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Is it better to keep your ovaries after hysterectomy?

The decision to keep or remove ovaries during a hysterectomy is a complex one and can depend on various factors such as a woman’s age, overall health, personal preference, and any pre-existing medical conditions.

If a woman is younger and has not yet gone through menopause, keeping the ovaries can have several benefits. The ovaries are responsible for producing hormones such as estrogen, progesterone, and testosterone, which are essential for maintaining bone health, moderating mood swings, protecting against heart disease, and supporting sexual well-being.

By preserving the ovaries, a woman’s hormone levels will continue to be regulated, which can help reduce the risk of these health conditions. Additionally, keeping ovaries can avoid the immediate onset of menopause which can have many adverse effects on a woman’s overall health and well-being.

However, if a woman has a family history of ovarian cancer or has previously dealt with ovarian cysts or other ovarian issues, it may be recommended to remove the ovaries to prevent future health concerns. Ovarian cancer is often difficult to detect until it has progressed and spreads, so the removal of the ovaries can be a preventative measure.

Whether or not to keep the ovaries during a hysterectomy is not a one-size-fits-all decision. Women should consult their healthcare providers and discuss the risks and benefits of both options before making a final decision.

What are the pros and cons of having your ovaries removed?

The decision to have one’s ovaries removed is not an easy one, and it must be weighed carefully against the potential benefits and drawbacks. There are several reasons why a woman may choose to undergo this procedure, ranging from the treatment of certain health conditions to reducing the risk of developing ovarian cancer.

Here are some of the pros and cons of having your ovaries removed:


1. Reduced risk of ovarian cancer: Ovarian cancer is one of the deadliest forms of cancer, as it is often diagnosed in its later stages. Women who have a high risk of developing ovarian cancer due to certain genetic mutations or a family history of the disease may choose to undergo preventive surgery to remove their ovaries.

This significantly reduces the risk of ovarian cancer, as the ovaries are the primary site for the disease.

2. Treatment of certain health conditions: Women who have been diagnosed with certain health conditions like endometriosis, ovarian cysts or fibroids may choose to have their ovaries removed to alleviate symptoms and prevent further complications. In the case of endometriosis, removal of the ovaries can reduce the level of hormones that fuel the condition and improve quality of life.

3. Reduced risk of breast cancer: Removing the ovaries can help reduce the risk of breast cancer in women who carry the BRCA1 or BRCA2 genes, which are associated with a higher risk of both breast and ovarian cancers.


1. Surgical risks: As with any surgery, there are risks associated with having one’s ovaries removed. These can include infection, bleeding, scarring, and other complications that may require additional treatment.

2. Menopause: The removal of the ovaries can trigger premature menopause, which can cause a range of symptoms such as hot flashes, mood swings, vaginal dryness, and decreased libido. These symptoms can be managed with hormone replacement therapy, but this type of treatment carries its own risks.

3. Fertility loss: Women who have their ovaries removed will no longer be able to conceive naturally as their ovaries are responsible for producing eggs. This can be a significant loss for women who have not yet had children or who wanted to have more children in the future.

4. Hormonal imbalance: The removal of the ovaries can result in a hormonal imbalance, which can cause several changes in the body such as weight gain, mood changes, and decreased bone density. This can be managed with hormone replacement therapy, but this treatment carries its own risks.

The decision to have one’s ovaries removed is a complex one that requires careful consideration of the potential benefits and drawbacks. Women who are considering this procedure should consult with their healthcare provider and discuss the risks and benefits of the surgery. the decision to have one’s ovaries removed should be based on individual circumstances, including the presence of health conditions, family history, and personal preferences.

Can ovaries cause problems after hysterectomy?

Hysterectomy, which is the surgical removal of the uterus, is a common procedure that is performed for a variety of reasons such as cancer, fibroids and heavy menstrual bleeding. During the procedure, the ovaries may or may not be removed depending on the patient’s specific condition and age. If the ovaries are not removed, there is a chance that they can cause problems after the hysterectomy.

One of the issues that can arise after hysterectomy is ovary-related pain. This pain can be caused by a number of factors, such as ovarian cysts or pelvic adhesions. Ovarian cysts are fluid-filled sacs that develop on the surface of the ovary and can become painful if they become large or rupture. Pelvic adhesions occur when scar tissue forms in the pelvic area and binds organs together, resulting in pain and discomfort.

