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Does Removing Your Uterus Cause Menopause

What Should I Do If Im Considering A Hysterectomy

What to expect with a hysterectomy

If you are planning to get a hysterectomy, talk through it with your doctor. Ask questions to make sure its whats best for your health.

For people having both ovaries removed, hormone therapy may be an option. This type of therapy helps the body adjust to the loss of estrogen, making any menopause symptoms milder. Hormone therapy can help reduce the risk of age-related health issues, too, such as bone loss. Lifestyle changes including exercise and diet can also help reduce symptoms.

Ultimately, its about weighing the risks of keeping your ovaries and/or uterus with the risks of removing them and possibly developing age-related health issues. For many patients, a hysterectomy brings a sense of relief.

At Providence, your doctor can help you understand more about this surgical procedure. Its important that you feel prepared for any changes that could result from a hysterectomy.

Enlarged Uterus Due To Perimenopause

Guest over a year ago


Atrak1831 over a year ago

Hey girl. Well, this is somewhat a serious issue, because, like you said fortunately, cancer is ruled out which the best thing about your issue. But, still, the problems remain. Have you considered uterus removal? Because large uterus might be caused by fibroids and many diseases. I want you to consider all options because my aunt did precisely that, she had cervical cancer, and fortunately for her, they caught it on time, so she removed her uterus and hasn’t had any problem since. I suggest you go to your gynecologist, and consult with him or her, they will know what to do,.


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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You Can Keep Your Ovaries Even If You Don’t Have A Uterus

Should you need your uterus removed due to concerns like fibroids or endometriosis, your ovaries can definitely stay put. In fact, considering the risks of losing your estrogen, you probably want them to stay. Yes, Siedhoff says, a hysterectomy is a natural time to bring up ovary removal, and the two were frequently done simultaneously in premenopausal women in years past. “Now most women elect to keep their healthy ovaries for the benefit of the hormones,” he says.

However, if you do have a hysterectomy, you need to monitor those hormone levels afterward, Sarrel says. He published a study that found 6 months after surgery, 25% of women’s ovaries had stopped functioning due to lack of blood flow. Three years after surgery, that was the case among 40% of the women. The other 60% were totally fine, he says. “You can assume ovaries are going to continue to function, but we need to make sure they are producing regular amounts of estrogen,” he says. A surefire sign that they’re not, he says, would be the beginnings of menopause-related symptoms like hot flashes, sleep problems, and feeling depressed. “All you need to do is replace estrogen, and that’s the end of the symptoms.”

Will Having A Hysterectomy Cause Me To Enter Menopause

Hot Flashes after a Hysterectomy

A woman enters menopause when she no longer has her periods and shes no longer producing much estrogen. The ovaries release eggs as well as produce estrogen, which regulates monthly periods. If the ovaries are surgically removed, a woman does not have a natural source of estrogen, and she enters menopause. Menopause marks the end of a womans ability to have children.

Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.

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What You Can Do

If you are planning to have both ovaries removed during a hysterectomy, you may want to discuss hormone therapy with your medical professional. This treatment can help your body slowly adjust to the loss of estrogen so the signs and symptoms of menopause arent so sudden and severe.

In turn, hormone therapy can help reduce your risk of age-related health issues common in people with a hysterectomy and ovary removal, including bone loss and osteoporosis.

Some people may be able to take hormone therapy short term. Others may need to remain on it until they reach the age of natural menopause, or 45 to 55. The average age of menopause is 51.

Likewise, your healthcare professional may recommend lifestyle adjustments that can help prevent health issues related to early menopause and estrogen loss. Exercise and an improved diet may be helpful.

Hrt And Surgical Menopause

So what is surgical menopause? It’s menopause that develops suddenly after the ovaries — the main producers of the hormone estrogen — are surgically removed.

The removal of the ovaries is called an oophorectomy. The procedure is often combined with a hysterectomy — removal of the uterus — but not always. And in fact, women who only have their uterus removed will not go into surgical menopause. Their ovaries are still making estrogen. They’ll go into menopause naturally when they get older, although sometimes a bit earlier than usual.

Estrogen plays a key role throughout the body. It affects the brain, the bones, the skin, the heart, the blood vessels, and more. While estrogen levels lower gradually during natural menopause, they plummet with surgical menopause. That sudden drop in estrogen can lead to menopausal symptoms that can be quite severe.

Hormone therapy after surgery — either with estrogen and progestin or with estrogen alone — is a way to counteract the supply of estrogen you’ve lost. Women who have both the uterus and ovaries removed usually just get estrogen replacement therapy alone. But women who have only the ovaries removed need both estrogen and progestin. That’s because estrogen alone can increase the risk of cancer in the uterus. Adding progestin removes this risk.

Rarely, if ever, will both ovaries be removed without the uterus. Often, only one ovary may be removed, which will negate the need for HRT at the time of surgery,

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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.

Side Effects Of Hysterectomy After Menopause You Must Know

Does uterine ablation (NovaSure) cause early menopause? Can I still get pregnant afterwards?

Menopause and hysterectomy, both lead to hormonal changes. Effects of these changes can be minimized with the help of proper treatment and also by keeping a great attitude. Read on, to know what are the side effects of hysterectomy performed before menopause, why the side effects are milder if the surgery is performed after menopause and how the woman should deal with these changes.

Menopause and hysterectomy, both lead to hormonal changes. Effects of these changes can be minimized with the help of proper treatment and also by keeping a great attitude. Read on, to know what are the side effects of hysterectomy performed before menopause, why the side effects are milder if the surgery is performed after menopause and how the woman should deal with these changes.

