What Is Surgical Menopause?

What Is Surgical Menopause? | MenopauseCoach.com

Menopause is one of the most difficult life stages for any woman. Nature intended this process so that irreversible changes in the body occur gradually. But, the exception is surgical menopause. This is the option when the climacteric is caused by artificially. Surgeries to remove the uterus and ovaries are often carried out, as evidenced by statistics. Basically, the age of the operated is from 45 years, but cases of operations at an earlier age are not uncommon. 

We know: What Is Surgical Menopause?

When both ovaries are removed, a sharp decrease in sex hormones occurs, as well as a loss of reproductive function. This is called surgical menopause. The causes of surgery are fibrotic tumors and fibroids, endometriosis, cysts, cystomas, cancer, bleeding, and necrosis of the myomatous node. Postoperative climacteric occurs after a radical hysterectomy. In the case of a hysterectomy, the ovaries are not removed. Panhisterectomy is performed only at the risk of cancer, in which the above pathologies can develop. Symptoms of surgical menopause occur about a month after surgery, but this is only an average value. They can begin to manifest immediately after surgery.

How Long Does Surgical Menopause Last?

None of the attending physicians will be able to say exactly how long the surgical menopause will last. This is an individual indicator, which depends on many factors, but primarily on how correctly the therapy and medications will be selected. The duration of surgical menopause can vary from 2 to 10 years.

Since the hormonal background plays an important role in solving the problem, it can be assumed that the postoperative climax can be treated much faster when maintaining a stable psycho-emotional state and a positive mood of the patient.

Surgical Menopause Symptoms

Uterus removal - surgical menopause

The removal of the ovaries affects numerous body systems, especially endocrine and vascular ones. Thermoregulation is disturbed. The cardiovascular system also suffers. Metabolism is disturbed, because of which weight gain occurs. Without therapy, the postoperative climax negatively affects the quality of life and worsens health status. After removal of the uterus, the ovaries lose their blood supply and decrease in size. Because of this, their hormonal function is disturbed. Women often complain of weakness, fatigue, and memory impairment. 

Signs of postoperative climacteric:

  • hot flashes, accompanied by profuse sweating and followed by chills;
  • excessive sweating and heat intolerance;
  • migraine and dizziness;
  • dry mucous membranes;
  • depressive and anxiety conditions;
  • arterial hypertension;
  • tingling skin;
  • decreased libido;
  • frequent mood swings;
  • cardiopalmus;
  • insomnia. 

Later, dryness of hair, nails, and skin is added to the symptoms. Urological problems are also possible.

How To Achieve Surgical Menopause Symptoms Relief?

Of course, first of all, you need to see a doctor who will prescribe hormone replacement therapy or offer an alternative surgical menopause treatment. However, along with this, it is worthwhile to independently make attempts to improve your condition when having surgical menopause icd 10. This can be done by adjusting your lifestyle. If you do everything right, you can avoid most diseases whose risk is increased during this period. It is necessary with surgical menopause to: 

  • pay attention to proper nutrition;
  • reduce sugar and salt intake;
  • reduce the number of fatty foods in your menu;
  • have enough vitamin D and calcium;
  • monitor weight;
  • regularly perform physical exercises after complete rehabilitation;
  • abandon bad habits; 
  • not overwork. 

Compliance with these rules will help you avoid unpleasant postoperative climax manifestations and have a beneficial effect on therapy. Surgical menopause side effects in women do not differ much from the manifestations of normal menopause.


Surgical menopause in women is a more serious condition than regular menopause. Therefore, the risk of complications after surgery is quite high. Among the most typical complications from postoperative climax are:

  • inflammation of the sutures;
  • internal and external bleeding;
  • inflammation of the abdominal cavity;
  • commissures;
  • diabetes;
  • metabolic and endocrine disorders;
  • urological problems.

Also, osteoporosis may develop due to a lack of estrogen. Impaired hormonal balance can reduce tissue density. Vaginal prolapse may also occur. Surgical menopause is a difficult physical and psychological test, therefore, in addition to regular doctors, it is recommended to visit a psychologist while walking this period through.

Surgical Menopause Treatment

Treatment of surgical menopause is carried out by a gynecologist, endocrinologist, and mammologist. Therapy is carried out depending on the past operation, as well as on the individual characteristics of the body. Immediately after the operation, it is recommended to undergo antibacterial and infusion therapy. The intake of vitamin complexes of the patient should be coordinated with the doctor. Pain syndromes are eliminated by conventional painkillers. After surgery, the risk of thrombosis is high, therefore, anticoagulants are prescribed. Physiotherapeutic procedures and hormonal creams are used.

In operations related to cancer, they do not prescribe hormone therapy. Doctors recommend the usage of homeopathy and herbal remedies for the postoperative climax relief. 

Hormone Replacement Therapy

The indications of HRT include all the symptoms of surgical menopause. It is also indicated for the natural causes of menopause. In postmenopausal women, it is used to prevent tumors.

Contraindications of HRT include kidney and liver disorders, thrombosis, diabetes mellitus, epilepsy, mastopathy, bronchial asthma, and bleeding. Side effects include soreness of the mammary glands, the appearance of bleeding, the appearance of acne, cramping, thromboembolism, and dry mucous membranes. However, as a rule, the risk of negative effects is negligible. HRT is often replaced by phytoestrogens and homeopathy, but their effect has not been proven.

Herbal Treatment

In addition to the traditional treatment of surgical menopause, there are many different herbal remedies. First of all, it is important to realize that non-classical methods of treatment should only be an addition to the use of medicines, and you can only use them after consulting a doctor.

Examples of alternative methods of treating the postoperative climax include the use of:

  • red clover;
  • royal jelly;
  • oregano;
  • peony.

In addition, some types of vegetables and fruits, as well as soy, licorice, alfalfa, flax, can have a beneficial effect on the hormonal background of women.

Bottom Line

Surgical menopause is a difficult test for the female body. In no case should the patient neglect the treatment that must be present after surgery. A menopausal woman can balance her condition with the help of HRT or with herbal preparations with phytoestrogens. The consultation with a specialist before the intake of any preparations is obligatory.

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What Is Surgical Menopause?
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by Susan on MenopauseCoach.com
Surgical menopause

Hello! It is so terrible that many young women go through it. At the age of 36, I had surgery because of a tumor and this caused surgical menopause. For me it was a shock, I hardly experienced the symptoms of menopause. It was unexpected for me, but I was able to cope with it. Great article, good luck!


Emma J. Johnson

Menopause consultant and sex therapist, media personality, author, woman health expert.

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