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Menopause

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Positive experiences of surgical menopause after hysterectomy in early forties?

11 replies

Green88888888 · 21/05/2026 20:39

I've been advised to have a total hysterectomy with BSO for endometrial and ovarian cancer risk reduction (I have lynch syndrome). I'm 41 and think I'm probably in perimenopause already.

I've joined a couple of support groups on Facebook to try and educate myself as much as possible but I think they've made the prospect of the hysterectomy even more terrifying😫But I'm trying to remind myself that the ladies posting on those groups are ones that are looking for support so it's not everyone's experience.

So I just wondered if anyone has had any positive experiences of surgical menopause in early 40s??

OP posts:
YoullWishYourLifeAway · 22/05/2026 06:47

Mine was absolutely life changing, in a good way, recovery was brilliant, and I had a positive experience.
I’m just dashing out for work but I will pop back later, or over the weekend, to tell you about mine and to pass on the trips that aided my swift recovery.

YoullWishYourLifeAway · 22/05/2026 20:07

I wrote a whole long thing about hysterectomy and recovery tips and, now I’m back on here, I realise it’s the actual menopause bit you are concerned about-not the actual op!

Anyhow, still positive ime. That may be because I was definitely peri before my op, I just hadn’t realised it until life improved when I started HRT. For some reason I wasn’t allowed to start HRT until 4 weeks post op, no idea why, and no one else I’ve come across has ever had this experience. That said, the 4 weeks without were perfectly fine, although I had my first hot flush the evening I had my op!

The only thing that bothers me is that I’ve aged almost overnight. I always looked far younger than my age, I didn’t realise how ovary removal would affect my skin and its aging. It doesn’t help that I’ve also lost a few stone too so look more wrinkly, but apart from that, menopause is fine. I probably should have started tretinoin earlier, I’m very late to the party and have only just started using it.

As for menopause, I’m permanently knackered, never get a decent nights sleep, and I feel old and creaky, but that’s how I’d feel at the age I am now anyway. (early 50’s, hysterectomy was 7 years ago).

I take magnesium, don’t drink any alcohol at all because it just left me feeling wretched.(it has this effect on women in meno as changes in brain chemistry, declining oestrogen and slower metabolism means alcohol severely affects you and makes everything feel awful.)

I do mobility exercises and yoga 3 x a week, I walk most days, eat loads of chocolate but I also eat lots of healthy fats, I am vegetarian so lots of lentils, nuts, veg seeds etc, and little process food. I actively track my calories as I started dieting and losing weight several months before my op, I just kept on going post op and use My Fitness Pal to stay in range. You do need a lot less calories in menopause, so it’s easy to gain weight if you aren’t very careful!

What are your biggest concerns, and what are the terrifying issues other women are writing about?

I have to say, pre HRT and peri I was awful. I really was batshit crazy. Mood swings to rival a stroppy teenager, crushing anxiety and panic attacks, awful rage, thinning hair and the start of middle age spread with a rapidly thickening waistline, insomnia, constipation (common in menopause btw!) and a whole host of aches and pains. HRT made me more like my old self, moods stabilised, weight no longer just sticking to my waist -HRT doesn’t stop you gaining weight, but it does stop it just sticking to your midriff if you do gain it. I get the odd night sweat and hot flush but I’m pretty stable.
I started on Evorel 50 patches but then moved up to Evorel 100. The only time I’ve ever had a real issue was when there was a supply issue and they gave me a different brand. Anxiety hit me again like a truck, it was awful, the dr agreed to write branded rather than generic patches on my prescription to ensure I get the ones that I feel happier on.

Adding topical oestrogen Ovesse has been life changing. I didn’t realise I had any issues, didn’t feel I suffered any dryness or anything, but it has improved how everything feels and has the bonus of improving orgasms too. I’m annoyed I had to learn about its existence on TikTok, of all places, and wish I’d started using it sooner. You can’t use it until age 50, but I’d have been buying on my 50th birthday if I’d know about it-just something to file away until you’re old enough 😂
Anyway, I have two friends who also went through surgical menopause. One was a couple of years younger than me, one a similar age, both with no problems menopause wise (one does have bladder issues but that is due to the Endometriosis and where it was all sitting before removal). In fact, the only friends we know who are having problems are those suffering the hell of peri who haven’t started HRT yet!
Happy for you to ask any questions. I’m sure I will pop on MN over the weekend at some point, I will happily answer whatever I can.

