Menopause can be triggered by hormonal imbalances due to surgery. Menopause after removal of the uterus, in contrast to the natural process of extinction of reproductive cells that occur naturally without complications, occurs abruptly and can cause many individual complications.
Does menopause occur after hysterectomy?
Pathologies of the female reproductive system can occur at any age. Women over the age of 40 are at high risk. A number of diseases can be solved only by surgical intervention in the reproductive system.
Indications for operations:
- large fibroids;
- cancer growths in the cervix;
- infection and inflammation;
- prolapse of the vaginal walls and prolapse of the uterus;
- chronic uterine bleeding;
- after childbirth with heavy bleeding due to flakingplacenta;
- with placenta accreta.
Depending on the doctor's prescription, the reproductive organs of various areas are amputated:
- Extirpation of the uterus without appendages. The uterus and cervix are surgically removed.
- Pangisterectomy - an operation to remove the uterus, cervix and appendages.
- Amputation of the uterus without appendages. During the operation, only the uterus is removed.
- Amputation of the uterus with appendages. Surgical removal of the uterus and appendages.
Removal of the uterus without appendages is the most sparing operation that preserves the natural hormonal background of a woman. Due to the fact that the ovaries and cervix remain intact, the intervention rarely leads to a surgical menopause.
The occurrence of menopause after removal of the uterus and appendages is called artificial menopause. In medical practice, this technique is used to prevent the occurrence of cancer. Despite the fact that all types of cancer are predominantly localized in the uterus, the presence of ovaries increases the chance of recurrent tumors, the likelihood of which increases in proportion to the patient's age.
Most doctors prioritize the preservation of the appendages, since it is in the ovaries that the formation of the hormonal background necessary for the normal functioning of the female body takes place.
Post-operative period
Climax after removal of the uterus and ovaries - the inevitable consequences of the operation, about which the patientinformed prior to surgery.
The main cause of post-hysterectomy syndrome: insufficient blood supply to the ovaries, after the exclusion of the uterine arteries and their branches from the system. Due to insufficient blood supply, the ovaries can decrease in size and cease to perform their hormonal function properly.
Whether there will be a menopause after removal of the uterus and the risk of its occurrence depends on:
- volume of transactions;
- individual structure of the reproductive system before surgery;
- patient's age;
- general he alth.
Most of all, the magnitude of the volume of surgical intervention affects the course of the postoperative period. If one additional ovary or cervix has been removed, the risk of menopause after surgery increases significantly.
Menopause in women after hysterectomy is more common in adulthood. In the body of each woman, an unchanged individual number of eggs is laid, one of which comes out with each menstruation. So, with age, the female reproductive system may already be quite depleted, and surgical intervention and circulatory disorders in it only accelerates the process of menopause. Whether menopause occurs after removal of the uterus directly depends on the individual structure of the blood vessels of the reproductive system. It should be borne in mind that the blood supply to the ovaries from the uterine arteries in the female body occurs according to individual volumes,and the higher the blood flow to the ovaries from the uterine arteries before the operation, the higher the risk of PGS after their removal.
Chronic diseases and deviations from the norm also negatively affect the normal course of the postoperative syndrome. In particular, diabetes mellitus, obesity, venous dilation of the pelvic veins, impaired lymph outflow, hypertension.
Early symptoms of menopause
The natural decline of the reproductive system occurs smoothly. The female body has time to adapt to changes in the hormonal background, so the symptoms of menopause appear less pronounced and are harmoniously tolerated. At the same time, artificial and postoperative menopause after removal of the uterus occurs abruptly, and its symptoms are pronounced and have an increased negative impact on the normal functioning of the female body.
Three weeks after the operation, menopause appears after the removal of the uterus. Symptoms conditionally, according to the localization of exposure, are divided into four categories.
Physical Condition
Violation of the normal functioning of the ovaries causes ebb and flow, which are positioned as early signs of menopause after removal of the uterus. Their symptoms appear:
- in sudden changes in temperature;
- in sharp chills;
- excessive sweating;
- sudden changes in blood pressure.
