How to manage surgical menopause?

 How to manage surgical menopause?

Surgical menopause is often a more sudden and intense stage than natural menopause, as it results from the removal of the ovaries, often as part of a hysterectomy or medical treatment. This type of menopause leads to an abrupt cessation of estrogen and progesterone production, which can cause more pronounced symptoms. Here are comprehensive strategies for better navigating this transition.

1. Regular medical follow-up: Essential support

Surgical menopause requires specific management by a healthcare professional:

  • Evaluate therapeutic options: Your gynecologist can advise you on hormone replacement therapy (HRT), which can help compensate for the sudden drop in hormones and reduce symptoms such as hot flashes, mood swings, and bone loss.

  • Undergo regular check-ups: Health check-ups, including bone density scans (osteodensitometry), are essential to prevent the risk of osteoporosis.

  • Adjust treatments: If HRT is not an option for you, discuss alternatives such as medicinal plants or other natural approaches to relieve symptoms.

2. Adopt natural solutions to alleviate symptoms

If you prefer non-medicinal methods or wish to combine them with medical treatment, here are some options:

Medicinal plants:

  • Black cohosh: Known to reduce hot flashes and night sweats.
  • Red clover: A source of phytoestrogens that can help naturally balance hormones.
  • Sage: Ideal for limiting excessive sweating and hot flashes.

Essential supplements:

    • Calcium and vitamin D: Essential for maintaining bone density and preventing osteoporosis, especially in cases of early surgical menopause.

    • Omega-3s: Contribute to cardiovascular health and can alleviate mood swings.

    • Magnesium: Helps reduce fatigue, muscle cramps, and sleep disturbances. 

    3. Provide appropriate emotional support

    Surgical menopause can lead to intense emotional changes due to hormonal fluctuations and the psychological impact of surgery.

    Therapies and psychological support:

    • Cognitive-behavioral therapies (CBT): They can help you manage emotions such as anxiety, sadness, or irritability.

    • Meditation and relaxation: Techniques like mindfulness or yoga nidra can soothe tension and promote better emotional balance.

    Join a support group:

    Participating in discussion groups or forums dedicated to surgical menopause will allow you to connect with other women going through similar experiences. Sharing your feelings can reduce the sense of isolation. 

    4. Adopt a healthy lifestyle to better manage changes

    A balanced lifestyle can greatly improve your quality of life and reduce symptoms associated with surgical menopause.

    Balanced diet:

    • Incorporate phytoestrogen-rich foods such as soy, flaxseed, and hops to naturally compensate for hormonal decline.

    • Prioritize fresh fruits and vegetables, rich in antioxidants, to protect your cardiovascular health and prevent inflammation.

    • Reduce refined sugars and processed foods to limit energy and weight fluctuations.

    Physical activity:

    • Strength training: Practice weight-bearing exercises or Pilates to preserve muscle and bone mass.

    • Cardio activities: Walk, run, or cycle to improve your mood and cardiovascular health.

    • Yoga or stretching: These activities promote flexibility, reduce stress, and improve posture.

    Hydration and sleep:

    • Drink enough water throughout the day to prevent dehydration and support bodily functions.

    • Maintain a regular sleep routine and create a conducive environment for rest (cool room, complete darkness, reduced screen time before bed). 

    5. Protect your long-term health

    Surgical menopause can increase certain health risks. Here's how to protect yourself:

    • Monitor your bone density: Estrogen deficiencies increase the risk of osteoporosis. In addition to supplements, consume calcium-rich foods (dairy products, green vegetables) and do light impact exercises.

    • Take care of your heart: Hormonal decline can also affect your cardiovascular health. Prioritize a diet low in saturated fats and rich in fiber to maintain good cholesterol levels.

    • Undergo regular screenings: In addition to bone density screenings, make sure to follow age-appropriate screening recommendations, such as mammograms or blood tests. 

    6. Create an environment conducive to your well-being

    Beyond medical and natural solutions, it is important to cultivate a living environment that supports you:

    • Arrange moments of relaxation: Take time to do activities that bring you joy, such as reading, gardening, or creative hobbies.

    • Cultivate positive relationships: Surround yourself with people who support you emotionally and with whom you can share your feelings.

    • Invest in your personal growth: Take advantage of this transition to focus on your passions and personal projects. 

    Managing surgical menopause requires a comprehensive approach that combines medical follow-up, natural solutions, a healthy lifestyle, and appropriate emotional support. By adopting positive habits and surrounding yourself with reliable resources, you can navigate this stage more serenely and regain balance in your daily life.

    Also explore:

    Can menopause be managed without medication?

    What is the best non-hormonal treatment for menopause?

    References:

    • Study on the impacts of surgical menopause (The Lancet, 2020).

    • Guide to managing symptoms after hysterectomy (Mayo Clinic, 2021).