As far as the hormones - An intact woman's ovaries produce hormones up to age 80 or so, especially androgens that can be converted into estrogen. Every cell in the body needs these hormones and HRT is cannot adequately make up for what was removed to maintain normalcy.
Hysterectomy is one of the top overused surgeries with only 2% done for a cancer diagnosis. A study concluded that 76% of hysterectomies do not meet ACOG criteria.
I had a hysterectomy close to 10 years ago and it has been beyond devastating. I lost over half my hair in 4 months, sections turned gray, I lost skin collagen and muscle mass causing old, saggy skin, and I lost my sex drive and normal ability to orgasm (and uterine orgasms are gone forever). I won't even go into the long list of other symptoms the worst one being severe depression.
I have not gained weight and am "thin" tbut I hate the hysterectomy figure.
As far as ovarian cancer, if you do not have one of the gene mutations, then your lifetime risk should be less than 2%.
So do your research into all your options and the risks and adverse effects of each before making this serious decision.View Thread
There are treatments for fibroids that do not require the loss of your uterus. Despite what we are led to believe, the uterus has functions beyond reproduction. Do your research about the anatomical / pelvic integrity, sexual, and hormonal functions of the uterus. While the uterus is not believed to produce its own hormones, it does work together with the ovaries for proper hormone production. While it is true that some women have a natural menopause after hysterectomy, there is a fairly high chance that the ovaries will fail completely or menopause will occur earlier. Studies show that intact women's ovaries produce hormones up to at least age 80. Every cell in the body is affected by these hormones. needs fail completely within 5 years of the surgery due to loss of blood flow.View Thread
Your situation differs from the original poster's. She never had an abnormal pap and doesn't have a cervix hence no need for paps. You had atypical cervical cells prior to your hysterectomy which MAY have been pre-cancerous. (There are also relatively harmless conditions that can cause atypical cells and these oftentimes resolve on their own, no treatment needed.)
Estrogen (especially oral) is supposed to lower cholesterol. And I know women who said it also lowered their BP that increased after their hysterectomy.
Estrogen deficiency caused by ovary removal has many negative health effects so it would seem reasonable to take estrogen for many years afterwards. Even post-menopausal ovaries produce some estrogen as well as testosterone that aromatizes into estrogen for decades past menopause.
http://www.ncbi.nlm.nih.gov/pubmed/19702455 "Estrogen deficiency resulting from pre- and post-menopausal oophorectomies has been associated with higher risks of coronary heart disease, stroke, hip fracture, Parkinsonism, dementia, cognitive impairment, depression and anxiety in many studies. While ovarian cancer accounts for 14,800 deaths per year in the USA, coronary heart disease accounts for 350,000 deaths per year. In addition, 100,000 cases of dementia may be attributable annually to prior bilateral oophorectomy."View Thread
Endometriosis can be tough to manage. And hysterectomy isn't a cure because endo can usually be found throughout the pelvis including in the bowels and it's difficult to remove it all. I've connected with a number of women who had hysterectomies for endo and for most, it didn't end the pain for very long. Most of these women had pain since menarche; development of endo many years after menarche doesn't seem nearly as common. However, I've read that c-section can cause it - not sure about tubal ligation.
Did you have any of these symptoms prior to your tubal ligation? TL can cause some of these same symptoms. Google it.
The removal of ovaries has been shown in medical studies to increase risk for a number of health problems. Google "oophorectomy mortality increased risk." If I'd received all the necessary information, I wouldn't have allowed any of my organs to be removed. Not only were my ovaries doing a lot more than I realized, so was my uterus.View Thread
You deserve to understand your diagnosis and all treatment options along with their risks and benefits. Sounds like a change in doctors may be warranted. As a nurse you probably already know to get a copy of your records including pathology reports to take to a new doctor. And doing some research ahead of time and making a list of questions for your doctor will make your appointment more productive.
I've been in your shoes in that my doctor wasn't upfront about my diagnosis and prognosis. He overtreated me and caused permanent harm.View Thread
Since Provera is typically used to treat a thickened lining, hopefully that will be the case for you. According to the above link, diabetes drug metformin is another option to regulate periods. It also treats insulin resistance and may help you lose weight. There are some studies in PubMed about PCOS and pregnancy. Good luck to you in managing your PCOS and having a baby!View Thread
Since you're mid-40's, you could very well be in peri-menopause when ovulations tend to be sporadic. This can cause a thick lining that can come and go during this transition to menopause. I personally know a number of women who had a thick lining that ended up being nothing serious. Some were in peri-menopause and others in early menopause. I don't know though if the short amount of time it took for your lining to thicken since the D&C is unusual or not. But the good thing is that endometrial hyperplasia is usually treatable with meds. Hope that's all you need.View Thread