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Can You Experience Menopause After A Hysterectomy

How Will I Feel After A Hysterectomy

Menopause after a Hysterectomy

Physically

After a hysterectomy, your periods will stop. Occasionally, you may feel bloated and have symptoms similar to when you were menstruating. It is normal to have light vaginal bleeding or a dark brown discharge for about four to six weeks after surgery.

You may feel discomfort at the incision site for about four weeks, and any redness, bruising or swelling will disappear in four to six weeks. Feeling burning or itching around the incision is normal. You may also experience a numb feeling around the incision and down your leg. This is normal and, if present, usually lasts about two months. It’s normal to have scarring, both internally and externally. Laparoscopic surgeries will cause smaller, less visible scars as opposed to abdominal hysterectomy.

If the ovaries remain, you should not experience hormone-related effects. If the ovaries were removed with the uterus before menopause, you may experience the symptoms that often occur with menopause, such as hot flashes. Your healthcare provider may prescribe hormone replacement therapy to relieve menopausal symptoms.

People who undergo a subtotal hysterectomy may continue to have a light period for a year after the procedure. This happens because small amounts of the endometrial lining can remain in the cervix, causing light periods.

Emotionally

Emotional reactions to a hysterectomy vary and can depend on how well you were prepared for the surgery, the reason for having it and whether the problem has been treated.

Menopause After Complete Hysterectomy Or Oophorectomy

The symptoms of menopause develop because the ovaries are no longer working, and no longer produce the female hormones estrogen and progesterone. Many women find themselves wondering, do you still go through menopause after a hysterectomy?

A hysterectomy is a surgical procedure during which all or part of the uterus is removed, which may be performed for a variety of different reasons. Sometimes the ovaries are removed as well, and this is medically known as oophorectomy.

Removing the ovaries and uterus will induce menopause. In this case the levels of female hormones drop abruptly and symptoms like hot flashes, changes in sex drive and mood will be more severe and acute compared with those experienced when the menopause occurs naturally.

If the uterus only is removed, and the ovaries are left in place, the production of hormones will continue. After hysterectomy a woman will no longer have a period, without experiencing other menopausal symptoms . When the time comes, and the woman goes through menopause, hot flashes, mood swings, vaginal dryness, lack of sex drive, and sleeping issues may occur.

In other words, removing the uterus alone will only stop menses, without causing other menopausal symptoms, which sometimes leads to women being confused over if they will go through menopause after a hysterectomy. Removing the uterus and ovaries will induce all symptoms of menopause, and these symptoms are usually more severe.

What Are Alternatives To Hysterectomy

Your healthcare provider will work with you to develop the best treatment plan for your symptoms or condition. When a hysterectomy isn’t medically necessary, some alternatives to try could be:

  • Watching and waiting to see if the condition improves.
  • Taking medications such as birth control pills to manage painful periods or abnormal bleeding.
  • Burning of the lining of the uterus for heavy bleeding.
  • Having procedures to shrink or surgery to remove uterine fibroids.
  • Performing exercises for uterine prolapse that help improve the muscles in your uterus.
  • Using a pessary to “prop up” the uterus if you have a uterine prolapse.
  • Undergoing surgery to treat endometriosis or vaginal bleeding that doesn’t involve removing the entire uterus.

A note from Cleveland Clinic

A hysterectomy can offer relief from many conditions of the uterus like irregular bleeding or painful periods. Remember, talk openly and honestly with your healthcare provider about your symptoms so they can recommend the best treatment. If you get a hysterectomy, make sure you understand the procedure and how to safely recover from surgery.

Last reviewed by a Cleveland Clinic medical professional on 10/16/2021.

References

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Top Advices For Husbands After Hysterectomy

Any major surgical procedure can have a big effect on a relationship, and hysterectomies are no exception. Due to the sensitive nature of the surgery, many men struggle with how to care for and interact with their wives following a hysterectomy procedure. The best advice for husbands after hysterectomy is simply to continue treating your wife with love, respect, and attention. To avoid making any major mistakes, follow these dos and donts of maintaining your relationship after a hysterectomy.

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Hysterectomy And Joint Pain

Can You Have Ovarian Cancer After Menopause

Very few women are aware that joint pain is a common side effect of hysterectomy. Estrogen has a protective and anti-inflammatory effect on your body, including your joints.

Reduced levels of estrogen can harm your joints, like chronic inflammation and pain. This is generally the most accepted explanation for why your joints may be hurting following a hysterectomy.

Read more: How to deal with a sudden onset of joint pain after hysterectomy?

