What are the Long-Term Effects of a Hysterectomy?

Menopause is the primary long-term effect of a total hysterectomy (removal of the uterus and ovaries) because hormonal changes result in the physical symptoms of menopause.

Fertility Loss

• Menopause is the end of a woman’s menstrual cycle and fertility.

Hot Flashes

• Hot flashes affect 75 to 85 percent of menopausal women. This sudden feeling of warmth and sweating disrupts sleep. Sleep disturbances reduce quality of sleep, resulting in fatigue.

Osteoporosis

• Bone density decreases during menopause, increasing the risk of osteoporosis. Osteoporosis makes bones fragile and brittle, leading to an increased risk of fracture.

Heart Disease

• Women who do not take estrogen after their hysterectomy have a higher risk for heart disease. Risks increase among those who have additional risk factors like diabetes or high blood pressure.

Decreased Sex Drive

• Menopause often causes a decreased sex drive due to reduced estrogen levels. This can cause vaginal dryness, making intercourse uncomfortable. Other side effects of menopause, such as bladder issues, depression, health concerns, medications and sleep disturbances can influence sexual interest.