LooLightSerenade · 22/05/2026 20:20

Yes, me - I had TAH and BSO ten years ago in my early 40s. No HRT as my condition ruled it out.

It honestly was not that bad. I had my first 'hot flush' about 24 hours after my operation and had them frequently for about six months. In time I learned what things triggered them which helped reduce them. They weren't horrendous, they lasted maybe 5 seconds and went away again.

Some other things - my underarm hair disappeared (no great loss). My hair became dryer overall. My migraines, which I used to get about six times a year, went down to about once a year which was a huge plus.

10 years on I seldom get hot flushes and have no other menopause symptoms. It may be that I was destined for a straightforward menopause - my mum had very easy natural menopause. It seems logical that you should get whatever menopause you'd have had, it just happens overnight rather than gradually and of course you have none of the period-related issues to worry about.

The whole operation was a boon and changed my life for the better. Wishing you the very best @Green88888888 .

CaptainMyCaptain · 22/05/2026 20:25

I had one when I was 46 and it was life changing. I went straight on to HRT and came off it very gradually so I hardly experienced menopause at all.

Green88888888 · 22/05/2026 21:37

@CaptainMyCaptain @LooLightSerenade @YoullWishYourLifeAway thank you for replying - it's so easy to go down rabbit holes on the Internet and get convinced that it will completely ruin your life! I'm very apprehensive about the surgery as well but it's the lasting effects of surgical menopause that scare me more. I think it's the thought of my body suddenly completely changing forever and not feeling like myself anymore. It's all a bit of an unknown, but it's reassuring to know that not everyone has a bad experience with it so thank you! Thanks you for the HRT tips as well - I keep coming across all different types and it sounds like it sometimes takes a bit of trial and error to get right.

OP posts:
JinglingSpringbells · 22/05/2026 22:39

@YoullWishYourLifeAway Just one point from your post in case it's relevant to anyone reading.

You can use vaginal estrogen at any age if it's necessary. (Some younger women use it when breastfeeding long term, as loss of estrogen can cause symptoms.)

The licensing for buying Ovesse over the counter is women should be over 50, but this certainly doesn't apply to getting it on prescription from a GP. (It only became available OTC recently and there are some restrictions that don't apply to prescriptions.)
And there are women buying it online by answering the questions.

JinglingSpringbells · 22/05/2026 22:42

LooLightSerenade · 22/05/2026 20:20

Yes, me - I had TAH and BSO ten years ago in my early 40s. No HRT as my condition ruled it out.

It honestly was not that bad. I had my first 'hot flush' about 24 hours after my operation and had them frequently for about six months. In time I learned what things triggered them which helped reduce them. They weren't horrendous, they lasted maybe 5 seconds and went away again.

Some other things - my underarm hair disappeared (no great loss). My hair became dryer overall. My migraines, which I used to get about six times a year, went down to about once a year which was a huge plus.

10 years on I seldom get hot flushes and have no other menopause symptoms. It may be that I was destined for a straightforward menopause - my mum had very easy natural menopause. It seems logical that you should get whatever menopause you'd have had, it just happens overnight rather than gradually and of course you have none of the period-related issues to worry about.

The whole operation was a boon and changed my life for the better. Wishing you the very best @Green88888888 .

@LooLightSerenade If you had an early surgical menopause, and no HRT, is your GP or consultant monitoring your bone density? They should refer you for a DEXA scan. If you've not been monitored, do ask your GP.

This is an absolute 'must' as early menopause for any reason increases the risks of osteoporosis - and women with an early menopause are advised to use HRT to their early 50s even if they have no symptoms. It's established guidance.

