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Do You Still Go Through Menopause After A Total Hysterectomy

Do Ovaries Release Eggs After Hysterectomy

Menopause after a 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.

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.

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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How To Treat Mood Swings After A Hysterectomy

If a woman experiences any symptoms after a hysterectomy, she should consult a doctor. There are many treatment options for mood swings and some of the other hysterectomy side effects.

Naturally, the most effective line of treatment tackles the underlying cause of mood swings, hormonal imbalance.

Click on the following link for more information about effective mood swing treatments.

An Introduction To Hysterectomy And Menopause

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Menopause;is the time in a womans life when the ovaries stop workingher estrogen and progesterone levels drop, her ovaries stop releasing eggs and her periods stop.

The average age for these events is 51, but the normal range for menopause is anywhere between 45 and 55.

A hysterectomy, the surgical procedure of removing the womb , can cause a premature menopause, but it depends on the type of operation performed. There are two main types of hysterectomy: total and sub-total .

If youve already gone through menopause and then undergo a hysterectomy, its unlikely that youll experience any new or additional menopause symptoms as a result of the surgery, no matter what type of hysterectomy is performed.

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The Cons: Reasons To Lean Against Hrt After Surgical Menopause

  • Your menopausal symptoms aren’t bothering you, or other treatments work fine. Some women don’t have very severe symptoms after surgical menopause and don’t want or need treatment. Even if you do have acute symptoms, HRT is not the only way to control them. Other drugs or lifestyle changes can help. Talk to your doctor.
  • You’re 50 or older. Many women who go into surgical menopause at 50 or older — the natural time of menopause – decide not to get HRT. That’s because their supply of estrogen would naturally drop during menopause anyway. There is some evidence that the older you are when you start HRT, the higher the cardiovascular risks – at least initially.
  • You have liver disease. Estrogen pills can put a lot of stress on the liver. So if you have liver disease, your doctor may not want you to take oral HRT. Other ways of getting estrogen – like patches and gels – bypass the liver and are safer options.
  • You’re concerned about the side effects. HRT can also cause symptoms of its own. Many resemble the symptoms of premenstrual syndrome — swollen and painful breasts, headaches, and nausea.
  • You’re at a higher risk of health problems like:

o Strokes. Hormone therapy can increase the risk of stroke, although your odds are still very low.

o Blood clots. Oral estrogen, at least, may also raise the risk of blood clots. Estrogen patches and creams may pose a lower risk, but that’s still unclear.

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.

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Common Side Effects Of Hysterectomy

Hysterectomy may affect the physical and mental health of a woman, especially when it is performed in the menopausal or perimenopausal stage. The woman suddenly and directly enters the post menopause stage without passing through the phases of perimenopause and menopause. The body cannot accept this drastic change and therefore a woman usually faces a lot of problems.

Hormonal changes do have a major impact on the womans health. Levels of hormones after hysterectomy decrease considerably. This increases the risk of cardiovascular and skeletal diseases. A reduction in the testosterone level may cause height loss and osteoporosis . Side effects of partial hysterectomy and side effects of total or radical hysterectomy are almost the same. They may vary slightly, depending upon the reason for which the surgery is performed and the procedure followed. Surgical complications are not discussed in this article.

Common side effects of hysterectomy include

  • Hot flashes
  • Development of excess facial hair on the upper lip and chin region
  • Vaginal dryness
  • Weight gain

Top Advices For Husbands After Hysterectomy

Menopause After a Hysterectomy: Joy’s Story

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.

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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.

The Morcellation Technique Has Both Advantages And Risks

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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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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What Happens Before During And After A Hysterectomy

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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 .

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What Is 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 .

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.

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    Other Symptoms Of Surgical Menopause

    There are a number of other symptoms of surgical menopause, although some of them are believed to also be caused by increasing age.;

    These symptoms include:

    • Mood changes, like depression and anxiety
    • Weight gain, especially around the waist
    • Dry skin and hair loss
    • Increased urinary problems, especially urinary tract infections and urinary incontinence

    Menopausal symptoms tend to be more intense for people who have undergone surgical removal of their ovaries than for those who experience menopause naturally. However, menopausal symptoms vary widely and in degree from person to person.

