This causes early menopause. It can also increase your risk of osteoporosis and bone fractures, because estrogen helps your bones stay strong.
ET keeps estrogen levels up, which protects against bone thinning and helps prevent menopause symptoms. If you are in your 20s, 30s, or 40s, you may want to use ET to avoid sudden early menopause after having your ovaries removed.
But if you have already gone through menopause, you probably don't need ET after an oophorectomy. Estrogen therapy may increase the risk of health problems in a small number of women. This increase in risk depends on your age, your personal risk, and when ET is started. Talk with your doctor about these risks. Using ET may increase your risk of: footnote 4.
If a close family relative has had breast cancer, ET may not be right for you. Talk with your doctor about the risks and benefits. You might also try black cohosh, which is a medicinal root, or dietary soy to manage hot flashes. To reduce your risk of osteoporosis, eat foods that are rich in calcium, and take vitamin D supplements. These stories are based on information gathered from health professionals and consumers.
They may be helpful as you make important health decisions. Since having my uterus and ovaries removed, I've been taking ET. This makes a lot of sense to me, because my ovaries would be producing estrogen until I hit menopause. When I'm the age I'd expect to be menopausal, around age 50, I expect I'll stop or reduce the estrogen I'm taking. That'll depend on what experts recommend by then. I started taking ET after a radical hysterectomy and spent a number of months struggling with moodiness and feeling depressed.
It was probably because of the big changes in hormones after my ovaries were removed. I worked closely with my doctor to make adjustments to my hormone replacement. She replaced the oral estrogen with a patch. Now, I've been doing well for more than 5 years. I took ET for many years after having my uterus and ovaries removed in my 30s.
I figured I'd take it for the rest of my life, since that is what my doctor said I should do. But I recently heard about the latest research on the risks of taking hormones, and my doctor and I decided that I really don't need to take ET. If I had risks for osteoporosis and needed the estrogen to keep my bones strong, I'd take a low dose, but I don't have any worries right now about weak bones. I had a hysterectomy and oophorectomy in my early 40s, but I didn't take ET because my family has a history of breast cancer that's linked to estrogen.
The sudden menopause after having my ovaries removed was pretty bad, but I took really good care of myself with exercise, a good diet, and a lot of tricks for handling hot flashes, and I got through it after a while. Your personal feelings are just as important as the medical facts. Think about what matters most to you in this decision, and show how you feel about the following statements. I need something to help me manage hot flashes and other menopause symptoms.
Now that you've thought about the facts and your feelings, you may have a general idea of where you stand on this decision. Show which way you are leaning right now. How sure do you feel right now about your decision? Here's a record of your answers. You can use it to talk with your doctor or loved ones about your decision. Using ET may increase your risk of: 4. I feel that ET offers me the best protection against thinning bones.
Is ET the only way to treat early menopause symptoms and prevent bone thinning? For younger women, do the benefits of ET outweigh the risks? Are you clear about which benefits and side effects matter most to you?
Do you have enough support and advice from others to make a choice? Author: Healthwise Staff. Medical Review: Anne C. This information does not replace the advice of a doctor. Healthwise, Incorporated, disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. Learn how we develop our content. To learn more about Healthwise, visit Healthwise.
Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. Updated visitor guidelines. Get the facts. Your options Use estrogen therapy ET after hysterectomy and oophorectomy.
Don't use ET. Try other treatment for menopause symptoms and to prevent osteoporosis. Key points to remember Until menopause, the ovaries make most of your body's estrogen. When your ovaries are removed oophorectomy during a hysterectomy, your estrogen levels drop. Estrogen therapy ET replaces some or all of the estrogen that your ovaries would be making until menopause. Without estrogen, you are at risk for weak bones later in life, which can lead to osteoporosis.
ET lowers your risk by slowing bone thinning and increasing bone thickness. But if you have already gone through menopause, you probably don't need ET after your ovaries have been removed. Early menopause can cause hot flashes and other symptoms. ET lowers the number of hot flashes you have, and it makes them less severe when you do have them.
