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Hormone Replacement Therapy and Hysterectomy

Hysterectomy and Hormone Replacement Therapy

The subject of hormone replacement therapy and hysterectomy is one of the most discussed, and confusing topics for many women.

Studies like the Women’s Health Initiative (WHI) scared many females away from HRT. Fear of blood clots, heart attacks, and breast cancer was too real to take the chance.

However, what many people do not realize is that the biggest concern stems from only one type of hormone replacement – estrogen combined with synthetic progestin.

Estrogen replacement by itself or combined with natural progesterone, are both considered safe to use for most females.

Here are the answers to three frequently asked questions about hormone replacement therapy and hysterectomy:

  • Can I use hormone replacement therapy after total hysterectomy?

It is extremely important to begin HRT after a hysterectomy and oophorectomy (ovary removal). When the uterus and ovaries are removed together, the body loses its main producer of progesterone, testosterone, and estrogen. Menopausal symptoms typically come on fast and strong. HRT can reduce these symptoms.

  • May I use hormone replacement therapy after hysterectomy? Cancer is common in my family, so I am concerned about the added risk.

Depending on the type of cancer risk, the hormone specialist will choose the method of HRT carefully. Progesterone, testosterone, and human growth hormone are often the safest options.

  • Should I use hormone replacement therapy after a partial hysterectomy?

A partial hysterectomy leaves the ovaries in place, although ovarian failure within five years of a hysterectomy is common. Estrogen and testosterone are frequently discussed as viable options for hormone replacement.

Types of HRT That Can Be Used After Hysterectomy

A woman looking for hormone replacement therapy after hysterectomy has many options.

The choice is not as simple as asking the doctor for a particular prescription.

Unfortunately, many gynecologists are too quick to hand out written scripts for estrogen therapy when that might not be the best option.

Choosing the right HRT relies on the examination of hormone levels via blood analysis. It is this blood testing that will let the hormone specialist know which levels are low and in need to increasing.

Here are the most common forms of HRT used as women age

Human Growth Hormone
Growth hormone deficiency often mimics many of the symptoms of menopause, and replenishing low GH levels can help increase productions of other hormones in the body through its balancing properties.
Testosterone
Although considered the male sex hormone, testosterone is just as important for women, and much safer to use as a form of HRT than estrogen. Testosterone replacement therapy has been shown to be safe for women with increased risks of breast cancer.
Progesterone
Natural progesterone and not synthetic progestin is what we are talking about here. Progesterone is the source hormone for testosterone, estrogen, cortisol, and other hormones. Increasing progesterone levels will help improve other hormone production.
Sermorelin
Sermorelin stimulates the pituitary gland to increase growth hormone production. This is an excellent choice for someone whose GH levels are just starting to decline.
Estrogen
Although estrogen is the dominant sex hormone in females, the body naturally converts testosterone into estradiol. When this occurs, a condition called estrogen dominance can occur. Estrogen therapy should not be used when a woman already has a higher level of estrogen as compared to progesterone and testosterone.

How to Know What Type of Hormone Therapy to Use after Hysterectomy

Hormone Therapy after Hysterectomy

The only way to know what type of hormone replacement therapy after hysterectomy is needed is by undergoing blood analysis.

A hormone replacement specialist will order a comprehensive panel of blood tests to determine the best option for each woman.

National HRT doctors help women throughout the US regain control of their bodies after the effects of a hysterectomy can leave them subject to increased risks of weight gain, osteoporosis, heart disease, and other health concerns.