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How Long Do Menopause Symptoms Last After A Hysterectomy

How Long Do The Symptoms Last

Partial Hysterectomy?

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.

Can Menopause Affect Sleep

Some women may experience trouble sleeping through the night and insomnia during menopause. Insomnia is an inability to fall asleep or stay asleep at night. This can be a normal side effect of menopause itself, or it could be due to another symptom of menopause. Hot flashes are a common culprit of sleepless nights during menopause.

If hot flashes keep you awake at night, try:

  • Staying cool at night by wearing loose clothing.
  • Keeping your bedroom well-ventilated.

Avoiding certain foods and behaviors that trigger your hot flashes. If spicy food typically sets off a hot flash, avoid eating anything spicy before bed.

Why Does Menopause Happen

Natural menopause menopause that happens in your early 50s and is not caused by surgery or another medical condition is a normal part of aging. Menopause is defined as a complete year without menstrual bleeding, in the absence of any surgery or medical condition that may cause bleeding to artificially stop As you age, the reproductive cycle begins to slow down and prepares to stop. This cycle has been continuously functioning since puberty. As menopause nears, the ovaries make less of a hormone called estrogen. When this decrease occurs, your menstrual cycle starts to change. It can become irregular and then stop. Physical changes can also happen as your body adapts to different levels of hormones. The symptoms you experience during each stage of menopause are all part of your bodys adjustment to these changes.

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Indications For Surgical Menopause

Surgical menopause is commonly performed at the time of hysterectomy for benign disease, most commonly for heavy menstrual bleeding or fibroids . Another common reason to remove normal ovaries at the time of hysterectomy is to reduce the risk of ovarian cancer. This has been shown to be beneficial in women with an inherited increased chance of developing ovarian cancer , and for some women with very strong family histories of ovarian cancer,; but is not recommended for other women as the disadvantages of removing normal ovaries at the time of hysterectomy are likely to be greater than their very small risk of ovarian cancer . ;Very little is known about the impact of removing normal ovaries from postmenopausal women.

Some premenopausal women will elect to have their ovaries removed for other indications, such as endometriosis or chronic pelvic pain. ;Depending on the circumstances, removal of the ovaries may improve pain, but it is not always effective. ;Some doctors may suggest a trial of a drug to bring on a short term chemical menopause before surgery to try and mimic the effects of surgical menopause. However, it is not currently possible to predict how surgical menopause will affect individual women.

Although surgical menopause is common, there have been remarkably few studies which have followed women before and after oophorectomy to try and understand how surgery affects their menopausal symptoms and short and long term health.

Hrt And Surgical Menopause

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

Dear HealthyWomen,

I’m 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, I’m scheduled for a total hysterectomy. I’m OK about this, because I’m finished having children, and, frankly, I’ll 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 haven’t gone through menopause yet, so how will I know if I’m going through it if I’ve had a hysterectomy?

Signed,

Waiting for Menopause

Dear WFM,

First, let’s 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 “natural” 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, it’s likely your symptoms will be more severe.

Read: What Every Woman Should Know About Menopause.

Do Symptoms Vary With The Person Or They Are The Same Across The Board

No two women can experience the same symptoms of menopause. While some may experience immediate onset of hot flashes and other changes caused by hysterectomy, others might undergo the same surgery but have less severe symptoms.

Likewise, among those who undergo partial surgeries its still hard to predict how menopause will affect them, or the intensity and duration of symptoms experienced.

Generally, women who undergo partial hysterectomy, without removal of their ovaries, are unlikely to experience early onset of symptoms since they continue producing estrogen. Though they will no longer be able to menstruate, such women will usually enter menopause during the same age-range as women who havent undergone hysterectomy surgery. Nevertheless, some studies still show that such individuals experience menopause about 2yrs earlier than the average woman.

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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 .

Why Perform An Oophorectomy

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An oophorectomy causes surgical menopause. In most cases, removing the ovaries is a preventive measure against disease. Sometimes its performed alongside a hysterectomy, a procedure that removes the uterus.

Some women are predisposed to cancer from family history. To reduce the risk of developing cancers affecting their reproductive health, doctors may suggest removing one or both ovaries. In some cases, they may also need their uterus removed.

Other women may elect to have their ovaries removed to reduce symptoms from endometriosis and chronic pelvic pain. While there are some success stories in oophorectomy pain management, this procedure may not always be effective.

In general however, if your ovaries are normal, its highly recommended not to have them removed as a remedy for other pelvic conditions.

Other reasons women may want to remove both ovaries and induce surgical menopause are:

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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 “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 .

Difference Between Natural Menopause And Surgical Menopause Symptoms

Menopause is a natural part of a womans aging process. It usually occurs between the ages of 35 and 51. Menopause happens when the ovaries stop producing eggs, resulting in the ending of menstruation.

This transition of phase from the reproductive stage to peri-menopause or menopause is often associated with several uncomfortable symptoms, such as hot flushes, night sweats, weight gain, irritability, mood swings, anxiety, and depression.

For some women, these symptoms are mild and easily managed by diet, exercise, and stress management techniques.

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How Can I Manage Hot Flashes After A Hysterectomy

Most doctors recommend a healthy diet, regular exercise, lifestyle changes, and alternative medicine to manage hot flashes. If you are seeking medicinal treatment, talk to your doctor to find a treatment that is right for you.

  • National Health Service. . Hysterectomy. Retrieved from http://www.nhs.uk/conditions/hysterectomy/Pages/Introduction.aspx
  • Office on Womens Health. . Hysterectomy. Retrieved from http://www.womenshealth.gov/publications/our-publications/fact-sheet/hysterectomy.html

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How Will I Feel After The Operation

How Long Do Menopause Symptoms Last?

After the operation you may have an intravenous drip for uids or occasionally blood. You may also have a catheter to drain urine.

If your operation is performed through an abdominal incision, the wound will be held together with clips or stitches. There will still be some stitches with laparoscopic surgery. The internal stitches used in vaginal hysterectomy will dissolve naturally. The wound will heal in a week or so but internal surgery will take longer. This is why the recovery period can take up to twelve weeks.

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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.

What Should I Do If I Am Told That I Need A Hysterectomy

Talk to your doctor. If you have a condition that is not cancer, such as fibroids, endometriosis or uterine prolapse, there are other treatments that can be tried first. In most cases, a hysterectomy need not be done immediately. There is usually time for you to get more information, look into possible alternatives or seek a second opinion. In cases of serious disease, such as cancer, a hysterectomy may not be optional and may be a life-saving choice. Before you decide what to do, it is important you understand your condition and your options for dealing with it. If you are suffering from continuing severe problems with pelvic pain and abnormal uterine bleeding and other treatments have not helped, a hysterectomy may provide relief. Studies have shown that a hysterectomy often improves sexual functioning and quality of life for women suffering from these problems.

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If My Cervix Was Removed In My Hysterectomy Do I Still Need To Have Pap Tests

If you have had a total hysterectomy in which the cervix was removed along with the uterus, you will not usually require Pap testing. An exception is if your hysterectomy was done because of cervical cancer or its precursors. Ask your health care provider if you need to have periodic Pap tests. It is important for all women who have had a hysterectomy to have regular gynecologic exams as part of their health care.

What Are The Symptoms Of Menopause

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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.

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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.

Difficulty Concentrating And Forgetfulness Or ‘brain Fog’

“I 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.”

As much as 60% of women experience ‘brain fog’ 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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What About My G

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 HysterSisters.com 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

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The Female Reproductive System

The Miracle Of How Long Does Menopause Last

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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