Jack Harley, Therapeutic Neuroscience at Oxford University
reviewed by Dr Michael Yapko
Friday, October 29, 2021
Jack Harley, Therapeutic Neuroscience at Oxford University
Friday, October 29, 2021

Hot Flashes After Hysterectomy: Your Guide

Contents

If you have had a hysterectomy and are experiencing hot flashes, know that you are not alone. Over 600,000 hysterectomies are performed each year in the U.S., and while hot flash symptoms after your surgery may be intense and frustrating, there are management tools available to help.

Research shows that hot flashes and night sweats are almost twice as common in women who have had a hysterectomy, than those who are going through ‘natural’ menopause. How long you have them for and how you manage them will largely depend on the type of hysterectomy you have had, as well as your stage of life and other lifestyle factors.

In this article, we’ll take a look at hot flashes after a hysterectomy, and what management tools are available to you.

What are the different types of hysterectomy?

There are several types of hysterectomy that can be performed, depending on the reason for your surgery.

These include:

  • Total hysterectomy: the uterus and cervix, but not the ovaries, are removed. This is the most common type of hysterectomy.
  • Subtotal hysterectomy: the uterus, but not the cervix or ovaries, are removed. This type of hysterectomy is less common, as there is still a risk of cervical cancer if the cervix is left in place.
  • Hysterectomy with oophorectomy: the uterus and cervix, and one or both of the ovaries, are removed.
  • Hysterectomy with Salpingo-oophorectomy: the uterus, one or both of your ovaries, and your fallopian tubes are removed.
  • Radical hysterectomy: the uterus, cervix, ovaries, fallopian tubes, part of your vagina, lymph glands, and fatty tissue are removed.  

Will I enter menopause after a hysterectomy?

Whether or not you enter menopause after a hysterectomy will depend on the type of surgery you have.

Menopause begins when the body reduces (or stops) producing estrogen. Because your ovaries produce a large amount of your body’s estrogen, their removal through a radical hysterectomy, or a hysterectomy with oophorectomy, will trigger a sudden decrease in estrogen and lead to menopause. This is known as induced or surgical menopause.

If your hysterectomy doesn’t involve the removal of your ovaries, or only one ovary is removed, you won’t enter surgical menopause, but you are still likely to enter menopause within five years.

Even with both ovaries intact, don’t be surprised if, for a short time, you still experience menopause symptoms like hot flashes. This can happen because of the reduced blood flow to the ovaries, but should improve as you heal from the surgery.

If you are experiencing surgical menopause, you may experience other symptoms associated with a decrease in estrogen, not just hot flashes. These can include:

  • Hot flashes
  • Mood swings
  • Mild anxiety and depression
  • Sleeping difficulties
  • Fatigue
  • Night sweats
  • Vaginal dryness

Compared to natural menopause, these symptoms, especially hot flashes, may be more frequent and severe than experienced in natural menopause.

Who will experience menopause after a hysterectomy.

Treating hysterectomy hot flashes

Fortunately, there are ways, both prescribed and natural, that can help you manage hot flashes after a hysterectomy. Here are a few of the most common and effective:

Hormone replacement therapy

Depending on your age, lifestyle, and the reason you have had a hysterectomy, your doctor may advise you to take hormone replacement therapy (HRT). This treatment replaces some of the hormones your ovaries would have produced to relieve your hot flashes and some of the other symptoms of menopause.

Hormone replacement therapy has been shown to reduce the frequency and severity of hot flashes by up to 80%. However, it’s not suitable for everyone and has been associated with an increased risk of breast cancer for women with a family history of the disease. It’s also not recommended in women with liver disease, or those at a higher risk of diseases such as heart attacks, breast cancer, strokes, or blood clots.

Your doctor will be able to advise you whether HRT is appropriate for you.

Hypnotherapy

For women who can’t take HRT or would prefer not to take HRT, hypnotherapy is one of the most effective non-hormonal management tools currently available. It’s been shown to reduce hot flashes by up to 80% and can come with some welcome side effects such as improved quality of sleep, and reduced anxiety.

