Consequences of surgical menopause

With the onset of menopause, all the changes inherent in the period occur gradually, which allows most women to tolerate it quite unproblematically. It's a different matter when the body was brought into a condition that medical men called surgical menopause.

More about menopauseafter the operation

There are gynecological diseases in which the operation to remove organs is the only way out. They can overtake at any age, but by the period of physiological menopause, their threat is increasing. In any case, menopause with the removal of the uterus, the ovaries is inevitable.

Depending on the indications, there are several options for leading to surgical menopause:

• Only ovariectomy, when the ovaries are removed, but the uterus is retained;
• Only hysterectomy, when the uterus is removed, leaving one or both ovaries, or the glands retain partially;
• Ovariectomy in combination with hysterectomy.

The last mode of intervention is most often done, despite the fact that for the most part the pathology affects the uterus.

To remove the ovaries of specialists forces a high probability of cancer, growing to the age of menopause.

Still, many doctors are convinced that their preservation is preferable to the latter, since the sex glands continue to synthesize hormones after the operation, softening the manifestations of menopause.

How menopause manifests after operation on the ovaries

Naturally, the sexual system works differently after ovariectomy. In this case, a characteristic feature, as well as in combination with hysterectomy, is estrogen deficiency. But menopause after surgery does not have such a smooth current, as natural. The hormone-deficient state comes sharply.

It is noted that the concentration in the blood of estrogens in young women in the surgical climax is higher than that experienced by the natural parish. Nevertheless, a few days after the operation, the first begin to feel:

• Tides. A sharp decrease in the volume of estrogen due to lack of ovaries leads to a violation of thermoregulation. Heat attacks, typical of menopause, disturb the vast majority of operated, are strong, make themselves felt up to 20-40 times a day;
• Abundant sweating. This symptom of surgical menopause worries half of women who have had ovariectomy, one or with the removal of the uterus;
• Decreased sexual desire. Libido goes away, and in return irritability, tearfulness, fatigue are felt. Some people with postoperative menopause may have heart palpitations.

The vasomotor symptoms of surgical menopause last for several months or two to three years. It happens that these signs of menopause are tormented for decades, if we do not fight them.

Later, there are other difficulties:

• Climax after removal after one and a half to two years is marked by changes in the urogenital area. Atrophy of the mucosa in the intimate area and on the surface of the bladder. This is manifested by a feeling of dryness caused by a decrease in the secretion capacity of the cervix, if it is preserved, or only by the lack of estrogens. More likely in postoperative climax are inflammatory diseases of the vagina, infectious;
• Changing the lipid composition of the blood, it increases the level of cholesterol. This leads to cardiovascular ailments, up to heart attacks and strokes;
• There is a decrease in bone density, that is, the skeleton becomes more fragile in all parts, but especially the wrists, collarbones, thighs. Because of the lack of the required amount of estrogens, cells retard their renewal, and the process of their destruction begins to predominate. The result is pain in the back and limbs, a change in posture. It is fixed that surgical, artificially created menopause leads to more rapid processes in this sphere. Bone tissue reduces the density by an average of 4% per year, while in natural climax this number is 1%.

Body after hysterectomy

It would be wrong to think that the removal of one uterus does not pull the hormonal changes characteristic of menopause, once the substances are produced by the ovaries. This organ is a target for them, and its absence changes a lot in the whole system:

• Feedback is broken between some parts of the brain( hypothalamus and pituitary gland) and the sex glands;
• The blood supply to the ovaries and small pelvis changes in general, which can not but affect their functioning in general.

For these reasons, menopause during the removal of the uterus develops 5-6 years earlier than if the operation had not been performed.

An important role in this is played by the psychological moment associated with the lack of an organ. A woman begins to consider herself "inferior", which, naturally, does not correspond to reality.

Of all the adherents of menopause after hysterectomy, the following exist:

• Absence of menstrual function. Most of the secretions with them were endometrial tissue. Now they simply can not be taken anywhere;
• Termination of childbearing function. Since there is no fetal container, pregnancy is impossible, despite the ripening of the egg;
• Increased nervous excitability. For a young woman, the lack of an opportunity to give birth can be stressful if there was a child in her plans. Therefore, her emotions are tormented, as in menopause: depression, a desire to cry, aggression. But for a lady at an age already having children, the lack of a chance to conceive is an advantage, since there is no need to worry about contraception. For this reason, menopause without a uterus is characterized by increased libido and a fairly even emotional background.

