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How Long Does The Menopause Last After Hysterectomy

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

How Long Does Menopause Last?

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 After Hysterectomy

For most women, menopause occurs when they are between the ages of late 40s to early 50s. However, women who undergo hysterectomy surgery may start experiencing the symptoms of menopause much earlier than this.

The procedure involves removal of the uterus and is used to treat a variety of conditions such as chronic pain, infection and even certain kinds of cancer. Typically, the extent of surgery required will vary depending on the reason why you are having hysterectomy. Sometimes the doctor may also recommend taking out the cervix and ovaries, which can ultimately affect the symptoms you are experiencing.

The Cons: Reasons To Lean Against Hrt After Surgical Menopause

  • Your menopausal symptoms aren’t bothering you, or other treatments work fine. Some women don’t have very severe symptoms after surgical menopause and don’t want or need treatment. Even if you do have acute symptoms, HRT is not the only way to control them. Other drugs or lifestyle changes can help. Talk to your doctor.
  • You’re 50 or older. Many women who go into surgical menopause at 50 or older — the natural time of menopause – decide not to get HRT. That’s because their supply of estrogen would naturally drop during menopause anyway. There is some evidence that the older you are when you start HRT, the higher the cardiovascular risks – at least initially.
  • You have liver disease. Estrogen pills can put a lot of stress on the liver. So if you have liver disease, your doctor may not want you to take oral HRT. Other ways of getting estrogen – like patches and gels – bypass the liver and are safer options.
  • You’re concerned about the side effects. HRT can also cause symptoms of its own. Many resemble the symptoms of premenstrual syndrome — swollen and painful breasts, headaches, and nausea.
  • You’re at a higher risk of health problems like:

o Strokes. Hormone therapy can increase the risk of stroke, although your odds are still very low.

o Blood clots. Oral estrogen, at least, may also raise the risk of blood clots. Estrogen patches and creams may pose a lower risk, but that’s still unclear.

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Do People In Postmenopause Lose Interest In Sex

No, not all people lose interest in sex after menopause. Vaginal dryness and discomfort during sex can make sex less pleasurable. Using a vaginal lubricant can help with dryness. Some people are less interested in sex because of other symptoms like depression or feeling tired. If your feelings about sex have changed, ask your healthcare provider for help.

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

What Is Perimenopause?

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?

Signed,

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.

Don’t Miss: What Causes Hot Flashes And Night Sweats Post Menopause

Potential Positive Effects Of Surgical Menopause

  • Reduced risk of ovarian cancer in women who are known to be at high inherited risk. Having this operation also usually reduces anxiety about developing ovarian cancer. In some high risk women, surgical menopause may also reduce their risk of breast cancer.
  • Reduced pelvic pain for women with endometriosis or dense adhesions around the ovary.

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.

Read Also: When Do You Usually Start Menopause

The Answer To The Question Of How Long Do Menopause Symptoms Last Varies

Some women will experience an abrupt cessation of their monthly cycle, which does not recur. In these cases, there are often very few symptoms during perimenopause. Following that, however, the onset of symptoms once menopause does begin can be rapid and intense in these cases. Many other women will experience a gradual shift from irregular cycles to no cycles, which will last for several years.

This is the most common pattern, and it tends to be associated with a gradual onset of symptoms. Often, the severity of symptoms tends to fluctuate prior to and after menopause for a period of around 10 years. These fluctuations can be quite significant, and its common for women to feel fine on some days and experience intense hot flashes accompanied by sweating, mood changes, and other symptoms that are associated with menopause for others.

In general, late-onset menopause is associated with a reduced risk of osteoporosis and a longer life expectancy than women who go through it at a typical age. However, this depends on the individual and the medical conditions that theyre dealing with.

However, early-onset menopause can be associated with health problems. Fortunately, it can be possible to delay early menopause if perimenopause has begun, but this depends on the cause of the condition. If youre wondering how long does menopause last on average, if you go through it early, the answer is usually that it lasts the same amount of time that it would otherwise.