Hypnotherapy is a technique that involves focused relaxation techniques, and cooling visualizations  to help you manage your internal temperature controls.

While hypnotherapy can be done in-person with a qualified therapist, it is now possible to have hot flashes hypnotherapy sessions delivered to you in the comfort of your home through an app.

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Lifestyle changes

Your overall health and lifestyle can also influence the frequency and intensity of your post-hysterectomy hot flashes.

Some simple changes before and after surgery may help reduce your symptoms.

  • Cut down or quit smoking: Smoking has been shown to worsen symptoms of menopause, as well as increase the risk of diseases that become more prevalent post-menopause, such as heart disease, cancer, and stroke.
  • Practice relaxation: Although meditation has not been shown to reduce the frequency of hot flashes, it does have benefits for your overall well-being and can help reduce stress and improve your sleep quality.

  • Avoid ‘trigger’ foods or drinks: spicy foods or caffeinated drinks may trigger hot flashes. Try and monitor which foods and beverages trigger hot flashes.

  • Dietary supplements: such as black cohosh, ginseng, dong quai may offer limited benefits for reducing hot flashes in some women. However, the evidence supporting the use of many of these herbal supplements is inconclusive.

The Wrap Up

Women who undergo hysterectomy may experience surgical menopause. Others may start menopause within five years of their surgery. Hot flashes are twice as likely for women who have undergone a hysterectomy and they can be more frequent and intense than for women experiencing natural menopause. Thankfully there are options available to help manage hot flashes after a hysterectomy including hormone replacement therapy, lifestyle changes, and hypnotherapy.

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Our Sources

Mindset Health only uses high-quality sources, including peer-reviewed research, to support our articles. We work with experts to ensure our content is helpful, accurate and trustworthy.

