer questions about HT and heart disease. Some have shown positive effects in women who started HT within 10 years of menopause some have shown negative effects when started greater than 10 years of menopause. Some studies have raised more questions about the potential benefits of HT.
Based on the data, the American Heart Association issued a statement for use of HT. They say:
- Hormone therapy for the sole purpose of preventing heart disease is not recommended.