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HomeHealthDo You Have Menopause If You Have A Hysterectomy

Do You Have Menopause If You Have A Hysterectomy

Will My Sex Life Change After A Hysterectomy

How to tell if youâve started the menopause if youâve had a hysterectomy or ablation

It might. If you had a good sex life before your hysterectomy, you should be able to return to it without any problems after recovery. Many women report a better sex life after hysterectomy because of relief from pain or heavy vaginal bleeding.

If your hysterectomy causes you to have symptoms of menopause, you may experience vaginal dryness or a lack of interest in sex. Using a water-based lubricant can help with dryness. Talk to your partner and try to allow more time to get aroused during sex. Talk with your doctor and get more tips in our Menopause and sexuality section.

Do Ovaries Release Eggs After Hysterectomy

Where do the eggs go? In some cases, the ovaries may also be removed during a hysterectomy. This is particularly true if theyre affected by conditions like endometriosis or cancer. If you retain one or both of your ovaries and you havent reached menopause, an egg will still be released every month.

Potential Positive Effects Of Surgical Menopause

  • Reduced risk of ovarian cancer in women who are known to be at high inherited risk. Having this operation also usually reduces anxiety about developing ovarian cancer. In some high risk women, surgical menopause may also reduce their risk of breast cancer.
  • Reduced pelvic pain for women with endometriosis or dense adhesions around the ovary.

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What Happens To Your Body After A Hysterectomy

    What Happens to Your Body After a Hysterectomy?

    Hysterectomy is the second most common surgery among women in the United States, but it isnt routine, and its never approached lightly. If you need to have a hysterectomy, Dr. John Macey in Nashville, Tennessee, takes time to talk, explaining all your options, the surgical procedure, and the changes that may occur in your body following your hysterectomy.

    Recovering From A Hysterectomy

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    A hysterectomy is a major operation. You can be in hospital for up to 5 days after surgery, and it takes about 6 to 8 weeks to fully recover.

    Recovery times can also vary depending on the type of hysterectomy.

    Rest as much as possible during this time and do not lift anything heavy, such as bags of shopping. You need time for your abdominal muscles and tissues to heal.

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    Will I Enter Menopause After A Hysterectomy

    Whether or not you enter menopause after a hysterectomy will depend on the type of surgery you have.

    Menopause begins when the body reduces producing estrogen. Because your ovaries produce a large amount of your bodyâs estrogen, their removal through a radical hysterectomy, or a hysterectomy with oophorectomy, will trigger a sudden decrease in estrogen and lead to menopause. This is known as induced or surgical menopause.

    If your hysterectomy doesnât involve the removal of your ovaries, or only one ovary is removed, you wonât enter surgical menopause, but you are still likely to enter menopause within five years.

    Even with both ovaries intact, donât be surprised if, for a short time, you still experience menopause symptoms like hot flashes. This can happen because of the reduced blood flow to the ovaries, but should improve as you heal from the surgery.

    If you are experiencing surgical menopause, you may experience other symptoms associated with a decrease in estrogen, not just hot flashes. These can include:

    • Hot flashes

    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.

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    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.

    What Are The Different Types Of Hysterectomy

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    There are several types of hysterectomy that can be performed, depending on the reason for your surgery.

    These include:

    • Total hysterectomy: the uterus and cervix, but not the ovaries, are removed. This is the most common type of hysterectomy.
    • Subtotal hysterectomy: the uterus, but not the cervix or ovaries, are removed. This type of hysterectomy is less common, as there is still a risk of cervical cancer if the cervix is left in place.
    • Hysterectomy with oophorectomy: the uterus and cervix, and one or both of the ovaries, are removed.
    • Hysterectomy with Salpingo-oophorectomy: the uterus, one or both of your ovaries, and your fallopian tubes are removed.
    • Radical hysterectomy: the uterus, cervix, ovaries, fallopian tubes, part of your vagina, lymph glands, and fatty tissue are removed.

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    Is Hormone Replacement A Safe Option For Management Of Menopausal Problems

    Several hormone therapies are FDA-approved for treatment of hot flashes and prevention of bone loss. The benefits and risks vary depending on the severity of your hot flashes and bone loss, and your health. These therapies may not be right for you. Talk to your doctor before trying any hormone therapies.

    How Does Premature Menopause Affect Your Body

    Youll go through the same changes during premature menopause as you would if you entered menopause naturally. The sudden loss of hormones triggers all the classic symptoms, including:

    • Hot flashes and night sweats
    • Vaginal dryness

    Since estrogen affects tissues throughout your body, system-wide changes take place such as:

    • Loss of bone density and increased risk for osteoporosis
    • Accelerated skin aging due to dehydration and loss of collagen
    • Changes in blood vessels that increase the risk for cardiovascular disease

    Although hormone-related changes following an oophorectomy can be difficult and affect your quality of life, its important to know that medical therapies and rejuvenation with the advanced MonaLisa Touch® are available to alleviate premature menopause 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.

    What Are Some Of The Treatments Offered For Menopause After A Hysterectomy

    When A Hysterectomy Should Be Considered

    There are various treatments that can be given to ease the symptoms of menopause. For vaginal dryness, a vaginal moisturizer is recommended by doctors while for hot flashes and other related symptoms menopause hormone therapy can be administered.

