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Menopause and Hysterectomy


Menopause occurs in all women who live long enough to reach this stage of life. Sometimes, women will need to undergo a hysterectomy and those who do will experience a “surgical menopause” or menopause as a result of a hysterectomy. During a hysterectomy one or both ovaries are taken out and this includes the fallopian tubes and uterus. Women undergo menopause quite abruptly as a result and symptoms can be severe and settle in quickly. It might be surprising, but women who undergo a surgical menopause usually experience symptoms that are much more difficult to handle than the symptoms women who start menopause naturally experience. The night sweats, hot flashes, depression risks, and the like, are longer lasting and stronger. Women who undergo menopause as a result of a hysterectomy are also more likely to develop heart disease or osteoporosis. So far, doctors and researchers are unsure of exactly what causes these severe symptoms as a result of surgical menopause.

Interestingly, if a single ovary is removed the woman will start menopause naturally. However, if the ovaries are left and the uterus removed then the menopausal symptoms associated with the change of life will begin earlier and the menstrual cycle will cease. If both ovaries are removed then she is immediately post menopausal and the symptoms can be quite severe. If you have already undergone menopause and then require a hysterectomy there will be no onset of symptoms since you have already gone through the change and there won’t be any change in hormones. Women who have a hysterectomy will wake up from the anesthesia in the throes of menopause and their bodies will no longer produce progesterone or estrogen. In essence, the woman will awake to her body dealing with estrogen withdrawal. The symptoms are intense and the doctor treating her should be aware that she needs estrogen immediately. Otherwise, the woman will awake to anxiety, depression, irritability, hot flashes, heart palpitations, crying, fatigue, memory lapses, headache, and much more. Usually, women will be started on HRT in the hospital to help them deal with their symptoms. Later, they may try natural remedies or other methods to treat their symptoms.



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