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Do You Still Go Through Menopause After A Hysterectomy

Preparation To Have A Baby

Menopause after a Hysterectomy

Menopause with successful IVFcan certainly enable you to deliver a newborn. But in order to be successful in this process, it is important to have a uterine rejuvenation process during the menopause stage to prepare a womb for the embryo. In this process, embryo returns to health after receiving estrogens and progesterone therapy. Hormonal stimulation is necessary as the uterus may shrink after menopause. Hormonal treatment before IVF treatment for women restores the endometrial lining to an appropriate size and thickness for a healthy pregnancy.

Can Menopause Cause Depression

Your body goes through a lot of changes during menopause. There are extreme shifts in your hormone levels, you may not be sleeping well because of hot flashes and you may be experiencing mood swings. Anxiety and fear could also be at play during this time. All of these factors can lead to depression.

If you are experiencing any of the symptoms of depression, talk to your healthcare provider. During your conversation, your provider will tell you about different types of treatment and check to make sure there isnt another medical condition causing your depression. Thyroid problems can sometimes be the cause of depression.

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

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What Are The Symptoms Of Menopause

You may be transitioning into menopause if you begin experiencing some or all of the following symptoms:

These symptoms can be a sign that the ovaries are producing less estrogen, or a sign of increased fluctuation in hormone levels. Not all women get all of these symptoms. However, women affected with new symptoms of racing heart, urinary changes, headaches, or other new medical problems should see a doctor to make sure there is no other cause for these symptoms.

What Is A Hysterectomy

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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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Fertility Testing For Advanced Age Women

As the number of eggs declines, so does egg equality. This is the main reason for the reduction in fertility associated with aging.

In addition to a review of medical history and physical exam, tests to determine ovarian reserve, uterine and fallopian tube function and hormone levels may be administered.

There is no way to predict when a woman will have menopause or begin having symptoms, as each womans experience is different. Common symptoms include irregular vaginal bleeding, hot flashes, night sweats and vaginal dryness.

Women may also experience emotional symptoms such as memory problems, mood changes, fatigue and irritability.

As noted, infertility is also a symptom of menopause, which could be the primary cause of infertility in older age women.

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Do All Menopausal Women Experience A Decrease In Sexual Desire

Not all women experience a decreased sexual desire. In some cases, its just the opposite. This could be because theres no longer any fear of getting pregnant. For many women, this allows them to enjoy sex without worrying about family planning.

However, it is still important to use protection during sex if not in a monogamous relationship. Once your doctor makes the diagnosis of menopause, you can no longer become pregnant. However, when you are in the menopause transition , you can still become pregnant. You also need to protect yourself from sexually transmitted infections . You can get an STI at any time in your life.

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Hot Flashes 10 Years After Hysterectomy

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dqm54 wrote:

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.

Ovulation And The Menstrual Cycle

Menopause After a Hysterectomy: Joy’s Story

During their reproductive years, women have regular monthly menstrual periods because they ovulate regularly each month. Eggs mature inside of fluid-filled spheres called follicles. At the beginning of each menstrual cycle when a woman is having her period, a hormone produced in the pituitary gland, which is located in the brain, stimulates a group of follicles to grow more rapidly on both ovaries. The pituitary hormone that stimulates the ovaries is called follicle-stimulating hormone . Normally, only one of those follicles will reach maturity and release an egg the remainder gradually will stop growing and degenerate. Pregnancy results if the egg becomes fertilized and implants in the lining of the uterus . If pregnancy does not occur, the endometrium is shed as the menstrual flow and the cycle begins again. In their early teens, girls often have irregular ovulation resulting in irregular menstrual cycles, but by age 16 they should have established regular ovulation resulting in regular periods. A womans cycles will remain regular, 26 to 35 days, until her late 30s to early 40s when she may notice that her cycles become shorter. As time passes, she will begin to skip ovulation resulting in missed periods. Ultimately, periods become increasingly infrequent until they cease completely. When a woman has not had a menstrual period for 1 full year, she is said to be in menopause.

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Maggie Chose Surgery To Avoid Cancer

Maggie Gaines is a 44-year-old mom of two who inherited a mutated BRCA2 gene, which increased her risk of developing breast cancer and ovarian cancer. According to the stats for my mutation, I had up to a 20 percent chance of getting ovarian cancer, she explained, adding it felt like playing Russian roulette to keep my ovaries. Im not a gambler so I just wanted them out.

At 42, she elected to remove her uterus and both ovaries. She recommends not relying on a gynecologic oncologist for information about what happens after surgery. The truth is that the gynecological surgeon is likely not an expert on menopause, she said. His or her job is to get the cancer out or to mitigate cancer with a preventive surgery like mine. So my advice is, find a surgeon who you know will do the best job doing what he or she is good at, and find someone else who specializes in managing menopausal symptoms following surgery.

Gaines found a clinic at University of Penn that specializes in BRCA patients. An oncologist there referred her to a gynecologist, who specializes in menopause. Today, she takes hormone replacement therapy and has been surprised by minimal side effects.

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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You Wont Necessarily Go Into Menopause

I expected to have crazy hot flashes, mood swings, and night sweats all the time, and was pleasantly surprised to find out that I barely had any of those symptoms, Cohen says about her experience after hysterectomy.

