PMDD, Surgery & Surgical Menopause

Commonly asked questions from those considering, going through, or on the other side of surgery for PMDD.

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97 articles in this collection
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General questions about PMDD, surgery and surgical menopause (PMDD & PME focus)

What is surgical menopause?

Keywords: Surgery. Surmeno, Hysterectomy. Ovary removal. Bilateral oophorectomy. Ovaries. Menopause. Post-op.
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Updated over a week ago

What are the symptoms of Surgical Menopause?

Keywords: vasomotor symptoms, musculoskeletal symptoms effects on mood or anxiety, urogenital symptoms, sexual difficulties. Surgery
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Updated over a week ago

What is the ‘success/satisfaction’ rate for THBSO/surgery in treatment for PMDD?

Keywords: Does surgery work for PMDD? Hysterectomy. Ovary removal. Oophorectomy.
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Updated over a week ago

How does surgical menopause influence estrogen levels?

Keywords: Oestrogen. HRT. Surgery. Oophorectomy. Ovary. Ovaries.
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Updated over a week ago

How is surgical menopause different from the natural menopause?

Keywords: Surmeno. Perimenopause. Surgery. Hysterectomy. Menopause.
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Updated over a week ago

My Doctor wants to just do a hysterectomy but leave my ovaries in - will this get rid of PMDD?

Keywords: Surgery. Surgical menopause. Ovary. Oophorectomy.
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Updated over a week ago

How do I know if I am progesterone intolerant? For surgery for PMDD, how does this alter the process/procedure?

Keywords: Surgery. Surgical Menopause. Progestins. Hysterectomy. Progestogens. Ovaries. HRT. Oophorectomy.
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Do I still need to have pap smears after the surgery? Does keeping or not keeping my cervix change that?

Key words: Pap smear. Smear tests. Cervix. Cervical screening.
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What are the other reasons that someone might need or want to be in surgical menopause?

Keywords: Hysterectomy. Oophorectomy. Cancer. Endometriosis. PID. PMDD. PME.
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I had pre-eclampsia in pregnancy - will it recur in surgical menopause?

Keywords: Preeclampsia.
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What different options are there for Hysterectomy and Oophorectomy surgery?

Keywords: Laparoscopic. Vaginally assisted. Abdominal. Robotic surgery.
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What do all the acronyms mean? e.g. BO, BSO, THBO and THBSO?

What are all the different types of hysterectomy/surgery?
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Where can I find help and support for surgical menopause?

Key words: Finding a menopause doctor. Peer support. Inspire.
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I have PMDD - what is the process for getting approved for surgery?

Keywords: Approval.
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For the treatment of PMDD can I leave my ovaries in and just have the hysterectomy?

Keywords: Surgery.
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Will having a Total Hysterectomy / BSO affect my other pelvic organs?

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Where can I find a glossary of terms to explain Surgical Menopause acronyms?

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What other organs produce estrogen, progesterone and testosterone? What happens when the ovaries are removed?

Key words: Adrenal glands. Estrogens. Progesterone. Testosterone. Oestrogen. Estradiol. Estriol.
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Is Surgical Menopause the same as Premature Ovarian Insufficiency (POI)?

Key words: Primary Ovarian Insufficiency. Premature Ovarian Insufficiency. Premature menopause.
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How can I find a doctor that is knowledgeable in surgical menopause and hormone sensitivities such as PMDD & PME?

Key words: Menopause Clinic. HRT. Doctors.
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What do I need to consider regarding having my cervix removed?

Keywords: Progesterone intolerance. Negative response to progestin based treatments. Pap smears. Smear test.
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I have PMDD and adenomyosis - Will having my uterus removed cure adenomyosis?

Keywords: Surgery, Hysterectomy.
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What to take into account when considering surgery for PMDD/PME

Will surgical menopause make me gain weight or change my body shape?

Keywords: Weight. Diet. ED. BMI. Surgery. Hysterectomy. HRT.
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What is the correlation between surgical menopause (oophorectomy) and cardiac disease?