    This greater intensity of menopausal symptoms is attributed to the abrupt removal of the ovaries, which are a primary source of estrogen.;In natural menopause, the ovaries gradually lose their ability to produce estrogen, so the body can adjust more easily.

    Managing Surgical Menopause Symptoms

    Weight loss after menopause and hysterectomy.

    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.

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    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.

    Menopause After Complete Hysterectomy Or Oophorectomy

    The symptoms of menopause develop because the ovaries are no longer working, and no longer produce the female hormones estrogen and progesterone. Many women find themselves wondering, do you still go through menopause after a hysterectomy?

    A hysterectomy is a surgical procedure during which all or part of the uterus is removed, which may be performed for a variety of different reasons. Sometimes the ovaries are removed as well, and this is medically known as oophorectomy.

    Removing the ovaries and uterus will induce menopause. In this case the levels of female hormones drop abruptly and symptoms like hot flashes, changes in sex drive and mood will be more severe and acute compared with those experienced when the menopause occurs naturally.

    If the uterus only is removed, and the ovaries are left in place, the production of hormones will continue. After hysterectomy a woman will no longer have a period, without experiencing other menopausal symptoms . When the time comes, and the woman goes through menopause, hot flashes, mood swings, vaginal dryness, lack of sex drive, and sleeping issues may occur.

    In other words, removing the uterus alone will only stop menses, without causing other menopausal symptoms, which sometimes leads to women being confused over if they will go through menopause after a hysterectomy. Removing the uterus and ovaries will induce all symptoms of menopause, and these symptoms are usually more severe.

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    Potential Negative Effects Of Surgical Menopause

    • Sudden and more severe onset of menopausal symptoms: in particular; hot flushes, night sweats and vaginal dryness
    • Loss of bone density and increased risk of osteoporosis and fracture
    • Impaired sexual function due to reduced desire and to discomfort from vaginal dryness
    • Reduced sex drive associated with loss of ovarian testosterone production
    • Loss of fertility
    • Increased risk of cardiovascular disease

    Surgical menopause may have other adverse effects on health including affecting mood , cognition , dementia and potential increased risk of

    Parkinsons disease but the evidence for these is not well established. Large population based studies have reached different conclusions about whether surgical menopause impacts on cardiovascular, cancer or all cause mortality.

    Use of Menopausal Hormone Therapy , also known as Hormone Replacement Therapy may reduce these risks, but again there is insufficient evidence. The proven value of MHT after surgical menopause is in managing vasomotor symptoms and maintaining bone density.

    Management & Treatment After Surgical Menopause

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    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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    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.

    Why Do Women Have Hysterectomies

    Hysterectomies are most often done for the following reasons:

    • Uterine fibroids common, benign tumors that grow in the muscle of the uterus. More hysterectomies are done because of fibroids than any other problem of the uterus. Sometimes fibroids cause heavy bleeding or pain.
    • Endometriosis another benign condition that affects the uterus. It is the second leading reason for hysterectomies. It occurs when endometrial tissue begins to grow on the outside of the uterus and on nearby organs. This condition may cause painful menstrual periods, abnormal vaginal bleeding and loss of fertility.
    • Uterine prolapse a benign condition in which the uterus moves from its usual place down into the vagina. Uterine prolapse is due to weak and stretched pelvic ligaments and tissues, and can lead to urinary problems, pelvic pressure or difficulty with bowl movements. Childbirth, obesity and loss of estrogen after menopause may contribute to this problem.
    • Cancer the reason for about 10 percent of all hysterectomies. Endometrial cancer, uterine sarcoma, cervical cancer, and cancer of the ovaries or fallopian tubes often require hysterectomy. Depending on the type and extent of cancer, other kinds of treatment such as radiation or hormonal therapy may be used as well.
    • Hyperplasia thought to come from too much estrogen and occurs when the lining of the uterus becomes too thick and causes abnormal bleeding.

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