What Symptoms Are Caused By The Reduced Levels Of Estrogen In My Body
About 75 percent of women experience hot flashes during menopause, making them the most common symptom experienced by menopausal women. Hot flashes can occur during the day or at night. Some women may also experience muscle and joint pain, known as arthralgia, or mood swings.
It may be difficult to determine whether these symptoms are caused by shifts in your hormones, life circumstances, or the aging process itself.
Is Anyone Going Through A Menopause 12/13 Yrs After Full Hysterectomy And Hrt
I had a full hysterectomy at 36 – I was put on HRT because of my age at the time of the operation. I took the advice of my GP and weaned myself off of HRT about 2 yrs ago – I’m still getting hot flushes several times a day – my moods are up and down – I have headaches and fairly recently noticed slight heart palpitations. I continually have an anxious feeling – I’ve been to GP who did blood pressure etc and said that it was all good but is referring me for a 24 hr heart monitor but doesn’t expect it to pick up anything. I feel like I am constantly saying how unwell I feel – I suffer from constipation, aches and pains in joints and I’m finding it hard to concentrate at work – I just want to feel human again! Apologies if this sounds like me feeling sorry for myself – I’m usually the one helping everyone else to deal with their traumas but I need to focus on me just now – and figure out how I’m going to get through this. I would be very grateful for any info, advice or words of wisdom as my faith in medicine is waning.
1 like, 81 replies
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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Risk Factors For Depression After A Hysterectomy
There are several definitive factors involved that increases a woman’s chances of suffering from post-hysterectomy major depressive disorder:
- Previous emotional problems
- Deficient psychological preparation for or knowledge about operation
- Absence of closest people or their support before or after surgery
- Having never given birth
- Lack of psychological support post-op
- Removal of ovaries during or ovarian failure after surgery
In summary, the direction post-operation takes is most often affected by two things: a woman’s psychological state and her quality of life. The better condition of both of these things, the greater her chances of a speedy and healthy recovery.
Whats The Difference Between Perimenopause And Menopause
Perimenopause refers to the period of time right before menopause begins.
During perimenopause, your body is beginning the transition into menopause. That means that hormone production from your ovaries is beginning to decline. You may begin to experience some symptoms commonly associated with menopause, like hot flashes. Your menstrual cycle may become irregular, but it wont cease during the perimenopause stage.
Once you completely stop having a menstrual cycle for 12 consecutive months, youve entered menopause.
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What Happens To Your Body After A Hysterectomy
What Happens to Your Body After a Hysterectomy?
Hysterectomy is the second most common surgery among women in the United States, but it isnt routine, and its never approached lightly. If you need to have a hysterectomy, Dr. John Macey in Nashville, Tennessee, takes time to talk, explaining all your options, the surgical procedure, and the changes that may occur in your body following your hysterectomy.
Common Side Effects Of 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 Are The Common Symptoms Women Can Experience In Induced Menopause
The symptoms women experience are wide ranging but may include:
- Vasomotor symptoms including hot flushes and night sweats
- Musculoskeletal symptoms including joint and muscle pains
- Low or changed mood and loss of libido
- Memory loss and anxiety
- Urogenital symptoms including vaginal dryness and recurrent urinary tract infections
- Hair loss
Why Does Menopause Happen
Natural menopause menopause thats 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 such as hormonal birth control, overactive thyroid, high prolactin, radiation or surgical removal of the ovaries.
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, your 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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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.
Possible Alternatives To Having A Hysterectomy
In some cases, innovative medical treatments and technologies may help patients avoid a hysterectomy through alternative procedures. When uterine fibroids force patients to consider a hysterectomy, they may consider a new treatment known as an Acessa procedure. This treatment can save patients from needing a hysterectomy by delivering treatment specifically to the fibroids in the uterus, without compromising the health of the uterus itself.
This concentrated treatment offers several benefits to patients eligible for the Acessa procedure, including the experience of a minimally invasive, minor procedure that allows the patient to return to regular life after just three to five days of recovery. The Acessa procedure is regarded as safer than a hysterectomy and preserves a womans ability to have children by saving the uterus from removal.
If youre interested in this treatment option and believe it may benefit your fibroid condition, seek out a specialist certified to perform the procedure. Dr. Raybon of Advanced Gynecology is one of the only doctors in Georgia with this certification.
If youre facing a possible hysterectomy, youre probably feeling unsettled and fearful of the process ahead. Take control by reaching out to trusted professionals and exploring all your options as you make tough choices affecting your current and future health.
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Common Reasons For Having A Hysterectomy
Most women have a hysterectomy for one of the following reasons:
- Uterine cancer: When the tumor cannot be cleanly removed from the uterus, a full hysterectomy may be required.
- Fibroids: Traditionally, fibroids required surgery to address the health complications they present. Newer treatment options may provide an alternative to hysterectomies for some cases of uterine fibroids.
- Uterine prolapse: If part of the uterus falls into the vagina, this prolapse may require a partial or complete hysterectomy. Prolapses are more common in women who have had multiple vaginal births.
- Endometriosis: When hormonal treatments are not sufficient to fix the growth of a uterine lining on the outside of the uterus, a hysterectomy may be required.
- Complications during delivery: In some cases, a ruptured uterus or other complications of childbirth may lead to an emergency hysterectomy.
Additional health concerns may also prompt a partial or full hysterectomy. Your gynecologist can help you understand the implications of this decision on your long-term health.
Removal Of The Cervix
Even if you do not have cancer, removing the cervix takes away any risk of developing cervical cancer in the future.
