Recuperation after hysterectomy: hormonal effects and other considerations

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Recuperation after hysterectomy: hormonal effects and other considerations
RECUPERATION AFTER HYSTERECTOMY: HORMONAL EFFECTS AND OTHER CONSIDERATIONS
Emotional highs and lows are common after hysterectomy with many women experiencing tearfulness and irritability. One explanation is the stress of the surgery and the effect of the anaesthetic. In addition, the removal of the ovaries, or their inadvertent damage, will quickly lead to changes in sex hormone levels and, with this, mood fluctuations.
Hot flushes, night sweats and associated sleeplessness may follow close on the heels of a hysterectomy, particularly if the ovaries have been removed. These effects are blamed on rapid changes in the levels of oestrogen, progesterone and other sex hormones circulating in the bloodstream. The symptoms diminish over the space of months or years but they can play havoc with the lives of women and their loved ones until then. Hormone therapy is often regarded as a simple solution to these problems and in some women this appears to be the case. Others, however, cannot tolerate hormone therapy or they may be concerned about possible long-term effects, for example the increased risk of developing breast cancer with prolonged (more than five years) use of hormone therapy.
On returning home, some women expect to resume everyday activities without missing a beat. Unfortunately, pain or other problems may prevent this and partners, children and relatives should be on call to lend a hand. If this sort of help is not available, it may be possible to arrange for assistance from the local council, a nursing service or another organisation. The decision about when to resume driving is important as lives can hinge on it. Emergency braking requires quick reflexes and leg strength. By the time women are able to climb stairs quickly and do the garden, they are usually fit enough to drive.

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