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Is My Sex Life Over After My Hysterectomy

Women who because of gynecologic issues have been unable or unwilling to have sex prior to their hysterectomies can fear that their sex life will be over after their hysterectomies. While restoring your sex life after so many years may take a bit more work, it is possible in most cases. It will require communication between you and your doctor, as well as between you and your partner. You will also need to be patient and take it slow, but given time you should be able to have a satisfying sex life again.

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.

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How Will I Know I Am In Menopause After My Hysterectomy

No periods for 12 months is the common sign that menopause has arrived. But what about for you? Youve had a hysterectomy, so you have hadnt periods in years. How are you going to know when menopause arrives?

No worries. More than likely, menopause is going to arrive with plenty of notice. More than you want.

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

Finding Menopausal Relief After Her Hysterectomy

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.

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Are There Any Other Emotional Changes That Can Happen During Menopause

Menopause can cause a variety of emotional changes, including:

  • A loss of energy and insomnia.
  • A lack of motivation and difficulty concentrating.
  • Anxiety, depression, mood changes and tension.
  • Headaches.
  • Aggressiveness and irritability.

All of these emotional changes can happen outside of menopause. You have probably experienced some of them throughout your life. Managing emotional changes during menopause can be difficult, but it is possible. Your healthcare provider may be able to prescribe a medication to help you . It may also help to just know that there is a name to the feelings you are experiencing. Support groups and counseling are useful tools when dealing with these emotional changes during menopause.

Treating Side Effects Of Hysterectomy

If your ovaries were removed with the uterus, you may want to consider hormone replacement therapy to ease some symptoms. Your age and medical history are factors to consider when deciding on HRT. Talk it over with your doctor.

There are non-hormonal treatments that can help. Effexor and other SSRI antidepressants, Clonidine , and Neurontin , have been found to be effective in treating hot flashes.

Some women experience pain during intercourse after a hysterectomy. It helps to try different positions and lubricants and moisturizers . A low-dose vaginal estrogen cream, suppository or ring can also help relieve vaginal dryness.

Pelvic weakness sometimes develops after a hysterectomy. If you had some pelvic weakness before surgery, it may get worse afterward — leading to bladder or bowel problems. Kegel exercises can help strengthen pelvic muscles to help control urinary incontinence problems. For some women, corrective surgery is necessary.

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Do Men Go Through Menopause

Andropause, or male menopause, is a term given to describe decreasing testosterone levels in men. Testosterone production in men declines much more gradually than estrogen production in women at about 1% per year. Healthcare providers often debate calling this slow decline in testosterone menopause since its not as drastic of a hormone shift and doesn’t carry the same intensity of side effects as menopause in women. Some men will not even notice the change because it happens over many years or decades. Other names for the male version of menopause are age-related low testosterone, male hypogonadism or androgen deficiency.

The Effect On Hormones

Depression After Hysterectomy

When a person has both a hysterectomy and their ovaries removed, their estrogen production is dramatically reduced. This hormone is responsible for a number of bodily functions. Chief among them is menstruation. When ovaries are removed, menstruation stops abruptly, and menopause begins if you are not yet postmenopausal.

For people who dont remove their ovaries during a hysterectomy, there is a risk for ovarian failure. In fact, people who do not have an oophorectomy at the time of their hysterectomy are compared to people who have their uteri. This, too, will lead to a decrease in estrogen, though likely more gradually.

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The Cons: Reasons To Lean Against Hrt After Surgical Menopause

  • Your menopausal symptoms aren’t bothering you, or other treatments work fine. Some women don’t have very severe symptoms after surgical menopause and don’t 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.Ã
  • You’re 50 or older. Many women who go into surgical menopause at 50 or older — the natural time of menopause – decide not to get HRT. That’s 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 – at least initially.Ã
  • 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 – like patches and gels – bypass the liver and are safer options.Ã
  • You’re concerned about the side effects. HRT can also cause symptoms of its own. Many resemble the symptoms of premenstrual syndrome — swollen and painful breasts, headaches, and nausea
  • You’re 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 that’s still unclear.

What Are The Symptoms Of Menopause After Hysterectomy

For most women, menopause occurs when they are between the ages of late 40s to early 50s. However, women who undergo hysterectomy surgery may start experiencing the symptoms of menopause much earlier than this.

The procedure involves removal of the uterus and is used to treat a variety of conditions such as chronic pain, infection and even certain kinds of cancer. Typically, the extent of surgery required will vary depending on the reason why you are having hysterectomy. Sometimes the doctor may also recommend taking out the cervix and ovaries, which can ultimately affect the symptoms you are experiencing.

