Hysterectomy, Ovarian function and Menopause
Meta-analysis of Ovarian Function after a Hysterectomy
Publication:
Journal of Ovarian Research
Author:
Yibao Huang and Meng Wu
Date:
February 9th 2023
Article Summary
Hello hysterectomy heroes! I myself had to have one, and so I've been digging through some rather eye-opening research about what happens to our ovaries after our uteruses are removed.
Here's the juicy bit: this new meta-analysis (fancy talk for "looking at loads of studies at once") shows that even when doctors preserve your ovaries during a hysterectomy, the little blighters still get rather miffed about the whole affair!
The study found that women who had undergone hysterectomies showed clear hormone changes: lower AMH levels (a marker of ovarian reserve) and higher FSH and LH levels (indicating that the ovaries are working harder). Basically, hysterectomy fast-forwards your ovarian clock by about 4 years.
Why? Removing the womb disrupts 50-70% of blood flow to the ovaries, cutting off essential chemical signals between the organs. Think of it as unplugging part of the communication network - everything still works, just not as efficiently.
The good news? The changes aren't catastrophic, they're manageable. The not-so-good news? Women over 40 showed more pronounced effects than younger women
So there you have it - scientific proof that our reproductive organs are pretty dramatic.
The HotFlush Fix - Your Post-Hysterectomy Ovarian Health Action Plan
MONITOR SYMPTOMS
• Track hot flashes, night sweats, and mood changes
• Note sleep disruptions or brain fog
• Set monthly self-check reminders
HORMONE MONITORING
• Request baseline hormone tests before surgery if possible
• Get follow-up hormone checks 6-12 months post-surgery
• Ask specifically about AMH testing
HEALTH CHECKS
• Book health reviews every 6 months instead of annually
• Monitor blood pressure and cholesterol more regularly
• Consider bone density screening if over 45
LIFESTYLE SUPPORT
• Take 1200mg calcium daily plus vitamin D
• Include weight-bearing exercise for bone health
• Consider Mediterranean-style eating
• Manage stress through whatever works for you
IMMEDIATE STEPS
• Find a menopause-aware GP or specialist
• Start basic symptom tracking
Just a friendly reminder: I'm sharing what I've learned, not prescribing what you should do. Always chat with your GP about what's right for your unique situation!


