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How Long Will Menopause Last After Hysterectomy

How Long Do They Last

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There is a chance that hot flashes and other menopause symptoms can evolve within five years of having the procedure, even if one or both ovaries are left intact. Once women start suffering from hot flashes after hysterectomy, it is hard to determine when they will permanently end, although they are known to last for an extended period of time.

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.

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.Ã
  • 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.Ã
  • 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.Ã
  • 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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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.

How Will I Feel After The Operation

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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 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.

Why Do They Happen

Although women who had hysterectomies were scientifically found to have a higher risk of suffering from hot flashes, the exact cause has not been identified. It is most likely due to an interrupted blood supply to the ovaries.

Hot flashes after hysterectomy can also be due to the fact that women are entering menopause around the time of the procedure. A disturbed blood supply may be the reason why they are entering menopause sooner than they naturally would as well.

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Will My Sex Life Change After A Hysterectomy

It might. If you had a good sex life before your hysterectomy, you should be able to return to it without any problems after recovery. Many women report a better sex life after hysterectomy because of relief from pain or heavy vaginal bleeding.

If your hysterectomy causes you to have symptoms of menopause, you may experience vaginal dryness or a lack of interest in sex. Using a water-based lubricant can help with dryness. Talk to your partner and try to allow more time to get aroused during sex. Talk with your doctor and get more tips in our Menopause and sexuality section.

What Are The Side Effects Of Having A Partial Hysterectomy

Menopause after a 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

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Mayo Clinic Q And A: Estrogen Replacement Therapy After Ovary Removal

DEAR MAYO CLINIC: I have been using an estrogen hormone patch for two years since having a hysterectomy at 38. I had my ovaries removed as part of the procedure. How often should I have my estrogen levels tested, and how long will I need to continue hormone replacement?

ANSWER: For a woman in your situation, estrogen replacement therapy typically is recommended until the average age of natural menopause usually around 51. This is done mainly to reduce the risk of long-term health problems associated with removal of the ovaries. To ensure youre receiving the right dose, its a good idea to have your estrogen level checked at least once a year, and eight to 12 weeks after any dose changes.

A hysterectomy is surgical removal of the uterus. As in your case, the procedure often is combined with removal of the ovaries a surgery known as an oophorectomy. If the surgery involves removing both ovaries, its called a bilateral oophorectomy. When only one ovary is removed, its a unilateral oophorectomy. Because the ovaries make the main hormones responsible for a womans menstrual cycle, removing your ovaries results in menopause.

When both ovaries are removed before a woman goes through menopause naturally, there is an increase in the risk of a number of serious long-term health problems. They include heart disease, cognitive dysfunction and dementia, mood disorders, bone thinning, and early death. The younger a woman is when she has bilateral oophorectomy, the higher the risk.

Hysterectomy For Women Of Childbearing Age

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 Should I Know About Recovering At Home

Vaginal and laparoscopic recovery take about two to four weeks. It may take up to six weeks to recovery from abdominal hysterectomy. Talk to your healthcare provider before going home to make sure you know how to best care for yourself.

Common instructions after hysterectomy are:

  • You can experience light vaginal bleeding for one to six weeks. Use only a light pantiliner or sanitary pad to catch the discharge.
  • Do not lift heavy objects for at least four to six weeks.
  • Do not put anything into the vagina for four to six weeks, or as directed by your healthcare provider.
  • Do not have sex for six weeks after surgery.
  • You may take a shower. Wash the incision with soap and water . A bandage over the incision is not necessary. If surgical strips were used, they should fall off on their own within a week. If staples were used, they will need to be removed by your healthcare provider.
  • You can drive about two weeks after abdominal surgery or when you are no longer taking narcotics for pain. If you had a vaginal or laparoscopic hysterectomy, you might begin driving with a few days.
  • Resume your exercise routine in four to six weeks, depending on how you feel.
  • You can usually go back to work in three to six weeks, depending on what kind of work you do.

What Changes Can I Expect After A Hysterectomy

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Hysterectomy is a major surgery, so recovery can take a few weeks. But for most women, the biggest change is a better quality of life. You should have relief from the symptoms that made the surgery necessary.