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Vaginal Dryness After A Hysterectomy

Most side effects of hysterectomy are associated with premature menopause. For example, vaginal dryness is a typical symptom of menopause many females have to put up with. Vaginal dryness is not only uncomfortable but can make intercourse painful, Some women will avoid having sex and this can put stress on a relationship.

The hormonal changes after a hysterectomy make the vaginal wall thinner and reduce its muscle tone. Vaginal lubricants and topical estrogen creams can be helpful to relieve the problem of vaginal dryness.

Read more:What you should know to cure vaginal dryness.

What To Expect After A Hysterectomy

What to expect with a hysterectomy

When women need to have their uterus removed, they do so through a surgical procedure known as a hysterectomy. This is a significant procedure that is rarely the first choice for women and their medical providers. Even so, medical circumstances Read More

When women need to have their uterus removed, they do so through a surgical procedure known as a hysterectomy. This is a significant procedure that is rarely the first choice for women and their medical providers. Even so, medical circumstances may arise where a hysterectomy becomes necessary for the longevity and health of the patient.

If youve been told you need a hysterectomy, or youre dealing with a condition that increases your potential risk of a hysterectomy in the future, you probably have questions about what the process looks likeespecially when considering your future after the procedure is completed. Heres a look at the common causes for a hysterectomy, the pros and cons of the procedure, and what to expect before and after a hysterectomy.

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Can A Hysterectomy Cause You To Start Menopause Sooner

MenoLabs News | Fri, Jan 07, 2022

For thousands of years, women have experienced a natural phase of menopause to mark the end of their menstrual cycle. While most women dont have to face this transition until their late 40s or early 50s, hysterectomies can cause you to start menopause much sooner and with more severe symptoms than normal. For this reason, its essential for women to thoroughly understand the factors that can lead to menopause following different types of hysterectomy procedures.

Follow along to find out how your symptoms may vary with or without a hysterectomy, the difference between a partial or full hysterectomy, and how to better manage these symptoms after your surgery.

What is Menopause ?

Understanding what menopause is at an early age can help women who have had or may have a hysterectomy in the future to spot when symptoms start. Menopause represents the point in a womans life where she is no longer fertile. During this phase, the ovaries stop releasing mature eggs and less estrogen and progesterone are produced. In the time leading up to menopause, also known as peri/menopause, hormone levels will slowly decrease throughout the body as you experience little-to-no spotting during menstruation.

As you enter into menopause, there are a wide range of uncomfortable symptoms that may arise. While severity may vary from one woman to another, the majority of women experience the following common menopause symptoms:

  • Joint pain

Hormone Replacement Therapy

Can Menopause Cause Facial Hair Growth

Yes, increased facial hair growth can be a change related to menopause. The hormonal change your body goes through during menopause can result in several physical changes to your body, including more facial hair than you may have had in the past. This is caused by testosterone being relatively higher than estrogen. If facial hair becomes a problem for you, waxing or using other hair removers may be options.

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Will The Hysterectomy Cause Me To Enter Menopause

All women who have a hysterectomy will stop getting their period. Whether you will have other symptoms of menopause after a hysterectomy depends on whether your doctor removes your ovaries during the surgery.

If you keep your ovaries during the hysterectomy, you should not have other menopausal symptoms right away. But you may have symptoms a few years younger than the average age for menopause .

Because your uterus is removed, you no longer have periods and cannot get pregnant. But your ovaries might still make hormones, so you might not have other signs of menopause. You may have hot flashes, a symptom of menopause, because the surgery may have blocked blood flow to the ovaries. This can prevent the ovaries from releasing estrogen.

If both ovaries are removed during the hysterectomy, you will no longer have periods and you may have other menopausal symptoms right away. Because your hormone levels drop quickly without ovaries, your symptoms may be stronger than with natural menopause. Ask your doctor about ways to manage your symptoms.

Can A Woman Have A Hysterectomy And Still Go Through Menopause

Hysterectomy &  Surgical Menopause

Hysterectomy With Ovaries Left Intact. This is mostly due to the disturbance of the blood supply to the ovaries during surgery. In addition, some women may undergo menopause a few years sooner than they normally would if they never underwent a hysterectomy .

A partial hysterectomy removes your uterus, and a total hysterectomy removes your uterus and your cervix. Both procedures leave your ovaries intact, so you can still develop ovarian cancer. Total hysterectomy with salpingo-oophorectomy. This procedure removes your cervix and uterus as well as both ovaries and fallopian tubes.

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