  1. Jacoby, V.L., 2014. Hysterectomy controversies: ovarian and cervical preservation. Clinical obstetrics and gynecology, 57(1), pp.95-105. https://journals.lww.com/clinicalobgyn/Abstract/2014/03000/Hysterectomy_Controversies__Ovarian_and_Cervical.9.aspx
  2. Stein, R.A., Chang, C.Y., Kazmin, D.A., Way, J., Schroeder, T., Wergin, M., Dewhirst, M.W. and McDonnell, D.P., 2008. Estrogen-related receptor α is critical for the growth of estrogen receptor–negative breast cancer. Cancer research, 68(21), pp.8805-8812. https://cancerres.aacrjournals.org/content/68/21/8805.short  
  3. Mavaddat, N., Antoniou, A.C., Easton, D.F. and Garcia-Closas, M., 2010. Genetic susceptibility to breast cancer. Molecular oncology, 4(3), pp.174-191. https://pubmed.ncbi.nlm.nih.gov/20542480/
  4. Gaudet, M.M., Gapstur, S.M., Sun, J., Teras, L.R., Campbell, P.T. and Patel, A.V., 2014. Oophorectomy and hysterectomy and cancer incidence in the Cancer Prevention Study-II Nutrition Cohort. Obstetrics & Gynecology, 123(6), pp.1247-1255. https://journals.lww.com/greenjournal/FullText/2014/06000/Oophorectomy_and_Hysterectomy_and_Cancer_Incidence.15.aspx
  5. Mounsey, A., Wilgus, A. and Slawson, D.C., 2006. Diagnosis and management of endometriosis. American family physician, 74(4), pp.594-600. https://www.aafp.org/afp/2006/0815/p594
  6. Pezaro, C., James, P., McKinley, J., Shanahan, M., Young, M.A. and Mitchell, G., 2012. The consequences of risk reducing salpingo-oophorectomy: the case for a coordinated approach to long-term follow up post surgical menopause. Familial cancer, 11(3), pp.403-410. https://idp.springer.com/authorize/casa?redirect_uri=https://link.springer.com/content/pdf/10.1007/s10689-012-9527-5.pdf
  7. Rodriguez, M. and Shoupe, D., 2015. Surgical menopause. Endocrinology and Metabolism Clinics, 44(3), pp.531-542. https://www.endo.theclinics.com/article/S0889-8529(15)00044-4/abstract
  8. Wilson, L.F., Pandeya, N., Byles, J. and Mishra, G.D., 2016. Hot flushes and night sweats symptom profiles over a 17-year period in mid-aged women: the role of hysterectomy with ovarian conservation. Maturitas, 91, pp.1-7. https://linkinghub.elsevier.com/retrieve/pii/S0378512216301207
  9. Obermeyer, C.M., Reher, D., Alcala, L.C. and Price, K., 2005. The menopause in Spain: results of the DAMES (Decisions At MEnopause) study. Maturitas, 52(3-4), pp.190-198. https://www.sciencedirect.com/science/article/pii/S0378512205000149
  10. Monteleone, P., Mascagni, G., Giannini, A., Genazzani, A.R. and Simoncini, T., 2018. Symptoms of menopause—global prevalence, physiology and implications. Nature Reviews Endocrinology, 14(4), pp.199-215. https://www.nature.com/articles/nrendo.2017.180
  11. Avis, N.E., Crawford, S.L., Greendale, G., Bromberger, J.T., Everson-Rose, S.A., Gold, E.B., Hess, R., Joffe, H., Kravitz, H.M., Tepper, P.G. and Thurston, R.C., 2015. Duration of menopausal vasomotor symptoms over the menopause transition. JAMA internal medicine, 175(4), pp.531-539. https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2110996
  12. Freedman, R.R., 2005. Hot flashes: behavioral treatments, mechanisms, and relation to sleep. The American journal of medicine, 118(12), pp.124-130. https://www.sciencedirect.com/science/article/pii/S0002934305009046
  13. Copeland, A.L., Peltier, M.R. and Geiselman, P.J., 2017. Severity of menopausal symptoms and nicotine dependence amongst postmenopausal women smokers. Journal of Smoking Cessation, 12(3), pp.123-130. https://www.cambridge.org/core/journals/journal-of-smoking-cessation/article/severity-of-menopausal-symptoms-and-nicotine-dependence-amongst-postmenopausal-women-smokers/D4267F3D169CBC466D7AC93491721A39
  14. Milic, J., Glisic, M., Voortman, T., Borba, L.P., Asllanaj, E., Rojas, L.Z., Troup, J., Kiefte-de Jong, J.C., van Beeck, E., Muka, T. and Franco, O.H., 2018. Menopause, ageing, and alcohol use disorders in women. Maturitas, 111, pp.100-109. https://www.sciencedirect.com/science/article/pii/S0378512217311027
  15. Whiteman, M.K., Staropoli, C.A., Langenberg, P.W., McCarter, R.J., Kjerulff, K.H. and Flaws, J.A., 2003. Smoking, body mass, and hot flashes in midlife women. Obstetrics & Gynecology, 101(2), pp.264-272. https://www.sciencedirect.com/science/article/pii/S0029784402025930