What Are The Side Effects Of Having A Partial Hysterectomy

How long menopause lasts & what happens afterwards

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

Read Also: Can A Woman Get Pregnant During Or After Menopause

Hrt And Surgical Menopause

So what is surgical menopause? Itâs menopause that develops suddenly after the ovaries â the main producers of the hormone estrogen â are surgically removed.

The removal of the ovaries is called an oophorectomy. The procedure is often combined with a hysterectomyâ removal of the uterus â 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. Theyâll 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 â either with estrogen and progestin or with estrogen alone â is a way to counteract the supply of estrogen youâve 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. Thatâs 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,

How Long Does Menopause Last On Average

If you are going through menopause, youre probably wondering how long the symptoms will last. While the answer to this question is different for every woman, it lasts an average of four or five years. The nature of the symptoms also varies from person to person, and the specific timeline of symptoms is highly variable as well. Heres what you need to know.

Read Also: How To Explain Menopause To A Man

Hot Flashes And Night Sweats

Estrogen deficiency throws off how the brain regulates body temperature, and this may lead to hot flashes. A hot flash is a sudden, intense feeling of heat or burning in the face, neck, and chest, often accompanied by redness.

A night sweat refers to a hot flash that occurs during sleep. Night sweats can negatively impact your sleep cycle, which may lead to tiredness during the day.

Hot Flashes And Hysterectomy

How Long Does Menopause Last After A Hysterectomy ...

A hysterectomy is a surgery that removes the uterus and can also remove other parts of the reproductive system. Some hysterectomies also include the removal of the ovaries. If this is the case, a woman’s reproductive abilities end and menopause is induced. A hysterectomy is a major procedure that can require months to recover. However, some menopause symptoms can last longer than this. The most common menopausal symptom is hot flashes.

Also Check: What Is Good For Menopause Hot Flushes

How Long Does Menopause Last After Hysterectomy

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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

Also Check: Do You Still Ovulate After Menopause

Putting The Risks And Benefits Of Hrt In Perspective

If youre 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 Womens 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. Thats 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.

Can A Woman Have Both Ovaries Removed For Menopause

How Long Does Menopause Last?

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:

Also Check: Does Menopause Make You Feel Crazy

Managing Surgical Menopause Symptoms

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.

Removal Of The Ovaries

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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When To Seek Help

Its common and normal to experience irregular periods when youre perimenopausal.

However, other conditions, like polycystic ovary syndrome or cervical cancer, can also cause irregular bleeding. See your doctor to rule out other causes if you:

  • suddenly experience very heavy periods or periods with blood clots
  • have periods lasting longer than usual
  • spot or bleed after sex
  • spot or bleed after your period
  • have periods close together

Osteoporosis and heart disease are long-term health risks associated with menopause. Thats because estrogen plays a significant role in protecting your bones and your heart. Without estrogen, youre at an increased risk for both diseases.

Youre also at an increased risk of urinary tract infections because menopause can cause your urethra to become dry, irritated, or inflamed. Vaginal infections can also occur more frequently because your vagina has become dryer and thinner.

Report menopausal symptoms when visiting the doctor. Get assessed by your physician if you continue to have menopausal symptoms that are unbearable or last more than five years after your last menstrual period.

Although menopause can cause uncomfortable symptoms for some women, this natural process has possible upsides, too. There are several potential benefits of menopause to consider:

You will still need to protect yourself from sexually transmitted diseases.

How Do You Know You’re In Postmenopause

Recovery After a Hysterectomy: How Long and What to Expect

Your healthcare provider will be able to tell you if you’re in postmenopause based on your symptoms and how long it’s been since your last menstrual period. In some cases, your healthcare provider will take a blood sample and check your hormone levels to confirm you’ve gone through menopause. Remember, you’re not considered to be through menopause until it’s been over one year since youve had a period.

Also Check: Can You Have A Period During Menopause

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