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About Surgical Menopause Hysterectomy Hysterectomy is an operation in which a woman's uterus is removed. When the ovaries are removed along with the uterus, the operation is called a hysterectomy with bilateral oophorectomy. Estrogen is a hormone produced by the ovaries. When both ovaries are removed, a woman's body produces much less estrogen, and menopause occurs. Why are hysterectomies performed? A hysterectomy is performed for health reasons—to treat fibroids, endometriosis, or other conditions. Sometimes a hysterectomy with bilateral oophorectomy is necessary; in this surgery, the uterus and both ovaries are removed. How many women have surgical menopause? Each year, approximately 600,000 women in the United States have a hysterectomy (removal of the uterus). In fact, hysterectomy is the second most common major surgery among women (cesarean section delivery is the most common). About 55% of women who have hysterectomies also receive a bilateral oophorectomy, which means they experience surgical menopause. Is surgical menopause different from "natural" menopause? Typically, natural menopause occurs when a woman is about 51 years old. It is a gradual process during which a woman's hormones decrease slowly over time. When a woman has a hysterectomy with a bilateral oophorectomy and has not gone through natural menopause, her menopause is considered surgically induced. This is often called "surgical menopause." With surgical menopause, menopause-related symptoms, such as hot flashes and night sweats, are often more severe. This is because the loss of estrogen is much more abrupt than when a woman goes through menopause naturally. While one half to two thirds of women who have natural menopause experience hot flashes, it is estimated that 75-90% of women who have surgical menopause experience them. Typically, with surgical menopause, hot flash symptoms begin shortly after surgery and tend to persist for a longer period of time than with natural menopause. The severity of the hot flashes, as well as the length of time these symptoms persist, often depends on a woman's age at the time she undergoes surgical menopause. If you have gone through surgical menopause and are suffering from moderate-to-severe vasomotor symptoms, such as hot flashes and night sweats, ask your healthcare professional if ENJUVIA might be right for you. You might find it helpful to talk with friends or family members about what you are experiencing. If you would like to learn more about menopause, your healthcare professional may be able to provide you with educational materials. Also, please visit some of the Web sites listed in the Resources section of this site. IMPORTANT SAFETY INFORMATION Important Information: ENJUVIA is a medicine that contains estrogen hormones. It is prescribed for relief of moderate-to-severe symptoms (hot flashes and night sweats) associated with menopause. Important health information you should know when taking estrogens like ENJUVIA: Estrogens increase the risk for cancer of the uterus (womb). If you experience persistent or recurring vaginal bleeding while taking estrogens let your doctor know right away, as this could be a warning sign for cancer. Your doctor should check for the cause of any unusual vaginal bleeding after menopause. Estrogens (alone or in combination with progestins) should not be used to prevent heart disease, heart attacks, strokes or dementia. Estrogens (alone or in combination with progestins) may increase the risk of heart attack, stroke, blood clots, breast cancer and dementia. Because of these risks, estrogens should be used at the lowest dose for the shortest period of time. You and your doctor should talk regularly to determine whether you still need treatment with ENJUVIA. Who should not use ENJUVIA? Do not use ENJUVIA if you:
— may be pregnant What are the common side effects with ENJUVIA? You may experience headache, breast pain, irregular vaginal bleeding or spotting, stomach/abdominal cramps and bloating, nausea and vomiting, or hair loss. |
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