YoullWishYourLifeAway · 23/05/2026 08:36

@JinglingSpringbells I wish I’d know this earlier! I hate that this isn’t routinely prescribed for menopausal women. There was a thread running recently about the op wishing they knew about it sooner, it had lots of replies agreeing and noting the benefits/improvements women had felt on it!
I imagine if men started suffering atrophy after vasectomy they’d be instantly given prescriptions to prevent it following their procedure.

JinglingSpringbells · 23/05/2026 09:21

YoullWishYourLifeAway · 23/05/2026 08:36

@JinglingSpringbells I wish I’d know this earlier! I hate that this isn’t routinely prescribed for menopausal women. There was a thread running recently about the op wishing they knew about it sooner, it had lots of replies agreeing and noting the benefits/improvements women had felt on it!
I imagine if men started suffering atrophy after vasectomy they’d be instantly given prescriptions to prevent it following their procedure.

There are now adverts in some loos for Ovesse.
I've used it for 20 years (on prescription) prior to using systemic HRT. I think one issue is that women are a) embarrassed to see a GP- hence it now being available OTC and it's so low a dose and b) a lot of women don't join the dots and realise that bladder issues or feeling sore = loss of estrogen.

There has been discussion by the medical profession about making sure it's available for much older women in care homes, almost as a matter of course, who often get bladder infections which, in some cases, can lead to more serious illness.

LooLightSerenade · 23/05/2026 09:22

@JinglingSpringbells This is an awful can of worms that keeps me awake at night. It's complicated, sorry - feel free not to read, and apologies to OP for the hijack.

The problem I have is that I have health conditions that rule out most of the treatments/preventatives for osteoporosis. I can't take anything oestrogen-producing and I can't take alendronic acid or similar because my oesophagus is already knackered. My knackered oesophagus has resulted in my having a lowish BMI (19) which is another risk factor to add to the mix.

I take a daily calcium supplement and 6 other vitamins, I also eat a yoghurt most days and cheese 3 or 4 days a week. I hate milk, which doesn't help, but I can get chocolate flavoured Complan down which I do sometimes if I can't get anything else down. I've given up alcohol, which is supposed to help.

I've been more or less abandoned by the NHS and even a private consultant I was seeing said there was nothing more they could do. It seems that every condition I have the treatment for one would make another one worse.

I should ask for a scan - never been offered one - I'm afraid to, quite frankly, so I have always put it off.

JinglingSpringbells · 23/05/2026 09:34

LooLightSerenade · 23/05/2026 09:22

@JinglingSpringbells This is an awful can of worms that keeps me awake at night. It's complicated, sorry - feel free not to read, and apologies to OP for the hijack.

The problem I have is that I have health conditions that rule out most of the treatments/preventatives for osteoporosis. I can't take anything oestrogen-producing and I can't take alendronic acid or similar because my oesophagus is already knackered. My knackered oesophagus has resulted in my having a lowish BMI (19) which is another risk factor to add to the mix.

I take a daily calcium supplement and 6 other vitamins, I also eat a yoghurt most days and cheese 3 or 4 days a week. I hate milk, which doesn't help, but I can get chocolate flavoured Complan down which I do sometimes if I can't get anything else down. I've given up alcohol, which is supposed to help.

I've been more or less abandoned by the NHS and even a private consultant I was seeing said there was nothing more they could do. It seems that every condition I have the treatment for one would make another one worse.

I should ask for a scan - never been offered one - I'm afraid to, quite frankly, so I have always put it off.

Oh dear. That sounds difficult.
There are now many options apart from oral drugs for osteoporosis. Many are infusions given once a year.

I had low bone density prior to menopause (no reasons, no risk factors) and have had DEXA scans every 2 years for many years. This is privately. I'd rather not put all my medical history here but happy to share via PM. My bones are now normal for my age.

I don't agree with what the private consultant told you simply because you are shooting in the dark without a DEXA scan. There are new drugs and as I said, not taken orally.

Have you had expert advice on no HRT? (Rather than just a GP?)
The only absolute no-nos are breast cancer, or some forms of epilepsy, or recent heart disease/ clot risks.

You can't move forwards without a DEXA scan and frankly your GP is negligent not to offer this. If they refuse you can get them privately for around £200. Feel free to PM me if it helps.

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