ET also helps with other early menopause symptoms, such as vaginal dryness and sleep problems. ET does have risks, including a slight risk of stroke and blood clots. But for most women in their 20s, 30s, or 40s who have had their ovaries removed, the benefits of ET are stronger than these risks.
Instead of ET, you might try other prescription medicines to help with early menopause symptoms and to prevent osteoporosis. And you may be able to prevent bone thinning if you take vitamin D supplements, eat foods that are rich in calcium, and do weight-bearing exercises.
You can read many of their articles on the website. This book debunks some of the myths surrounding menopause, and is available at Progressive Health Services bookstore. Susan Love has devoted herself to extensive research on menopause and breast cancer.
Click to go to her website. Menopause Menopause is a natural stage of the aging process. Menopause Myths When women seek information about menopause, they often encounter a number of common myths: that the ovaries stop functioning and a woman is infertile that a woman has an estrogen deficiency and hence a hormone imbalance that a woman gains weight and her bones become brittle that estrogen replacement therapy ERT will correct problems There is no scientific proof for any of the above suppositions!
In fact, a healthy woman's ovaries function throughout her life and continue to produce hormones and, less often after menopause, eggs a woman frequently has higher estrogen level after her periods cease and there is no ideal balance to be disturbed androgens, which influence the libido or interest in sex, continue be produced and, in many women, tend to be higher after menopause estrogen replacement therapy can, at best, temporarily mask the symptoms blamed on menopause.
At worst, by suppressing ovarian activity, it can cause the ovary to atrophy and also increase a woman's risk of cancer. Healthy Support With regard to menopause, doctors never talk about the aging process. Menopause Facts Women do ovulate after menopause, but much less frequently than before. Hormone Replacement Therapy If menopausal symptoms are not caused by lack of estrogen, they why do physicians prescribe estrogen replacement therapy?
The hormone-like drugs used for ERT are similar to those in the Pill and have no chemical relation to the natural estrogen in a woman's body. They are manufactured from either coal tar or from a concoction of chemicals and mare's urine.
They are especially inappropriate for women who have kidney disease, epilepsy, depression or liver disease. Even healthy women who take ERT are subject to a substantially higher risk, almost 15 percent higher, of cancer of the uterine lining. And these drugs actually suppress the activity of the ovaries, thus medically inducing atrophy, a death of sort, of the ovaries. Usually, only a single oocyte from one ovary is released during each menstrual cycle, with each ovary taking an alternate turn in releasing an egg.
A female baby is born with all the eggs that she will ever have. This is estimated to be around two million, but by the time a girl reaches puberty, this number has decreased to about , eggs stored in her ovaries.
In the ovary, all eggs are initially enclosed in a single layer of cells known as a follicle, which supports the egg. Over time, these eggs begin to mature so that one is released from the ovary in each menstrual cycle. As the eggs mature, the cells in the follicle rapidly divide and the follicle becomes progressively larger.
Many follicles lose the ability to function during this process, which can take several months, but one dominates in each menstrual cycle and the egg it contains is released at ovulation.
As the follicles develop, they produce the hormone oestrogen. Once the egg has been released at ovulation, the empty follicle that is left in the ovary is called the corpus luteum. This then releases the hormones progesterone in a higher amount and oestrogen in a lower amount. These hormones prepare the lining of the uterus for potential pregnancy in the event of the released egg being fertilised.
If the released egg is not fertilised and pregnancy does not occur during a menstrual cycle, the corpus luteum breaks down and the secretion of oestrogen and progesterone stops. Because these hormones are no longer present, the lining of the womb starts to fall away and is removed from the body through menstruation. After menstruation, another cycle begins. The menopause refers to the ending of a woman's reproductive years following her last menstruation.
This is caused by the loss of all the remaining follicles in the ovary that contain eggs. When there are no more follicles or eggs, the ovary no longer secretes the hormones oestrogen and progesterone, which regulate the menstrual cycle. As a result, menstruation ceases. The major hormones secreted by the ovaries are oestrogen and progesterone, both important hormones in the menstrual cycle. Oestrogen production dominates in the first half of the menstrual cycle before ovulation, and progesterone production dominates during the second half of the menstrual cycle when the corpus luteum has formed.
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