Surgical removal of the uterus is called hysterectomy. Sometimes one or both the ovaries are removed along with the uterus. It is a common type of surgery and it is performed in various ways. For example, abdominal, vaginal, laparoscopically assisted vaginal hysterectomy and robot-assisted laparoscopic hysterectomy . Hysterectomy can be total, subtotal or radical it depends upon which parts of the reproductive system are removed during the surgery.

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Risk Factors Of Cancer Of The Uterus

There are some things that can make you more likely to developcancerof the uterus. These are called risk factors and they include:

  • Age uterine cancer is most common in women over 50years oldand in women who have stopped having periods.
  • Body weight being overweight or obese is a major risk factor.
  • Medical factors including having diabetes, having previous pelvicradiation therapyfor cancer and having endometrial hyperplasia.
  • Family history having one or more close blood relatives diagnosed with uterine, ovarian or bowel cancer, or inheriting a genetic condition such as Lynch syndrome or Cowden syndrome.
  • Reproductive history not having children.
  • Hormonal factors including starting periods before the age of 12, going through menopause after the age of 55, taking some types of oestrogen-only menopause hormone therapy or taking tamoxifen, an anti-oestrogen drug used for breast cancer.

Having these risk factors doesnt mean you will developcancerof the uterus. Often there is no clear reason for gettingcancerof the uterus. If you are worried about your risk factors, ask your doctor for advice.

Why Would I Need A Hysterectomy

You may need a hysterectomy if you have one of the following:1

  • Uterine fibroids. Uterine fibroids are noncancerous growths in the wall of the uterus. In some women they cause pain or heavy bleeding.
  • Heavy or unusual vaginal bleeding. Changes in hormone levels, infection, cancer, or fibroids can cause heavy, prolonged bleeding.
  • Uterine prolapse. This is when the uterus slips from its usual place down into the vagina. This is more common in women who had several vaginal births, but it can also happen after menopause or because of obesity. Prolapse can lead to urinary and bowel problems and pelvic pressure.
  • Endometriosis. Endometriosis happens when the tissue that normally lines the uterus grows outside of the uterus on the ovaries where it doesn’t belong. This can cause severe pain and bleeding between periods.
  • Adenomyosis. In this condition the tissue that lines the uterus grows inside the walls of the uterus where it doesn’t belong. The uterine walls thicken and cause severe pain and heavy bleeding.
  • Cancer of the uterus, ovary, cervix, or endometrium . Hysterectomy may be the best option if you have cancer in one of these areas. Other treatment options may include chemotherapy and radiation. Your doctor will talk with you about the type of cancer you have and how advanced it is. Learn more about treatment options for these cancers at the National Cancer Institute.

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You Don’t Necessarily Have To Get Rid Of Both Ovaries

If cancer prevention is your main objective, you’ll need to have both ovaries removed. But if your concern is with one single ovary, like a cyst, it’s perfectly safe and even advised to leave the healthy ovary be. “One ovary is enough to avoid changes in fertility potential and hormonal function,” Siedhoff says, which means you’ll keep menstruating, avoid the health risks of early menopause, and may even still be able to get pregnant.

How Is Abnormal Uterine Bleeding Treated

Pain In Uterus After Orgasim Medicine For Severe Pain ...

The treatment depends on the cause. If the cause is a hormone imbalance, your doctor may suggest you take birth control pills or progesterone. If the bleeding is related to hormone replacement therapy, your doctor may change the amount of estrogen you take. If a thyroid problem is causing your bleeding, treatment of that problem itself may stop the bleeding. You may need surgery if you have endometrial hyperplasia or cancer.

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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.

Causes Of Thickening Of The Uterine Lining

All changes in the lining of the uterus are regulated by two female hormones, estrogen and progesterone. Estrogen builds the endometrium in the first stage of the menstrual cycle, while progesterone takes care of its growth. Hormonal imbalances, like high levels of estrogen and low levels of progesterone, can lead to uncontrolled cell growth in the uterus lining. If endometrial hyperplasia is not treated, it can lead to even more abnormal cell growth and potentially to cancer.

As for the reasons why these hormonal imbalances occur, menopause is a common reason and this is why a thickened uterine lining is more common in older women who no longer menstruate. Other risk factors include a history of irregular menstrual cycles, problems with the ovaries that lead to a lack of ovulation, obesity and diabetes are the most common causes of a thickened uterine lining. Sometimes hormone replacement therapy causes endometrial hyperplasia too.

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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.

How Is It Diagnosed

Uterus Removal – Causes, Reasons & Alternatives

To find the cause of your bleeding, the doctor will do a physical exam and review your medical history. You may need one or more of the following tests:

Transvaginal ultrasound: This image helps your doctor check for growths and look at the thickness of your endometrium. Theyâll place a small probe into your vagina. It sends off sound waves to create a picture of the inside of your body.

Endometrial biopsy: The doctor uses a thin tube to take a small sample of the tissue that lines your uterus. Theyâll send it to a lab where scientists will look for anything unusual, like an infection or cancerous cells.

Sonohysterography: Your doctor may use this test to measure the size of a polyp. Theyâll put a saltwater solution inside your uterus to create a clearer ultrasound image.

Hysteroscopy: When the doctor needs to look inside your uterus, theyâll use a hysteroscope. This thin, lighted tube has a camera on one end.

D& C : During this procedure, the doctor opens your cervix. They use a thin tool to scrape or suck a sample of the uterus lining. They send this to a lab that will check for polyps, cancer, or a thickening of the uterine lining .

Ultrasound and biopsy are usually done in your doctorâs office. Hysteroscopy and D& C require anesthesia on one part of or your whole body. Youâll either go to a hospital or an outpatient surgical center.

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