Climax after hysterectomy

Menopause after removal of the uterus is somewhat easier in comparison with what some women with a preserved organ have to experience. One of the advantages is the absence of secretions and bleeding. On the other hand, determining the obvious moment of menopause is more difficult for the same reason. In general, menopause with a remote uterus has the following symptoms:

• Tides. The mechanism of their action is largely determined by the state of the vessels. And they grow old faster because of the impaired blood supply due to the absence of the organ. Therefore, the attacks of fever in menopause with the removed uterus are persecuted more often and with greater force than outside this circumstance. Its value in the process belongs to a quick set of extra kilograms, characteristic of menopause. Fat - this is increased pressure and interruptions to the heart, more frequent and stronger tides;
• Urogenital difficulties. Atrophy of the mucous membranes of the vagina and bladder also goes faster due to the absence of the neck, which produced mucus, which supported the local balance of hormones and acidity. Climax after removal of the uterus makes possible the omission of these organs, resulting in difficulty with urination, incontinence, painful sensations during intercourse;
• Osteoporosis. A faster cessation of ovarian function leads to the same destruction of bone tissue. Therefore, in women with a deleted uterus, osteoporosis can be detected at an earlier stage of menopause.

Therapy for menopause with remote reproductive organs

The sensations experienced as a result of the restructuring of the body due to surgery to remove the ovaries and the uterus and the emerging menopause are strong. This disturbs the quality of life, but can be eliminated with the help of medication. If surgical menopause is seriously worried, treatment is determined by the level of the intervention performed, the reason for which it was carried out. All drugs, including vitamin complexes and herbal medicine, must be agreed with the attending physician.

When only the uterus is removed, climacteric treatment is prescribed with estrogen-containing preparations( Divigel, Estrofem, Proginova), since these components are not enough for normal health. A different tactic is chosen if:

• The operation was done for endometriosis. Its foci and with menopause can be activated from estrogen therapy;
• There is severe triglyceridemia. The volume of these substances can increase due to estrogens;
• There are signs of rapidly progressing osteoporosis. To restore bone tissue in menopause, estrogens alone are not enough.

In all cases, menopause therapy is indicated by combination drugs containing and progestins( Climen, Cyclo-Proginova, Divina, Klimen, Trisekvens).

If the development of endometrial cancer caused hysterectomy, hormones are generally contraindicated. Then the treatment of menopause is prescribed phytopreparations or homeopathic( Remens, Klimadinon, Klimaktoplan).

If the severity of urogenital symptoms of menopause can be used gels Ovestin, Estriol.

Climax therapy with preserved uterus

If the ovaries are removed, but the uterus is retained, treatment for menopause should consider the effect of the drugs on its tissues. Estrogens can cause undesirable changes in the endometrium, stimulate its anomalous spread. Begin treatment for menopause immediately after surgery, as the hot flashes are troubling after 7-10 days. And despite the deficiency of predominantly estrogen, it must be combined, combining several types of hormones.

In this case, the specialist will choose one of the drugs:

• Ledibon;
• Livial;
• Cleiests;
• Femoston;
• Evian.

With the prohibition of the use of HRT, phytotherapy of menopause is indicated by the already mentioned means on a plant basis or homeopathic.

We recommend reading the article about taking homeopathic remedies with menopause. You will learn about the effects of homeopathy on the body of a woman during menopause, drugs prescribed by doctors.

Complementary funds

Surgical menopause as a treatment accepts and folk methods. They are necessary when banning the use of hormones. Decoctions and infusions from medicinal plants in menopause improve well-being, accelerate rehabilitation after ovariectomy.

To eliminate most of the symptoms of menopause apply:

• Sage;
• Hawthorn;
• Red clover;
• to Valerian;
• to Melissa;
• Hops cones.

We can not ignore the intake of vitamin-mineral complexes, the components of which contribute to the natural leveling of the hormonal balance in menopause and improvement of well-being:

• Ladis formula Menopause;
• Menopace;
• Alphabet 50+;
• Vitatress.

Surgical, forced even at a young age, menopause does not mean the completion of a woman's life. The operations leading to a climax do so often and for a long time that there is already a statistic indicating a high quality of existence. If you pay enough attention to health, well-being in menopause will not only be acceptable, but better than before intervention.