Keywords: Surgery. Ovary removal. Heart Health
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I have PMDD and endometriosis. Will having my uterus removed (hysterectomy) cure both conditions?

Keywords: Hysterectomy. Endo. Surgery
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Updated over a week ago

Can I still get any of the gynecological cancers after the removal of my ovaries and/or uterus?

Keywords: Vulva. Vagina. Ovarian. Cervical.
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Will surgical menopause change my bone health?

Keywords: Bones. Calcium. Bone Density Scan. Vitamin D. Osteoporosis.
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I am unsure whether to keep my cervix or not. Does it make any difference to sex/orgasms after surgery?

Keywords: Cervix. Sex. Intercourse. Orgasm.
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Is having surgery for PMDD right for me?

Key words: GnRH. Chemical menopause. Daily ratings.
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What are the known risks of surgical menopause?

Keywords: HRT. Brain Health. Osteoporosis. Atrophy. Heart. Cardiac.
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Does surgical menopause last forever or does it pass?

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Can surgical menopause change desire or enjoyment of sex? Is sex the same after surgery?

Keywords: Sex. Intercourse. Lubrication. Orgasm. Testosterone.
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Preparing for surgery and short-term recovery (PMDD & PME focus)

Is surgical menopause forever? Are my menopausal symptoms permanent?

Keywords: HRT. Surmeno. How long does surgical menopause last?
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What happens in the pre-op appointment? What should I expect?

Keywords: Hospital. Prep.
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How long is recovery from surgery?

Keywords: Hysterectomy. Ovary removal. Oophorectomy.
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Can I still have the surgery if I am on my period?

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Do I need to shave/remove my pubic hair before surgery?

Keywords: Pubes. Bikini line.
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What can I do for myself to make recovery from surgery easier?

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If I am on GnRHa or Hormone Replacement Therapy (HRT) already do I need to stop it to have the surgery?

HRT. Oestrogen. Preparing for surgery. Estrogen. GnRHa.
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What do I need to pack for the hospital?

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How do I know if my wounds are healing properly?

Keywords: Recovery. Stitches. Infection.
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How long will I be in the hospital after surgery?

Keywords: Hospital stay. Overnight.
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How will I feel immediately after the surgery?

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What do I do if I don't feel well / have problems after I get home?

Keywords: Home. Discharged. Dizzy. Sick. Unwell. Infection. Infected.
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Do I need to be on pain medication post op?

Keywords: Painkillers. Meds. Pain levels.
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Is vaginal bleeding normal after the op?

Keywords: Discharge. Infection. Cuff. Vaginal. Blood. Bleeding. Recovery.
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How soon after surgery can I have a bath/shower?

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How soon after surgery can/should I start HRT?

Key words: HRT. Post-op. Estrogen.
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How soon will I be able to urinate or poop normally?

Keywords: Wee. Poo. Toilet. Pass urine. Constipation.
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How soon after surgery can I fly?

Keywords: Plane. Flights. Holiday. Vacation.
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How soon after surgery can I start having sex?

Keywords: Sex life. Orgasm. Masturbating. Relationships
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How soon after surgery can I begin aerobic exercise?

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How long do I need off work after the surgery?

Keywords: Employment. Surgery. Work. Self-employed.
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How soon after the operation will menopause symptoms, like hot flushes, begin?

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How soon after surgery can I masturbate/orgasm?

Keywords: Sex. Relationships. Lube. Masturbation. Intercourse. Penetration.
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HRT in surgical menopause

What can I show my doctor to educate them about the importance of estrogen therapy in surgical menopause?

Keywords: Estrogen. Oestrogen. HRT. MHT. Guidelines.
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Are there side effects of estrogen or progestogens in surgical menopause?

Keywords: HRT. Hormone replacement therapy. Progesterone. Progestin.
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Is testosterone HRT available on the NHS? (UK)

Keywords: HRT. MHT.
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All about Testosterone Therapy in Surgical Menopause

Keywords: hormone therapy, hormone replacement therapy, testosterone, androgen
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I still have my uterus. What can I show my doctor to educate them about the importance of progestogen therapy in surgical menopause?

