After a hysterectomy in a premenopausal woman, the treatment can be symptom-based. One no longer needs the protective nature of Progesterone
(against uterine cancer
) after a hysterectomy. Hot flashes
also can be addressed with a non-estrogen
plan of management.
In 1991, the the womenâ€™s health initiative (whi) was launched and consisted of a set of clinical trials and an observational study, which together involved 161, 808 generally healthy postmenopausal
women. The clinical trials were designed to test the effects of postmenopausal hormone therapy
, diet modification, and calcium
and vitamin d supplements
on heart disease, fractures, and breast and colorectal cancer
The hormone trial had two studies: the estrogen-plus-progestin study of women with a uterus and the estrogen-alone study of women without a uterus.
First, the benefits of the study showed that hormonal therapy did reduce hot flashes and night sweats
. It relieved vaginal dryness
and prevented osteoporosis-related fractures. However, on the quality of life
issue, there were no clear benefits for those taking hormonal therapy compared to those who did not and there was an increase in breast cancer, coronary heart disease and clots in the lungs. One should know the risks and benefits of replacement hormonal therapy before embarking on that course of treatment and discuss your concerns with your gynecologist
. For more information about hormonal and non-hormonal replacement, you may want to refer to my ebook on this and other womenâ€™s health issues.
if you and your gynecologist decide on estrogen replacement, then a dermal (skin) patch may be an option.