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How Long After A Total Hysterectomy Does Menopause Start

What About My G

Menopause after a Hysterectomy

The âG-spotâ is not a medically recognized part of the female anatomy, but you may have a spot on the anterior wall of the vagina that is highly sensitive and contributes to sexual arousal and satisfaction. Whether yours is affected can depend on the type of hysterectomy, whether your need repairs, and exactly where yours is located. If you have concerns about it being changed, talk to your doctor prior to your surgery.

This content was written by staff of by non-medical professionals based on discussions, resources and input from other patients for the purpose of patient-to-patient support. Reprinted with permission: 10 Concerns about Intimacy after Hysterectomy

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

After A Total Abdominal Hysterectomy When Will The Symptoms Of Menopause Start

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Do You Have A Question

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Will You Go Into Premature Menopause

Hot Flashes after a Hysterectomy

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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When Will You Go Through Menopause After A Hysterectomy And How Will You Know It It Depends On The Type Of Hysterectomy

Dear HealthyWomen,

Iâm 43 and have been suffering with abnormal and heavy bleeding and pain from uterine fibroids, which were discovered during a pelvic exam and subsequent ultrasound.

After trying various treatments with little improvement or success, Iâm scheduled for a total hysterectomy. Iâm OK about this, because Iâm finished having children, and, frankly, Iâll be relieved to end the frequent bleeding and pain.

Many of my friends are starting to go through menopause and commiserating over hot flashes, insomnia, vaginal dryness and the like. That makes me very curious about something: I havenât gone through menopause yet, so how will I know if Iâm going through it if Iâve had a hysterectomy?


Waiting for Menopause

Dear WFM,

First, letâs discuss what a total hysterectomy is. Your uterus and cervix will be removed. If you are having your fallopian tubes and ovaries removed as well , that makes it much more likely that menopause will begin abruptly, since your body will no longer be producing as much estrogen.

You will experience menopause differently than your friends who are going through a ânaturalâ menopause. Your menopause is known as a surgical or induced menopause, and symptoms will likely begin immediately after the procedure. Because a surgical menopause is more sudden and abrupt than a gradual and natural menopause, itâs likely your symptoms will be more severe.

Read: What Every Woman Should Know About Menopause.

Prevention Of Breast Cancer

In low risk patients the results are contradictory. In 2009, Parker reported a decreased incidence of breast cancer , but a similar mortality rate . In 2011, Jacoby reported a decreased incidence only in patients under the age of 40 at the time of the BSO, without hormonal substitution .

In high risk patients, the risk for breast cancer was reduced by 3754% . Terry et al. performed a prospective cohort study including 17.917 breast cancer patients and concluded that prophylactic SO was not considered effective in reducing the risk of breast cancer .

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What You Need To Know About Surgical Menopause

This is part of an ongoing series featuring interviews with physicians on topics related to hereditary cancer. This is a summary of a discussion with Ann L. Steiner, MD, anobstetrician-gynecologist and clinical professor at Penn Medicine. The Symptoms of Surgical MenopauseMenopause is the absence of estrogen. When women stop making estrogen, this can result in several key symptoms. On average, natural menopause occurs around 51 years of age, when periods cease. Menopausal symptoms may begin before the final menstrual period when the loss of estrogen begins gradually. But if a 35 year old woman with regular, monthly periods has her ovaries removed, she is likely to be much more symptomatic then if she had gradually gone into menopause.

Surgical menopause can affect hot flashes and mood, and can increase the rate at which a woman loses bone and may develop osteoporosis. Theres a concern that younger women who go into menopause might be at an increased risk of heart disease later in life. It could also affect cognitive function. If women dont have a history of a cancer that would contraindicate the use of estrogen, such as breast cancer, we discuss giving estrogen, both for symptoms and for potential prevention of these problems.

Factors Associated With Undergoing Bilateral Salpingo

Menopause After a Hysterectomy: Joy’s Story

Bilateral salpingo-oophorectomy during hysterectomy for benign pathology is a common procedure in premenopausal women performed in 40% of cases for women between 4044 years old and in 63% of cases for women between 4549 years old .

Several studies analyze the factors influencing the decision of performing a salpingo-oophorectomy, taking into account, first of all, the physician-patient relationship.

The Nationwide Inpatient Sample database failed to evaluate the physicians characteristics such as age, years of practice, or specialist training that could influence the counseling of the patient regarding the choice of conservative or radical treatment. However, surveys conducted among gynecologists have found that patient age, surgical approach, the specialty and gender of the doctor mostly influence the decision of bilateral salpingo-oophorectomy .

Sarah Miles MD, an ovary conservationist and researcher, said she did not know a period when oophorectomy was not standard and commented on her research on estrogen deficiency. She has stated that there is a difference with and without estrogen deficiency, with cognitive decline, memory loss, dementia and loss of bone density. Coronary vascular disease was the worst thing to shorten the life of people. An average of 300 oophorectomies should be performed in order to prevent one death from ovarian cancer. She said that Leaving them inside is a smarter medicine .

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Bowel And Bladder Disturbances

After your operation, there may be some changes in your bowel and bladder functions when going to the toilet.

Some women develop urinary tract infections or constipation. Both can easily be treated.

It’s recommended that you drink plenty of fluids and increase the fruit and fibre in your diet to help with your bowel and bladder movements.

For the first few bowel movements after a hysterectomy, you may need laxatives to help you avoid straining.

Some people find it more comfortable to hold their abdomen to provide support while passing a stool.

Hot Flashes After A Hysterectomy

A hysterectomy is a procedure that removes the uterus. Generally, it does not immediately cause menopause unless the ovaries are also removed. However, removal of the uterus can lead to menopause sooner than normal, causing women to experience symptoms like hot flashes.

