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How Long Does Menopause Last After A Total Hysterectomy

Managing Surgical Menopause Symptoms

Total Hysterectomy Is A Total Misconception – 132

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.

Sex Drive And Functioning

Research shows that a woman’s sex drive after a hysterectomy tends to actually be the same or better, perhaps due to a reduction in symptoms like pain or bleeding. Every woman is different, however, and some women do notice a reduced libido after surgery.

Besides a change in sex drive, some women experience physical changes that affect their sexual functioning, such as:

  • Difficulty reaching orgasm
  • Vaginal shortening
  • Loss of vaginal lubrication

If you are experiencing a loss of sexual desire or functioning after your hysterectomy, be sure to reach out to your doctor for a proper evaluation and treatment plan. Your doctor can discuss several therapies with you, including non-medication and medication options like:

  • Sexual education and partner involvement

Are There Any Risks

The risks associated with hysterectomy are among the lowest for any major surgery. However, as with any major surgery, problems can occur, including:

  • Blood clot in the veins or lungs
  • Infection
  • Bleeding during or after surgery
  • Bowel blockage
  • Injury to the urinary tract or nearby organs
  • Problems related to anesthesia
  • Early menopause

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Putting The Risks And Benefits Of Hrt In Perspective

If you’re just glancing at list above, some of the risks of HRT might seem to overwhelm the benefits. Could a reduction in vaginal dryness possibly be worth an increased risk of cancer?

But look at the details. The risks of HRT — while real — are quite small for an individual person. For example, the 2002 Women’s Health Initiative study found that ERT increased the risk of strokes by 39%. That sounds frighteningly high. But the actual number of people affected is very small. Out of 10,000 women who are not taking ERT, 32 have strokes each year. Out of 10,000 who are taking ERT, 44 have strokes each year. That’s an increase of just 12 people out of 10,000.

On the other hand, when it comes to controlling the symptoms of surgical menopause, a huge number of women feel the benefits. One out of four menopausal women has severe hot flashes. Treatment with hormone therapy cuts down the number of hot flashes per week by 75%. So if a woman had 24 hot flashes per week, HRT would drop that number to six. That could make a big difference in the quality of their day-to-day life.

Removal Of The Ovaries

Hysterectomy reasons, types of hysterectomy &  hysterectomy ...

The National Institute for Health and Care Excellence recommends that a woman’s ovaries should only be removed if there’s a significant risk of associated disease, such as ovarian cancer.

If you have a family history of ovarian or breast cancer, removing your ovaries may be recommended to prevent you getting cancer in the future.

Your surgeon can discuss the pros and cons of removing your ovaries with you. If your ovaries are removed, your fallopian tubes will also be removed.

If you have already gone through the menopause or you’re close to it, removing your ovaries may be recommended regardless of the reason for having a hysterectomy.

This is to protect against the possibility of ovarian cancer developing.

Some surgeons feel it’s best to leave healthy ovaries in place if the risk of ovarian cancer is small for example, if there’s no family history of the condition.

This is because the ovaries produce several female hormones that can help protect against health problems such as weak bones . They also play a part in feelings of sexual desire and pleasure.

If you’d prefer to keep your ovaries, make sure you have made this clear to your surgeon before your operation.

You may still be asked to give consent to treatment for having your ovaries removed if an abnormality is found during the operation.

Think carefully about this and discuss any fears or concerns you have with your surgeon.

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Can A Woman Have Both Ovaries Removed For Menopause

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:

Symptoms Of Hysterectomy And Menopause

Symptoms of the climax after removal of the uterus can be noticed already after three weeks from the day of surgery. These can be:

  • increased night sweating
  • brown discharge after menopause and hysterectomy
  • depressive states.

When the uterus is removed, hormone replacement therapy is necessary, especially for women under 50 years of age. For this purpose, estrogens and gestagens are used. Hormone therapy is important to prescribe as soon as possible, no later than a couple of months after the procedure. It helps reduce the risk of heart disease and hysterectomy and weight gain menopause problems. But, it is important to remember that HRT may not always be prescribed. There are contraindications. Here, they are:

  • surgery was related to uterine cancer
  • mammary cancer
  • diseases of the liver and kidneys
  • meningioma.