Many women are concerned that removing the cervix will lead to a loss in sexual function, but there’s no evidence to support this.
Some women are reluctant to have their cervix removed because they want to retain as much of their reproductive system as possible.
If you feel this way, ask your surgeon whether there are any risks associated with keeping your cervix.
If you have your cervix removed, you’ll no longer need to have cervical screening tests.
If you do not have your cervix removed, you’ll need to continue having regular cervical screening.
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What Are The Side Effects Of A Hysterectomy
While most women don’t have health problems during or after the surgery, risks may include:
- Injury to nearby organs.
- Anesthesia problems, such as breathing or heart problems.
- Blood clots in the legs or lungs.
- Early menopause, if the ovaries are removed.
- Pain during sexual intercourse.
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Long-term effects of hysterectomy: a focus on the aging patient
What are the symptoms that lead to a hysterectomy?
A woman may have a hysterectomy for different reasons, including:
- Uterine fibroids that cause pain, bleeding, or other problems.
- Uterine prolapse, which is a sliding of the uterus from its normal position into the vaginal canal.
- Cancer of the uterus, cervix, or ovaries.
What are the symptoms after a hysterectomy?
- Fever or chills.
- Heavy bleeding or unusual vaginal discharge.
- Severe pain.
- Redness or discharge from incisions.
- Problems urinating or having a bowel movement.
- Shortness of breath or chest pain.
Menopause After Complete Hysterectomy Or Oophorectomy
The symptoms of menopause develop because the ovaries are no longer working, and no longer produce the female hormones estrogen and progesterone. Many women find themselves wondering, do you still go through menopause after a hysterectomy?
A hysterectomy is a surgical procedure during which all or part of the uterus is removed, which may be performed for a variety of different reasons. Sometimes the ovaries are removed as well, and this is medically known as oophorectomy.
Removing the ovaries and uterus will induce menopause. In this case the levels of female hormones drop abruptly and symptoms like hot flashes, changes in sex drive and mood will be more severe and acute compared with those experienced when the menopause occurs naturally.
If the uterus only is removed, and the ovaries are left in place, the production of hormones will continue. After hysterectomy a woman will no longer have a period, without experiencing other menopausal symptoms . When the time comes, and the woman goes through menopause, hot flashes, mood swings, vaginal dryness, lack of sex drive, and sleeping issues may occur.
In other words, removing the uterus alone will only stop menses, without causing other menopausal symptoms, which sometimes leads to women being confused over if they will go through menopause after a hysterectomy. Removing the uterus and ovaries will induce all symptoms of menopause, and these symptoms are usually more severe.
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Can I Get Pregnant During Menopause
The possibility of pregnancy disappears once you are postmenopausal, you have been without your period for an entire year . However, you can get pregnant during the menopause transition . If you dont want to become pregnant, you should continue to use some form of birth control until you have gone fully through menopause. Ask your healthcare provider before you stop using contraception.
For some people, getting pregnant can be difficult once theyre in their late 30s and 40s because of a decline in fertility. However, if becoming pregnant is the goal, there are fertility-enhancing treatments and techniques that can help you get pregnant. Make sure to speak to your healthcare provider about these options.
Hysterectomy With Ovaries Left Intact
People who have their ovaries intact, but without their uterus, won’t get their period anymore. They may, however, still experience premenstrual syndrome or premenstrual dysphoric disorder because the hormones made by the ovaries cause the body to continue to “cycle” monthly.
Occasionally, people whose ovaries were not removed during a hysterectomy experience hot flashes and other menopausal symptoms. This is mostly due to the disturbance of the blood supply to the ovaries during surgery.
In addition, some people may undergo menopause a few years sooner than they normally would if they never underwent a hysterectomy .
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What You Can Do
If you are planning to have both ovaries removed during a hysterectomy, you may want to discuss hormone therapy with your medical professional. This treatment can help your body slowly adjust to the loss of estrogen so the signs and symptoms of menopause arent so sudden and severe.
In turn, hormone therapy can help reduce your risk of age-related health issues common in people with a hysterectomy and ovary removal, including bone loss and osteoporosis.
Some people may be able to take hormone therapy short term. Others may need to remain on it until they reach the age of natural menopause, or 45 to 55. The average age of menopause is 51.
Likewise, your healthcare professional may recommend lifestyle adjustments that can help prevent health issues related to early menopause and estrogen loss. Exercise and an improved diet may be helpful.
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Do Men Go Through Menopause
Andropause, or male menopause, is a term given to describe decreasing testosterone levels in men. Testosterone production in men declines much more gradually than estrogen production in women at about 1% per year. Healthcare providers often debate calling this slow decline in testosterone menopause since its not as drastic of a hormone shift and doesnt carry the same intensity of side effects as menopause in women. Some men will not even notice the change because it happens over many years or decades. Other names for the male version of menopause are age-related low testosterone, male hypogonadism or androgen deficiency.
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Can Menopause Affect Sleep
Some people 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.
Leaking Urine After Hysterectomy
Lack of bladder control is one of the side effects of a hysterectomy quite a few women have to deal with. During a hysterectomy, they cut through muscles, nerves, and tissues that normally support your bladder. To maintain proper bladder function, the bladder and urethra need to be sufficiently supported by these structures.
When they remove the uterus, that support is often compromised. If you are leaking urine after your hysterectomy surgery, you may benefit from pelvic floor physical therapy to restore the muscle tone of the pelvic floor and the sensation in that area.
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