So How Exactly Does a Hysterectomy Affect Menopause

 

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Will a Hysterectomy Cause Early Menopause?

Video taken from the channel: HCA West Florida


In natural menopause, the ovaries gradually lose their ability to produce estrogen, so the body can (usually) adjust more easily. Hysterectomy With Ovaries Left Intact Women who have their ovaries intact, but without their uterus, won’t get their period anymore. 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, it’s likely your symptoms (like hot flashes, vaginal dryness, mood swings and change in sex drive) will be more severe.

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. A hysterectomy, however, will not relieve menopausal symptoms; to the contrary, in some cases, it can actually cause the body to undergo menopause. In addition, a hysterectomy is major surgery, and. The normal age for menopause ranges from 45 to 55 years.

If one continues to have periods after the age of 56, it is advisable to undergo a hysterectomy as prolonged exposure to oestrogens can cause cancers. If you are over the age of 60, you need to watch out for the red flags. And even if you had a hysterectomy before your menopausal years, it’s best to find out all the information you can about the hysterectomy-menopause relationship. If you are truly concerned, make an appointment with your doctor as your doctor may offer you recommendations and remedies to treat or limit the unwanted symptoms that accompany menopause. Most side effects of hysterectomy are associated with premature menopause.

For example, vaginal dryness is a typical symptom of menopause a lot of females have to put up with. Vaginal dryness is not only uncomfortable but can make intercourse painful. This can put stress on relationships as for a lot of women this is a reason to avoid having sex.

Keep in mind that if you have a total hysterectomy that removes your ovaries, you’ll immediately begin menopause. This can cause: hot flashes; vaginal dryness; night sweats; insomnia; Emotional. “This is the best data to date that shows women undergoing hysterectomy have a risk of long-term disease even when both ovaries are conserved,” Laughlin-Tommaso said in a Mayo news release. A hysterectomy shouldn’t affect sensation in your vagina.

However, removing your ovaries will put you into menopause, which can dry out the tissues of the vagina and make sex more painful. What’s.

List of related literature:

The symptoms of menopause are caused by the loss of the ovarian source of estrogen and include thinning of the vaginal epithelium, decreased vaginal secretions, decreased breast mass, accelerated bone loss, vascular instability (“hot flashes”), and emotional lability.

“Physiology, E-Book” by Linda S. Costanzo
from Physiology, E-Book
by Linda S. Costanzo
Elsevier Health Sciences, 2009

Hormone levels, particularly levels of estrogen, fall dramatically with age, but these levels also decline after a hysterectomy, or with the use of certain medications that affect or shut down proper ovarian function.

“Bio-Young: Get Younger at a Cellular and Hormonal Level” by Roxy Dillon
from Bio-Young: Get Younger at a Cellular and Hormonal Level
by Roxy Dillon
Atria Books, 2017

If both ovaries are removed in a premenopausal woman, the sudden loss of estrogen will produce premature menopause—often with abrupt and severe symptoms, including hot flashes, vaginal dryness, painful intercourse, and loss of sex drive.

“The New Harvard Guide to Women's Health” by Karen J. Carlson, Stephanie A. Eisenstat, Stephanie A. Eisenstat, M.D., Terra Diane Ziporyn, Alvin & Nancy Baird Library Fund, Harvard University. Press
from The New Harvard Guide to Women’s Health
by Karen J. Carlson, Stephanie A. Eisenstat, et. al.
Harvard University Press, 2004

With hysterectomy and surgical menopause, or the decrease in estradiol from natural menopause, the balance changes toward androgen dominance.

“It's My Ovaries, Stupid!” by Elizabeth Lee Vliet
from It’s My Ovaries, Stupid!
by Elizabeth Lee Vliet
Scribner, 2003

For others, menopause is induced by surgical removal of the ovaries, premature insufficiency of the ovaries (age,40 years) due to genetic, metabolic, or immunologic factors, or damage to the ovaries by chemotherapy or ionizing radiation.

“Women and Health” by Marlene B. Goldman, Rebecca Troisi, Kathryn M. Rexrode
from Women and Health
by Marlene B. Goldman, Rebecca Troisi, Kathryn M. Rexrode
Elsevier Science, 2012

Many women who are premenopausal at diagnosis will develop > premature menopause resulting from chemotherapy, endocrine therapy, bilateral oophorectomy, or ovarian radiation, and may experience severe and long-lasting menopausal symptoms.

“Encyclopedia of Cancer” by Manfred Schwab
from Encyclopedia of Cancer
by Manfred Schwab
Springer Berlin Heidelberg, 2011

This event usually results from loss of ovarian follicular function due to aging or can be induced by medical intervention, such as surgery (hysterectomy with bilateral oophorectomy), chemotherapy, or radiation.

“Advanced Health Assessment of Women, Fourth Edition: Clinical Skills and Procedures” by Helen A. Carcio, MS, MEd, ANP-BC, R. Mimi Secor, DNP, FNP-BC, NCMP, FAANP
from Advanced Health Assessment of Women, Fourth Edition: Clinical Skills and Procedures
by Helen A. Carcio, MS, MEd, ANP-BC, R. Mimi Secor, DNP, FNP-BC, NCMP, FAANP
Springer Publishing Company, 2018

A hysterectomy removes the entire uterus and may trigger early menopause, even if the ovaries are left intact.

“The Good Menopause Guide” by Liz Earle
from The Good Menopause Guide
by Liz Earle
Orion Publishing Group, 2018

An educated woman, 47 years old, suffering from menopausal symptoms (hot flushes, letharginess, depression, rheumatism, irritability and putting on weight) had hysterectomy at the age of 32 years.

“Homeopathy Cures Where Alopathy Fails” by Subhash C. Madan
from Homeopathy Cures Where Alopathy Fails
by Subhash C. Madan
Pustak Mahal, 2007

Removal of the ovaries in formerly premenopausal women results in premature menopause; estrogen deficiency then leads to vasomotor symptoms (with consequent sleep deprivation, fatigue, and decreased libido), as well as vulvovaginal atrophy (with consequent decreased lubrication and dyspareunia).

“Supportive Oncology E-Book” by Mellar P. Davis, Petra Feyer, Petra Ortner, Camilla Zimmermann
from Supportive Oncology E-Book
by Mellar P. Davis, Petra Feyer, et. al.
Elsevier Health Sciences, 2011

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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37 comments

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  • Hi I’m so confused. I just spoke with my wonderful surgeon and she said progesterone is what will make me moody and have hair loss. I’m taking oral 1 mg estradiol/ had a partial hysterectomy. Have ovaries still. Bought progesterone cream based on some Utube advice but now I don’t know what to do:( please advise?

  • I am very satisfied with you video,. I just would have like someone to explain more about negative effects on the bone health after a hysterectomy and what can be done. I appreciate your information

  • I have my last year but I always feel tired and stressed plenty and I’m less sexuality.
    Trust me I’m really miss my period.
    Question
    I still have my ovaries do I can take uterus transplant to conceive because I feel sorry after doing that but I Really want to have a baby.
    Please can you refere me to the place where I can do it.

  • Hi dr Taylor, can you tell me what is the removal of, the cervix and, uterus and fallopian tubes and ovaries, what is this called, i need to go in for this on Monday, because i have multiple fibroids small and huge ones thank you

  • Hormone Replacement Therapy does not influence womens’ long term survival!
    http://www.bmj.com/content/358/bmj.j4230
    http://jamanetwork.com/journals/jama/article-abstract/2653735
    https://www.reuters.com/article/us-health-menopause-hormones/menopause-hormone-therapy-not-linked-to-premature-death-idUSKCN1BN2LQ

  • I had an ablation 10 years ago, and doctors kept brushing off my symptoms because I am too young. Blood work last month shows that I am not imagining what is going on. So glad you did this video! Thanks!

  • I have to go back to the beginning of your videos! I came to your classes a little later. So what does that say about my knowledge of a total or partial hysterectomy?..I thought a total was also removing the ovaries.
    Now I know and, you’re right, I will never forget! You are the best teacher and you make me llaugh. Glad you didn’t chop your hand off! Haha!

  • I had a hysterectomy so I did my research. I had a subtotal hysterectomy (partial hysterectomy), bilateral salpingectomy and right oophorectomy. ��

  • Hi Menopause Barbie, would having a hysterectomy at age 50 (regardless of whether the ovaries are kept or not) increase a woman’s risk for Alzheimer’s compared to women who have not had a hysterectomy? Because the uterus is needed to supply blood to the ovaries? Just wanted to know whether there is a link between hysterectomies and Alzheimers/Dementia. Thanks.

  • I’m two years post menopausal and I want to take estrogen until the day I die. Problem is, I still have my uterus. I know that I need to take progesterone to balance the estrogen so I don’t develop uterine cancer, but I really don’t want to take progesterone. Why the hell do I need my uterus for at 53? I only used it once, won’t be using it again. Now, it seems like nothing more than a ticking time bomb. Is there any way I can convince a surgeon to remove it for me so I can take estrogen alone? How can I make that happen?

  • Sorry, I had a hyst.But I was left w my 2 ovaries.Is there that much of a difference w them taken out as far as changes.i thought I would go right into meno.

  • Thank you for this video you answered my questions about the cervix. You are a great teacher! We are watching this at 3 am LOL! So you know we really want to learn! Thanks for this video!

  • I had a TAH-BSO and I said I wanted it done at 37! Ok, so I said “take it all!” When history was taken and I said I had PCOS and she (as in Aunt Flo) was a *!$&#@ bitch to me! Considering the mass caught by a spinal MRI, ordered by my neurologist, it could have been cancer or just a cyst, the hot/sexy senior resident and gyno oncologist agreed to! We came to the same decision-i was gonna be spayed!
    Cancer was found in my uterus, not yet ready to spread yet! The cyst was narcotic and my left tube was adhered to the cyst.
    Thus my spay was a TAH BSO cuz the cyst they took out was the size of a grapefruit. I lost 9lbs the painful way….surgery……damn long 8-9″ vertical incision.
    Almost 51 and 10 week follow up I asked for HRT! She gave it to me and I’ll need to find a gyno for cancer screening and prescriptions

  • Very educative video..however I have a question. What is the meaning of menopause? I thought it meant the end of mensuration not about fallopian tubes and ovaries. Iv not watched most of your videos but the few iv watched are very educative. Good job.

  • THIS IS BULLSH_T!
    I HAD A PARTIAL HYSTERECTOMY AND IT DOES AFFECT THE FUNCTION OF YOUR OVARIES!
    ANY TIME YOU CUT THE LIGAMENT AND THE ARTIES YOU CUT OF BLOOD FLOW AND FEELING!
    OVARIES WITHOUT BLOOD DRY UP LIKE PRUNES!
    PLEASE STOP LYING, OR I BET YOU HAVE NEVER HAVE A HYSTERECTOMY YOURSELF!

  • Hi Dr Taylor, you are right about your friends telling you you are wrong! After your earlier videos explaining the different procedures, I had friends telling me ‘no, that’s wrong, the terminology must have changed over the years’ or ‘that might be what it means in the USA, but it’s different in Australia’. Are these surgical terminologies the same worldwide? And if our mother or grandmother had a Total Hysterectomy in the 1950s, did it mean removal of only the uterus and cervix back then?
    Thank you so much for answering all these questions. I always read everyone’s questions because sometimes you put so much valuable information in the answers!

  • Wow I didn’t know there was a difference. So I had my Fallopian tubes removed my ovaries and my cervix. But have my uterus. Poor thing all her friends are gone. ��

  • When I had my total hysterectomy 13 years ago, my GYN told me due to lack of blood flow, that my ovaries would not be effective and I would go into menopause within 5 years. I’m currently post menopausal and waiting for my pharmacist to order my HRT. Any advice on helping with weight issues? Thanks.

  • Blimey Barbie, I have heard so many medical articles that say hysterectomy forces women in to a ” medically induced menopause”. Also I have grown up believing that a hysterectomy removed the womb also! I live & learn my friend.

  • I had a total histerectomy and the doctor decided to keep my ovarius and just after 6 months I started with my menopause at my very early 43s!!

  • I wish I saw your videos prior to my emergency total hysterectomy with salpingectomy. My question is (I was told I may go into meno earlier due to lack of blood flow to my ovaries) If this is the case how will I know? My vagina has dried up, my skin is dry/crawling, my gums have started changing, pimples galore, sagging face, peach fuzz and heat intolerance not really flashes, unless I am nervous or layered, then I tend to overheat a bit. I suffered massive fibroids (uterus was around the size of a 5 month pregnancy I was told) from estrogen dominance and now I am still moody but dry! LOL! My doc said that most women go into meno post surgery within 5 yrs. but it is not worth checking as my hormones will be up and down. I was 47 when I had my surgery, and it was one year ago. I wish I could find a doctor that will help post hyst but honestly they disappear after this type of surgery. Thank you for your videos! Love them all and I am now watching them. My question is can you tell when you are in menopause IF you have had a total hysterectomy?

  • I went through early menopause at age 41 (I gave birth to my first and only child at age 39) my mother took DES back in the 1950’s and this caused the early menopause. Then at age 55 I had a full hysterectomy everything was removed (I saw the surgical report). Prior to this time I had PCOS, FIbroids and Endometrosis so severely I could NEVER have kids and needed help with Hormone Treatments for almost two years to have my only child. My hormones STILL appear to be screwed up and I am NOT being told what is “normal” and what is “not normal” for my hormone test results amounts. To be honest, they seem quite high for someone like me. Estrogen 50.3 and it was a lot lower 3 years ago at 33.0 and, my Testosterone 58.3 just 3 years ago was a very high 76.6 and I am now 68 yrs. old!!!!!!!!!!!!!!!!!!! TSH has been all over the place as well…up and down like crazy!!!! Is this the effect of PCOS regardless of total hysterectomy??? Loads of controversy over this subject. Severe hair loss, loss of ends of eyebrows and thinning of eyelashes too. Be great to get a full answer.

  • Would you mind covering the effects of “total hysterecomy”?… assuming there are enough worth talking about. I had one about 8 weeks ago and have been very emotional ever since despite the fact that they did NOT take my ovaries. I’m trying to figure out what’s going on.

  • My girlfriend slowly turned into someone I didn’t even recognize anymore. Her mood slowly changed and her personality was totally different. One minute everything was okay and the next minute she was breaking up with me and treating me like a stranger. I’ve never seen anything like it before in my life. It’s like the lady I fell in love with died.

  • Another great lesson very interesting and here we call the uterus the womb. So people here say that they had their womb removed or a hysterectomy. Thank you x

  • Thank you for the information! Is the vagina surgically closed after a full hysterectomy? Is it possible to have a prolapsed bladder after a full?

  • T, I am confused I had a hysterectomy everything is gone but my 2 ovaries.so what is that. I thought it would put me thru an early menopause.omg.wish I heard of u way before now..all I know is I am p meno.I was told by a Dr.during a check up.

  • Ok. I just realised after watching all your YouTubes and hearing your radio podcasts. The pianist is you! And original composition? So lovely ��

  • I’ve watched all the videos and thought I was savvy on this. However, I thought if you could no longer have a period you were in menopause. I’ve got to go untwist my thoughts on that. ☹️

  • Two questions: Will the gynecologist be able to see my cervix if I go for a check=up if it is still there and I will be able to know if I had a partial or total hysterectomy?    Also, if tubes were tied, would it affect any production of the ovaries../?

  • Great video. I did guess correctly for both, because I had watched all of your videos prior. Before that, I would have gotten them wrong.

  • Dear Dr Barbie, just wondering. Why would one leave the cervix in? Is there a difference between still having the cervix or getting the vagina stitched on top? Thanks for your lessons and looking forward to the next one. Warm greetings.

  • My question is I was 39 years old and had a surgical hysterectomy ovaries removed. I never experienced and symotoms. I took HRT for several years and went off it. I’m not 46 and I’m starting to have depression, anxiety, restless sleep, sweats, hot flashes. Am I now experiencing menopause?

  • I got this right, but ONLY because I am your student (video 7-8). I wonder how and why these misconceptions develop soooo widely. I guess few people are curious and interested in going deeper. Maybe we are educated to shut up and do not ask questions.

  • WOW I have been in the dark thinking that my procedures was a partial because the doctor left my ovaries and the total is when the uterus and ovaries both are removed and also thought that my menopause start after the surgery because my menstrual period stopped. Shame on me too much ignorance. I was in the late 30 when this happens I’m almost 60 yo. Thank you so much for share you valuable knowledge.������

  • SO interesting! Here I thought I was pretty savvy, that I knew a fair amount about menopause. I would have said, a total hysterectomy included removing the ovaries! I won’t forget this! Way back in December, 1974 I had a C-section because I had a large dermoid cyst on my left ovary. Thankfully I was blessed with my wonderful son, my left ovary was removed, I thought I would have trouble getting pregnant again, but that right ovary did it’s job! A sweet baby girl in 1978. ��. I’ve read different theories on dermoid cysts, I’ve often wondered if I was born with it on my ovary, or did it develop during my first pregnancy? Either way….I sure miss the hormones I once made! Lol. Thank you for giving us women a platform to share, for loving us as you do. You’re the best! I love you!

  • Barbie, you are the best! And you are right with your props it is hard to forget, what partial ant total Hysterectomy are, specially with the “ninja chop”, an also very interesting the gynecologist view during examination.