Natural Hormone Replacement After a Hysterectomy
There are two types of hysterectomies. One type of hysterectomy involves the removal of the uterus and one or both ovaries. The other type only involves the removal of the uterus but both ovaries are kept. There are many different reasons as to why hysterectomies are performed. In my personal case, it was due to complications with birthing my child where the placenta had embedded itself in the uterus and bleeding could only be stopped by the operation. For other women the reasons can vary from cervix, ovary and uterus cancer, fibroids, endometriosis, prolapse of the uterus, and andenomyosis. Hysterectomies are the second most common surgery in women next to caesarian sections.
Hysterectomies are also known as "surgical menopause," but this is only the case if both ovaries have been removed in a premenopausal woman. Women who have had hysterectomies where both ovaries have been kept will not experience sudden menopause. Rather, they will continue as normal with the exception of a missing menstrual cycle until the natural occurrence of menopause occurs-typically around the age of 50. However, even after such surgery in which the ovaries are kept, the ovaries can become dysfunctional in a matter of only 3 years.
In hysterectomies involving the removal of both ovaries, production of both estrogen and testosterone levels fall and the occurrence of menopause is more severe than that in women who go through the process naturally. A hysterectomy in whatever form will prevent the woman from bearing any more children and in the case where both ovaries are removed, may also include other side effects such as fatigue, depression, short term memory loss, hot flashes, night sweats, joint pain, weight gain and lower sex drive. In other words, the exact symptoms of menopause. The uterus which is removed during a hysterectomy is a sort of holding ground for hormones made throughout the night in a woman that are realesed during the day. Once the uterus is gone, the hormones have nowhere to go and are released as waste in the urine. It's also important to note the fall of progesterone in patiens who have received hysterectomies which can also lead to osteoporosis.
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According to a study published by JAMA (the Journal of the American Medical Association), it was revealed that there is an increased death rate in women between the ages of 40 and 50 years old who have had hysterectomies and who were without the benefit of estrogen replacement compared to those who used estrogen.
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To make matters worse, the center for disease control has found that approximately two thirds of the 600,000 hysterectomies that are performed in the U.S. are unnecessary.
Tushar Virani
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