Dear MHI reader

Today we would like to address an important topic that is often overlooked: surgical menopause. This condition occurs when both of a woman’s ovaries are surgically removed before the natural onset of menopause. The sudden hormonal changes can bring with it numerous symptoms and long-term health risks. That’s why we’re looking at this today.

What is a surgical menopause?

Surgical menopause refers to the immediate onset of menopausal symptoms due to the surgical removal of both ovaries (bilateral oophorectomy) in a woman who has not yet reached the natural menopause. Without the ovaries, the main source of oestrogen production is missing, leading to an abrupt drop in oestrogen levels.

Why is a surgical menopause performed?

Surgical menopause is often performed for various medical reasons. One of the main reasons is to reduce the risk of ovarian cancer, especially in women who have BRCA gene mutations or a strong family history. In addition, surgery may be necessary to treat conditions such as endometriosis, ovarian cysts or chronic pelvic pain. Also, during a hysterectomy, the removal of the uterus, the ovaries may also be removed, especially if benign conditions such as fibroids are involved.

What are the effects of surgical menopause?

The sudden and severe impact of surgical menopause can lead to a range of symptoms. Women often experience an immediate and severe onset of menopausal symptoms such as hot flushes, night sweats and vaginal dryness. In addition, the risk of osteoporosis and bone fractures increases, as the rapid loss of bone density is promoted by the abrupt lack of oestrogen. There can also be negative effects on cardiovascular health, sexual function and mood. Another important point is the immediate loss of fertility.

How can you deal with the changes?

To manage the symptoms and health risks of surgical menopause, menopausal hormone replacement therapy (MHT/HRT) is often recommended, especially for younger women. This therapy can help to alleviate symptoms and reduce the risk of long-term health problems such as osteoporosis. However, the decision to take hormone therapy should be made carefully and on an individual basis, particularly taking into account personal cancer risk factors.

Important!

Surgical menopause leads to abrupt and often severe menopausal symptoms that require comprehensive care and individualized treatment decisions. It is important that you are aware of the potential health implications and work closely with your doctor to receive the best possible care. Early and accurate information and close medical care can help you to better manage this stage of your life and improve your quality of life.