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Can You Go Through Menopause After A Partial Hysterectomy

What Happens Before During And After A Hysterectomy

Finding Menopausal Relief After Her Hysterectomy

Before the procedure

A healthcare provider will explain the procedure in detail, including possible complications and side effects. He or she will also answer your questions.

In addition:

  • Blood and urine tests are taken.
  • Hair in the abdominal and pelvic areas may be clipped.
  • An intravenous line is placed in a vein in your arm to deliver medications and fluids.

During the procedure

An anesthesiologist will give you either:

  • General anesthesia in which you will not be awake during the procedure or
  • Regional anesthesia in which medications are placed near the nerves in your lower back to “block” pain while you stay awake .

The surgeon removes the uterus through an incision in your abdomen or vagina. The method used during surgery depends on why you need the surgery and the results of your pelvic exam.

During a vaginal hysterectomy, some doctors use a laparoscope to help them view the uterus and perform the surgery.

A laparoscope with advanced instruments can also be used to perform hysterectomy completely through tiny incisions . In more difficult cases, surgeons may employ assistance of robotic instruments placed through the laparoscope to complete the laparoscopic hysterectomy .

Will I Experience The Same Symptoms As My Mother Sister Or Friends

The symptoms of menopause vary from one woman to another, even in the same families. The age and rate of decline of ovary function differ tremendously. This means youll need to manage your menopause individually. What worked for your mother or best friend may not work for you.

Talk to your doctor if you have any questions about menopause. They can help you understand your symptoms and find ways to manage them that work with your lifestyle.

How Long Will It Take To Recover From Surgery

Feeling better after surgery takes time. You might go home the day of surgery or stay in the hospital 1 to 2 days after. Some women stay up to 4 days.

When you get home, make sure you move around, but also be sure you don’t do too much. You can walk around the house and up and down stairs, but take it slow. During the first 2 weeks, it’s important to get plenty of rest. Even after you start to feel stronger, you should not lift heavy things . Also, you should not have sex until your doctor says it’s okay. It usually takes 4 to 8 weeks to get back to a normal routine.

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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

Will I Go Through Menopause If I Have A Hysterectomy

Pin on Hysterectomy recovery

There are different types of hysterectomies. A hysterectomy refers to removal of the uterus and the cervix or removal of the uterus without removal of the cervix . If the ovaries are removed at the same time, this is called a hysterectomy with bilateral salpingectomy . The ovaries are usually left in place unless there is an increased risk of ovarian cancer based on family history or if a significant abnormality is seen at the time of surgery.

Uterine Anatomy

Hormones are secreted from the ovaries. These hormone levels decline with age and are minimal in post-menopausal women. If the ovaries are left in place at the time of a hysterectomy, there is no change in the level of hormones excreted by the ovaries and pre-menopausal women will experience menopause naturally. If the ovaries are removed in a pre-menopausal woman, she may experience vasomotor changes after surgery including hot flashes or mood changes. If planning a BSO in a pre-menopausal patient, we will usually recommend she initiate hormone replacement therapy post operatively. Often these medications are used temporarily or as needed. Some women will stay on HRT, this is usually determined by the patient.

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Does Hysterectomy Really Lead To Weight Gain Read To Find Out

Written by Sandhya Raghavan | Updated : February 10, 2017 6:42 PM IST

The uterus has some pretty impressive functions like expanding many times its original size to accommodate a baby during pregnancy and providing support to the bladder and the pelvic bones. However, problems such as fibroids, endometriosis and uterine cancer force many women to undergo hysterectomy, where a part of the uterus or the entire organ is removed. When such an important organ is removed, there are bound to be some changes in the woman s body. Dr Maya Lulla, Consultant Obstetrician and Gynaecologist at Nanavati Super Speciality Hospital uncovers some of the ways in which your life might change after a hysterectomy.

No weight gain: It s a misconception that many women put on weight after a hysterectomy. The real culprit here, according to Dr Lulla, is not the hysterectomy or the loss of uterus itself, but the inactivity on the part of the women. Many women limit their physical mobility and exercise after they undergo hysterectomy, explains Dr Lulla. They should be more active.”

Ovarian functions may diminish: Dr Lulla says even in cases where there the ovaries have been kept intact, the loss of ovarian functions may happen over a period of time. Uterus and the ovaries share blood supply, so it is evitable that once the uterus is removed the ovaries stop functioning to their fullest capacity.

Are There Nonhormonal Options For The Management Of Menopausal Symptoms

Hormone therapy may not be the right choice for you. Some medical conditions may prevent you from safely being able to use hormone therapy or you may choose not to use that form of treatment for your own personal reasons. Changes to your lifestyle may help you relieve many of your symptoms without need for hormonal intervention.

Lifestyle changes may include:

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Is Heart Disease Linked To Menopause

Conditions related to your heart may arise during menopause, such as dizziness or cardiac palpitations. Decreased estrogen levels can prevent your body from retaining flexible arteries. This can impact blood flow.

