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Do You Get Menopause After A Hysterectomy

Can You Ovulate With An Ovarian Cyst

Menopause after a Hysterectomy

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.

Hormone Therapy Could Help With Physical Changes After Surgery

If you have a hysterectomy that removes your ovaries, then you should talk about the pros and cons of estrogen therapy with your doctor, Streicher says. After the ovaries are removed, estrogen therapy can help relieve uncomfortable symptoms of menopause. However, oral hormone therapy carries increased risks of stroke, blood clots like deep vein thrombosis, and heart disease, which you should also discuss with your doctor.

How Long Do The Symptoms Last

Generally, the period between onset and offset of all hysterectomy menopause symptoms is 2 to 10yrs, though some women may experience healing much earlier or later than this.

Nevertheless, if you have already undergone menopause naturally and require a hysterectomy, chances are that you wont experience any new symptoms due to the surgery, no matter the kind of operation that will be performed.

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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.

Reasons For Having A Hysterectomy

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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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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

How To Deal With Hot Flashes After Hysterectomy

Many women will suffer from hot flashes whether her menopause was surgically induced, such as after a hysterectomy, or if menopause happens as a natural process.

Research has found that women who have had a partial hysterectomy, when the ovaries were left intact, will experience menopause earlier than if they had not had a hysterectomy. Those who have their ovaries removed during surgery will experience a menopause immediately.

Women who have had a hysterectomy will also more often experience hot flashes immediately after surgery but it will not necessarily indicate that they are in menopause. Taking out the uterus from the body will cause significant changes to take place that often trigger hot flashes, one of the post hysterectomy side effects.

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What To Expect After A Hysterectomy And Surgical Or Induced Menopause

If your ovaries are removed after your hysterectomy and you havent reached menopause yet, you will begin to experience symptoms like hot flashes, mood swings, and vaginal dryness right away.

Estrogen levels naturally decline as women approach menopause, but surgical removal of the ovaries can cause oestrogen levels to plunge. To relieve some of the more severe symptoms of menopause, your doctor may recommend hormone replacement treatment.

How Long Does It Take To Recover From A Hysterectomy

How to flatten tummy after hysterectomy and menopause.

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.

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Why Get A Hysterectomy

A woman who suffers from heavy or unusual menstrual periods, uterine fibroids, uterine prolapse, endometriosis, adenomyosis, or ovarian cancer may need a hysterectomy. A woman who is scheduled for a hysterectomy should talk to a doctor about the available options, particularly if the woman is having both ovaries removed. Having both ovaries removed will cause symptoms of menopause regardless of the womans age.

A radical hysterectomy is one in which the uterus, fallopian tubes and both ovaries are removed. Because, in this case, a hysterectomy will cause symptoms of menopause, many women will receive hormone replacement therapy after the procedure. HRT can help to alleviate the symptoms of menopause.

Benefits Of Surgical Menopause

For some women, removing the ovaries and experiencing surgical menopause can be lifesaving.

Some cancers thrive on estrogen, which can cause women to develop cancer at an earlier age. Women who have a history of ovarian or breast cancer in their families have a greater risk of developing these diseases because their genes may be unable to suppress tumor growth.

In this case, oophorectomy can be used as a preventive measure to reduce the risk of developing cancer.

Surgical menopause can also help to reduce pain from endometriosis. This condition causes uterine tissues to growth outside the uterus. This irregular tissue can affect the ovaries, fallopian tubes, or lymph nodes and cause significant pelvic pain.

Removing the ovaries can stop or slow estrogen production and reduce pain symptoms. Estrogen replacement therapy usually isnt an option for women with this history.

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Other Complications Of Estrogen Loss

Estrogen also helps maintain bone strength. In people with a sudden loss of the hormone, low bone mineral density is a risk. This can lead to arthritis and osteoporosis. People who have their ovaries removed early in life should be monitored closely for signs of these conditions.

The loss of estrogen is also connected to the acceleration of tissue loss typically associated with aging. In addition to age-related health issues, a sudden loss of estrogen has been linked to increased risks of:

If you have both ovaries removed in addition to a hysterectomy, these symptoms will likely come on suddenly and be more severe. For people who have just one ovary removed, the signs may be more gradual or less severe. Your body is still producing estrogen, but it may take some time for your body to align itself with the new, lower levels of the hormone.

Lastly, if you have a hysterectomy without removing your ovaries, odds are you wont experience signs of low estrogen at first, but these symptoms may become more common. This is likely a sign that the ovaries are failing.

What Causes Hot Flashes After A Hysterectomy

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Declines and fluctuations in the level of the hormone estrogen after a hysterectomy affects the function of the body, especially the hypothalamus – the part of the brain that regulates body temperature.

Falling estrogen levels caused by a hysterectomy can cause the hypothalamus to falsely detect an increased body temperature and release chemicals that make skin blood vessels dilate so that heat can be released and the body cooled down. This results in a hot flash.

Hot flashes and other menopausal symptoms usually subside when a woman is postmenopausal. Experiencing menopause that is induced by a hysterectomy can be a little different than natural menopause.

This is because when a woman naturally goes through menopause her body has more time to adjust as the levels of hormones in her body decrease. With a hysterectomy, the ovaries are removed, which is where estrogen is produced. This means there is a rapid cutoff of estrogen production which can result in more severe menopausal symptoms.

