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Doctor insights on: Hrt Following Hysterectomy

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Bleeding with intercourse 15 year postmenopause post hystrectomy?

Bleeding with intercourse 15 year postmenopause post hystrectomy?

See a doctor: Likely this is okay and is due to a lack of estrogen in the vagina causing atrophy, that is---thinner skin of the vagina that is more sensitive and occasionally bleeds as well. However, any postmenopausal vaginal bleeding needs to be evaluated by a physician to make sure there are no cancerous or precancerous reasons for this. If it is local to the vagina, your doctor may prescribe some estrogen. ...Read more

Dr. Bryan Treacy
869 doctors shared insights

Hormone Replacement Therapy (Definition)

Usually done to provide the hormones that would be deficient upon surgical removal or inactivity or malfunction of a hormone producing gland or organ. The endocrinologist is the medical specialist that specializes amongst other things , in doing just that. Insulin/glucagon-pancreas, thyroid hormone-thyroid, ovaries, testicles, hypothalamus, ...Read more


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Post menopausal spotting of blood. 9 yrs since hysterectomy?

Post menopausal spotting of blood. 9 yrs since hysterectomy?

Spotting: You should not have spotting after hysterectomy. You should consult an Ob-Gyn to rule out other causes. ...Read more

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Can endometriosis return after total hysterectomy?

Can endometriosis return after total hysterectomy?

Unlikely: A complete hysterectomy, with removal of both ovaries, usually is curative for endometriosis. I have seen cases afterwards, but it is extremely rare. ...Read more

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Does divinci hysterectomy total invoke mesh implant?

Does divinci hysterectomy total invoke mesh implant?

No: Hysterectomy and mesh implant are 2 different procedures. Sometimes can be combined, but as a rule does not involve the mesh application.Both procedures can be done with da vinci. ...Read more

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Any risks with davinci supracercival hysterectomy?

Any risks with davinci supracercival hysterectomy?

As with any surgery.: Supracervical hysterectomy means removal of the uterus above the cervix. Da vinci is a tool that allows difficult surgeries to be done through small incisions. Complications of any surgery involve, bleeding, infection, organ injury, and anesthetic risks. None of these are common in the hands of an experienced surgeon and team. ...Read more

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What is postmenopausal laparoscopic oophorectomy?

What is postmenopausal laparoscopic oophorectomy?

Surgical procedure: It's a minimally invasive surgical procedure, utilizing small incisions and a camera as well as narrow diameter instruments to operate within a body cavity. Oophorectomy means to remove an ovary. Postmenopausal refers to a women who has stopped menstruating, and has left their reproductive years. ...Read more

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Hysterectomy - is electrotherapy and ultrasound therapy safe to have post op 15 weeks total hysterectomy. ?

Hysterectomy - is electrotherapy and ultrasound therapy safe to have post op 15 weeks total hysterectomy.  ?

Should be fine: As long as you are not having surgical pain, no problem with doing other sorts of therapy that long after a hysterectomy. However make sure the provider knows you recently had surgery. ...Read more

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Compare postoperative outcomes of a total abdominal hysterectomy, a laproscopic assisted lavh?

Compare postoperative outcomes of a total abdominal hysterectomy, a laproscopic assisted lavh?

LAVH usually better: Depends on what the reason is, what your body type is and why they are doing it and how good your doctor is at doing lavh. But usually there is less pain and an easier recovery time after lavh. But doing it robotically often has less pain that lavh. ...Read more

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Left groin pain 3 months after total hysterectomy and oopharectomy?

Left groin pain 3 months after total hysterectomy and oopharectomy?

Not usual: see your surgeon. Many factors in play. Incision location, Tissue. Hernia,infection Blood clots. May require some testin if not immdiately clear. ...Read more

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What is safe treatment for menopause after tah bso?

What is safe treatment for menopause after tah bso?

Hormone replacement: Estrogen replacement therapy cones in many forms, patch, gel, sprays, creams, and pills to replace the missing estrogen from the ovaries that have been surgically removed. ...Read more

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I'm scheduled for robotic total hysterectomy with pelvic lymph node dissection for uterine cancer. What;s the recovery time?

I'm scheduled for robotic total hysterectomy with pelvic lymph node dissection for uterine cancer.  What;s the recovery time?

Quick : Robotic surgery allows rapid recovery. You will need to confirm the plan with your surgeon. Most likely you will stay overnight in the hospital. People usually take 2-6 weeks before returning to work ...Read more

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Partial hysterectomy what are precautions after surgery?

