SURGICAL MENOPAUSE

Menopause happens most dramatically as the result of surgical intervention, namely a hysterectomy and bilateral oophorectomy where both ovaries are removed. Sometimes this is called TAH/BSO, or total abdominal hysterectomy with bilateral salpingo-oophorectomy. Salpingo refers to the fallopian tubes which connect the ovaries to the uterus. In the case of a hysterectomy, where only the uterus is removed and the ovaries maintained, there will be some confusion about when menopause occurs because of the absence of a period.
When the uterus is removed (hysterectomy) and the ovaries remain, menstrual periods stop but other menopausal symptoms (if any) usually occur at the same age that they would naturally. However, some women who have a hysterectomy may experience menopausal symptoms at a younger age.
There are many decisions to make when faced with surgical menopause. You can never have enough information about the process. You can't just take your doctor's word! Become proactive…this is your body. Listed below are a few points of information that should help your transition into this process:
The younger the woman going through surgical menopause, the more problems she will likely encounter.
It is crucial that every young woman scheduled for a hysterectomy have a complete hormonal blood work-up. That way there is a baseline to go by when determining hormonal needs. You can look back at those tests and see what the levels were when you felt normal and try to achieve those levels again with the right hormones.
Plan on your care after the hysterectomy. As a young woman it is important to find a "specialist " in hormonal therapy; someone who is up to date and keeps up to date with the newest medicine and side effects from surgical menopause. This doctor has to be someone you can trust, who provides good information and is open minded and will see you as a partner in your healthcare.
Research, research, and more research! The long-term affects of surgical menopause at a younger age has not really been determined. We are just now finding out how it relates to heart disease, osteoporosis and general health.
SYMPTOMS
Not every woman will experience these symptoms, but it is a proven fact that if you are in surgical menopause, then you will experience most of these symptoms in a more severe fashion than women going through menopause naturally.
Hot Flashes
Thyroid dysfunction
Night sweats
Bladder infections
Insomnia
Incontinence
Increased appetite
Weight gain
Hair Loss
Irritability
Vaginal dryness
Anger/Rage
Painful intercourse
Suicidal thoughts
Decreased sexual desire
Depression

FOR ADDITIONAL INFORMATION:
HERS FOUNDATION (Hysterectomy Educational Resources & Services)422 Bryn Mawr Avenue Bala Cynwyd, PA 19004 Email: info@hersfoundation.com
To request a free information packet: Tel (610) 667-7757To arrange a telephone appointment with a counselor: FAX (610) 667-8096

Sans Uteri Hysterectomy Forum, communication between hysterectomized women and women considering surgery. This site has many segments including a private mailing list of women who have had hysterectomies. Other features of the site are described in their FAQ.

Alternatives to Hysterectomy is designed for women who have been told they need a hysterectomy and are searching for alternative treatment. This site is under the direction of Michael E. Toaff, M.D.

Alternatives in Gynecology is the site of Paul D. Indman, M.D., FACOG. Topics explored at this site are common gynecological problems and procedures that should be considered when contemplating hysterectomy.

A Woman's Guide to Overcoming Endometriosis from IVF.com - complete and thorough resource about endometriosis

EarlyMenopause.com offers information and support for women who are experiencing early menopause—whether it's happened naturally or due to premature ovarian failure; surgery (hysterectomy and oophorectomy), cancer treatments (such as chemotherapy or radiation), autoimmune disorders, and more.

Hystersisters, a woman-to-woman support website for hysterectomy recovery. This group offers resources and kindness so that visitors can discover options and make decisions for themselves.

http://www.project-aware.org/Experience/premature.shtml