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Article Series: Menopause
Menopause Symptoms and Relief
Surgically
Induced Menopause
Most women arrive at menopause after a gradual decline in estrogen,
making it a progressive and somewhat steady process. Women
who arrive at menopause by surgical means, however, are suddenly
thrust into a menopausal state by more abrupt means. Some
women welcome the immediate change, while others are irritated
by it.
Surgically
induced menopause is the result of a hysterectomy, which is the removal of the uterus and sometimes-other parts
of the reproductive system as well. The removal of the uterus
brings with it the end to menstruation and fertility. If the
ovaries remain intact they will likely continue making hormones,
although sometimes at a reduced rate. The decision to retain
the ovaries is dependent upon several factors, primarily the
reason for the hysterectomy. The three categories of hysterectomies
are subtotal, total, and radical. A subtotal hysterectomy involves
the removal of the upper portion of the uterus. A total hysterectomy
involves the removal of the uterus and the cervix. A radical
hysterectomy is when the uterus, cervix, ovaries, fallopian
tubes, and pelvic lymph nodes are removed. Hysterectomies can
be accomplished either by an incision in the abdomen or vaginally,
depending upon the particular procedure.
The
majority of hysterectomies accomplished are elective; the woman along with her doctor decided this was the best course
of action for whatever reason. Women with heavy bleeding or
very painful periods often welcome the chance to end the monthly
cycle if they are finished with having children. Other reasons
for elective hysterectomies include fibroids, endometriosis,
and certain cancers. Emergency hysterectomy procedures are
in the minority, but still result in immediate, and sometimes
unexpected, menopause. An example of an emergency hysterectomy
would be for a woman hemorrhaging after giving birth to a baby.
The hysterectomy may have saved her life, but if she wasn’t
expecting to have the procedure it can be devastating.
So
what is the difference between natural menopause and surgically
induced menopause? Both result in the end to menstruation and
fertility. Arguments can be made for either side as far as
which way is preferable. Natural menopause offers a fairly
measured arrival, giving the woman ample time to accept the
change, whereas surgically induced menopause is a sudden change.
If the surgically induced menopause is a result of a woman’s
wishes, however, the sudden change may be a blessing. Instead
of the sometimes long and drawn-out process the woman simply
ends her periods. It is important to note, however, that the
medical community generally supports elective hysterectomies
as a last resort. A hysterectomy is major abdominal surgery
and this carries with it risks of infections and other complications.
Surgically induced menopause carries with it a greater need
for hormone replacement therapy. The statistics of surgically
induced menopausal women using hormone replacement therapy
versus natural menopausal women are dramatic: eighty to ninety
percent of surgically induced menopausal women use hormone
replacement therapy, whereas only around fifty percent of natural
menopausal women do. Statistics abound about how surgically
induced menopausal women abruptly lose more bone density than
naturally menopausal women, but this research probably doesn’t
take into account that the naturally menopausal women have
likely been losing bone mass since the perimenopausal state,
making it an unfair comparison.
Women who have surgically-induced hysterectomies are more
prone to suffer from depression than their counterparts who
have natural menopause. This may be a result of the sudden
hormonal change, or because there wasn’t ample time to adjust
to the idea of menopause. Hormone replacement therapy is advised
in aiding depression as it helps regulate the hormonal cycle.
Sometimes anti-depressant medication is prescribed in conjunction
to hormone replacement therapy if needed. Some women seek out
herbal supplements to ease depression, as there are ample products
available. A qualified medical professional is the best source
of information about menopausal depression.
The idea of controlling the onset of menopause is quite appealing
to some women, particularly those women who suffer from painful
monthly periods with heavy bleeding and agonizing cramps. Careful
consideration must be given, however, when deciding to induce
menopause through surgical means. Some may argue it is best
to allow nature to take its course, but this can be hard to
accept if there exists a procedure that can end monthly suffering
for some women.
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by SolveYourProblem.com
: 2006
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