Partial hysterectomy what are precautions after surgery?

Depends: I depends on how the surgery was done. If you had a large incision on your abdomen then you should not be lifting more than 10-15 pounds for several weeks. If you had it done through the vagina or laparoscopically (small incisions) you don't have to worry about lifting restrictions. I also suggest that nothing go in the vagina for 6 weeks. Talk to your doctor about the specific details. ...Read more

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PCOS, Endometriosis, Heavy Cycles, 33yo, tubal ligation 3 yrs ago. Would an endometrial ablation lessen my symptoms/cancer risks?

PCOS, Endometriosis, Heavy Cycles, 33yo, tubal ligation 3 yrs ago. Would an endometrial ablation lessen my symptoms/cancer risks?

Maybe not: Endometrial cancer can be obscured by endometrial ablations if it is not ruled out prior to the procedure by biopsy. Many women continue to have bleeding post endometrial ablation procedures, and the most likely conclusive treatment is hysterectomy if you no longer desire children. ...Read more

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Constipation following myomectomy?

Constipation following myomectomy?

Pain meds: Pain medications after any kind of surgery can be constipating. Inaddition, pelvic surgery can stimulate spasm of the muscles around the rectum that have to relax to allow bowel movements. Stool softeners can be quite helpful until off the pain medications and the muscles have relaxed. ...Read more

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Hx breast ca bilateral mastectomy 2 years ago w/chemo,total hysterectomy with ovaries and cervix removed.what vitamins/supplements should I be taking?

Hx breast ca bilateral mastectomy 2 years ago w/chemo,total hysterectomy with ovaries and cervix removed.what vitamins/supplements should I be taking?

Healthy diet : In my opinion, a healthy, balanced diet is far more important than taking extra vitamins and supplements. If you have concerns about the adequacy of your dietary intake, there are a number of excellent daily multivitamin products that assure that you meet your daily requirements. ...Read more

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58 year old woman with 7 CM endometrial lining, stopped HRT therapy 3 months ago. Endometrial biopsy recommended by doc with d&c or hysterectomy?

58 year old woman with 7 CM endometrial lining, stopped HRT therapy 3 months ago.   Endometrial biopsy recommended by doc with d&c or hysterectomy?

Hysteroscopy/ D&C: If you are having postmenopausal bleeding then a hysteroscopy with a D&C is appropriate. About 10% of postmenopausal bleeding may be attributed to cancer. However since you were on hrt, sometimes it can take up to 6 months for bleeding to stop. Given your history that your bleeding (assuming you are having this) the likelihood that it's due to hrt or endometrial polyp is more common than cancer. ...Read more

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Had hysterectomy. Have one ovary left . 43 years old . Do I need to go trough HRT?

Had hysterectomy. Have one  ovary left . 43 years old . Do I need to go trough HRT?

No, not necessarily.: If you don't have symptoms of hormone loss/imbalance (hot flashes, low mood, vaginal dryness, painful intercourse, insomnia, foggy brain, low libido) then your remaining ovary is probably producing enough for now. However, if you do have these symptoms then you might need HRT. If you're unsure then the best way to tell is to test all the hormone levels. ...Read more

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I am a 41 year old woman. I had a full hysterectomy in my early 30's. I have been able to stay of HRT but lately my moods, hot flashes etc. Are out of controll. Do I need to consider hrt?

Yes: Assuming your ovaries were removed at the time of the hysterectomy, i would encourage you to try estrogen replacement therapy. You are too young to be without estrogen. No estrogen can cause bone and vaginal problems in addition to the symptoms you describe. ...Read more

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Why would I be bleeding after complete hysterectomy and on HRT.. HAVEN'T HAD BLEEDING for 20 years ?

Why would I be bleeding after complete hysterectomy and on HRT.. HAVEN'T HAD BLEEDING for 20 years ?

Where from?: Make sure it is vaginal. If this is the case you could have a vaginitis or from trauma to thin tissue. The bleeding could be from the bladder. If you don't know best to see a physician ...Read more

Dr. Michio Abe Dr. Abe
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Just had a (4 weeks ago)total hysterectomy at 46 due to bad endo. Do you recommend HRT and what kind?

Dr. Michio Abe Dr. Abe
2 doctors agreed:
Just had a (4 weeks ago)total hysterectomy at 46 due to bad endo. Do you recommend HRT and what kind?