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Can You Still Get Cysts On Your Ovaries After A Hysterectomy

Almost 50% of patients with ROS require surgery within the first 5 years after hysterectomy, and 75% within 10 years . Possible pathologies that can occur in residual ovaries include follicular cysts, a hemorrhagic corpus luteum, periovarian adhesions, endometriosis, and benign and malignant neoplasms.

Hysterectomy May Prevent Certain Types Of Cancer

For women who have BRCA1 or BRCA2 gene defects, the risk of developing ovarian cancer are much higher, according to the National Cancer Institute. Only about 1 percent of women in the general population will develop ovarian cancer over their lifetime compared with about 44 percent of women who have inherited the BRCA1 mutation and about 17 percent of women who have inherited the BRCA2 mutation. In some cases, after genetic testing, women with BRCA1 or BRCA2 choose to have a preventive surgery. This removes both ovaries, called prophylactic oophorectomy, and can be done either alone or at the time of hysterectomy. Studies show having the surgery lowers risk of dying from ovarian cancer by 80 percent.

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Hysterectomy With Ovaries Left Intact

People who have their ovaries intact, but without their uterus, won’t get their period anymore. They may, however, still experience premenstrual syndrome or premenstrual dysphoric disorder because the hormones made by the ovaries cause the body to continue to “cycle” monthly.

Occasionally, people whose ovaries were not removed during a hysterectomy experience hot flashes and other menopausal symptoms. This is mostly due to the disturbance of the blood supply to the ovaries during surgery.

In addition, some people may undergo menopause a few years sooner than they normally would if they never underwent a hysterectomy .

Your Sex Life Isnt Over

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While the surgery can have lasting effects on your body, and youll need time to heal, this does not mean that youll never have sex again. How soon you can have sex after a hysterectomy really depends on the type of hysterectomy: partial, total, or radical. Waiting two to four weeks to get back to sex is generally okay, with your doctors go-ahead, if your cervix was not removed along with your uterus, says Lauren Streicher, MD, an Everyday Health columnist, an associate clinical professor of obstetrics and gynecology at Northwestern University in Chicago, and the author of Sex Rx: Hormones, Health, and Your Best Sex Ever. But if your cervix was removed, it takes about six weeks for the back of the vagina to heal.

Ask your doctor to define what they mean by sex, advises Dr. Streicher. What doctors usually mean is vaginal intercourse. Orgasm may be fine, oral sex too, and vibrator use as well your questions need to be specific.

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Hysterectomy May Include Your Ovaries

During surgery, your doctor may remove one or both ovaries and your fallopian tubes, as well as your uterus. Ovaries are the source of the female hormones estrogen and progesterone. These are critical for both sexual health and bone health. Losing both ovaries means these hormones are also lost abruptly, a condition known as surgical menopause. This sudden loss of female hormones can cause stronger symptoms of menopause, including hot flashes and loss of sex drive.

The emotional trauma of hysterectomy may take much longer to heal than the physical effects.

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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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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Why Menopause Sometimes Occurs After A Hysterectomy

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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

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Hysterectomy Increases Risk For Earlier Menopause Among Younger Women Study Finds

Date:
Duke University Medical Center
Summary:
In a finding that confirms what many obstetricians and gynecologists suspected, researchers report that younger women who undergo hysterectomies face a nearly two-fold increased risk for developing menopause early.

In a finding that confirms what many obstetricians and gynecologists suspected, Duke University researchers report that younger women who undergo hysterectomies face a nearly two-fold increased risk for developing menopause early.

The study, published in the December issue of the journal Obstetrics & Gynecology, is the largest analysis to track over time the actual hormonal impact of woman who had hysterectomies and compare them to women whose uteruses remained intact.

“Hysterectomy is a common treatment for many conditions, including fibroids and excessive bleeding,” said Patricia G. Moorman, PhD, MSPH, an associate professor in the Department of Community and Family Medicine at Duke University and lead author of the study. “Most women are very satisfied with the results of a hysterectomy. But this is a potential risk of the surgery that should be considered along with the benefit.”

Up to 600,000 women in the United States undergo hysterectomy each year, but the long-term consequences of the procedure have not been well documented. Studies have been small or relied on the recollections of women about the onset of menopause.

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Q& a: Benefits Harms Of Estrogen Therapy In Women Who Had Ovaries Removed

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For women who had a hysterectomy and their ovaries removed, estrogen therapy was associated with long-term benefits if the therapy began before the age of 60 years, but it led to adverse events in those aged 70 years or older, according to a study published in the Annals of Internal Medicine.

Researchers conducted a subgroup analysis of 9,939 women in a randomized trial who had previously undergone a hysterectomy from the Womens Health Initiative Estrogen-Alone Trial.

Participants in the study were randomly assigned to receive estrogen therapy or placebo at ages 50 to 79 years and were followed up for a median of 7.2 years of treatment and 18 years in total.

Overall, the effects of estrogen therapy did not significantly differ between those who did and did not have their ovaries removed. However, when stratifying by age, researchers found that estrogen therapy was significantly associated with adverse events in women aged 70 years and older , but not in younger women.

Women aged 50 to 59 years who had their ovaries removed and received hormone therapy experienced a reduced risk for all-cause mortality over long-term follow up . Older women did not have a reduced risk for all-cause mortality.

Q: How do the findings from this study compare with previous research?

Q: How might the study findings influence clinical practice?

Reference:

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