Hormone Therapy after Hysterectomy Surgery


Hormones after hysterectomy can experience some changes. Hormone replacement therapy need to be used with medical suggestions and necessary warns.

According to some research studies, intake of hormones after hysterectomy can enhance the risk of particular health concerns. This is the reason that a lot of women today are actually interested in understanding if it is safe to think about hormone replacement therapy after total hysterectomy. The answer is yes. In reality, simply a years ago, hormone replacement therapy was regularly recommended to every menopausal women. However, with advancements in the field of science, lots of research studies concluded that uncontrolled use of estrogen as part of some hormone replacement treatments can aggravate the risk of complications. But it is necessary to keep in mind that decision-making procedure is not that easy, because absence of estrogen due to natural or surgical (post-hysterectomy) is associated with several concerns too.

Let’s review the factors that are highly associated with using hormones after hysterectomy procedure to ease the menopausal symptoms.

Can Hysterectomy Causes Menopause Symptoms?

Hysterectomy (removal of uterus) or total hysterectomy (removal of uterus and associated structures) are specialized gynecological procedures that are encouraged by health care specialists to handle symptoms like dysfunctional uterine bleeding, fibroids, deadly sores of uterus and other relevant condition.

It is vital to point out that neither of these treatments are responsible for a drastic modification in the serum levels of estrogen. However it is rational to presume that some decrease in the estrogen levels is observed with surgical removal of ovaries (which is often required if disease procedure has actually infected ovaries such as in case of uterine cancers). The nature of procedure and kind of surgical approach likewise plays an essential role in determining the decline in estrogen levels. For example, if only one ovary is removed, the remaining ovary can continue to produce enough amounts of estrogen. But if both the active ovaries are eliminated by means of surgical intervention, the female might go into in a menopausal stage.

According to a brand-new report published in the peer evaluated An International Journal of Obstetrics and Gynaecology, investigators recommended that more than 50% American female population goes through abrupt premature menopause due to surgical elimination of ovaries.

Here are a few scenarios that might explain the intensity and onset of menopausal symptoms.

Total hysterectomy: Total hysterectomy can start menopausal symptoms instantly after elimination of ovaries.

Steady degeneration: If one ovary is gotten rid of then other ovary will continue to produce some estrogen. The intensity of menopausal symptoms is normally less severe and takes time to develop.

Oophorectomy: After this procedure of ovarian removal, women can experience symptoms like hot flashes, mood swings and vaginal dryness.

Should You Take Hormones Replacement Therapy After Hysterectomy?

1. Needs to Take HRT After Hysterectomy

HRT or hormonal replacement therapy after hysterectomy is normally comprise of estrogen and progestin. These hormones are normally administered in mix however can be taken in alone, relying on indications and risk-factor profile. These hormones are advised due to the fact that the estrogen and progesterone producing organ (i.e. ovaries and uterus) are eliminated by means of hysterectomy.

However, here is something you need to know:

If both ovaries and uterus are eliminated, the female needs to think about estrogen replacement therapy; if only ovaries are eliminated, it is crucial to think about a mix of estrogen and progestin, because just estrogen can exacerbate the risk of cancer in uterus, and combining estrogen with progestin can decrease the risk of cancer development.

2. Safety measures of Taking HRT After Hysterectomy

After administration of estrogen and progesterone, the symptoms of menopause such as vaginal dryness are generally alleviated. However it is possible that the quantity of these hormones (and perhaps some other hormones) produced in the body might undergo some changes.

In order to lower the risk of hormonal fluctuations, doctor think about various concentrations and combinations of these hormones to identify the most proper dose. It is to be kept in mind that HRT is not advised in every case. Below are two:

  • Females who are at high risk of developing breast cancer must prevent hormones after hysterectomy.
  • Females with chronic liver disease are not perfect candidates for hormonal replacement therapy after hysterectomy.

It is ideally recommended to consult your doctor in detail relating to the signs, threats and issues of hormonal agent replacement therapy to verify if you are a candidate for this therapy or not.

Possible Side Effects of Hormones Therapy After Hysterectomy

Some possible side effects related to HRT after overall hysterectomy includes:

  • Increased risk of developing heart problem such as stroke, myocardial infarction, and so on. Increased risk of establishing various types of cancers including breast cancer and endometrial cancers
  • Blood clot conditions
  • Increased density of breast mass (which can be easily observed in mammogram), which can cause problems in detection of breast cancer.


Last modified: August 29, 2016


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