Wednesday, July 17, 2024

What Is The Best Hormone Replacement After Hysterectomy

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Do You Gain Weight When You Stop Hormone Replacement Treatment: Withdrawal

How to Balance Your Hormones After a Hysterectomy with Dr. Jessica Drummond

Each type of hormone therapy for weight loss has a withdrawal period. Do you gain weight when you stop hormone replacement therapy? Healthcare providers warn patients about Prempro and weight gain when prescribing HRT. This side effect is in the list of rare adverse reactions in the information page to the drug inside the package or on its official website. Endocrinologists inform that a hormonal tablet, gel, oil, implant, vaginal ring, injection, and HRT cream and weight gain occur in fewer patients as the effect is usually the opposite.

When the organism gets medical assistance that demands a period longer than a week, the body will get used to it and depend on its help. If a patient takes medicine for a year or more, the organism will get stressed in case a person interrupts the supply overnight. Regarding guidelines and recommendations of experienced endocrinologists, average hormone therapy for weight loss takes from four to five years. Such durable dependence cannot disappear in a day. To prevent the response that can be dangerous for a patients health, an endocrinologist together with a GP creates a plan for gradual cessation.

Estrogen Therapy After Oophorectomy: Age Matters

JoAnn E. Manson, MD, DrPH

This transcript has been edited for clarity.

Hello. This is Dr JoAnn Manson, professor of medicine at Harvard Medical School and Brigham and Women’s Hospital in Boston, Massachusetts. I’d like to talk with you about our study with the Women’s Health Initiative on estrogen-alone therapy and health outcomes among women with and without bilateral oophorectomy. The study was recently published Annals of Internal Medicine and included 10,000 women with prior hysterectomy who were aged 50-79 at the time of randomization.

In all of the reports from the WHI hormone therapy trial, there has never been a previous study where the estrogen results differed between women who had their ovaries surgically removed versus the women with conserved ovaries. When we looked at the overall cohort across all age groups, we found minimal differences between the women with oophorectomy and those with conserved ovaries. The findings tended to be neutral, null, with no significant increases or decreases in major health outcomes.

However, when we looked at the results stratified by age, there were major differences across age groups among the women with bilateral oophorectomy and minimal differences among the women with conserved ovaries. During the intervention phase of 7 years, there was a generally adverse global index effect of estrogen therapy among women aged 70 and older, a neutral effect among women in their 60s, and a favorable effect among women in their 50s.

Does Hormone Replacement Cause Weight Gain

Another question that worries menopausal individuals is does hormone therapy cause weight gain? Scientific researches and clinical studies prove that hormone therapy for menopause weight gain is possible.

Hormone therapy for weight loss has its pros and cons. In most cases, women manage to get rid of the excessive fluid accumulation which is an inevitable part of fat-burning fitness programs. The increase of hormones that are responsible for the fat-to-energy transformation help to reduce belly fat and control the situation with floating. If a woman or a man relies only on hormone therapy weight loss, the outcome can be unsatisfying.

Weight management is a process that demands a complex approach. Hormone therapy weight loss involves specialists who understand what the transition period is, its impact on the human body, and can find and delete barriers that prevent midlife people from normal life. Hormone replacement for weight loss needs a specific program that navigates a patient telling what and how to do and to take to achieve the desired results. Hormone replacement therapy and weight loss cannot exist separately without dieting, workload, variety of physical activities, and stress management programs.

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Are There Any Alternatives To Estrogen In Surgical Menopause

In the case of breast cancer, studies suggest that estrogen does not increase risk of breast cancer when used in surgical menopause, even among those who are BRCA1 or BRCA2 carriersprovided they do not have a personal history of cancer. In those in surgical menopause who have a Factor V Leiden mutation , the long-term protective effects of hormone therapy may often outweigh the risks posed by the use of hormones.

Nevertheless, if you are concerned about using estrogen due to a family history of estrogen-dependent cancers, blood clots, or other risks, it is wise to discuss this with your doctor to make sure that you are carefully dosed and monitored to avoid adverse effects of hormones in surgical menopause. Alternative medications can also be used in some extreme cases .

Estrogen therapy is the most effective way to prevent all of the symptoms and risks associated with surgical menopause. However, for those who absolutely cannot take estrogens, there are some alternative therapies available:

For osteoporosis, effective alternatives include biphosphenate medications and selective estrogen receptor modulators such as raloxifene, tamoxifen, or bazedoxifene+estrogen.

Post Hysterectomy Sex: What To Expect

Hormone Replacement Therapy

During climax, female orgasms involve noticeable uterine contractions. Having no uterus means that sex and orgasms feel different to before. However, there is a good body of evidence suggesting that many women actually enjoy their sex lives more after hysterectomy .

Pre-surgery symptoms in women with reproductive health conditions can involve a lot of pain and discomfort. Following the operation, many women feel relief from this, meaning that their sexual activity increases. They may therefore experience a higher sex drive and more intense orgasms.

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Inducing The Menopause What Are The Risks

The risks of artificially and prematurely inducing the menopause include osteoporosis, along with the side effects of the menopause resulting from low oestrogen levels that include hot flushes, night sweats, skin dryness and insomnia.

