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Surgical menopause may affect women who have had a hysterectomy
What is a hysterectomy? | After a hysterectomy | What is menopause?

The ovaries produce hormones (estrogen and progesterone) essential to the regulation of the menstrual cycle. When the production of these hormones is suddenly interrupted due to a hysterectomy, the symptoms of menopause may begin. This is called surgical menopause.

At the time of a hysterectomy, every effort is made to leave the ovaries intact to avoid a sudden absence of hormones. But, in many circumstances, the removal of the ovaries is unavoidable.

What is surgical menopause?
This is the term used to refer to the symptoms of menopause a woman experiences after the ovaries are removed during a hysterectomy. These symptoms are triggered by the body's sudden inability to make certain hormones due to the removal of the ovaries.

Many times after a hysterectomy, the abrupt disruption in the production of hormones will cause menopause symptoms that are more severe, more frequent, and that last longer compared with symptoms caused by natural menopause. These severe symptoms are due to the immediate end in the supply of hormones. Hormone production in women experiencing natural menopause gradually slows until it eventually stops.

Helping women who experience surgical menopause
Symptoms of surgical menopause can range from losing sleep due to night sweats to vaginal itching and dryness, or can mean constantly stopping daily activities until your hot flashes go away.

While it may feel like you’re the only one who’s ever experienced these life interruptions, you’re not alone. Surgical menopause happens to more women than you might think, and your healthcare provider can help you adjust.

Can surgical menopause symptoms be treated?
Yes. Many women experiencing surgical menopause symptoms have found relief using estrogen therapies like EstroGel. EstroGel is an FDA-approved, gel estrogen therapy that keeps your active lifestyle in mind.1  Ask your healthcare provider about which treatment makes the most sense for you and when you might begin to experience relief from the symptoms of menopause.
 

WHAT IS THE MOST IMPORTANT INFORMATION I SHOULD KNOW ABOUT EstroGel (AN ESTROGEN HORMONE)?

Estrogens increase the chance of getting cancer of the uterus (womb). Report any unusual vaginal bleeding right away while you are using EstroGel. Vaginal bleeding after menopause may be a warning sign of cancer of the uterus (womb). Your healthcare provider should check any unusual vaginal bleeding to find the cause.

Do not use estrogens with or without progestins to prevent heart disease, heart attacks, strokes, or dementia. Using estrogens with or without progestins may increase your chance of getting heart attacks, strokes, breast cancer, and blood clots.

Using estrogens, with or without progestins, may increase your risk of dementia, based on a study of women age 65 or older.

Do not start using EstroGel if you have unusual vaginal bleeding, currently have or have had certain cancers, had a stroke or heart attack in the past year, currently have or have had blood clots, currently have or have had liver problems, are allergic to EstroGel or any of its ingredients, or think you may be pregnant.

Common side effects of estrogens include headache, breast pain, irregular vaginal bleeding or spotting, stomach/abdominal cramps, bloating, nausea, vomiting, hair loss, fluid retention, and vaginal yeast infection.

You and your healthcare provider should talk regularly about whether you still need treatment with EstroGel.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

Please see full patient information (PDF) and boxed warning.

REFERENCE: 1. EstroGel 0.06% [package insert]. Herndon, VA: ASCEND Therapeutics, Inc; 2008.

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EstroGel® is a registered trademark of LaSalle Laboratories, Inc. ©2009 ASCEND Therapeutics, Inc. All Rights Reserved.

  
     
   
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