Treatment FAQ

if you have a full hystercomy what is the best course of action with hormone treatment

by Murray Pollich Published 3 years ago Updated 2 years ago
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What is the best hormone therapy after a hysterectomy?

Women who have both the uterus and ovaries removed usually just get estrogen replacement therapy (ERT) alone. But women who have only the ovaries removed need both estrogen and progestin. That's because estrogen alone can increase the risk of cancer in the uterus. Adding progestin removes this risk.

Is HRT necessary after a full hysterectomy?

HRT is usually recommended if the operation causes an early menopause (before 45 years) because there is a significantly increased risk of Osteoporosis and Cardiovascular Disease. If HRT is commenced following hysterectomy, it is usually prescribed as an oestrogen only preparation.

What happens if you don't take estrogen after a full hysterectomy?

When your ovaries are removed (oophorectomy) during a hysterectomy, your estrogen levels drop. Estrogen therapy (ET) replaces some or all of the estrogen that your ovaries would be making until menopause. Without estrogen, you are at risk for weak bones later in life, which can lead to osteoporosis.

When you have a total hysterectomy do you still have hormones?

Surgical menopause If a hysterectomy leaves 1 or both of your ovaries intact, there's a chance that you'll experience the menopause within 5 years of having the operation. Although your hormone levels decrease after the menopause, your ovaries continue producing testosterone for up to 20 years.

How do you slow down aging after a hysterectomy?

In turn, hormone therapy can help reduce your risk of age-related health issues common in people with a hysterectomy and ovary removal, including bone loss and osteoporosis. Some people may be able to take hormone therapy short term.

Do I need progesterone after total hysterectomy?

If you no longer have your uterus (you've had a hysterectomy): You typically won't need to take progesterone. This is an important point because estrogen taken alone has fewer long-term risks than HT that uses a combination of estrogen and progesterone.

How can I replace estrogen naturally?

7 Ways You Can Boost Estrogen NaturallyPhytoestrogen-Rich Foods. Phytoestrogens, found in plants and plant-based foods, have a similar structure to estradiol, which is the strongest of the estrogen hormones. ... B Vitamins. ... Vitamin D. ... Chasteberry (also known as Vitex Agnus-Castus) ... Boron. ... Black Cohosh. ... Evening Primrose Oil.

What are the symptoms of low estrogen levels?

What are the symptoms of low estrogen levels?Dry skin.Tender breasts.Weak or brittle bones.Trouble concentrating.Moodiness and irritability.Vaginal dryness or atrophy.Hot flashes and night sweats.Irregular periods or no periods (amenorrhea).More items...•

Is it safe to take estrogen after hysterectomy?

Estrogen-Only Hormone Replacement Therapy After Hysterectomy Doesn't Seem to Increase Risk. A study suggests that estrogen-only HRT may reduce breast cancer risk in postmenopausal women who've had a hysterectomy.

What happens if you don't take hormones after menopause?

And the continued low estrogen levels lead to more serious health concerns. The rate of bone loss speeds up, increasing your risk of low bone density, osteopenia and osteoporosis. You also have a higher chance of having a heart attack, stroke or other heart-related issues.

Does low estrogen cause weight gain?

Sex hormones, such as estrogen, influence the amount of fat in the body. Estrogen regulates glucose and lipid metabolism. If your estrogen levels are low, it can result in weight gain. Research suggests that this may be why women approaching menopause are likely to become overweight.

What happens to the empty space after a hysterectomy?

After you have a hysterectomy, your other organs move to fill the space. Your small and large intestines mainly fill the space once occupied by the uterus.

Does having a hysterectomy age you faster?

Having a hysterectomy is a big change for your body. Depending on where you are in your menopause journey, this type of procedure can cause hormonal changes resulting in different side effects. A hysterectomy by itself usually doesn't affect your hormones and aging as much.

Can you go through menopause twice after a total hysterectomy?

Women who undergo hysterectomy may experience surgical menopause. Others may start menopause within five years of their surgery. Hot flashes are twice as likely for women who have undergone a hysterectomy and they can be more frequent and intense than for women experiencing natural menopause.

What can I take instead of HRT tablets?

Clonidine. Clonidine is a prescription medicine that can help reduce hot flushes and night sweats in some menopausal women. It's taken as tablets 2 or 3 times a day. It does not affect hormone levels, so unlike HRT it does not carry an increased risk of problems such as breast cancer.

How do I know if I need hormone replacement therapy?

Signs you need hormone replacement therapy (HRT)Hot flashes.Night sweats.Vaginal dryness.Pain, itching, or burning during intercourse.Bone loss.Low sex-drive.Mood changes.Irritability.More items...•

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