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Uterus and both ovaries were removed last month for fibroids. Now hot flushes and sweating have started very badly. Is this normal after the operation?

An AskHer answer: what is known, what depends on you, and what only a clinician can decide.

Nobody asked this one. AskHer’s editorial team wrote the question to open the topic. It is not anyone’s submission, and nobody’s own words are in it.

Written with AI assistance — not yet reviewed by a person Version 1 · Not yet reviewed by a person · English

The short explanation

Yes, this is common. When both ovaries are removed before natural menopause, oestrogen levels fall suddenly rather than gradually. This is called surgical menopause, and symptoms such as hot flushes, night sweats, poor sleep and mood changes often start within days or weeks and can be stronger than in natural menopause. Because you no longer have a womb, hormone therapy, if suitable for you, can usually be oestrogen alone. Many women who have their ovaries removed before the usual age of menopause are offered hormone treatment to ease symptoms and protect bones and heart.

What depends on your situation

The parts of this that change from woman to woman. Uncertainty is stated, not hidden.

  • Whether hormone therapy is right for you depends on your age, why you had surgery, and any history of breast cancer, blood clots or other conditions.
  • Non-hormonal options and lifestyle measures are also available if hormones are not suitable.
  • Recovery from surgery itself also affects energy and mood, so be gentle with yourself and accept help at home.

What this answer cannot determine

The boundary of online education. These need a clinician who can see you.

  • This answer cannot say which treatment is right for you after surgery. Your gynaecologist knows your surgical findings and history and can advise.

Questions for your clinician

Take these with you. You can add any of them to an appointment card.

  1. Is hormone therapy suitable for me after this surgery?
  2. What are the benefits and risks at my age?
  3. How will my bones and heart be protected?
  4. What should I expect over the next few months?

When to seek help

Clinician-approved guidance for this topic. When in doubt, being seen is never the wrong choice.

Emergency — call 112 now

  • Call 112 or go to the nearest emergency department if you have heavy bleeding, chest pain, breathlessness, or a swollen painful leg after surgery.

Get help the same day

  • Get care the same day if you have fever, worsening wound pain, or foul-smelling discharge.

Book an appointment soon

  • Contact your surgeon within a few days to discuss your menopause symptoms.

Sources

The evidence this explanation is built on.

  1. Menopause NHS
  2. Menopause — symptoms NHS
  3. Uterine fibroids MedlinePlus (NIH)

Who wrote and reviewed this

Every AskHer answer names its author. A clinically reviewed answer also names the clinician who signed it off — if no clinician is named below, it has not been clinically reviewed.

Author
AskHer Editorial (AI-assisted draft) AskHer's editorial team — not an individual clinician Works in English, தமிழ், हिन्दी
Clinical reviewer
Nobody yet No clinician has signed this answer off, and no person on the editorial team has read it yet. That is what the “Written with AI assistance” label means. It is queued for an editor to read, and then for a clinician who works in this area. The sources it was drafted against are listed above.
Review status
Written with AI assistance — not yet reviewed by a person
Last reviewed
Not yet reviewed by a person
Version
1

Correction history

Substantive changes are listed, not quietly edited away.

No corrections have been made since this answer was first published.

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