Perimenopause

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

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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!