Another concern that may arise after hysterectomy is the risk of ovarian cancer. Even though the uterus has been removed, there is still a chance that ovarian cancer could develop, as the ovaries produce hormones that can promote the growth of cancer cells. That’s why some doctors recommend removing the ovaries during hysterectomy to reduce the risk of ovarian cancer.

In addition, when the ovaries are not removed during hysterectomy, there is still a chance that the patient may develop other gynecological issues, such as endometriosis. Endometriosis is a condition where the tissue that normally lines the inside of the uterus grows outside of the uterus, which can cause pelvic pain and infertility.

Since the ovaries produce hormones that can cause endometriosis to develop, leaving the ovaries in place can increase the risk of this condition.

Although the ovaries may not be removed during hysterectomy, they can still be a source of potential complications. Women who have undergone a hysterectomy should be aware of the risks associated with leaving the ovaries in place and should discuss with their doctor the possibility of removing them during the procedure.

If ovary-related pain or other issues arise after a hysterectomy, women should seek medical attention promptly to determine the cause and appropriate treatment.

Do you gain weight after ovary removal hysterectomy?

The answer to whether you gain weight after ovary removal hysterectomy is not a straightforward yes or no. There are several factors that play a role in determining whether you might gain weight or not post-surgery.

First, it’s important to note that hysterectomy surgery can cause weight gain due to the hormonal changes that occur after the surgery. The ovaries are responsible for producing hormones like estrogen and progesterone, which play a crucial role in regulating weight. When the ovaries are removed during a hysterectomy, the body’s hormone production levels are affected, which can lead to weight gain for some women.

Secondly, the recovery period after any surgery can cause temporary weight gain due to reduced physical activity and changes in diet. During recovery, you might not be able to exercise or move around as much as you would like, and this can lead to a slower metabolism and fewer calories burned. Additionally, some people experience changes in their appetite or eating habits during the recovery period, potentially leading to an increase in weight.

However, it’s important to note that not everyone who undergoes an ovary removal hysterectomy will experience weight gain. It’s essential to discuss any concerns you have with your doctor before the surgery and make sure to follow the recommended post-surgery diet and exercise regimen to minimize the risk of weight gain.

Additionally, it’s important to remember that weight gain or loss is a complex process influenced by many factors, including genetics, lifestyle, and environmental factors. Surgery is just one of many factors that can affect weight changes, and it’s essential to take a holistic approach to weight management throughout your life.

Maintaining a healthy diet, engaging in regular exercise, and practicing self-care can all help to manage weight and improve overall health and well-being.

Where does the sperm go after a hysterectomy?

After a hysterectomy, the uterus, cervix, and ovaries are removed from the body. This means that there is no place to carry fertilized eggs, and therefore, pregnancy is no longer possible for the individual. However, the sperm does not disappear from the body after this surgery. Instead, it still goes through the same process of ejaculation as before.

During intercourse, sperm is released from the testes and travels through the vas deferens before being expelled from the body via the urethra. This means that even after a hysterectomy, a male partner’s sperm will still be ejaculated from the body. If the woman has had a complete hysterectomy, which involves the removal of both the uterus and ovaries, then the sperm will not be able to fertilize any eggs.

If the woman has only had a partial hysterectomy, which involves the removal of the uterus but not the ovaries, then it is possible for the sperm to fertilize any eggs that are still present in the body. These eggs are released from the ovaries during ovulation, which occurs once a month. If the eggs are not fertilized, they will be absorbed into the body.

It is important to note that if a woman has had a hysterectomy, she should still practice safe sex to prevent the spread of sexually transmitted infections. It is also important to discuss any concerns or questions with a healthcare provider to ensure that all options are understood and any necessary precautions are taken.

What is a natural hormone replacement after hysterectomy?

After a hysterectomy, natural hormone replacement therapy (NHRT) is an option for women who want to alleviate symptoms associated with hormonal imbalances. Hormones are chemicals produced naturally by the body, and they regulate many physiological processes, including menstruation, pregnancy, and menopause.

Women typically experience a decrease in hormones like estrogen and progesterone during menopause, which can lead to hot flashes, night sweats, mood swings, and vaginal dryness.

NHRT involves the use of naturally occurring hormones to replace those lost during menopause. Unlike traditional hormone replacement therapy (HRT), which uses synthetic hormones, NHRT uses hormones derived from plants, animals, or minerals. These hormones are chemically similar to the ones produced by the body, which means they are more easily absorbed and may have fewer side effects.

The most common NHRT option for women after a hysterectomy is estrogen replacement therapy (ERT). This involves taking estrogen in various forms, including pills, patches, and creams. Estrogen can help reduce hot flashes, enhance bone density, and improve vaginal dryness. Unlike HRT, NHRT does not increase the risk of breast cancer or blood clots.

