How quickly after a total hysterectomy does the menopause start?

A total hysterectomy, which involves the removal of the uterus and cervix, does not necessarily lead to immediate menopause. The ovaries, which are responsible for producing hormones such as estrogen and progesterone, are not typically removed during a hysterectomy. As a result, many women who undergo a hysterectomy will continue to experience normal menstrual cycles and will not enter menopause until their natural menopausal age.

However, in some cases, a total hysterectomy can cause surgical menopause. This is because the blood supply to the ovaries can be disrupted during the surgery, which can lead to a decrease in hormone production and the onset of menopausal symptoms. In such cases, surgical menopause can occur immediately after the surgery.

It's important to consult with your healthcare provider to understand the potential impact of a total hysterectomy on your menopausal status and to discuss any symptoms or concerns you may have.