HRT: As there are rare but serious risks such as breast cancer and blood clot formation, you should understand these risks and they are acceptable to you. If you decide to have hrt, you should take the lowest effective dose of estrogen needed to relieve menopause symptoms for the shortest amount of time needed. ...Read more

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Its been 1 year since hysterectomy with ovary removal, and HRT is not working, I feel old, and unlike me?

Hormone evaluation: See a gyn specialist in menopause issues, surgical menopause occurs after removal of ovaries in a reproductive age woman. It can be very abrupt and difficult to manage. Proper evaluation and hormone treatment should be able to help you get back on track. Sometimes patients need additional types of therapy such as testosterone. Other issues like thyroid and depression should be addressed. ...Read more

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What should FSH level be if you are on HRT post hysterectomy?

What should FSH level be if you are on HRT post hysterectomy?

Not measured!: If you had a hysterectomy with oophotectomy (which is removal of the ovaries) your FSH will go very high, usually into the 100's. The FSH responds differently in different people to HRT. In some it does not change in others it comes to undetectable. What is important is how you feel not a number! Also, know in situation it is safe and appropriate to be on HRT, see link. ...Read more

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I had a complete hysterectomy in june and no hrt. Now my FSH shows 17.4. Is that normal?

I had a complete hysterectomy in june and no hrt. Now my FSH shows 17.4. Is that normal?

A "complete": Tah or tvh, or total hysterectomy takes out the uterus. A bso removes both ovaries and tubes. 17 would indicated that there is little estrogen to suppress its production. That may be due to your age as much as the surgical procedure, whatever it actuall was. ...Read more

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Is it safe to use HRT after removal of mucinous cystadenoma and total hysterectomy ?

Yes: Assuming you have no other medical issues preventing you from taking hormones. A mucinous cystadoma is a benign ovarian tumor and would not disqualify you from hormone therapy. ...Read more

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At 27, I had ovarian cancer and then a hysterectomy. Is HRT safe for me? My cancer was malignant dysgermanoma.

At 27, I had ovarian cancer and then a hysterectomy.  Is HRT safe for me?  My cancer was malignant dysgermanoma.

Yes: Before your ovaries were removed, they made hormones (hrt) so you should be fine using replacement after the surgery. That particular type of cancer should not be affected by replacement. A person with breast cancer, active blood clots, certain types of uterine cancer or undiagnosed vaginal bleeding should not use hrt. ...Read more

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My right breast has become larger than my left over past few weeks. I'm 46 been on HRT since hysterectomy +ovarys removed 13yrs ago is this normal?

My right breast has become larger than my left over past few weeks. I'm 46 been on HRT since hysterectomy +ovarys removed 13yrs ago is this normal?

Not necessarily: Since this just happened over the last few weeks and your breast was not always a little bigger on the one side, there may be some underlying cause that needs to be assessed. Have a dr. Do a thorough breast exam on you with possible testing such as a diagnostic mammogram. Best wishes. ...Read more

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I have started having problems with being hot & sweating for no reason, day & night. I am post-menopausal, but on HRT since hysterectomy approx 3 yrs.

Hormonal levels ?: If ovarian function was not surgically removed bilaterally at the time of hysterectomy, the function of the ovaries may now be slowing or ending, thus giving a loss of overall hormonal levels and increased menopausal symptoms of sweating. A physician needs more history to better answer this question accurately. ...Read more

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I have vaginal bleeding. I did hysterectomy and ovariectomy. I take HRT . The swab is negative. No athrophy. Could it be an hormonal disbalance?

I have vaginal bleeding. I did hysterectomy and ovariectomy. I take HRT . The swab is negative. No athrophy. Could it be an hormonal disbalance?

Side effect: Vaginal bleeding is a side effect of hrt if part of the uterus was left in place. Young women typically need to have higher doses of hormone as in birth control pills. If this is not the issue d/w your doctor what other causes could be. ...Read more

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I recently had a hysterectomy. On HRT and now thyroid levels are low. Can my hormones cause my thyroid to be mistaken for hyperthyroid?

I recently had a hysterectomy. On HRT and now thyroid levels are low. Can my hormones cause my thyroid to be mistaken for hyperthyroid?

Not really: Hormones can raise your total T4 but not your free T4 which is more accurate. If your total T4 is a bit high but your TSH is normal you are not hyperthyroid. Would help to see actual test resutsl ...Read more

Dr. Jeff Livingston
1,886 doctors shared insights

Hysterectomy (Definition)

The entire uterus (womb), cervix, the part protruding into the vagina, and ...Read more