Another natural hormone replacement option is progesterone. Progesterone is often taken in combination with estrogen to mimic the natural balance of hormones in the body. Progesterone can help alleviate mood swings, anxiety, and depression associated with menopause. It can also improve sleep and promote a sense of relaxation.

Other NHRT options for women include testosterone replacement therapy, which can improve libido and energy levels, and DHEA, a hormone produced by the adrenal glands that can help relieve symptoms of depression and anxiety. NHRT can also include lifestyle changes, such as diet and exercise, to help balance hormones naturally.

Overall, NHRT can be a safe and effective alternative to traditional HRT for women after a hysterectomy. However, it is important to work with a healthcare provider to determine the best natural hormone replacement option based on individual needs and health history.

Can you have a total hysterectomy and keep your ovaries?

Yes, it is possible to have a total hysterectomy and keep your ovaries. A hysterectomy is a surgical procedure that involves the removal of the uterus. There are different types of hysterectomies, and the extent of the procedure will vary depending on the patient’s medical condition and individual situation.

A total hysterectomy involves the removal of the uterus and cervix, while a partial or subtotal hysterectomy involves the removal of the upper part of the uterus, leaving the cervix intact.

When a total hysterectomy is performed, the ovaries may or may not be removed. If the ovaries are left intact, they will continue to produce hormones, such as estrogen and progesterone, that are necessary for the development and maintenance of female secondary sex characteristics, bone health, and cardiovascular health.

However, if the ovaries are removed along with the uterus, this is known as an oophorectomy, which can result in the onset of menopause and other health concerns that result from reduced estrogen levels.

The decision to have a total hysterectomy with or without removal of the ovaries is influenced by multiple factors. If the ovaries are healthy, they can be left in place. However, if there is a risk of ovarian cancer, or if the patient has a family history of ovarian cancer, it may be recommended to remove the ovaries at the time of the hysterectomy.

Additionally, women who have a history of endometriosis or uterine fibroids may choose to have a total hysterectomy, but keep their ovaries to prevent the onset of premature menopause or other potential health issues.

While it is possible to have a total hysterectomy and keep your ovaries, the choice to do so will depend on the patient’s medical condition, history of gynecologic issues, and potential risks associated with ovarian cancer or other medical conditions. It is important to discuss all treatment options with your healthcare provider to determine the best course of action for your individual situation.

Can you remove ovaries without removing uterus?

Yes, it is possible to remove ovaries without removing the uterus. This is known as an oophorectomy or an ovarian cystectomy, which is the surgical removal of one or both ovaries. In some cases, women may undergo oophorectomy to treat conditions such as ovarian cancer, ovarian cysts, endometriosis, or to reduce the risk of developing certain types of cancer.

The removal of the ovaries can affect the hormonal balance in the body and may cause menopause-like symptoms like hot flashes, vaginal dryness, and mood swings. However, these symptoms can be managed through hormone therapy.

In contrast, the uterus is typically only removed during a hysterectomy. This is a surgical procedure where the uterus is removed, but the ovaries may be left behind. The reason for the removal of the uterus may be to treat medical conditions such as uterine fibroids, endometriosis, or cancer.

In cases where a woman has undergone an oophorectomy, but still has her uterus, she may continue to experience menstrual bleeding as the uterus is still present. If this becomes problematic or causes discomfort, a subsequent procedure to remove the uterus may be considered.

Overall, while it is possible to remove ovaries without removing the uterus, it is important for women to discuss their medical needs and treatment options with a qualified healthcare provider. This ensures that the best course of treatment is taken to address their unique medical concerns.

What are the disadvantages of removing ovaries?

The removal of ovaries, also known as oophorectomy, can have several disadvantages. The ovaries play a crucial role in the overall health and wellbeing of women, and their removal can lead to various health issues. Here are some of the major disadvantages of removing ovaries:

1. Hormonal imbalance: The ovaries are responsible for producing and releasing hormones such as estrogen and progesterone. These hormones play a vital role in regulating the menstrual cycle, maintaining bone health, and preventing mood swings. Removing the ovaries can result in a sudden decrease in hormone levels, leading to various symptoms such as hot flashes, night sweats, mood changes, and insomnia.

2. Infertility: If both ovaries are removed, it can lead to permanent infertility. Women who undergo oophorectomy before reaching menopause will experience immediate menopause, which can further increase the risk of infertility.