  16. Oman, D., Shapiro, S.L., Thoresen, C.E., Plante, T.G. and Flinders, T., 2008. Meditation lowers stress and supports forgiveness among college students: A randomized controlled trial. Journal of american college health, 56(5), pp.569-578. https://www.tandfonline.com/doi/abs/10.3200/JACH.56.5.569-578
  17. Amato, P., Christophe, S. and Mellon, P.L., 2002. Estrogenic activity of herbs commonly used as remedies for menopausal symptoms. Menopause, 9(2), pp.145-150. https://journals.lww.com/menopausejournal/fulltext/2002/03000/estrogenic_activity_of_herbs_commonly_used_as.10.aspx
  18. Shou, C., Li, J. and Liu, Z., 2011. Complementary and alternative medicine in the treatment of menopausal symptoms. Chinese journal of integrative medicine, 17(12), pp.883-888. https://link.springer.com/content/pdf/10.1007/s11655-011-0932-7.pdf
  19. MacLennan, A.H., Broadbent, J.L., Lester, S. and Moore, V., 2004. Oral oestrogen and combined oestrogen/progestogen therapy versus placebo for hot flushes. Cochrane database of systematic reviews, (4). https://pubmed.ncbi.nlm.nih.gov/15495039/
  20. Gambacciani, M. and Levancini, M., 2014. Hormone replacement therapy and the prevention of postmenopausal osteoporosis. Przeglad menopauzalny= Menopause review, 13(4), p.213. https://www.ncbi.nlm.nih.gov/pmc/articles/pmc4520366/
  21. Yoo, T.K., Do Han, K., Kim, D., Ahn, J., Park, W.C. and Chae, B.J., 2020. Hormone replacement therapy, breast cancer risk factors, and breast cancer risk: a nationwide population-based cohort. Cancer Epidemiology and Prevention Biomarkers, 29(7), pp.1341-1347. https://cebp.aacrjournals.org/content/29/7/1341.abstract
  22. Ghazal, S. and Pal, L., 2013. Perspective on hormone therapy 10 years after the WHI. Maturitas, 76(3), pp.208-212. https://www.sciencedirect.com/science/article/pii/S0378512213002843
  23. Stubbs, C., Mattingly, L., Crawford, S.A., Wickersham, E.A., Brockhaus, J.L. and McCarthy, L.H., 2017. Do SSRIs and SNRIs reduce the frequency and/or severity of hot flashes in menopausal women. The Journal of the Oklahoma State Medical Association, 110(5), p.272. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5482277/
  24. Reddy, S.Y., Warner, H., Guttuso Jr, T., Messing, S., DiGrazio, W., Thornburg, L. and Guzick, D.S., 2006. Gabapentin, estrogen, and placebo for treating hot flushes: a randomized controlled trial. Obstetrics & Gynecology, 108(1), pp.41-48. https://journals.lww.com/greenjournal/Fulltext/2006/07000/Gabapentin_s_Effects_on_Hot_Flashes_in.9.aspx
  25. Quintero, G.C., 2017. Review about gabapentin misuse, interactions, contraindications and side effects. Journal of experimental pharmacology, 9, p.13. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5308580/
  26. Laufer, L.R., Erlik, Y., Meldrum, D.R. and Judd, H.L., 1982. Effect of clonidine on hot flashes in postmenopausal women. Obstetrics and gynecology, 60(5), pp.583-586. https://europepmc.org/article/med/7145250
  27. David, S.M., Salzillo, S., Bowe, P., Scuncio, S., Malit, B., Raker, C., Gass, J.S., Granai, C.O. and Dizon, D.S., 2013. Randomised controlled trial comparing hypnotherapy versus gabapentin for the treatment of hot flashes in breast cancer survivors: a pilot study. BMJ open, 3(9), p.e003138. https://bmjopen.bmj.com/content/3/9/e003138.short
  28. Hickey, M., Szabo, R.A. and Hunter, M.S., 2017. Non-hormonal treatments for menopausal symptoms. bmj, 359. https://www.bmj.com/content/359/bmj.j5101
  29. Hysterectomy Considerations.NHS. Updated 1 February 2019. Accessed 21 September 2021. https://www.nhs.uk/conditions/hysterectomy/considerations/
  30. Elkins GR, Fisher WI, Johnson AK, Carpenter JS, Keith TZ. Clinical hypnosis in the treatment of postmenopausal hot flashes: a randomized controlled trial. Menopause. 2013;20(3):291-298. doi:10.1097/gme.0b013e31826ce3ed
  31. Wilson LF, Pandeya N, Byles J, Mishra GD. Hot flushes and night sweats symptom profiles over a 17-year period in mid-aged women: The role of hysterectomy with ovarian conservation. Maturitas. 2016 Sep;91:1-7. doi: 10.1016/j.maturitas.2016.05.011. Epub 2016 May 24. PMID: 27451315.

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