Hysterectomy & Salpingo-Oophorectomy
Hysterectomy is a procedure where the Uterus is surgically removed. Salpingo-Oophorectomy is a procedure where the Ovaries and Fallopian Tubes are surgically removed. This can be Unilateral (One side) or Bilateral (Both sides).
Indications for Hysterectomy and/or Salpingo-Oophorectomy are:
- Abnormal Uterine & Vaginal Bleeding (Menorrhagia /Metrorrhagia )
- Uterine Fibroids
- Uterine Polyps
- Vaginal Prolapse
- Uterine/Endometrial Cancer
- Pelvic Inflammatory disease (Uncontrolled infection)
Types of Hysterectomy & Salpingo-oophorectomy:
Hysterectomy with or without Salpingo-oophorectomy (Removal of Ovaries and Tubes) can be (Figure 1):
- Total: Body of Uterus and Cervix removed; Ovaries and Vagina Spared
- Partial: Body of Uterus removed; Cervix, Ovaries and Vagina Spared
- Radical: Body of Uterus and Cervix including Lymph nodes removed, Ovaries and Vagina Spared
What happens after I get a Hysterectomy / Oophorectomy?
Hysterectomy has been associated with early Menopause and Premature Ovarian failure which can inflict serious health issues including, Cardiovascular disease, Osteoporosis, Alzheimer’s dementia and an overall increase in mortality due to all causes.
Most Women who undergo Hysterectomy and Oophorectomy (unilateral or bilateral) are not aware, or haven’t been advised of the future consequences of losing their Ovaries. As early as within 48 hours of having the uterus and ovaries removed, the levels of Estrogen and Testosterone drop substantially.
Even among patients where one or both Ovaries are spared, the blood flow to the Ovaries is compromised leading to a state of Premature menopause.
Two large prospective studies have looked at Ovarian failure following Hysterectomy. The PROOF (Prospective research on Ovarian function) study and a Swedish Study, showed a two-fold increase in the risk of Ovarian failure in patients undergoing Hysterectomy especially in women who had a unilateral Oophorectomy. Hysterectomy especially in women 50 years and younger substantially increased the risk of Cardiovascular disease, Heart attacks and Stroke.
This relatively sudden drop in estrogen and testosterone levels causes decreased production of many of the “feel good” neurotransmitters in the brain such as Dopamine. This often results in personality changes that manifest as:
- Inability to cope with stress.
- Increased volatility.
- Irrational and possibly even explosive behavior.
Such personality changes can affect quality of life, induce unwanted Stress and High blood pressure and have significant effects (Short term & Long term) on Personal & Marital relationships.*
Over the course of time, several changes are experienced by the body. Women who have undergone hysterectomy can experience:
- Weight gain of 15 to 25 pounds in the belly, waist and hip area
- Abnormal Cholesterol levels
- Lack of energy and motivation
- Loss of muscle mass and aches and pains in muscles and joints
- Osteoporosis/Osteopenia: Since Bone density scans (DEXA Scan) are not done until later in life, Osteoporosis can be severe by the time it is detected. Decreased physical activity also increases the chances of Osteoporosis.
At Ageless Integrated Medicine, we routinely treat patients who have undergone Hysterectomy and experience symptoms of Premature Menopause, by using Bio-Identical Hormones.
*A comprehensive thorough Hormone blood work panel can help Identify Low Hormone levels and a possible hormone imbalance.
This website is for informational purposes only and does not offer medical advice. Some of the statements have not been evaluated by the Food and Drug Administration. The products and services discussed are not intended to diagnose, cure, or prevent any disease. All the services offered at Ageless Integrated Medicine can be prescribed by our Physician, which will include a thorough review of your Medical History, Physical Examination and possible Blood work Laboratory analysis. After such a thorough review, our Physician will determine if you are an appropriate candidate for the treatment sought based on your Individual Medical History, current health status and Laboratory results.