Hysterectomy – the operation to remove the uterus is one of the most common gynecological operations that has been performed for decades. It is made in the case when all other available methods are ineffective, often it is about saving the life of a woman. In some cases, during this surgery, in addition to the uterus, the fallopian tubes and ovaries are also removed (ovariectomy).
Hysterectomy and menopause is a difficult decision, and no matter what the indications for this operation are, there probably is not a woman who, without hesitation and an internal “chill,” would decide on such a radical surgical intervention. In addition to physical discomfort and pain that inevitably occurs after any kind of surgical intervention of this size, 7 out of 10 women experience a variety of fears, a sense of confusion and inferiority after a hysterectomy, and many feel emotional depression.
Menopause and Hysterectomy
Among the first unpleasant symptoms after surgery, is the onset of the climacteric. It is worth noting that every woman goes earlier or later through climacteric changes, but with a hysterectomy and menopause, these changes feel more acute and painful.
To understand the problems of menopause and hysterectomy, it is important to learn the basic notions:
- Natural menopause. Menstruation ends in connection with the gradual completion of the hormonal function of the sex glands;
- Artificial menopause. Menstruation ends due to the use of appropriate drugs;
- Surgical menopause. The climax comes after the removal of the uterus and/or ovaries.
The last one women tolerate with much more difficulty than natural menopause. This is explained by the fact that after the natural climax occurs, the ovaries do not immediately finish the production of hormones. Everything happens gradually over the years. As soon as the uterus with appendages is removed, the body feels a strong hormonal rearrangement, as the synthesis of sex hormones ends. For this reason, menopause and hysterectomy are much more difficult if the woman is still of childbearing age. It is not unusual if a female has spotting after hysterectomy and menopause.
Symptoms of Hysterectomy and Menopause
Symptoms of the climax after removal of the uterus can be noticed already after three weeks from the day of surgery. These can be:
- increased night sweating;
- flashes of heat;
- dryness and lethargy of the skin;
- the fragility of hair and nails;
- vaginal dryness;
- decreased sexual desire;
- brown discharge after menopause and hysterectomy;
- depressive states.
When the uterus is removed, hormone replacement therapy is necessary, especially for women under 50 years of age. For this purpose, estrogens and gestagens are used. Hormone therapy is important to prescribe as soon as possible, no later than a couple of months after the procedure. It helps reduce the risk of heart disease and hysterectomy and weight gain menopause problems. But, it is important to remember that HRT may not always be prescribed. There are contraindications. Here, they are:
- surgery was related to uterine cancer;
- mammary cancer;
- diseases of the liver and kidneys;
The duration of treatment is from two to five years. No need to wait for the complete disappearance of menopause after the therapy. Depending on the duration of hormone therapy, clinical manifestations are only reduced.
Treatment of Hysterectomy and Menopause
There are two main types of therapy. Here, they are:
HRT (Hormone Replacement Therapy)
Treatment of the climax after removal of the uterus includes taking estrogens, the level of which decreases. The amount of hormones used is determined by a specialist, and medical regimens are prescribed that depend on the degree of impairment and the age of the patient.
However, hysterectomy and menopause can not be treated with HRT if a female has the following issues with health:
- mammary cancer;
- acute venous thrombosis;
- impaired kidney and liver function.
After hysterectomy and menopause, treatment initiated in a timely manner guarantees a reduction in the risk of developing diseases:
- heart disease atrophy and lack of moisture in the vaginal mucosa;
- joint and muscle pain;
- problems with urination.
Climax, after removal of the uterus and ovaries, is treated with hormone therapy and helps to stabilize the general condition of the patient – she feels better, sleep returns to normal and the psychological disorders disappear.
How to treat menopause after removing the uterus and ovaries with hormone-free agents? It can be performed with the assistance of herbal therapy. Such treatment is prescribed in combination with estrogen-containing agents. Various kinds of dosage forms of homeopathic action are used. They help reduce or completely eliminate negative symptoms of hysterectomy and menopause:
- anxiety and aggressiveness;
- profuse sweating and hot flashes;
- vaginal bleeding after menopause and hysterectomy;
- sleep disturbance;
- dizziness and pain.
After hysterectomy and menopause, it is necessary to additionally consume vitamin-mineral complexes that contain vitamins of groups B, C, D, and E. Also, it is important to maintain a healthy lifestyle and eat right. Treatment should be prescribed under the strict supervision of a physician. It is not recommended to treat yourself and choose medications independently.
Sex After Menopause And Hysterectomy
Only with a complete hysterectomy (with the removal of the ovaries and fallopian tubes) can women experience problems in their sexual life after surgery – most often this is expressed in the dryness of the vagina and decreased sex drive (libido).
Despite the popular belief, a woman’s sexual life after a hysterectomy does not end! When the body is fully restored, a woman can live a full sexual life. If part of the vagina was removed during the operation, the woman may experience pain during sex.
However, the psychological consequences of hysterectomy are a big problem. Some women who underwent surgery, amid depressive disorders, there is a significant decrease in sex drive and they completely lose interest in sex. Some women, on the contrary, note an increase in sexual desire and an improvement in the quality of sexual life (the absence of pain and often a decrease in the volume of the abdomen – when large fibroids are removed, are beneficial). It is not necessary to use contraceptives after a hysterectomy, because as a result of the operation, a woman cannot become pregnant.
Any surgical intervention in the human body is tremendous stress for it. But, it is impossible to assess the extent of hysterectomy for the female body. In addition to understandable physical changes and symptoms, in women who have gone through such a procedure, depression also occurs. The female who went through the removal of the uterus must necessarily be treated with HRT.
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At the moment, this is my biggest fear regarding women's health. And not even because you feel defective, but rather because this is a serious operation and thus you even accelerate the natural processes of the body. I hope that it will not overtake me, but everyone needs to be prepared for anything.