What's my risk of heart disease after a hysterectomy? My doctor recommended a hysterectomy and hormone replacement therapy, but I've read it can increase my risk of heart disease. I already have some risk factors. Does a hysterectomy make my chances of de
Hello. . Hello. If you ovaries are not removed; it won't change your risk for heart disease. However if both your ovaries and uterus are removed (which it looks like is the case for you since your doctor is recommending hormone replacement therapy) that can increase risk. With a total hysterectomy your estogen levels will drop. Estrogen helps to protect against heart disease. You develop a "surgical menopause" and this can lead to increasing sustances in your blood that cause clotting as well as making your blood vessels more susceptible to plaques or clots forming.
Yes. Hormone replacement (hrt) should be given to all women unless they have significant contraindications. Unfortunately the medical sentiment has changed against hrt over the last decade. It is coming back but physicians are still very reluctant. Many benefits and few risks if done in non-oral fashion. Especially very important if the hysterectomy was done before age 50. Don't wait seek hrt. Read more...