Other changes that you may experience after a hysterectomy include:

  • Menopause. You will no longer have periods. If your ovaries are removed during the hysterectomy, you may have other menopause symptoms.
  • Change in sexual feelings. Some women have vaginal dryness or less interest in sex after a hysterectomy, especially if the ovaries are removed.
  • Increased risk for other health problems. If both ovaries are removed, this may put you at higher risk for certain conditions such as: bone loss, heart disease, and urinary incontinence . Talk to your doctor about how to prevent these problems.
  • Sense of loss. Some women may feel grief or depression over the loss of fertility or the change in their bodies. Talk to your doctor if you have symptoms of depression, including feelings of sadness, a loss of interest in food or things you once enjoyed, or less energy, that last longer than a few weeks after your surgery.

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What Happens During A Hysterectomy

Hysterectomy is a surgery to remove a woman’s uterus . The whole uterus is usually removed. Your doctor also may remove your fallopian tubes and ovaries.

Talk to your doctor before your surgery to discuss your options. For example, if both ovaries are removed, you will have symptoms of menopause. Ask your doctor about the risks and benefits of removing your ovaries. You may also be able to try an alternative to hysterectomy, such as medicine or another type of treatment, first.

How Will I Feel After A Hysterectomy


After a hysterectomy, your periods will stop. Occasionally, you may feel bloated and have symptoms similar to when you were menstruating. It is normal to have light vaginal bleeding or a dark brown discharge for about four to six weeks after surgery.

You may feel discomfort at the incision site for about four weeks, and any redness, bruising or swelling will disappear in four to six weeks. Feeling burning or itching around the incision is normal. You may also experience a numb feeling around the incision and down your leg. This is normal and, if present, usually lasts about two months. It’s normal to have scarring, both internally and externally. Laparoscopic surgeries will cause smaller, less visible scars as opposed to abdominal hysterectomy.

If the ovaries remain, you should not experience hormone-related effects. If the ovaries were removed with the uterus before menopause, you may experience the symptoms that often occur with menopause, such as hot flashes. Your healthcare provider may prescribe hormone replacement therapy to relieve menopausal symptoms.

People who undergo a subtotal hysterectomy may continue to have a light period for a year after the procedure. This happens because small amounts of the endometrial lining can remain in the cervix, causing light periods.


Emotional reactions to a hysterectomy vary and can depend on how well you were prepared for the surgery, the reason for having it and whether the problem has been treated.

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How Long Do Symptoms Last

Perimenopausal symptoms can last four years on average. The symptoms associated with this phase will gradually ease during menopause and postmenopause. Women whove gone an entire year without a period are considered postmenopausal.

Hot flashes, also known as hot flushes, are a common symptom of perimenopause. One study found that moderate to severe hot flashes could continue past perimenopause and last for a

Researchers also found that Black women and women of average weight experience hot flashes for a longer period than white women and women who are considered overweight.

Its possible for a woman to experience menopause before the age of 55. Early menopause occurs in women who go through menopause before theyre 45 years old. Its considered premature menopause if youre menopausal and are 40 years old or younger.

Early or premature menopause can happen for many reasons. Some women can go through early or premature menopause because of surgical intervention, like a hysterectomy. It can also happen if the ovaries are damaged by chemotherapy or other conditions and treatments.

Management Of Surgical Menopause

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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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Can A Hysterectomy Cause You To Start Menopause Sooner

MenoLabs News | Fri, Jan 07, 2022

For thousands of years, women have experienced a natural phase of menopause to mark the end of their menstrual cycle. While most women dont have to face this transition until their late 40s or early 50s, hysterectomies can cause you to start menopause much sooner and with more severe symptoms than normal. For this reason, its essential for women to thoroughly understand the factors that can lead to menopause following different types of hysterectomy procedures.

Follow along to find out how your symptoms may vary with or without a hysterectomy, the difference between a partial or full hysterectomy, and how to better manage these symptoms after your surgery.

What is Menopause ?

Understanding what menopause is at an early age can help women who have had or may have a hysterectomy in the future to spot when symptoms start. Menopause represents the point in a womans life where she is no longer fertile. During this phase, the ovaries stop releasing mature eggs and less estrogen and progesterone are produced. In the time leading up to menopause, also known as peri/menopause, hormone levels will slowly decrease throughout the body as you experience little-to-no spotting during menstruation.

As you enter into menopause, there are a wide range of uncomfortable symptoms that may arise. While severity may vary from one woman to another, the majority of women experience the following common menopause symptoms:

  • Joint pain

Hormone Replacement Therapy


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