Keywords: Surgical menopause. Surmeno. Progesterone. Addback.
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What are the risks of taking estrogen in surgical menopause?

Keywords: HRT. MHT. Oestrogen. Patches Gel.
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What are the benefits of taking a progestogen in surgical menopause?

Keywords: Addback. Add-back. Progesterone. Mirena.Ugesterone.
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How long does estrogen take to work? How long should I try out a certain dose before making a change?

Keywords: Oestrogen. HRT. Change dose.
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How do I know if my progestogen is protecting me against uterine overgrowth?

Keywords: Progesterone. Protection. Addback. Add-back. Hyperplasia. Uterus. Bleeding.
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How much progestogen do I need as add-back if I am using estrogen-therapy?

Keywords: HRT. progesterone. Surgical menopause.
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How long do progestogens take to work? How long should I try out a certain dose before making a change?

Keywords: Progesterone. Add-back. Addback.
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What are the risks of taking a progestogen in surgical menopause?

Keywords: Progesterone. Combined HRT. MHT. Micronised. Micronized. Mirena. Jaydess. IUD. IUS. Medroxyprogesterone Acetate (MPA).
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What is hormone replacement therapy (HRT)?

Keywords: HRT. MHT. Oestrogen. Estrogen. Progesterone.
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How does surgical menopause influence progesterone levels?

Keywords: Progestogens. HRT. Combined HRT.
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What if I want to avoid hormone replacement therapy (HRT) due to a history of PMDD (e.g. emotional hormone sensitivity)?

Keywords: Oestrogen. Estrogen. Progesterone. HRT.
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Do I need to take hormones while in surgical menopause? I don't really want to.

Keywords: HRT. Oestrogen. Estrogen. Progesterone.
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Are there risks in using HRT if you are overweight/obese?

Keywords: Fat. Overweight. HRT. Estrogen.
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What are the chances of experiencing blood clots by using estrogen-therapy? Does smoking increase the risk?

Keywords: HRT. Cigarettes.
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Does using estrogen raise the risk of getting cancer for those in surgical menopause? Can I take it if I’m in surgical menopause but BRCA1 or BRCA2 positive?

Keywords: Cancer. HRT. Estrogen. Oestrogen.
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I am in surgical menopause -should I have blood tests to check my post-op levels? Is so, how often? What are the optimal levels?

Keywords: Surmeno. Hormone Levels. Tracking.
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What if I can’t take HRT due to genetic risk of cancer or blood clots?

Keywords: Oestrogen. Estrogen. BRCA1. BRCA2. Genes.
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What is the difference between HRT (Hormone Replacement Therapy) and MHT (Menopausal Hormone Therapy)?

Keywords: MHT. HRT. Hormone Therapy.
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Updated over a week ago

Does HRT come from horses' urine? What HRT is suitable for vegans?

Keywords: Vegan. Horses Urine. MHT. HRT. Oestrogen. Estrogen. Mirena. Premarin.
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I kept my uterus and need progestogen 'add-back' to my estrogen therapy. What are progestogens?

Keywords: Progesterone. HRT. Combined HRT.
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When should I start progestogen therapy? When should I stop taking it?

Keywords: Add-back. Progesterone.
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Will my GP be able to prescribe HRT?

Keywords: HRT. GP. Menopause Specialist. Doctor. Provider. Prescription.
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How easy is it to access a menopause specialist?

Keywords: Doctor. Provider.
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What is the difference between bioidentical and body identical HRT? Are hormones from a compounding pharmacy safer or more effective? Should I do salivary hormone testing to determine if I have a hormone imbalance?

Keywords: Surgical menopause. Imbalance. Safety. Compounded. Saliva test.
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Should I be examining my breasts whilst on HRT?

Keywords: Boobs.
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Are there any alternatives to estrogen in surgical menopause?

HRT. Factor V Leiden mutation. BRCA1. BRCA2. Oestrogen. Breast cancer.
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Will drinking alcohol whilst in surgical menopause/on HRT affect my mood?

Keywords: Booze. Drink. Wine. Gin. Beer. Metabolism.
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