Continue reading to learn more about hot flashes after hysterectomy as well as treatment for hot flashes after hysterectomy to take control of your reproductive well-being today.

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What Are The Side Effects Of Having A Partial Hysterectomy

Risks associated with an abdominal hysterectomy include:Blood clots.Infection.Excessive bleeding.Adverse reaction to anesthesia.Damage to your urinary tract, bladder, rectum or other pelvic structures during surgery, which may require further surgical repair.Earlier onset of menopause even if the ovaries arent removed.More items

Management Of Surgical Menopause

Hysterectomy &  Surgical Menopause

Ideally, a menopause specialist should review younger women prior to surgical menopause to explain the potential consequences of surgery and to make a plan for symptom management and long-term health.

Current international guidelines advise use of MHT for all women who undergo menopause under the age of 45 years provided that they do not have other contraindications to MHT . Treatment should continue until the average age of menopause and then be reviewed. Those with a personal history of breast cancer should avoid both MHT and tibolone, as they have been associated with an increased risk of breast cancer recurrence . For high risk women without a personal history of breast cancer, observational data suggest that MHT appears to be safe . Women should be aware that discontinuation of MHT will be associated with a recurrence of hot flushes and night sweats in around 50% of cases.

Use of MHT will resolve hot flushes and sweats in 80-90% of women, although there is evidence that hot flushes and night sweats as well as vaginal dryness may persist despite MHT use in younger women . There are no specific guidelines on the type of MHT to use but oestrogen only MHT is generally prescribed for those women who have had a hysterectomy . Women who retain their uterus should use an oestrogen and progestogen combination preparation

In those without contraindications to MHT, suggest starting treatment within a week following oophorectomy.

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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 womans 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.

Sex After Hysterectomy: How Long After A Hysterectomy Can You Have Sex

August 30, 2021 by Eve

Our reproductive organs and sex lives make up an essential part of self-image, affecting the way that we connect with ourselves. The removal of a sexual organ is a huge transition both physically and emotionally and could affect your identity. On the other hand, theres more to life than sexuality alone, and it could be that your hysterectomy just saved yours.

But whats next? What can I expect from my body now? How will my sex life be affected? In this article, we convert science into no-nonsense advice to answer a few common questions about sex after hysterectomy.

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Difficulty Concentrating And Forgetfulness Or Brain Fog

âI was on the phone earlier and it does make it awkward to hold a conversation when the little grey cells are having a dance instead of doing their job.â

As much as 60% of women experience âbrain fogâ or forgetfulness as a result of menopause or other menopausal symptoms themselves, such as lack of sleep. It usually occurs during perimenopause when hormones start to change and, for some, it can subside relatively quickly. For others, however, long-term memory issues may require specific treatment, like HRT, or more general lifestyle changes.

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Can You Go Through Menopause Twice

Walking After a Hysterectomy Weeks 1-7 | Physio Weekly Guide for FAST Recovery

Menopause induced by the removal of uterus and ovaries is associated with hot flashes that occur almost immediately. There is an intense feeling of heat, followed by a sensation of feeling cold and fatigue. Hot flashes can happen several times during the day and night. Vaginal dryness, mood swings and lack of sex drive may follow. Menopause is also associated with bone loss, with an increased risk for osteoporosis and fractures.

If only the uterus is removed, a woman will no longer have periods, making it harder to recognize when menopause starts. This is especially the case if it occurs earlier than expected and there are no typical symptoms, because the woman will not have periods. In this case, a doctor will order a blood test to confirm the diagnosis of menopause.

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How Can My Partner Help

You may need a lot of emotional support and careful intimacy following a hysterectomy to get your confidence back with your sexual relations. It is also a time, if you experience changes in your sexual sensation, for you and your partner to try new ways for you to reach orgasm. This could require care and patience from your partner.

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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Weighing The Hormone Replacement Therapy Pros And Cons

When it comes to getting HRT after surgical menopause, deciding what to do isn’t easy. The contradictory headlines in the media in recent years haven’t helped. It’s easy for women to feel like they are making the wrong choice, no matter what they do.

When you’re deciding, you have to consider a lot of different factors, including your age, your family history, and your habits. Just take it slowly and don’t allow yourself to be rushed into a decision you’re not ready to make. Check the latest research into HRT. Remember that both the potential long-term benefits and risks of hormone therapy are really quite small for any individual person.

Finally, don’t discount your gut feelings. The decision to get hormone therapy after surgical menopause is personal. The right answer depends as much on your preferences as it does on the facts in your medical chart.

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Uterine Fibroids Natural Treatment

An interventional radiology alternative to hysterectomy ...

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Hysterectomy is only really necessary in cases when cancer is involved, to stop hemorrhage, uterine prolapse and very few other cases. In the case of fibroids, it may be necessary to stymie heavy bleeding caused by fibroids, if the fibroids are so large that they are pressing against vital organs, this can be so serious as to require a hysterectomy. Very rarely are fibroids cancerous.

Unfortunately there are too many women with fibroids having hysterectomies when there are other methods that would be just as effective. So before you opt for a hysterectomy, do make sure that it is the last option after considering other alternatives.

In addition, there are many types of hysterectomies as well as different methods of performing a hysterectomy. If you do opt for a hysterectomy, you and your doctor can come up with the best type and method.

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How Long Does It Take To Recover From A Hysterectomy

Most people recover from a hysterectomy in about four to six weeks. Your recovery depends on the type of hysterectomy you had and how the surgery was performed. Recovering from a vaginal and laparoscopic hysterectomy takes less time than recovering from an abdominal hysterectomy.

You should increase your activity gradually and pay attention to how you feel. If anything causes you pain, you should stop. Talk to your healthcare provider about specific instructions for recovering at home, including what medications to take.


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