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HomeExclusiveHow Long After Surgical Menopause Do Symptoms Start

How Long After Surgical Menopause Do Symptoms Start

Will My Hot Flashes Stop After Menopause

Finding Menopausal Relief After Her Hysterectomy

Some people still experience hot flashes after menopause. Postmenopausal hot flashes are caused by decreased estrogen levels. It is not uncommon to experience a random hot flash for years after menopause. If your hot flashes are bothersome or intensify, speak with your healthcare provider to rule out other causes.

Dealing With Surgical Menopause

Along with hormone replacement therapy, there are a variety of other strategies to help deal with surgical menopause, including:

  • Avoiding habits that heighten the risk for hot flashes. These habits include minimizing stress, avoiding alcohol and caffeinated drinks, avoiding spicy foods and reducing exposure to hot temperatures.
  • Having cooling items at hand. Keeping ice water handy and a fan close by can help offer some relief.
  • Keeping the bedroom cool and silent for improved sleep.
  • Using water-based vaginal lubricant to help minimize the distress of vaginal dryness during sex.

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What Happens Before During And After A Hysterectomy

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 âblockâ 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 Can I Do To Help These Symptoms

Increasing your exercise levels can help to reduce stress which can help manage menopause symptoms and can also help with weight loss. Managing your weight has lots of health benefits and can lessen symptoms of menopause as well. You could discuss with your GP about talking therapies, particularly cognitive behavioural therapy.

Can I Have An Orgasm After Menopause

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Yes, you can still have an orgasm after menopause. An orgasm may feel hard to achieve once you have reached menopause, but there is no physical reason to prevent you from having an orgasm. Using lubricants and increasing foreplay can help with discomfort. Try to be open with your partner about your feelings and talk to them about what feels good.

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Surgical Menopause Symptoms And Side Effects

The symptoms of surgical menopause are much like the symptoms of natural menopause, and you can expect the same side effects. Instead of a gradual lessening of hormones, however, surgical menopause stops hormones quite suddenly, causing the symptoms to also appear suddenly and sometimes more severely.

  • The most common symptoms of surgical menopause are hot flashes, night sweats, and vaginal dryness.
  • Lack of estrogen can result in decreased bone density and increase your risk of developing osteoporosis. Fractures are also more common.
  • Vaginal dryness can make intercourse uncomfortable and sometimes painful, leading to a lack of interest in sex.
  • With a loss of ovarian testosterone, you may experience a drop in libido.
  • The removal of your ovaries with surgical menopause will mean a loss of fertility, which may impact your emotional and mental health.
  • Estrogen plays an important role in the vitality of your tissues. Low levels of this hormone can affect your cardiovascular system and make you more susceptible to heart disease.

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.

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Effects On Womens Health

The abrupt discontinuation of ovarian function in pre-menopausal women is associated with more severe consequences than natural menopause, such as increased overall mortality rate , and increased rates of pulmonary and colorectal cancer, coronary disease, stroke, cognitive impairment, Parkinsons disease, psychiatric disorders, osteoporosis and sexual dysfunction .

Although for many years it has been thought that the ovary retains a degree of androgen production even after menopause, more recent immunocytochemical evidence shows that the postmenopausal ovary lacks steroidogenic enzymes and luteinizing hormone receptors and the major source of postmenopausal circulating androgens being in fact the adrenal gland .

How Long Does Perimenopause Last

How long menopause lasts & what happens afterwards

The length of each stage of the menopause transition can vary for each individual. The average length of perimenopause is about four years. Some women may only be in this stage for a few months, while others will be in this transition phase for more than four years. If you have gone more than 12 months without having a period, you are no longer perimenopausal. However, if there are medications or medical conditions that may affect periods, it can be more difficult to know the specific stage of the menopause transition.

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What Are Hot Flashes

Hysterectomy can often trigger the onset of menopausal symptoms such as hot flashes. Hot flashes are sensations of intense heat in the upper body, and are usually accompanied by a rapid heart rate, a reddening of the chest, neck, and face and sometimes intense perspiration. When hot flashes occur at night they are often referred to as night sweats.

The duration of hot flashes is different for every woman, but a typical episode lasts between thirty seconds and five minutes. After a hysterectomy, women will experience variations in the intensity and frequency of hot flashes.

Natural Remedies For Hot Flushes

  • Black cohosh may help relieve hot flushes. Do choose a licensed preparation like MenoHerb® there have been occasional cases of serious side effects, including liver damage, with unlicensed versions. And it shouldnt be taken if you have any liver or kidney problems.
  • Red clover this remedy seems to have natural oestrogen-like properties and 60-80 mg a day of red clover isoflavone may help with hot flushes. There have been no safety concerns about using it.
  • Evening primrose oil although its widely used, there is no evidence that this option helps with symptoms of the menopause.

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Is There A Risk Of Worsening Endometriosis By Taking Hrt After Having An Oophorectomy Or Taking Medications To Cause Menopause

There is a theory that HRT contains just enough hormone to keep your bones healthy and to help with menopause symptoms and contains a low enough dose to not have an effect on endometriosis. This is called the estrogen threshold theory.

