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Hormone replacement theory - Should it be taken after hysterectomy?

A hysterectomy is an operation where the womb or uterus of a woman is removed through an operation. In some critical cases, the fallopian tubes and ovaries are also removed. The ovaries are those organs that produce eggs (ovum) and estrogen and hysterectomy is one of the most common surgeries for women of reproductive age and which is just similar to a caesarean section. As we know that hormone replacement therapy is something that can be taken by reproductive women who are suffering from some kind of hormonal imbalance. The women who suffer from a fall of estrogen levels usually go through HRT through which artificial hormones are injected into the body to regain the lost balance. However, the question that arises is should you opt for hormone replacement theory after surgical menopause or after hysterectomy?

Should you get HRT post hysterectomy?

The answer to this million-dollar question used to be pretty simple, Yes! Until the early 2000s, this kind of therapy was routinely and systematically prescribed not only for the women who had their ovaries removed but even for those women who were entering the phase of menopause. But things have recently changed since the studies that were revealed through the Women’s Health Initiative in 2002. The risks of this estrogen-therapy have now grabbed the headlines of both newspapers and television. Although most doctors are still recommending hormone replacement therapy for women who have underwent surgical menopause but now finding the simple and straight answer is not so easy any longer.

The pros and cons of HRT after hysterectomy

So what do you actually mean by surgical menopause? Menopause that suddenly occurs after the ovaries (the main organs for producing hormone estrogen) and the uterus or the womb are surgically removed through an operation called hysterectomy. The removal of only the ovaries is called oophorectomy and this is a process that is often combined with hysterectomy which is known as the removal of uterus. Women who have their uterus removed go through surgical menopause, which means menopause that didn’t come to them naturally. Their ovaries, however, still continue making estrogen. They’ll go into menopause sometime later, when they grow a bit older.

Estrogen is usually the hormone which plays a key role in our body, especially in the body of a woman. It affects the bones, the brain, the skin, the blood vessels, the heart and many more other organs. During natural menopause, the levels of estrogen gradually start falling and they usually plummet during surgical menopause. This sudden and drastic drop in estrogen levels may lead to some of the harsh symptoms of menopause and this can even become pretty severe.

HRT after hysterectomy, either with both progestin and estrogen or with only estrogen is a simple way of counteracting the lost supply of natural estrogen. Women who have their ovaries and uterus removed should only get estrogen replacement therapy but women who have their uterus should get both estrogen and progestin. This reduces the risk of uterine wall cancer.

So, if you’re someone who has her uterus removed, make sure you get only estrogen replacement therapy. For more information on HRT, you may visit https://www.hght.com/

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