What Should I Do If I Am Told That I Need A Hysterectomy
Talk to your doctor. If you have a condition that is not cancer, such as fibroids, endometriosis or uterine prolapse, there are other treatments that can be tried first. In most cases, a hysterectomy need not be done immediately. There is usually time for you to get more information, look into possible alternatives or seek a second opinion. In cases of serious disease, such as cancer, a hysterectomy may not be optional and may be a life-saving choice. Before you decide what to do, it is important you understand your condition and your options for dealing with it. If you are suffering from continuing severe problems with pelvic pain and abnormal uterine bleeding and other treatments have not helped, a hysterectomy may provide relief. Studies have shown that a hysterectomy often improves sexual functioning and quality of life for women suffering from these problems.
Before Choosing A Hysterectomy
If, after talking about all the options with your doctor, you choose to have a hysterectomy, your doctor should discuss several things with you before the operation. These include:
- your medical history as some pre-existing conditions may influence decisions on surgery and anaesthetics
- the pros and cons of abdominal surgery versus vaginal surgery
- your support options after surgery
- your feelings about the surgery.
You will have a range of tests before your hysterectomy, including a complete blood-count test to check for problems such as anaemia .
Reasons For Having A Hysterectomy
There are many different reasons why hysterectomy may be necessary. These include:
- Painful, heavy or frequent periods which are not improved with medical treatments
- Fibroids Swellings of abnormal muscle that grow in the uterus, which can cause painful, heavy periods or pressure on other pelvic organs
- A prolapsed womb, which is caused by the dropping of the uterus.
- Endometriosis, a condition where tissue segments from the womb attach and grow in the wrong place, causing pain
- Adenomyosis the same problem as endometriosis, but affecting the muscle of the womb
- Severe, recurrent or untreatable pelvic infection
- Cancer or precancerous changes in the vagina, cervix, uterus, fallopian tubes or ovaries
Very rarely, hysterectomy is performed as an emergency procedure, such as if bleeding becomes uncontrollable during childbirth. Usually though, the operation is planned.
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Bleeding After Menopause And Hysterectomy
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Will Menopause Begin Right After Shortly After Or What Is The Time Frame To Expect
For women who have hysterectomy surgery that involves the removal of ovaries, they may begin experiencing menopause symptoms after 24hours following their operation.
The abrupt inducement of menopause often results in exaggerated symptoms such as hot flashes and changes in libido.
Another possible outcome is that ovarian failure may occur much earlier than the anticipated time frame of menopause, around 1 to 2 yrs after the hysterectomy surgery. In such cases, a person may or may not experience the immediate symptoms of menopause.
Can Menopause Affect My Sex Life
After menopause, your body has less estrogen. This major change in your hormonal balance can affect your sex life. Many menopausal women may notice that theyre not as easily aroused as before. Sometimes, women also may be less sensitive to touch and other physical contact than before menopause.
These feelings, coupled with the other emotional changes you may be experiencing, can all lead to a decreased interest in sex. Keep in mind that your body is going through a lot of change during menopause. Some of the other factors that can play a role in a decreased sex drive can include:
- Having bladder control problems.
- Having trouble sleeping through the night.
- Experiencing stress, anxiety or depression.
- Coping with other medical conditions and medications.
All of these factors can disrupt your life and even cause tension in your relationship. In addition to these changes, the lower levels of estrogen in your body can actually cause a decrease in the blood supply to the vagina. This can cause dryness. When you dont have the right amount of lubrication in the vagina, it can be thin, pale and dry. This can lead to painful intercourse.
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Hot Flashes 10 Years After Hysterectomy
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I have a friend who complains she is hot and is flush. This comes on suddenly and no one else is hot. I think she is having hot flashes and she swears no because she had a hysterectomy and menopause 10 years ago. Can you still be having hot flashes 10 years later????Since she controls the thermostate in the office I would like to know if anyone else has been through this type of late hot flashes so long after a hysterectomy. Today it was 60 degrees outside and the office was around 74. she got hot and then turned the AC on. I froze!! This is difficult since she is Human Resources!!!I am 50 and started hot flushes at 39. My periods stopped at 43. After years on HRT I have had to change and having a Mirena IUD put in in 2 weeks to replace Primolut -n. I also have been put on Estradot estrogen patches 2 weeks ago but I am still suffering with flushes. At least they are down to around 10 a day instead of over 20. I was put on Livial in April but could’nt take it and had to go cold turkey for 2 months but things still are’nt settling down I’m so over it and wonder when my life will ever get back to “normal” again.