Flushing during menopause after removal of the uterus can occur 30 to 50 times a day and last more than five years. Such a physic althe state of the body causes shock and embarrassment in a woman, a number of additional psychological problems.
Hormonal disorders
The sex hormone estrogen is responsible for moisturizing the mucous membranes of the vagina and fallopian tubes. Its insufficient amount leads to disturbances in the functioning of the mucous membranes, during which they become thinner and dry out. A woman feels uncomfortable, prefers to completely abandon intimacy, since the lack of moisture causes pain. Against this background, conflicts in relationships with a partner and prolonged depression are possible.
Estrogen also has a huge impact on the functioning of the brain, in particular it disrupts cognitive functions and the processes associated with them. Cognitive impairment causes:
- memory violation;
- bandwidth of perception and assimilation of information;
- problems remembering new information.
These manifestations can be further exacerbated by the stressful state of the woman.
Autonomic disorders
According to statistics, more than 60% of women who experienced menopause after removal of the uterus are familiar with this problem. The lack of proper saturation of the body with sex hormones adversely affects the functionality of the vegetative system and contributes to the appearance of:
- decrease in performance;
- fatigue;
- general weakness of the body;
- frequent headaches developing intomigraines;
- partial transient numbness;
- tachycardia;
- dizziness and loss of consciousness;
- neurological diseases.
Psychological disorders
No matter how emotionally prepared a woman was before the operation, menopause and severe stress begin after the removal of the uterus. Patients have inferiority complexes and prolonged depression. Against this background, there are:
- excessive impulsivity;
- increased anxiety;
- very irritable;
- bright outbursts of unwarranted anger;
- prolonged depression;
- lack of arousal;
- tearfulness;
- obtrusive fears.
The psychological problems that have arisen do not allow the body to adapt normally to a new state and, in combination with other consequences of menopause, can develop into chronic pathologies. It is worth solving these problems immediately, because only by adjusting the psychological state, a woman will be able to feel he althy and again feel all the joys of her former life. The return to the previous mode of life should be carried out gradually. Excessive fatigue and external stimuli can provoke a recurrence of symptoms.
Late symptoms of menopause
Signs of menopause after hysterectomy may first appear after a long period of time:
- Diseases of the genitourinary system. Condition and structure of the walls of the genitourinary system directlydepend on the hormonal background. Some time after surgery, their deficiency can cause thinning of the urethra, pain when urinating, or urinary incontinence.
- A woman's body stops producing collagen and elastin. This causes dry skin, accelerated aging, hair loss, brittle nails. Rapid weight gain can also be a consequence of metabolic disorders.
- Cardiovascular disease. Estrogen is involved in cardioprotective functions, and its lack can cause arterial hypertension, thrombosis, arteriosclerosis, stroke and heart attack.
- Osteoporosis. Hormonal imbalance often causes bone disease, can reduce bone density, cause brittleness and fragility.
After the operation, you should carefully monitor the condition of your body and often visit a doctor for examination in order to detect diseases at an early stage.
Varieties of surgical menopause
Climax after removal of the uterus is a complication of surgery. It can occur in various forms, go away on its own or require long-term treatment and medical supervision. In order to understand what actions should be taken, it is necessary to understand the nature of the complication.
Post-operative menopause can be:
- early - symptoms of menopause occur shortly after the operation;
- late - symptoms begin months to a year later;
- transient - symptoms start early and resolve on their own after a few months;
- persistent - symptoms are persistent and tend to get worse.
Don't self-diagnose. To identify the symptoms and types of menopause, you should consult a gynecologist. Only an experienced specialist can determine how long menopause lasts after removal of the uterus and what character it has, in each case.
Treatment methods
Previously it was believed that artificial menopause after removal of the uterus and ovaries is not treatable, but modern doctors and pharmacologists have developed a number of techniques that solve the consequences of surgical intervention in the female reproductive system.
Regardless of the type of menopause, if proper medical care is not provided, with the natural onset of menopause, patients experience an average of 4-5 years earlier. With medical rehabilitation therapy, psychological and cardiopathic complications do not develop, the tissues of the reproductive system are regenerated, and the hormonal background is maintained at the proper level.