3. Increased risk of cardiovascular disease: Research has shown that women who undergo oophorectomy are at a higher risk of developing cardiovascular disease, including heart attack and stroke. This increased risk is attributed to the loss of estrogen, which plays a protective role in maintaining blood vessel health.

4. Sexual dysfunction: The loss of estrogen can lead to vaginal dryness, decreased libido, and painful intercourse, which can affect a woman’s sexual health and quality of life.

5. Increased risk of osteoporosis: Estrogen plays a crucial role in maintaining bone health. Its loss can lead to decreased bone density and an increased risk of osteoporosis.

6. Surgical complications: Oophorectomy is a major surgical procedure that carries its inherent risks, such as bleeding, infection, and damage to surrounding organs.

Removing ovaries can lead to several disadvantages, including hormonal imbalance, infertility, increased risk of cardiovascular disease, sexual dysfunction, increased risk of osteoporosis, and surgical complications. Women who are considering oophorectomy should discuss the potential risks and benefits with their healthcare provider, and explore alternative treatments whenever possible.

Should I keep my ovaries with hysterectomy?

The decision of whether to keep or remove the ovaries during a hysterectomy is a personal decision and should be made after careful consideration of individual circumstances and medical advice from your healthcare provider.

The ovaries are the organs that produce estrogen and progesterone, important hormones that regulate the menstrual cycle and play a critical role in overall health, including maintaining bone density, cardiovascular health, and protecting against certain types of cancer.

If a hysterectomy is being performed for benign reasons, such as uterine fibroids or endometriosis, and there is no evidence of ovarian cancer or other significant ovarian pathology, there may be benefits to keeping the ovaries. These benefits include a decreased risk of osteoporosis, cardiovascular disease, and sexual dysfunction compared to women who have their ovaries removed.

On the other hand, if a hysterectomy is being performed for a disease or condition that affects the ovaries, such as ovarian cancer or endometriosis, it may be recommended to remove the ovaries to eliminate the risk of cancer or prevent future issues related to endometriosis.

Additionally, if a woman is at increased risk of developing ovarian cancer due to family history or other factors, it may be recommended to remove the ovaries as a preventative measure.

It is important to discuss the potential benefits and risks of keeping or removing the ovaries with your healthcare provider. A thorough evaluation of individual risk factors, health status, and goals for future medical care will inform the decision-making process. Hormone replacement therapy (HRT) may also be an option for women who have their ovaries removed to help manage symptoms of menopause and reduce the risk of bone loss and cardiovascular disease.

Overall, the decision to keep or remove the ovaries is a deeply personal one that should be made with careful consideration and in consultation with a trusted healthcare provider.

What to expect after a hysterectomy leaving both ovaries?

After undergoing a hysterectomy leaving both ovaries intact, there are a number of physical and emotional changes that one might expect to experience.

In the immediate aftermath of the procedure, it is common to experience some pain and discomfort as the body adjusts to the changes. Patients may be prescribed pain medication to manage these symptoms, and it is important to follow all instructions for proper wound care and recovery.

One of the most significant changes that comes with a hysterectomy is the cessation of menstrual periods. For many women, this is seen as a positive change, especially if they have been experiencing heavy or painful periods or if they have been dealing with conditions such as fibroids or endometriosis.

However, some women may experience menopausal symptoms such as hot flashes, mood swings, and vaginal dryness after the surgery.

Another potential side effect of a hysterectomy is a decreased sex drive. This can be due to physical changes in the body as well as emotional factors such as stress and anxiety. It is important to be open and honest with one’s partner and healthcare provider about any changes in sexual function or desire.

In some cases, removing the uterus may also impact the function of the bladder or bowel. Patients may experience incontinence, urgency, or difficulty fully emptying the bladder or bowel. These symptoms can often be managed through lifestyle changes, medication, and in some cases, additional surgeries.

Emotionally, a hysterectomy can be a challenging experience. Some women may feel a sense of loss or grief over the removal of their uterus, especially if they had hoped to have children in the future. It is important to seek out support from loved ones, as well as counseling or support groups if needed.

Overall, a hysterectomy leaving both ovaries can bring about significant changes, both physical and emotional. While there may be challenges to the recovery process, with time and support, many women go on to feel healthier and more empowered after the procedure.


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  3. I’m Having a Hysterectomy. Will I Keep My Ovaries?
  4. Hysterectomy: Should I Also Have My Ovaries Removed?
  5. Hysterectomy: Spare Ovaries, Boost Health? – WebMD