Watching your weight, eating a healthy and balanced diet, exercising, and not smoking can reduce your chances of developing heart conditions.

How Will I Feel After The Operation

Why Am I Spotting Years After a Partial Hysterectomy?

After the operation you may have an intravenous drip for uids or occasionally blood. You may also have a catheter to drain urine.

If your operation is performed through an abdominal incision, the wound will be held together with clips or stitches. There will still be some stitches with laparoscopic surgery. The internal stitches used in vaginal hysterectomy will dissolve naturally. The wound will heal in a week or so but internal surgery will take longer. This is why the recovery period can take up to twelve weeks.

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Putting The Risks And Benefits Of Hrt In Perspective

If you’re just glancing at list above, some of the risks of HRT might seem to overwhelm the benefits. Could a reduction in vaginal dryness possibly be worth an increased risk of cancer?

But look at the details. The risks of HRT — while real — are quite small for an individual person. For example, the 2002 Women’s Health Initiative study found that ERT increased the risk of strokes by 39%. That sounds frighteningly high. But the actual number of people affected is very small. Out of 10,000 women who are not taking ERT, 32 have strokes each year. Out of 10,000 who are taking ERT, 44 have strokes each year. That’s an increase of just 12 people out of 10,000.

On the other hand, when it comes to controlling the symptoms of surgical menopause, a huge number of women feel the benefits. One out of four menopausal women has severe hot flashes. Treatment with hormone therapy cuts down the number of hot flashes per week by 75%. So if a woman had 24 hot flashes per week, HRT would drop that number to six. That could make a big difference in the quality of their day-to-day life.

Will You Go Into Premature Menopause

You may have heard that your hormone levels drop after a hysterectomy, but that isnt accurate. Your uterus, cervix, and vagina arent part of your endocrine system, which means theres no effect on your hormones, if they must be removed.

You can have one ovary removed and, as long as it stays healthy, it produces the hormones you need. Its different when both ovaries are removed, however. A bilateral oophorectomy causes an abrupt loss of hormones. As a result, you enter premature menopause.

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Selecting A Hysterectomy Procedure

The type of hysterectomy performed is often dependent on a womans medical history, pre-existing health conditions and goals. Our doctors pair careful analysis and examination with compassion so patients can openly discuss their needs, wants and fears and we can develop a custom surgical plan together.

Coping With Your Emotions

Hysterectomy &  Surgical Menopause

Be sure to talk to your doctor and your partner about any negative feelings or worries you have about a hysterectomy or menopause.

Mood changes after a hysterectomy and the start of menopauseif your ovaries are also removedcan affect your quality of life. There are ways to ease your symptoms though. Start with these tips:

  • Get enough sleep. Stick to a sleep schedule. Have regular times to go to bed and wake up. Keep your room dark and cool. Limit alcohol, caffeine, large meals, and physical activity several hours before bed.

  • Exercise. Be active for at least 30 minutes on most days of the week.

  • Try to relax. Find ways to ease your stress. Relaxation techniques or reading can help. So can spending quiet time outdoors.

  • Find support. Besides your partner and doctor, you may also want to confide in a friend. Or, consider joining a support group for women who’ve had a hysterectomy.

  • Ask about treatment. Some women need medication to ease symptoms of menopause and depression. Talk therapy helps some women, too. Ask your doctor about what might work for you.

  • Get to know your body. Knowledge is the antidote for . Ask your doctor to explain any physical changes you might feel or see. Sometimes all it takes is a little health education to ease your fears.

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How Can You Tell

And I know, you know, it’s a huge gap, when on Earth are you going to know when you’re starting the menopause when you’ve got no periods to give a really clear indication of what’s going on? In this situation, it really is a question of being aware of how you are feeling.

Are you starting to get menopause-like symptoms like hot flushes or night sweat? Or maybe joint aches or low mood or anxiety or maybe a bit of fatigue, or you’re just feeling out of sorts? If you’re in the average age group, then it’s more than likely that this is you starting the approach to the menopause.

What Happens If You’ve Had A Complete Hysterectomy

Now, if you’ve had a complete hysterectomy, which means you’ve had the womb and the ovaries out, regardless of what age you are, as long as you’re before the average age when you would have started the menopause, you will go straight into a full menopause. There’s no preamble here. You’ve lost your ovaries, and your ovaries dictate how your hormones run, and when they are removed, you will very suddenly hit the menopause.

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Hysterectomies That Save Ovaries Still Carry Health Risks Study Finds

Women who have had their uterus and ovaries removed need to be monitored for high blood pressure, weight changes and high cholesterol, a new study suggests. This photo is from a blood pressure check at the Centers for Disease Control and Prevention in 2005.

CLEVELAND, Ohio — For years, surgeons performing hysterectomies have opted to leave the patients’ ovaries in place, when possible, to reduce the risk of heart disease and other health problems.

But preserving ovaries may not help as much as was previously thought, a new study suggests.

A recently published 22-year-long study found increased risks of hypertension, obesity, heart disease and coronary artery disease, even when ovaries were left intact after a hysterectomy.