The duration of treatment is from two to five years. No need to wait for the complete disappearance of menopause after the therapy. Depending on the duration of hormone therapy, clinical manifestations are only reduced.

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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.

Vaginal Discharge After Hysterectomy

How Long Does Menopause Last?

For several weeks after your hysterectomy, youre likely to experience some type of vaginal discharge. This is especially true if you had a complete hysterectomy and now have a vaginal cuff.

Most of the time, the discharge is a normal part of healing. Now and then, however, it can be a sign that something is wrong.

Knowing what to expect and when to call the doctor can help ease your mind during recovery, so here are some basics about vaginal discharge after hysterectomy.

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Can A Hysterectomy Cause You To Go Into Menopause

If you have a hysterectomy, the surgeon removes only your uterus, so you may not experience surgically induced menopause right away. Your ovaries will continue to produce estrogen and progesterone, but your periods will stop. With a partial hysterectomy, youre more likely to experience early menopause.

This is called surgical or forced menopause and can be either a permanent or temporary side effect of treatment. 1 The ovaries serve as a major hormone production center for estrogen and progesterone, two essential hormones that support the menstrual cycle and fertility. Cancer treatment can impair the function of the ovaries.

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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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.

Common Side Effects Of Hysterectomy

How Long Do Menopause Symptoms Last After A 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

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What Causes Hot Flashes After A Hysterectomy

Declines and fluctuations in the level of the hormone estrogen after a hysterectomy affects the function of the body, especially the hypothalamus – the part of the brain that regulates body temperature.

Falling estrogen levels caused by a hysterectomy can cause the hypothalamus to falsely detect an increased body temperature and release chemicals that make skin blood vessels dilate so that heat can be released and the body cooled down. This results in a hot flash.

Hot flashes and other menopausal symptoms usually subside when a woman is postmenopausal. Experiencing menopause that is induced by a hysterectomy can be a little different than natural menopause.

This is because when a woman naturally goes through menopause her body has more time to adjust as the levels of hormones in her body decrease. With a hysterectomy, the ovaries are removed, which is where estrogen is produced. This means there is a rapid cutoff of estrogen production which can result in more severe menopausal symptoms.

Hrt After Surgical Menopause: Pros And Cons

To give you a better sense of what to consider in your decision, here’s a list of reasons you might lean toward getting HRT, along with a list of reasons against. Keep in mind that few if any of these pros or cons are definitive. Instead, you and your doctor have to consider them all and decide which apply.

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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.

Hysterectomy For Women Of Childbearing Age

Menopause and Hysterectomy – HysterSisters Ask the Doctor

Once a woman has had a hysterectomy of any kind, she cannot become pregnant. If the ovaries of a premenopausal woman are removed, she has had a surgical menopause. This means she will have a drop in production of the sex hormones oestrogen, progesterone and testosterone. Vaginal dryness, hot flushes, sweating and other symptoms of natural menopause may occur.

Women who undergo bilateral oophorectomy usually take hormone replacement therapy ,This is also known as oestrogen replacement therapy, as usually only oestrogens are required to maintain their hormone levels and prevent the long-term risks of premature menopause.

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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.

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.

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Reasons For A Hysterectomy

Conditions that may be treated by hysterectomy include:

  • fibroids non-cancerous growths that form within the muscular walls of the uterus, outside the uterus or within the uterine cavity
  • heavy or irregular menstrual periods however, new techniques now used to treat this include endometrial ablation or use of a levonorgestrel-releasing inter-uterine device
  • severe period pain due to adenomyosis or severe recurrent endometriosis
  • cancer of the cervix, uterus, ovaries or fallopian tubes
  • endometriosis a condition in which cells similar to those in the lining of the uterus grow in other areas of the body, especially around the ovaries and peritoneum in the pelvis
  • adenomyosis a condition where endometrial-like cells grow in the muscle of the uterus
  • prolapse the uterus falls into the vagina because of loose ligaments or damage to the pelvic floor muscles, usually from childbirth
  • pelvic inflammatory disease , caused by bacterial infection, often from sexually transmitted infections .

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