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PMS after Hysterectomy

From the Hysterectomy Recovery Articles List

PMS after hysterectomyWill I still have PMS after my hysterectomy? Is that possible?


Women can experience premenstrual syndrome (PMS) issues after a hysterectomy if they keep at least one ovary. Though the exact cause of PMS is unknown, it seems to be caused by fluctuations of the hormones produced by the ovaries as part of the normal menstrual cycle. Thus, if the ovaries continue to function as they should after a hysterectomy, PMS can continue as well.

The HysterSisters have reported a wide variety of responses regarding PMS post-hysterectomy. For some, their symptoms intensified, at least initially. There can be many explanations for this phenomenon. It could be that the removal of the uterus interrupted the blood supply to the ovaries. When this occurs, the ovaries may not function as well until a new blood supply is established. As a result, hormone levels may be different than usual, causing some PMS symptoms. Using a hormonal treatment before a hysterectomy can also affect, and possibly intensify PMS symptoms. Another factor can be stress. Research has found that women who feel stressed can experience more PMS symptoms. Poor eating habits—which tend to develop around the time of surgery—can also trigger some PMS symptoms.

Some HysterSisters find that PMS symptoms do decrease over time, becoming less intense and less disabling, but if you are not so fortunate, there are some options for managing PMS both short and long term. These may include some lifestyle changes, supplements, or even medications:
  • Consistent sleep habits
  • Regular exercise
  • A healthy diet that includes fruits, vegetables, and whole grains
  • Avoiding salt, sugar, alcohol, and caffeine
  • Managing stress
  • Minerals and vitamins, including Folic Acid, Calcium, Magnesium, Vitamin B-6, and Vitamin E
  • Herbs, including Black cohosh, Chasteberry, and Evening primrose oil
  • Oral contraceptives
  • Progestin or natural progesterone cream
  • Antidepressants

Be sure to keep a detailed symptom diary. If your symptoms are intolerable and last beyond a few months after surgery, look over the diary with your medical team to see which PMS symptoms are affecting you. Together you can determine a plan for managing your post-hysterectomy PMS.



This content was written by staff of HysterSisters.com by non-medical professionals based on discussions, resources and input from other patients for the purpose of patient-to-patient support.

07-09-2013 - 11:06 AM


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