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How does a vaginal hysterectomy affect the hormones and weight gain in a 32 year old.

By Anonymous August 13, 2009 - 11:01am
 
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Dr. Sanz is my doctor who performed my surgery. Since the surgery, I've had difficulty controlling my weight and moods swings to include bouts with depression.

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(reply to Anonymous)

Anon,

You are CERTAINLY not alone. Menopause and the hormonal changes it brings about just seem to change everything about the way our bodies behave.

Have you had your thyroid levels tested?

You certainly are working hard at exercise, so that isn't the problem. I am sure that you know that 750-calorie diets put your body into a temporary state of thinking it's starving, though, right? So that when you go back to more normal eating, your body grabs those calories and hangs onto them.

How much weight are we talking about?

Here's what the Mayo Clinic says about "adrenal fatigue":

http://www.mayoclinic.com/health/adrenal-fatigue/an01583

And an in-depth exploration of adrenal stress:

http://www.womentowomen.com/adrenalfatigue/default.aspx

And while your physician is, ultimately right -- it is menopause, for sure -- that doesn't mean there's no hope to change anything. I wonder, have you considered bio-identical hormones? (What was the HRT you were taking -- synthetic or bio-identical?) Yours are the kind of symptoms that make many post-menopausal women consider the health risks and take bio-identical hormones.

Please let me know a little more, I'm really interested.

May 10, 2010 - 9:07am

What type of hysterectomy did you have? Do you still have your ovaries? Were you provided any hormone replacement therapy?

Hysterectomies can have a profound effect on women emotionally and physically, while other women (including a few in my family) do not experience adverse reactions after the initial recovery process. Both of these scenarios are completely normal, regardless of age, and it is wonderful that you are seeking help and answers...you've come to the right place!

How long has it been since you've had your hysterectomy? Did your doctor and nurses provide information on what changes your body will go through, including emotional and physical? Do you have a follow-up appointment with your doctor soon?

Either way, what you are experiencing warrants a call to your doctor, particularly regarding your bouts with depression. Your health care provider can help you with mood swings, depression, and provide some answers regarding your weight, so please don't live in sadness and frustration when help is just a phone call away!

In fact, here is some information from EmpowHer's encyclopedia regarding the Outcomes from Hysterectomy:
"Physical
Removing the uterus ends abnormal bleeding, reduces pelvic pressure, and removes fibroids. Some other conditions, such as cancer, may continue or return. You will no longer have monthly periods and can no longer get pregnant. Birth control is not needed. If you still have ovaries, the eggs will dissolve in your abdomen. If the ovaries are removed, menopause happens right away. Your doctor may have you take estrogen replacement therapy."

"Emotional
Some women have strong reactions, including depression, in response to the loss of their uterus. Talk to your doctor about your feelings."

"Sexual
Some women notice a change in their sexual response. Because the uterus has been removed, uterine contractions you may have felt during orgasm will no longer occur. If the ovaries have been removed, vaginal dryness may be a problem. This can be relieved with estrogen. Some women have an increase in sexual enjoyment. This may be because they no longer feel pain from the condition and they no longer have to worry about pregnancy."

August 13, 2009 - 12:13pm
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