Reviewed by Dr. Scott Maymon, ND, NPH, and Dr. Sarah Stone, ND.

Undergoing a hysterectomy is a major life event that can bring about significant changes, especially when it comes to your hormones. 

Whether you have had a partial hysterectomy or a total hysterectomy, understanding how your body adapts and what steps you can take to maintain hormonal balance is key to ensuring your well-being.

In this blog, we will explore the differences in hormonal impact based on the type of hysterectomy and discuss solutions for restoring balance and improving your quality of life.

Understanding Hormonal Changes Based on Hysterectomy Type

In a partial hysterectomy, the uterus is removed while the ovaries remain. Since the ovaries continue to produce reproductive hormones like estrogen and progesterone, hormonal balance is typically maintained to some degree. 

Women undergoing this procedure generally do not experience menopausal symptoms as a direct result of the surgery.

A total or radical hysterectomy involves removing the uterus, ovaries, and fallopian tubes. This leads to an abrupt loss of hormone production, known as surgical menopause. 

Unlike natural menopause, which happens over years, surgical menopause causes a sudden drop in hormone levels, triggering symptoms such as:

  • Hot flashes
  • Vaginal dryness
  • Night sweats
  • Decreased sex drive
  • Increased risk of osteoporosis and cardiovascular disease

This is not an exhaustive list of symptoms, and individual experiences may vary.

It is important to speak with a healthcare professional that specializes in hormone replacement therapy (HRT) before your surgery so that you can have a plan in place to manage any potential symptoms and maintain your overall health.

Managing Hormonal Imbalance After Hysterectomy

Before diving into specific treatments, it’s important to recognize that hormonal needs vary from person to person. 

Factors such as age, overall health, and whether you’ve had a partial or total hysterectomy will shape your approach to managing hormonal imbalance. Personalized care is crucial.

1. Hormone Replacement Therapy (HRT)

Hormone replacement therapy can be life-changing for women dealing with symptoms of hormonal imbalance. 

Both synthetic hormones and bioidentical hormone replacement therapies are available, but bioidentical hormones are often preferred because they closely mimic the body’s natural hormones. HRT can help:

  • Stabilize mood swings and improve emotional well-being
  • Mitigate physical symptoms such as night sweats, hot flashes, and vaginal dryness
  • Protect bone health by reducing the risk of osteoporosis

2. Lifestyle Adjustments for Hormonal Health

Incorporating lifestyle changes can complement HRT or serve as a standalone strategy for maintaining hormonal balance. These adjustments include:

  • Whole-foods diet: Focus on anti-inflammatory foods rich in omega-3s and phytoestrogens to support hormone production naturally.
  • Regular exercise: Weight-bearing exercises not only support bone health but also improve mood and reduce the likelihood of weight gain.
  • Prioritize sleep: Sleep impacts the regulation of stress and reproductive hormones. Aim for consistent, high-quality rest.
  • Detox support: Minimize exposure to endocrine disruptors found in plastics, cosmetics, and cleaning products to support your body’s natural hormone regulation.

For women unable or unwilling to use hormone replacement therapy, lifestyle changes can help support hormonal balance:

  • Vitamins
  • Herbs or botanical medicine
  • Glandulars

3. Targeted Symptom Relief

Addressing specific symptoms of hormonal imbalance ensures a more comprehensive approach:

  • Vaginal dryness: Options include over-the-counter moisturizers, shockwave therapy, prescription treatments, and lifestyle adjustments to maintain hydration.
  • Mood swings: Incorporate practices like journaling, therapy, or mindfulness to stabilize emotional health.
  • Weight management: Consult a nutritionist or healthcare professional to create a sustainable plan to manage weight gain.
  • Heart health: Prioritize cardiovascular wellness through a combination of diet, exercise, and monitoring by a medical professional.

Our Approach to Hormone Health

At Pure Body Health, we believe in addressing hormone health with a comprehensive and personalized approach

We focus on optimizing your hormones with a combination of BHRT and diet and lifestyle changes. Our team works with you to create strategies that integrate nutrition, exercise, and stress management to promote hormonal balance and improve your quality of life. 

Whether you are recovering from a hysterectomy or managing symptoms of menopause, our goal is to help you feel your best.

To book an appointment at our wellness clinic in Tempe, call (480) 427-0442 or complete the online inquiry form. Visit us at 1553 W Todd Drive, Suite 106, Tempe, AZ.

Additional Resources

Check out our blog for more information about perimenopause and menopause. Here are a few articles to get you started: