A radical hysterectomy is one in which the uterus, fallopian tubes and both ovaries are removed. Because, in this case, a hysterectomy will cause symptoms of menopause, many women will receive hormone replacement therapy HRT after the procedure. HRT can help to alleviate the symptoms of menopause.
In the past, there have been some concerns that hormone therapy may increase the risk of diseases such as heart disease, blood clots, breast cancer, and stroke.
There are a number of newer therapies, with reduced risks which may be effective in short-term, low doses. The main one is known as estrogen-alone hormone replacement therapy. Estrogen-alone hormone therapy has been shown not to increase the risk of breast cancer. However, age can be an important factor on the other risks HRT might pose. Trials suggest that HRT may increase the risk of dementia in older women.
Some women have side effects such as headaches, an upset stomach, and problems sleeping. It's not clear how safe this medicine is if it's taken for a long time. Clonidine , a blood pressure medicine, may relieve hot flashes for some women.
But studies have not shown that clonidine makes hot flashes less severe or less frequent. Some women have side effects related to low blood pressure. Gabapentin Neurontin , an antiseizure medicine, may lower the number of hot flashes each day and the intensity of hot flashes. Possible side effects include sleepiness, dizziness, and swelling.
You might also try other medicines to prevent bone thinning. Why might your doctor recommend ET after hysterectomy and oophorectomy? Your doctor might recommend ET after hysterectomy and oophorectomy if: You are in your 20s, 30s, or 40s. You need treatment to prevent early bone thinning and osteoporosis. Compare your options. You use ET until the age of menopause around You have a lower risk of osteoporosis.
And the ones you do have may not be that bad. ET also helps decrease other menopause symptoms, such as vaginal dryness, sleep problems, and moodiness related to hormone changes. ET slightly increases your risk of stroke and blood clots. Side effects of ET may include breast tenderness, bloating, and upset stomach.
ET may increase your risk of gallstones. You should not use ET if: You have unexplained vaginal bleeding. You have breast cancer, ovarian cancer, or uterine cancer. Don't take ET Don't take ET You can try other prescription medicines to help with early menopause symptoms, such as antidepressants, clonidine, or gabapentin Neurontin. You can try black cohosh or dietary soy for hot flashes. You can take vitamin D supplements, eat foods that are rich in calcium, and do weight-bearing exercises to try to prevent bone thinning, or you can try other prescription medicines.
You may be able to lower your risk of osteoporosis without ET. You avoid the risks of ET. You avoid the costs of ET. If other treatments don't work, you can try ET later. Other prescription medicines have side effects, such as: Headaches, upset stomach, and problems sleeping antidepressants.
Problems linked to low blood pressure clonidine. Sleepiness, dizziness, and swelling gabapentin. You may be at risk for bone thinning and osteoporosis because of the loss of estrogen. Your menopause symptoms may be hard to live with. Personal stories about deciding to use estrogen therapy These stories are based on information gathered from health professionals and consumers. What matters most to you? I think I can handle my menopause symptoms on my own. I feel that the benefits of ET are worth the risks.
I'm very worried about the risks of ET. I think I can reduce my risk for thinning bones without ET. The thought of using ET for many years doesn't bother me. I'm not sure I want to take any medicine for many years. My other important reasons: My other important reasons:. Where are you leaning now? What else do you need to make your decision? Check the facts. Yes You're right. No Sorry, that's not right. ET lowers your risk. I'm not sure It may help to go back and read "Get the Facts.
Yes Sorry, that's not right. Other prescription medicines may ease menopause symptoms and prevent osteoporosis. And you may prevent bone thinning if you take vitamin D supplements, eat foods that are rich in calcium, and do weight-bearing exercises.
The amount of hormones a woman produces can vary greatly, and you may need to try different doses and brands of HRT before you find one that feels suitable. Not everyone is suitable for HRT. For example, it's not recommended for women who have had a hormone-dependent type of breast cancer or liver disease. If you're able to have HRT and both of your ovaries have been removed, it's important to continue with the treatment until you reach the normal age for the menopause 51 is the average age.
If your cervix is removed during a hysterectomy, you'll no longer need to have cervical screening. If your cervix is left in place, you'll need to continue to go for regular cervical screening tests. Page last reviewed: 01 February Next review due: 01 February These decisions are usually made based on: your medical history your doctor's recommendations your personal feelings It's important that you're aware of the different types of hysterectomy and their implications.
Removal of the cervix total or radical hysterectomy If you have cancer of the cervix , ovarian cancer or womb uterus cancer , you may be advised to have your cervix removed to stop the cancer spreading. Removal of the ovaries salpingo-oophorectomy The National Institute for Health and Care Excellence NICE recommends that a woman's ovaries should only be removed if there's a significant risk of associated disease, such as ovarian cancer.
This is to protect against the possibility of ovarian cancer developing. 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 assuming there is no medical reason not to use estrogen until the average age of natural menopause — usually around This is done mainly to reduce the risk of long-term health problems associated with removal of the ovaries.
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.
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.
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