    Its also advisable to lead a healthy lifestyle by changing your diet and exercising regularly. Additionally, joining a support group consisting of women who have undergone the same surgical procedure will help in alleviating the psychological effects.

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    What Is Surgical Menopause

    Surgical menopause is when surgery, rather than the natural aging process, causes a woman to go through menopause. Surgical menopause occurs after an oophorectomy, a surgery that removes the ovaries.

    The ovaries are the main source of estrogen production in the female body. Their removal triggers immediate menopause, despite the age of the person having surgery.

    While surgery to remove the ovaries can operate as a stand-alone procedure, its sometimes performed in addition to hysterectomy to reduce the risk of developing chronic diseases. A hysterectomy is surgical removal of the uterus.

    Periods stop after a hysterectomy. But having a hysterectomy doesnt lead to menopause unless the ovaries are removed too.

    Surgical menopause also causes hormonal imbalances. The ovaries and adrenal glands produce progesterone and estrogen, the female sex hormones. When both ovaries are removed, the adrenal glands cant produce enough hormones to maintain balance.

    Hormonal imbalance can increase your risk of developing a variety of conditions including heart disease and osteoporosis.

    For that reason, and depending on your medical history, some doctors may or may not recommend hormone replacement therapy after an oophorectomy to reduce the risk of disease. Doctors will avoid giving estrogen to women who have a history of breast or ovarian cancer.

    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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    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.

    What Is A Hysterectomy

    Have you been told you need a hysterectomy?

    Hysterectomy is surgical removal of the uterus and sometimes the cervix and supporting tissues. It is the most common non-pregnancy-related major surgery performed on women in the United States, with one in three women having a hysterectomy by age 60. If you have not reached menopause, a hysterectomy will stop your monthly bleeding . You also will not be able to get pregnant. If the ovaries are removed in a woman before she reaches menopause, the loss of female hormones will cause her to suddenly enter menopause .

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    Managing Surgical Menopause Symptoms

    To reduce negative side effects of surgical menopause, doctors may recommend hormone replacement therapy. HRT counteracts the hormones youve lost after surgery.

    HRT also lowers the risk of developing heart disease and prevents bone density loss and osteoporosis. This is especially important for younger women who have removed their ovaries before natural menopause.

    Women younger than 45 who have their ovaries removed and who arent taking HRT are at an increased risk of developing cancer and heart and neurological diseases.

    However, HRT has also been associated with an increased risk of breast cancer for women with a strong family history of cancer.

    You can also manage your surgical menopausal symptoms through lifestyle changes that help to reduce stress and alleviate pain.

    Try the following to reduce discomfort from hot flashes:

    • Carry a portable fan.

    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.

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    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.

    How Will I Know I Am In Menopause After My Hysterectomy

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    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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    Reactions To Surgical Menopause

    A surgical menopause can be a difficult time for many women. Menopausal symptoms are often severe, and depression and anxiety are more likely.

    How you react can be influenced by the reason for the surgery. If your surgery is necessary because of a diagnosis of cancer, this creates challenges to cope with at the same time as coping with menopausal symptoms. On the other hand, if your surgery is the solution to ongoing chronic pain, then a surgical menopause may offer relief.

    What’s happening in your life will affect your reactions to surgical menopause. This includes your age, whether you are in a relationship, whether you have children, whether you wanted to have children or more children, and whether you have support and help.

    Some women say the impact of surgical menopause is that they no longer feel like a woman other women feel a sense of freedom from pain and fear. Some women feel they might not be as sexually attractive to their partner, and others feel they can be more sexual because they are not worried about pain or heavy bleeding.

    No feeling should be dismissed as silly or small. It is important to talk to someone if you are upset and distressed about a surgical menopause. You can ask your doctor for help with symptom relief and with referral to a psychologist to discuss your feelings.

    Management & Treatment After Surgical Menopause

    Because symptoms of a surgical menopause are likely to be more severe, often the best way to manage and treat symptoms is with menopausal hormone therapy, or MHT . Your doctor can advise you about the risks and benefits of using MHT.

    If the ovaries have been removed but not the uterus , MHT will include both oestrogen and progestogen, with or without testosterone. Progestogen is used to protect against uterine cancer. When a woman is on oestrogen therapy, she needs a progestogen to stabilise the lining of the uterus, which reduces her risk of cancer of the uterus.

    If both an oophorectomy and hysterectomy are performed, oestrogen and possibly testosterone are needed. Progestogen is not needed, as there is no risk of cancer of the uterus. The hormone therapy is best started within 2448 hours after surgery.

    Sometimes MHT is not an option after surgical menopause, perhaps because of a woman’s increased risk of breast cancer, or a clotting condition such as Factor V Leiden mutation, which increases the risk of deep vein thrombosis .

    The alternatives to MHT may include:

    • some complementary therapies, although there is no evidence to support their use in surgical menopause for more information go to Menopause & herbs
    • some antidepressant, anticonvulsant and migraine/blood pressure medications, which work to reduce hot flushes.

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