“That was a surprise,” said Dr. JoAnn Pinkerton, executive director of the North American Menopause Society, and professor of gynecology at the University of Virginia Health System. She spoke by phone from Charlottesville, Virginia.

Women who had hysterectomies – especially those women younger than 35 – faced increased health risks. The study also suggested that if women take estrogen until 51, the average age of menopause, their health risks dropped to average levels.

This study could help women who are considering a hysterectomy to make important health decisions, and to look for alternatives to the surgery, Pinkerton said.

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What Problems Does This Surgery Treat

Laparoscopic Hysterectomy – CHI Health

Most often, hysterectomy is done to treat problems with the uterus, such as pain and heavy bleeding caused by endometriosis or fibroid tumours. The surgery may also be needed if there is cancer in the uterus, cervix, or ovaries. Some women may have the surgery during childbirth to save their lives if there is heavy bleeding that cannot be stopped.

Before you choose to have a hysterectomy, consider all of your treatment options. In many cases, this surgery is a last resort after trying other treatments for the problem.

For more information, see:

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Whats The Difference Between Perimenopause And Menopause

Perimenopause refers to the period of time right before menopause begins.

During perimenopause, your body is beginning the transition into menopause. That means that hormone production from your ovaries is beginning to decline. You may begin to experience some symptoms commonly associated with menopause, like hot flashes. Your menstrual cycle may become irregular, but it wont cease during the perimenopause stage.

Once you completely stop having a menstrual cycle for 12 consecutive months, youve entered menopause.

Laparoscopically Assisted Vaginal Hysterectomy

Laparoscopic hysterectomy is done with a lighted tube and scope and surgical instruments inserted through a vaginal incision and one or more small abdominal incisions. The ovaries and other organs may also be removed. The uterus is removed through the vagina. It is done:

  • When uterine fibroids are small to moderate in size.
  • When the uterus is slightly larger than normal.
  • To remove endometriosis and scar tissue confined to the uterus, fallopian tubes, and ovaries.
  • To assess or remove ovaries at the same time as a vaginal hysterectomy.

LAVH requires the surgeon to have specialized training.

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What Is Total Hysterectomy

The most common type of hysterectomy performed is total hysterectomy, which removes the whole uterus including the cervix. The removal of the cervix is one of the greatest differences between supracervical and total hysterectomy.

Total hysterectomy can effectively treat abnormal uterine bleeding, uterine prolapse, endometriosis, chronic pelvic pain and uterine fibroids in cases where other treatment options have not been successful. It can also prevent the development of uterine cancer.

Women who have had a hysterectomy as a result of cervical cancer or cervical dysplasia should discuss their post-hysterectomy cancer-screening needs with their doctor.

How Is The Surgery Done

Post Hysterectomy Bleeding  Should You Be Worried ...

There are many different ways to do hysterectomy surgery. The type of surgery you have depends on three main things: the reason for the surgery, the size of the uterus and its position in the belly, and your overall health. The most common types are:

  • Abdominal hysterectomy. In this type, the doctor makes a cut in the belly, either across the bikini line or straight up and down. The doctor takes out the uterus and the cervix. This type is most often done when cancer might be present or when severe endometriosis, a lot of scar tissue , or a very large uterus makes the uterus hard to remove.
  • Vaginal hysterectomy. With this type, the doctor takes out the uterus through the vagina. He or she makes a small cut in the vagina instead of the belly. Your doctor will not use this method when there is a chance that cancer may be in the uterus, cervix, or ovaries. Doctors use this type of surgery only in cases where the uterus is small and easy to remove.
  • Laparoscopic hysterectomy. In this type of surgery, the doctor puts a lighted tube through small cuts in your belly. The doctor can see your organs with the scope and insert surgical tools to cut the tissue that holds your uterus in place.

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Hrt And Surgical Menopause

So what is surgical menopause? It’s menopause that develops suddenly after the ovaries — the main producers of the hormone estrogen — are surgically removed.

The removal of the ovaries is called an oophorectomy. The procedure is often combined with a hysterectomy — removal of the uterus — but not always. And in fact, women who only have their uterus removed will not go into surgical menopause. Their ovaries are still making estrogen. They’ll go into menopause naturally when they get older, although sometimes a bit earlier than usual.

Estrogen plays a key role throughout the body. It affects the brain, the bones, the skin, the heart, the blood vessels, and more. While estrogen levels lower gradually during natural menopause, they plummet with surgical menopause. That sudden drop in estrogen can lead to menopausal symptoms that can be quite severe.

Hormone therapy after surgery — either with estrogen and progestin or with estrogen alone — is a way to counteract the supply of estrogen you’ve lost. Women who have both the uterus and ovaries removed usually just get estrogen replacement therapy alone. But women who have only the ovaries removed need both estrogen and progestin. That’s because estrogen alone can increase the risk of cancer in the uterus. Adding progestin removes this risk.

Rarely, if ever, will both ovaries be removed without the uterus. Often, only one ovary may be removed, which will negate the need for HRT at the time of surgery,


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