Osteoporosis is the thinning of the bone density that increases a womans risk of fractures. Our bone strength and density is reliant on calcium that is constantly in balance between blood calcium forming bone and calcium released from bone to maintain blood levels. Oestrogen reduces the amount of calcium released from the bone, and this prevents thinning and reduces the risk of osteoporosis and fractures.

Menopausal side effects can be debilitating and are associated with hot flushes and reduced emotional wellbeing. These symptoms are often more severe with abrupt surgical removal of the ovaries compared to the natural menopause, with these symptoms lasting up to ten years. For this group of women who go through the menopause naturally, Hormone Therapy , formerly hormone replacement therapy, may be an option if the menopause occurs early or if symptoms are very severe. This combination of oestrogen and progesterone protect women from osteoporosis and the symptoms of low oestrogen.

Hormones After Hysterectomy Can Experience Some Changes Hormone Replacement Therapy Should Be Used With Medical Advice And Necessary Cautions Then

According to some research studies, intake of hormones after hysterectomy can increase the risk of certain health issues. This is the reason why a lot of women today are really interested in knowing if it is safe to consider hormone replacement therapy after total hysterectomy. The answer is yes. In fact, just a decade ago, hormone replacement therapy was routinely advised to every menopausal women. However, with advancements in the field of science, many research studies concluded that unregulated use of estrogen as part of some hormone replacement therapies can aggravate the risk of complications. But it is important to keep in mind that decision-making process is not that easy, since lack of estrogen due to natural or surgical is associated with several issues as well.

Let’s review the factors that are strongly associated with the use of hormones after hysterectomy procedure to alleviate the menopausal symptoms.

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How Long Does Estrogen Therapy Last

If youve had a complete hysterectomy, youll likely be on a medically-supervised hormone replacement therapy for at least a few years. This is longer than a woman undergoing regular menopause . This is especially true if youve already had the surgery and youre closer to normal menopause age .

In fact, some experts recommend estrogen therapy until you hit the age of natural menopause . And some experts favor ET until age 60 and beyond

Now For The Second Part Of This Video Let’s Talk About Why You Need To Take Different Approaches To Caring For Your Hormones Depending On Which Surgery You’ve Had

Hormones After a Hysterectomy (Surgical Menopause)

If your ovaries were left intact you won’t need HRT or special remedies for your hormones, and you won’t go into menopause right away.

This is what all women focus on in all the years post menopause. And if it’s safe for you you can also use herbs that are rich in plant estrogens and other hormone building blocks to help your body build up your hormone levels – almost like a replacement for HRT. You can learn more about how your body can keep your hormone levels high enough without relying on your ovaries in this blog postIn this case you also want a hormone friendly diet and lifestyle, because they’ll help your body maximize every bit of hormones it’s able to make – or to better balance and manage side effects of any hormones you’re taking.

That’s the second part of this blog – the different focus you want to have in caring for your hormones with natural remedies depending on which type of surgery you’ve had.

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Weighing The Hormone Replacement Therapy Pros And Cons

When it comes to getting HRT after surgical menopause, deciding what to do isn’t easy. The contradictory headlines in the media in recent years haven’t helped. It’s easy for women to feel like they are making the wrong choice, no matter what they do.

When you’re deciding, you have to consider a lot of different factors, including your age, your family history, and your habits. Just take it slowly and don’t allow yourself to be rushed into a decision you’re not ready to make. Check the latest research into HRT. Remember that both the potential long-term benefits and risks of hormone therapy are really quite small for any individual person.

Finally, don’t discount your gut feelings. The decision to get hormone therapy after surgical menopause is personal. The right answer depends as much on your preferences as it does on the facts in your medical chart.

Endometriosis What Is It And How Do I Know If I Have It

Most women have heard of the menopause. They fear it, but for a select few women the menopause is a relief and a respite from the years of agony and pain from endometriosis that few people seem to understand.

Endometriosis is the reason that thousands of women each year have the menopause induced temporarily with medicines or permanently with surgical removal of the womb and ovaries. The disease is characterised by the presence of cells in areas outside the womb such as the ovaries and surfaces of the pelvis, bowel, and bladder. It affects up to ten percent of females during their reproductive years causing higher levels of pain in and outside of their menstrual cycles together with painful intercourse and difficulties falling pregnant. If there was a condition that made 10% of mens testicles hurt, with pain during intercourse, there would be a river flowing out of my GP surgery doors from the volume of male tears being shed in the waiting room.

Its widely acknowledged that pain is highly subjective with a difficult basis for comparison and considering that most women suffer from a degree of pain during their periods endometriosis sufferers assume theirs is the same as everyone else. Its not.

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Just A Few Of The Hormonal Conditions Our Doctors Specialize In Treating


Polycystic ovarian syndrome is estimated to affect 1 in 10 women of childbearing age and is one of the most common causes of infertility. Symptoms include irregular periods or no periods, excessive hair growth, weight gain, and acne.

Hashimoto’s thyroiditis

More common in women, Hashimoto’s involves antibodies that attack the thyroid gland so it cant function properly. Symptoms include fatigue and sluggishness, increased sensitivity to cold, constipation, and hair loss.