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Management Of Surgical Menopause
Ideally, a menopause specialist should review younger women prior to surgical menopause to explain the potential consequences of surgery and to make a plan for symptom management and long-term health.
Current international guidelines advise use of MHT for all women who undergo menopause under the age of 45 years provided that they do not have other contraindications to MHT . Treatment should continue until the average age of menopause and then be reviewed. Those with a personal history of breast cancer should avoid both MHT and tibolone, as they have been associated with an increased risk of breast cancer recurrence . For high risk women without a personal history of breast cancer, observational data suggest that MHT appears to be safe . Women should be aware that discontinuation of MHT will be associated with a recurrence of hot flushes and night sweats in around 50% of cases.
Use of MHT will resolve hot flushes and sweats in 80-90% of women, although there is evidence that hot flushes and night sweats as well as vaginal dryness may persist despite MHT use in younger women . There are no specific guidelines on the type of MHT to use but oestrogen only MHT is generally prescribed for those women who have had a hysterectomy . Women who retain their uterus should use an oestrogen and progestogen combination preparation
In those without contraindications to MHT, suggest starting treatment within a week following oophorectomy.
Can You Go Through Menopause Twice
Menopause induced by the removal of uterus and ovaries is associated with hot flashes that occur almost immediately. There is an intense feeling of heat, followed by a sensation of feeling cold and fatigue. Hot flashes can happen several times during the day and night. Vaginal dryness, mood swings and lack of sex drive may follow. Menopause is also associated with bone loss, with an increased risk for osteoporosis and fractures.
If only the uterus is removed, a woman will no longer have periods, making it harder to recognize when menopause starts. This is especially the case if it occurs earlier than expected and there are no typical symptoms, because the woman will not have periods. In this case, a doctor will order a blood test to confirm the diagnosis of menopause.
Can You Ovulate With An Ovarian Cyst
Ovarian cysts can result in abnormal ovulation, and according to the American Society for Reproductive Medicine ovulation dysfunction accounts for 25 percent of female infertility cases. Large ovarian cysts or those resulting from endometriosis or polycystic ovary syndrome can hamper a womans fertility.
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.
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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.
Can You Still Get Fibroids After A Partial Hysterectomy
About 80 to 90 percent of women who have a myomectomy get relief from their symptoms or see their symptoms reduced. The fibroids wont grow back after surgery, but you may develop new fibroids. Up to 33 percent of women who have this surgery will need a repeat procedure within 5 years because they grow new fibroids.
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Ongoing Management Of Women After Surgical Menopause
- Discuss evidence based lifestyle strategies for maintaining bone and cardiovascular health. These may include, diet, exercise, smoking cessation and adequate calcium and Vitamin D levels.
- Ensure that vasomotor symptoms and vaginal dryness are effectively managed. Younger women may require higher doses of oestrogen to manage their symptoms, but there is very little evidence to support this and low doses should be used in the first instance to minimise exposure.
- Women who are postmenopausal below the age of 45 years are entitled to Medicare Bone Density scans. These should be performed at 2 yearly intervals. MHT is the best management option for these women with low bone density.
- Because of the increased risk of cardiovascular disease associated with early menopause, and in particular with surgical menopause, assessment of cardiovascular risk factors should be considered with further management as appropriate. It remains unclear whether MHT protects against cardiovascular disease after surgical menopause.
- Consider psychological support in view of the potential increased risk of depression in this population.
Why Perform An Oophorectomy
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:
- ovary torsion, or twisted ovaries that affect blood flow
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Indications For Surgical Menopause
Surgical menopause is commonly performed at the time of hysterectomy for benign disease, most commonly for heavy menstrual bleeding or fibroids . Another common reason to remove normal ovaries at the time of hysterectomy is to reduce the risk of ovarian cancer. This has been shown to be beneficial in women with an inherited increased chance of developing ovarian cancer , and for some women with very strong family histories of ovarian cancer, but is not recommended for other women as the disadvantages of removing normal ovaries at the time of hysterectomy are likely to be greater than their very small risk of ovarian cancer . Very little is known about the impact of removing normal ovaries from postmenopausal women.