This means that it is rare for endometriosis to recur or get worse when on HRT but it is possible. It is more likely if there is a residual endometriosis and your HRT only contains estrogen.

Sandy Celebrates Being Able To Wear White Pants Anytime

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Sandy from St. Louis, Mo., was a healthy, active 47-year-old when her doctor identified a pelvic mass and reported elevated CA-125 levels. She had a radical hysterectomy, part of her colon and multiple size tumors removed. Doctors diagnosed her with stage 3c ovarian cancer. The word menopause was the last thing on her mind.

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I was so focused on hearing I had cancer it was hard to think about what I could expect after surgery, she said. They talked a lot about side effects of the treatments but not about what would be happening to my body as I started to heal from the surgery.

At 47 when she had surgery, Sandy said she was only a few years away from menopause. Before surgery, I still had regular periods. I have to say, it is nice not to have periods anymore. I can wear white pants whenever I want!

Her most annoying side effects were hot flashes every hour and 50 minutes and a lack of good night sleep due to waking up so often. While a ceiling fan helps at night, Sandy recommended having an additional fan that blows over you to help cool you down.

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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.

Side Effects Of Hysterectomy After Menopause You Must Know

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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Can Menopause Be Treated

Menopause is a natural process that your body goes through. In some cases, you may not need any treatment for menopause. When discussing treatment for menopause with your provider, its about treating the symptoms of menopause that disrupt your life. There are many different types of treatments for the symptoms of menopause. The main types of treatment for menopause are:

It’s important to talk to your healthcare provider while you are going through menopause to craft a treatment plan that works for you. Every person is different and has unique needs.

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 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.

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Is There A Risk Of Reactivated Endometriosis Transforming Into Cancer

Reactivation of endometriosis by HRT is very rare and it is impossible to say how likely it is for endometriosis to turn into cancer. However, there have been a few reported cases of it occurring. This means that while on HRT, if you develop new symptoms or old symptoms start to recur, it is important to discuss this with your healthcare professional who can start any investigations that are needed. From all the evidence it seems that there is very little risk of reactivation of endometriosis or cancer for women on HRT who have had a removal of both of their ovaries and all of their endometriosis removed. For women with some endometriosis who are under 45 or who have significant menopause symptoms the evidence suggests that the benefit of taking HRT to manage the menopause symptoms outweighs the small risk of worsening of the endometriosis or risk of cancer.

Why An Oophorectomy Might Be Necessary

An oophorectomy is often recommended by doctors to inhibit the development of chronic diseases. Patients at greater risk for breast or ovarian cancer based on family history may be advised to have one or both ovaries removed. In many cases, an oophorectomy is performed alongside a hysterectomy, which would similarly induce surgical menopause.

The relief of chronic and persistent pelvic pain or symptoms of endometriosis have also been cited as reasons for undergoing an oophorectomy. Others include:

  • Ovarian torsion
  • Weight gain

To control the adverse effects of surgical menopause, your doctor might suggest hormone replacement therapy. HRT addresses the sometimes severe hormonal imbalances in your body brought on by surgical menopause.

Menopause symptoms can be painful and disrupt your daily activities. HRT helps alleviate those symptoms while simultaneously curbing bone loss and aiding in the prevention of osteoporosis and cardiovascular disease.

This is particularly critical for women under 45 years of age who have an oophorectomy prior to experiencing natural menopause. They possess a greater chance of developing heart disease, neurological issues, and cancer without HRT.

Surgical menopause symptoms aside, dont start HRT if you have:

  • A personal or family history of ovarian, uterine, or breast cancer
  • A personal history of thrombosis, or blood clots
  • Untreated high blood pressure
  • Liver disease

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How Does Surgical Menopause Influence Your Estrogen Levels

When you have both ovaries removed , you remove your bodys main source of estrogen, and your estrogen levels will plummet lower than in natural menopause. These extremely low levels of estrogen are thought to be the main cause of both bothersome menopausal symptoms and long-term health risks in surgical menopause. Thankfully, taking estrogen in surgical menopause reduces both.

Ongoing Management Of Symptoms After Surgical Menopause

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With the increased risk of developing osteoporosis after surgical menopause, its smart to make a few lifestyle changes to help counteract the loss of bone density. Your doctor might recommend adding calcium and vitamin D supplements to help keep your bones strong and healthy.

As soon as you are fully recovered from your surgery, adding a regular exercise program that includes resistance training at least twice a week can help build and repair healthy bones.

Limiting your use of caffeine and quitting smoking are two other ways you can improve the health of your bones and protect yourself against osteoporosis.

With the removal of your ovaries, your doctor may recommend hormone replacement therapy to help you manage symptoms related to changes in your blood vessels , such as hot flashes, night sweats, and vaginal dryness. People younger than 45 may need a higher dose of estrogen, and doctors may also recommend adding testosterone to help with the loss of libido. In the beginning, they will likely prescribe low doses of estrogen to see how well you tolerate this kind of therapy.

Doctors also typically recommend bone density scans for people younger than 45 who are undergoing surgical menopause. You should have a bone scan every two years. Your doctor might also recommend MHT to help with bone loss after surgical menopause.

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