Adrenal dysfunction

This stress-related condition stems from chronic elevation of adrenal hormone levels. Symptoms might include chronic fatigue, allergies, and insomnia.

Insulin resistance

This condition occurs when cells in your muscles, fat, and liver don’t respond well to insulin and can’t use glucose from your blood for energy, causing your blood sugar levels to go up over time. Symptoms might include weight gain and high blood pressure.


Millions of women are misdiagnosed with infertility every year because few doctors are doing the advanced testing needed to discover the root cause of their inability to get pregnant, which can be hormonal.

Menopausal Hormone Therapy And Cancer Risk

Night Sweats after Hysterectomy

For decades, women have used hormone therapy to ease symptoms of menopause, such as hot flashes and sweating. This is called menopausal hormone therapy, and you may see it abbreviated as HT or MHT. You may also hear it described as hormone replacement therapy , postmenopausal hormone therapy , or postmenopausal hormones .

In the past, many doctors and their patients believed that MHT didnt just help with hot flashes and other symptoms it had important health benefits. But well-conducted studies have led many doctors to conclude that the risks of MHT often outweigh the benefits.

This information covers only how MHT can affect a womans risk of getting certain cancers. It does not cover other possible risks of MHT such as heart disease or stroke.

You can use this information when you talk to your doctor about whether MHT is right for you.

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What Are 2020 Safer Analogs To Hormone Replacement Therapy And Weight Loss

The well-composed plan of HRT helps to prevent osteoporosis, controls body temperature, returns active sexual life, and works as a dietician. Hormone replacement therapy and weight loss reduce a patients food cravings and convert fat into energy. What are 2020 safer alternatives to hormone replacement therapy and weight loss for menopausal women?

  • HRT diet supplies a body with deficient hormones with the help of food rich in testosterone, progesterone, and estrogen.
  • Reprimo treatment is an innovation in the genetic sphere reported by UCLA researchers and introduced in the Nature Metabolism journal. Scientists believe that this gene can become an effective tool in menopause treatment, though this approach is still on the experimental stage. Researchers provide a theory that it participates in the process of cancer prevention that is a rare but possible side effect of hormone therapy for weight loss.
  • Supplements cope with vitamin deficiency and improve immunity and metabolism.
  • Appetite suppressants dont let a person eat more than required. The body partially starts starving and transforms fat into energy.
  • Physical activity fills an organism with energy and activates different parts of the brain thanks to the oxygen received during exercising.
  • Meditation helps to prevent the consumption of antidepressants that are often prescribed for hormone replacement and weight loss.
  • When Can I Have Sex Again

    It is not recommended to have sex until at least six weeks after a hysterectomy. Follow the guidelines recommended by your doctor or surgeon as different surgical methods produce different healing times.

    Depending on how you feel, it might take longer than the recommended healing time to be comfortable with having penetrative sex again. Be kind to yourself, and allow more recovery time if needed.

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    Hormone Replacement For Hysterectomy

    Reviewed By:Dr. Douglas Lord

    Hysterectomies are a common procedure for women experiencing certain types of conditions, including uterine fibroids, endometriosis, vaginal bleeding, chronic pelvic pain and other problems. Removal of the uterus is a major procedure that can have a big impact on a womans life, including her comfort and health.

    This is especially true if the hysterectomy is combined with removal of the ovaries . When these two procedures are combined, the womans estrogen production nearly stops, and the woman enters a phase called surgical menopause. Surgical menopause is a condition that occurs when the body is forced to begin menopause because the main source of estrogen, the ovaries, has been removed.

    Using hormone replacement after a hysterectomy can help alleviate the symptoms of surgical menopause. Understanding what surgical menopause is, how it affects the body and what can be done to lessen the symptoms of surgical menopause can help you stay healthy in the event that this type of procedure is recommended for you.Heres what you need to know.

    Why Take Hormone Replacement Therapy After Hysterectomy

    Surgical menopause treatment (with or without hysterectomy) with estrogen therapy

    1. Hormone replacement therapy after hysterectomy reduces some risks for younger women. Risks associated with HRT in the WHI study primarily involved older menopausal women . Women who undergo hysterectomy, including the removal of their ovaries will experience menopausal symptoms due to caused by the removal of the ovaries which are the primary manufacturers of estrogen. Health experts are convinced that instead of being harmful, hormone replacement therapy after hysterectomy is beneficial in helping younger women to go on with their normal lives even after the surgical procedure. Proof that HRT helps decrease the risks for heart disease and Parkinsons disease among young women is gradually taking shape and has long been shown to prevent/treat osteoporosis.

    2. HRT after hysterectomy is shown to reduce the occurrence of hot flashes by as much as 75 percent. HRT is proven to be effective in relieving many menopausal symptoms, such as hot flashes, sleep problems, and vaginal dryness. Other alternative treatment options are not as effective.

    3. HRT after hysterectomy offers other health benefits. It has been demonstrated to have a role in decelerating osteoporosis and in intensifying bone density. Estrogen and progesterone therapy is also believed to somehow lower the risk of developing colorectal cancer.

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