Some premenopausal women will elect to have their ovaries removed for other indications, such as endometriosis or chronic pelvic pain. Depending on the circumstances, removal of the ovaries may improve pain, but it is not always effective. Some doctors may suggest a trial of a drug to bring on a short term chemical menopause before surgery to try and mimic the effects of surgical menopause. However, it is not currently possible to predict how surgical menopause will affect individual women.
Although surgical menopause is common, there have been remarkably few studies which have followed women before and after oophorectomy to try and understand how surgery affects their menopausal symptoms and short and long term health.
Dont Rush Things After Your Wife Had Hysterectomy
Sex after hysterectomy for the man might feel fairly similar overall, but this does not mean that you should rush into it as soon as the doctor gives your wife the all-clear. Your wife has just had major surgery, so vigorous penetrative sex can feel a little uncomfortable for her at first. Try to take things slowly and let your wife lead the way.
She might prefer non-penetrative options for a little while, and you may need to be extra gentle during sex. As always, the key to a good sex life is communication. Talk to your wife about how she feels and discuss what works best for her.
Various hormonal changes can affect sex drive and natural lubrication levels for your wife. This does not mean she is no longer interested in sex with you, but it may take a little longer to get things started. Some women may find it harder to get in the mood or orgasm following a hysterectomy. Therefore, it is essential to be patient. Set aside a little extra time for sexual encounters and avoid putting pressure on your wife. It may take some trial and error to find methods that work for both of you.
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Do Symptoms Vary With The Person Or They Are The Same Across The Board
No two women can experience the same symptoms of menopause. While some may experience immediate onset of hot flashes and other changes caused by hysterectomy, others might undergo the same surgery but have less severe symptoms.
Likewise, among those who undergo partial surgeries its still hard to predict how menopause will affect them, or the intensity and duration of symptoms experienced.
Generally, women who undergo partial hysterectomy, without removal of their ovaries, are unlikely to experience early onset of symptoms since they continue producing estrogen. Though they will no longer be able to menstruate, such women will usually enter menopause during the same age-range as women who havent undergone hysterectomy surgery. Nevertheless, some studies still show that such individuals experience menopause about 2yrs earlier than the average woman.
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. If facial hair becomes a problem for you, waxing or using other hair removers may be options. Talk to your healthcare provider about your options to make sure you dont pick a product that could harm your skin.
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Psychological Healing After Hysterectomy Can Take Time
For some, the emotional trauma of hysterectomy may take much longer to heal than the physical effects. Feeling a little down or having a sense of loss after a surgery is normal. But be on the lookout for postoperative depression, and get professional help if you need it to deal with insomnia, loss of appetite, or hopeless feelings, if you have them.
I have to struggle with the heartbreaking reality that I can no longer menstruate or have children, says Cohen. For her, the hysterectomy was an emotionally painful experience. Each woman who undergoes one deals with it in a way that is uniquely hers, she says.
Additional reporting by Barbara Kean.
Why Menopause Sometimes Occurs After A Hysterectomy
Naturally occurring menopause is defined as when a woman has not had a period in 12 months. However, a hysterectomy can sometimes cause what is known as surgical menopause for women under age 45. Heres what you need to know.
What is a Hysterectomy?
A hysterectomy is a surgery wherein we remove the uterus. This procedure is typically done as a way to treat problems in the uterus, such as uterine fibroids, endometriosis, or heavy periods. The hysterectomy causes women to no longer menstruate, however, their ovaries should continue to produce estrogen as they normally would. In this scenario, women do not enter menopause until their body naturally does so.
Its important to understand that hysterectomies only include the removal of the uterus. Some women may opt to remove their ovaries as well, which is called an oophorectomy. In these situations, one or both ovaries may be removed. This is usually done to treat breast cancer or severe endometriosis, or to lower a womans risk of ovarian cancer.
About 50% of women who have a hysterectomy in America also opt to remove their ovaries during the same procedure. Women typically make this decision based on a few factors: medical history, doctors recommendations, and personal feelings.
Why Does Hysterectomy Cause Menopause?
Menopause Relief & What You Can Do
To learn more about what you need to before and after a hysterectomy, sign up on www.momentmenopause.com/waitlist