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weight gain after hysterectomy weight gain after hysterectomy

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Unread 03-06-2003, 02:22 PM
weight gain after hysterectomy

I am 28 and had a hysterectomy at the age of 24.I have been gaining weight ever since.I have been going to the gym and watching what I eat for the last two years and no change.I have been on primeron for the last 4 years.Is this just happenig to me or might this be because of the full hysterectomy at such a young age?
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Unread 03-06-2003, 04:06 PM
weight gain after hysterectomy

((firey)), ..did you have your Ovaries removed? There are several others here who have experienced this as well, I'm sure they will come along shortly & share their experiences Here is some info I have on this that might be of some help:

Unfortunately, weight gain takes place after hysterectomy just like it does after most elective, uncomplicated surgeries that don't involve the bowel. During recovery, which averages 6 weeks but really isn't normal until 6 months, most people expend much less calories than when they are not recovering from surgery. With the exception of the first week in which they may lose weight, there is a net weight gain tendency since most people eat at the same rate they were used to before surgery. If you are expending only 350 calories a day less than you were before surgery, you will put on a pound every 10 days -- permanent weight. If this keeps up for 90 days (because you are being careful not to strain much) that is almost 10 lbs.
Hormones can play a small role. Estrogen by mouth can cause salt retention which in turn causes fluid retention and thus weight gain. It shouldn't be more than 3 lbs., however. Progestins can stimulate appetite but after a hysterectomy most women don't need to take progestin after the uterus is gone.

How to get weight off after hysterectomy

Yes. Many women put on weight even though the ovaries are left intact. Most lose the weight, some do not. Just as after pregnancy some women don't lose what they gained. There's no known metabolic reason I know of other than the decreased activity that follows surgery for several months. Has our metabolism permanently slowed down? I don't think so but activity, calorie expenditure is usually decreased. Is this normal and what can we do about it? There has to be permanent change in eating habits (less calorie intake) or increased exercise levels or both. I wish I knew a secret to do this! How much dieting and exercising will bring about weight loss? Each pound of fat permanently lost is 3500-4000 cal. Daily fluid shifts can be several pounds one way or the other. So you MAY have to be over 20000 calories in deficit to see a change on the scale. That gets discouraging for many and the exercise is skipped or the calories don't get as restricted as much as they were. If you can decrease calories by 300 per day (no snacks or splurges allowed) and increase activity by 200 calories per day, You should not only quit gaining weight, but also lose weight. Remember this is permanent change and you may only lose about a pound or 2 a MONTH! I ride my bike nearly 12 miles 6 days/week and walk 6 miles 6 days/week. Is there something else we can do? That sounds like alot. Sometimes when you start a very vigorous exercise program there is some weight gain due to increased muscle mass. It negates calorie restriction and takes awhile before there is a net, continuous weight loss. Exercise also stimulates appetite so you need to be careful. If you keep it up and eliminate the even occasional calorie splurges, YOU WILL LOSE WEIGHT.

Ideal body weight formula for women is 100 + (4x(height_in_inches minus 60)). . Very few women or men weigh their ideal weight so there is a range around that that is "normal". Your body mass index is 27 (average is 25). If you were at mass of 28, that would warrant medical concern. This is common after hysterectomy. Be sure to include abdominal muscle exercises in your program.


Women Talk About Hysterectomy:


Too Much Estrogen? Too Little?

Water Retention
Breast Swelling
Fibrocystic Breasts
PMS-like symptoms
Loss of sex drive
Uterine Fibroids
Craving for Sweets
Weight Gain

Hot flashes
shortness of breath
night sweats
sleep disorders
vaginal shrinkage
painful intercourse
vaginal dryness
dry skin
mood swings
Memory Loss
Heart palpitaions
yeast infections
inability to reach orgasm


Hot flashes
Low Libido
Anxiety Night Sweats
Swollen Breasts Painful breast
Sleep Disorder
Shortness of breath
vaginal shrinkage
Fuzzy thinking
Painful intercourse
vaginal Dryness
Food Cravings
Dry skin
Mood swing
Memory Loss
Weight gain
Heart Palpitations
Yeast Infections
Inability to concentrate
Inability to reach orgasm
Painful joints

Good Luck I hope this was of some help...(((hugs)))
Unread 03-06-2003, 04:09 PM
weight gain after hysterectomy

My guess is that it's more of an age issue. The older we get the harder it is to keep from gaining weight. I'm 36 and struggle to keep my weight around 140#. I clean houses part-time, have 3 kids to run after and take care of and exercise with aerobics and weights 2-3 times a week. Very active right? Here's how much I don't eat. ( by the way, I never diet) I eat a granola bar and a glass of milk with Instant Breakfast in it in the morning and go to work. I eat a chewy low-fat granola bar at work. I either eat a grilled chicken sandwhich if I'm running errands or eat a Healthy Choice meal for lunch. I have a bowl of low-fat ice cream and a bowl of low-fat popcorn every day and a yogurt or two and a few more glasses of milk with another granola bar. That's about it. Once a month I might eat a couple pieces of pizza or a steak. Basically, I don't eat big meals. I never eat donuts, french fries, hamburgers, hot dogs, ect...you get the idea. I don't eat fattening high calorie stuff. It takes me constant work to stay slim. I see women that work out way more than I do and they're a bit heavy in my opinion and I think it's just that they eat way more. Which is fine for them, I like them as they are and they like themselves. Personally, I like myself a certain size and finding that right balance between food intake and exercise is tricky.
You didn't say how much weight you've gained. When I was in my early 20's I weighed about 10# less that I do now. It's a natural thing. Middle age spread they call it. Good luck. I hope you find where you are comfortable. That's all that matters, not what size you are.
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Unread 03-06-2003, 06:47 PM
weight gain after hysterectomy


I also had the surgery at a very young age. I was scarcely 18 when I had a total hysterectomy and appendectomy as an emergency procedure. My mother's friends told me surely I'd experience weight gain. I was very afraid of this and decided it would NOT happen to me. And it didn't. In fact, I actually lost weight after the surgery, and after a year, I had lost twenty pounds on my 5'2" frame.

As time went on over the course of the next 25 years, I didn't sustain the weight loss, but I'm certainly not overweight. I do understand your frustration, because I also experienced a substantial weight gain about five years ago due to steroid injections for chronic back pain. It took a year to get the weight off. The answer for me was diet, exercise, and accountability. I joined Weight Watchers and weighed in weekly with them. The diet is very balanced and healthy and the weight loss is at a safe rate. I exercise, but not at a fanatic rate. I just take two fifteen minute breaks and a half hour of my lunch hour to put on my tennies and walk. That's an hour of walking five days a week. Two years later, I've maintained the loss.

Every woman's body is different, so my formula for success may not work for you. Hopefully, other women will offer their advice and you'll be able to find the right answer for you!

Hang in there and take care!

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