Menopause is a sign that a woman is no longer active in reproducing. That is, the woman can no longer have children. Usually menopause occurs in women aged over 41 years to 55 years. In some cases, there are also women who experience menopause faster than the average age.
This condition is called early menopause or premature menopause. The causes vary, ranging from genetic (hereditary), unhealthy lifestyles such as smoking, and also due to certain medical conditions. Well, according to the study, women who have had uterine lift surgery have a greater risk of experiencing early menopause.
How can menopause occur?
Women have ovaries that produce estrogen and progesterone hormones. Both of these sexual hormones control the ovulation cycle (release of eggs from the ovary) and menstruation.
When menopause occurs, the ovaries no longer produce estrogen and progesterone hormones so the egg is no longer released and menstruation will not occur. Women who experience this condition no longer have egg cells on their uterine walls so that after intercourse, the incoming sperm cannot meet the egg cell. Finally, fertilization will not be possible and pregnancy cannot occur.
Risk of early menopause in women with uterine lift surgery
Menopause normally occurs in women over the age of 41 years. However, there are some women who experience menopause faster than that age. Reported from Healthline, women who undergo a surgical process such as hysterectomy (uterine lift surgery) and oophorectomy (ovarian lift surgery, both one and two ovaries) have a higher risk of experiencing early menopause.
Then, Dr. Patricia G. Moorman, a lecturer at Duke University and colleagues conducted a study on the side effects of hysterectomy, namely early menopause in women aged 30 to 47 years, as reported by Obgyn. Researchers looked at 406 women who underwent hysterectomy and compared it with 465 healthy women. The researcher collected blood samples and gave the woman a questionnaire every year for 5 years.
The results showed that women experienced 14.8 percent failure of ovarian function in women with hysterectomy, while healthy women had a risk of 8 percent. The risk of early menopause is indeed higher in women who undergo surgery to remove the uterus at the same time with their ovaries. However, the risk also remains high in women with hysterectomy whose ovaries are still maintained.
Oophorectomy can indeed cause menopause to occur more quickly, because the place where sex hormones are produced is eliminated. The procedure for removing one ovary (a single oophorectomy) causes the number of sex hormones to decrease, causing menopause to occur more quickly. While the surgical removal of two ovaries (bilateral oophorectomy) indicates the production of sex hormones really stops and menopause can occur soon.
Then what about early menopause in women with hysterectomy? Based on research conducted by Moorman, hysterectomy influences blood flow to the ovaries which is likely to cause the production of sex hormones to decrease so that the ovaries fail to perform normal functions. In addition, hysterectomy can cause FSH levels (follicle-stimulating hormones) to increase so as to accelerate follicular thinning, which is a factor causing menopause.
Is early menopause dangerous?
Besides the uncomfortable symptoms of hot flashes, vaginal dryness, or insomnia, early menopause is actually quite dangerous. This condition according to research is associated with various complications such as osteoporosis and heart disease which can cause premature death in women.
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