HRT after Hysterectonomy (surgical removal of the uterus) (Transcription is attached below).
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Dr Maura McGill
HRT after Hysterectomy
Hi, I’m Dr. Maura McGill. I’m an expert in natural hormone treatments.
Today, I want to answer your questions about HRT treatment after a hysterectomy. The central question is, have your ovaries been removed? If they have, then you need to know whether you are in perimenopause, menopause, or even premenopause. You need urgent hormone replacement if your ovaries have been removed because you will be plunged into sudden surgical menopause.
Surgical menopause comes on not gradually, but comes on in a really great rush. If you are well past menopause, it’s not such a big deal to remove your ovaries, but you should consider having some progesterone because of the good benefits that come from progesterone, like bone strength, mood control etc. The symptoms of postmenopausal removal of ovaries are very minimal, but if you are premenopausal and your ovaries are removed, then you are going to need help in a hurry. If, however, your ovaries have not been removed and only your uterus has been removed, you may still need to know if you are premenopausal or whether you are on your way to being menopausal. You may still have ovarian cycles.
Some women tend to know when they ovulate, and they know that they are having an ovarian cycle even though they are not having periods because they have lost their uterus. To find out if you need HRT, you need two lots of tests, one here and one two weeks later. One of those two tests will be in the right phase of the ovarian cycle to make an assessment, and those results will tell you if you need HRT, even though you still have your ovaries. You may not. You may be well premenopausal, and you may not need any HRT, but at least those tests will tell you if there is an imbalance and they will tell you if it needs to be corrected.
If you have not yet had your hysterectomy, you have to decide whether to leave your ovaries in or take your ovaries out. My policy is not to remove a healthy organ, and I know that lots of my gynecology friends would disapprove of this statement because they see a lot of cancer of the ovaries and they say, “Well, the ovaries are not useful, therefore take them out in case cancer comes on later.” If you did that, you would remove your bowel because you might have cancer of the bowels, you’d remove your brain because you might have cancer of the brain, and you would remove your throat because you might get cancer of the throat…it makes no sense.
If your ovaries are diseased, multiple cysts, a querying tumor, or problems with it before, then certainly consider removing them, but if your ovaries are all right, leave them alone because they may have a minimal function to help you get through the phase of menopause.
If you are looking for effective treatment options in relation to HRT after your hysterectomy, you can find out lots of information on www.fixwomenshealth.com.