Medication treatment
Disruptions in the hormonal background for each woman are individual. Preparations for menopause after removal of the uterus must be prescribed by the attending physician based on the results of the tests.
Hormone therapy is carried out if the female body is not able to ensure the normal functioning of the processes of self-production of sex hormones. In this caseproviding the necessary hormonal background is achieved by taking special preparations containing the missing hormones. Therapy may be estrogen-based or a combination. The composition of the combined preparations, in addition to estrogen, also includes progesterone.
Estrogen preparations are available in the form of tablets, dragees, vaginal suppositories, patches, creams and gels, and combination products are more often available only as medicines for oral use.
Before taking medication, it is imperative to undergo a complete examination, and with prolonged use of hormones, a medical examination is carried out annually.
Please note that taking hormonal drugs is strictly prohibited for patients who have experienced or are prone to cancer.
Phytoestrogen treatment
Most grains contain estrogens. If a patient has contraindications or allergic reactions to taking pharmacological agents, the treatment of menopause after removal of the uterus can be based on taking phytoestrogens. Be sure to include the following cereals in your diet:
- wheat;
- beer m alt;
- corn;
- oats;
- soy;
- lentils;
- hops;
- linen;
- yams;
- alfalfa;
- Cimicifuga;
- clover.
Some medicines are based on the natural estrogens found in these cultures and can also be used for contraindications to the use of hormonal drugs.
Psychological correction and help
As mentioned earlier, the psycho-emotional state of a woman plays an important role in the adaptation of the body during recovery after surgery. If you can’t cope with mental disorders on your own, you should pay attention to medicinal antidepressants.
Additionally, complexes of vitamins and minerals containing a large amount of magnesium and iron, dietary supplements and other aids for quick recovery and maintaining the normal state of the body can be included in the treatment complex.
If there is a deterioration in the functioning of the cardiovascular and autonomic systems, appropriate drugs are indicated.
Recovery Tips
After surgery, the woman's body is faced with severe hormonal imbalances, and the woman herself is prone to stress and prolonged depression. In addition, the postoperative period is accompanied by a long course of rehabilitation, during which the body should be supported.
To promote rapid recovery and the flow of surgical menopause, you should follow the doctor's recommendations issued for an individual course of treatment, as well as generally accepted advice:
- A positive environment has a positive effect on the speed of rehabilitation. It is necessary to exclude irritants, create a positive and comfortable living environment. Relatives and close people should provide moral support. If this is not possible, you can contact a psychologist or centerssupport.
- Spend as much time as possible in the fresh air and regularly ventilate the premises. Saturation of cells with oxygen contributes to the normalization of the psycho-emotional state and normalizes the functioning of the body.
- Eat a balanced diet. Eliminate fatty foods from daily use and completely eliminate foods containing trans fats. These components in the composition of food can impair blood circulation and cause venous blockage of blood vessels, while aggravating the production of hormones in the ovaries.
- Develop a balanced daily routine. Lack of sleep and overwork are the eternal triggers of stress and depression. An already fragile psycho-emotional state can be completely torn apart in the absence of a balanced daily routine. Sleep should be at least eight hours a day, it is recommended to take a short lunch break, and work activities should be balanced with relaxation and entertainment.
- It is recommended to take care of your own appearance, devote more time to self-care. Regardless of how long the menopause lasts after the removal of the uterus, a woman always wants to look beautiful, and such a useful habit will help you feel attractive and maintain a positive psycho-emotional state.
Whatever caused the onset of menopause, a woman in this condition needs increased care and control. It should be noted that with menopause, exacerbations of chronic diseases, jumpsblood pressure, dizziness and fainting. It is not recommended to drive a car, take part in active sports and undertake physically tiring work. In addition, even after the total removal (extirpation) of the uterus and its appendages, it is necessary to regularly visit a gynecologist. It is strictly forbidden to lift weights, as prolapse of the bladder and further involuntary urination are possible.
