Menopause, Hysterectomy. Your Questions Answered by Internal Specialist, Dr. Mera

If you have a hysterectomy, do you still go through menopause?

In a hysterectomy, it is normal to remove the cervix, uterus (womb), both Fallopian tubes and sometimes one of the two ovaries. The remaining ovary will produce sufficient hormone, in most cases, to maintain the woman’ s normal sexual functions and prevent the menopause. In due course, this temaining ovary will cease its production of female hormone, and the woman will develop the hot flushes, depression, irritability and headaches characteristic of the menopause. Because her uterus has been removed, she will not suffer from the heavy and irregular bleeding or the uterine cramps that can also occur with menopause. If during the hysterectomy it is necessary to remove both ovaries because of disease, the woman will lose her female hormones instantly and go through a premature menopause. It is important for these women to take hormone supplements until they are in their early sixties to prevent premature ageing, bone weakness, facial hair, sagging breasts and the other unpleasant effects of the menopause. Women who have had cancer of the ovaries that has resulted in both ovaries being removed may not be able to use hormone replacement, but should carefully discuss this option with their gynaecologist.

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