Why Hormone Therapy for Surgical Menopause Patients?

Hormone therapy after surgery — either with estrogen and progesterone or with estrogen alone — is a way to counteract the supply of estrogen you’ve lost. Women who have both the uterus and ovaries removed often just receive estrogen replacement therapy (ERT). However, ERT without progesterone supplementation may increase the risk of certain cancers, so supplementation of estrogen, progesterone, and small amounts of testosterone are often safer and more effective than estrogen alone.

Reasons to Consider HRT After Surgery

You’re young. By definition, women who go into menopause as a result of surgery are at least young enough to be premenopausal. And while the risks of getting hormone therapy in older postmenopausal women have grabbed headlines, there may be risks for younger women who don’t get it.  Estrogen affects the body in many ways, with estrogen receptors present in a variety of human organs and tissues. Several experts believe that it plays an important role in protecting younger women from disease and loss of bone density. Doctors have long known that the risk of heart disease is much higher in women who had their ovaries removed before menopause.  Hormone replacement therapy may also reduce the risk of colorectal cancer in these patients.

Women who go into surgical menopause when they’re under 50 will benefit from hormone replacement therapy.  Many women find that their menopausal symptoms, including hot flashes, vaginal dryness, insomnia, weight gain and brain fog, are unbearable and debilitating. HRT can be quite effective in preventing and reversing these symptoms.