The myth about hysterectomy Streicher hears most often in her medical practice is that a woman will go into menopause afterward. You wont have periods, and cant get pregnant after your uterus is removed. But that doesnt necessarily mean menopause. Streicher explains: The only one who will have menopause is a woman who has her ovaries removed during the procedure and who was not in menopause already. If surgery is limited to the uterus, timing of natural menopause may not be affected.

When Do The Ovaries Stop Working After Surgery

Can you still get ovarian cysts after hysterectomy? in ...

Sometimes the shock of surgery is enough to essentially shut down ovary function sometimes they might partially recover but might never work the same again. Sometimes the ovaries seem like theyre doing okay, but within a few years they will stop working.

What happens to the artery? When you remove the uterus and leave the ovaries in place during a partial hysterectomy, you are severing their major source of blood. As a result, the ovaries are more likely to malfunction or shut down all together. As you can see in this blogs photo, the major connecting piece is missing.

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How Does Menopause Affect My Bladder Control

Unfortunately, bladder control issues are common for women going through menopause. There are several reasons why this happens, including:

  • Estrogen. This hormone plays several roles in your body. It not only controls your period and promotes changes in your body during pregnancy, estrogen also keeps the lining of your bladder and urethra healthy.
  • Pelvic floor muscles. Supporting the organs in your pelvis your bladder and uterus are called the pelvic floor muscles. Throughout your life, these muscles can weaken. This can happen during pregnancy, childbirth and from weight gain. When the muscles weaken, you can experience urinary incontinence .

Specific bladder control problems that you might have can include:

  • Stress incontinence .
  • Urge incontinence .
  • Painful urination .
  • Nocturia .

Hysterectomy Is Never A Cure For Endometriosis

Not a day goes by in which I dont wish, with every fiber of my being, that my doctor had stressed to me the vital fact that having a hysterectomy is absolutely not a cure for endometriosis, says Rachel Cohen, 33, of Woodmere, New York, about her total hysterectomy.

In fact, endometriosis a condition that can be marked by severe menstrual cramps, chronic pain, and painful intercourse is not cured by removal of the uterus, according to the Office on Womens Health at the U.S. Department of Health and Human Services. And of the many treatment options , hysterectomy with removal of the ovaries is not a first-line treatment. Conservative surgery using a minimally invasive method may be one option, and will preserve the uterus. Cohens hysterectomy at age 28, recommended by her gynecologist, did not even diminish her endometriosis symptoms.

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Can A Woman Still Have Ovarian Cancer After A Hysterectomy

If a woman has had a hysterectomy, but her ovaries are intact, she can still develop ovarian cancer. The symptoms of ovarian cancer can mimic other diseases and the disease often goes unnoticed until other treatments fail. According to the American Cancer Society, the most common symptoms are abdominal pressure with fullness, swelling and bloating.

The Morcellation Technique Has Both Advantages And Risks

Menopause and Hysterectomy – HysterSisters Ask the Doctor

To be able to remove the uterus during a minimally invasive surgery, surgeons cut it into small sections and may use a process called morcellation. In the past, the practice was criticized because of evidence that it could potentially increase the risk of spreading cancerous cells.

In response to these concerns, researchers developed new approaches to the procedure including contained and in-bag morcellation methods.

Streicher believes that many women undergo unnecessary open procedures, when morcellation is a better option. Its a real disservice to women, she says.

Morcellation doesnt cause cancer, adds Streicher, but if the person had a specific kind of cancer, you could potentially spread the cancer by morcellation. This type of cancer is extremely rare, Streicher adds. Informed consent is a must before going ahead with this procedure, says Streicher.

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Hysterectomy Increases Risk For Earlier Menopause Among Younger Women Study Finds

Duke University Medical Center
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.

âHysterectomy is a common treatment for many conditions, including fibroids and excessive bleeding,â 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. âMost 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.â

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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How Should You Treat Your Symptoms

Now, for all these issues, so that’s a total hysterectomy, partial hysterectomy, and ablation, if you get any menopause symptoms, then you can still treat them the same as you would in any other circumstance.

For those of you where you’ve either had HRT or HRT wouldn’t be a problem, you can look at phytoestrogens such as our menopause support to help to gently balance and raise oestrogen levels.

If these remedies are not appropriate, then you can treat all your symptoms individually and you can go along in that particular way. So this is one of the situations in the menopause where there’s no simple answer to everybody’s questions. It is going to be very much an individual situation, and I know it can be a really frustrating one as well.

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What Are The Long

There are several conditions that you could be at a higher risk of after menopause. Your risk for any condition depends on many things like your family history, your health before menopause and lifestyle factors . Two conditions that affect your health after menopause are osteoporosis and coronary artery disease.


Osteoporosis, a “brittle-bone” disease, occurs when the inside of bones become less dense, making them more fragile and likely to fracture. Estrogen plays an important role in preserving bone mass. Estrogen signals cells in the bones to stop breaking down.

Women lose an average of 25% of their bone mass from the time of menopause to age 60. This is largely because of the loss of estrogen. Over time, this loss of bone can lead to bone fractures. Your healthcare provider may want to test the strength of your bones over time. Bone mineral density testing, also called bone densitometry, is a quick way to see how much calcium you have in certain parts of your bones. The test is used to detectosteoporosis and osteopenia. Osteopenia is a disease where bone density is decreased and this can be a precursor to later osteoporosis.

If you have osteoporosis or osteopenia, your treatment options could include estrogen therapy.

Coronary artery disease

  • The loss of estrogen .
  • Increased blood pressure.
  • A decrease in physical activity.
  • Bad habits from your past catching up with you .


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