How long after a total hysterectomy does menopause start? - Hormone Harmony Clinic

A total hysterectomy involves surgical removal of the uterus and cervix. This stops menstruation and a woman's ability to get pregnant. However, it typically does not directly cause menopause unless the ovaries are also removed. After a total hysterectomy where the ovaries are left in place, perimenopause and menopause usually occur at the natural time they would have without the surgery. The average age of menopause is 51 years old. There are a few key points about menopause timing after a hysterectomy:

Reasons the Ovaries Might Be Removed There are a few reasons why a woman may have her ovaries removed during a hysterectomy, including: If the ovaries are preserved, they will usually continue functioning normally and secrete hormones until the natural age of menopause. This allows a more gradual transition into menopause over a period of years. However, in about 10% of women with ovarian preservation, blood flow to the ovaries can get disrupted. This may speed up loss of ovarian function by 1-3 years. But it still occurs more slowly than if the ovaries are directly removed. Impact of Ovary Removal Removal of ovaries causes "surgical menopause" - an abrupt drop in estrogen and progesterone: To manage surgical menopause, women can take hormone therapy. Options include: Treatment is often continued at least until the natural age of menopause. This helps protect long-term health. Monitoring effects on the breasts and uterus is important. Seeking Proper Treatment All women have unique needs and health histories. Finding the right hormone therapy options takes an expert eye. At Hormone Harmony Clinic, our doctors specialize in hormone balance from puberty through menopause. We help women determine if hormone therapy is advisable after hysterectomy and ovary removal. Routine follow-up helps ensure optimal treatment. We also offer holistic therapies to manage menopause symptoms like acupuncture, diet changes, stress management and personalized fitness plans. Contact us today for a consultation.

Get Free Consultation