Do you really need a hysterectomy for symptoms of hormone decline?

Approximately 600,000 hysterectomies are performed annually in the United States.

Approximately 20 million American women have had a hysterectomy.

Hysterectomy is the 2nd most frequently performed surgical procedure (after cesarean section) for U.S. women who are of reproductive age. (1)

A hysterectomy is one of the most common surgeries performed on women. I am sure you know someone who has had one, and maybe you have even had one yourself. I often get one of two questions from women about a hysterectomy: whether or not they should have one, or what to do after they have had one.

Whether or not to have a hysterectomy is a big decision in a woman’s life, because it involves major surgery and it can completely change how she feels. Did you know that most hysterectomies are not necessary? Many doctors recommend this surgery for symptoms of hormone decline when what you really need to do is replace and balance your hormones, not have major surgery.

Granted, there are certain medical reasons, such as cancer, when this type of surgery can’t be avoided, however today I am going to address hormone decline and imbalance, and why a hysterectomy may not be the best solution in this case.

First, what is a hysterectomy?

A hysterectomy is surgery to remove the uterus. There are four different types of hysterectomy surgeries:

Total hysterectomy – removal of the entire uterus and cervix

Total hysterectomy with bilateral salpingo-oophorectomy – removal of the uterus, cervix, fallopian tubes and ovaries

Partial hysterectomy – removal of the upper part of the uterus leaving the cervix in place

Radical hysterectomy – a total hysterectomy, including removal of structures around the uterus

Premenopausal Symptoms in Women

If your doctor has recommended that you have a hysterectomy, this is the first question you should ask him: Why do I need to have a hysterectomy?  This is very important, because if your symptoms are caused by hormone decline, then there is a natural solution that can spare you the pain and suffering of going under the knife.

In premenopausal women, take a look at the list of symptoms women experience that are caused by low progesterone, or estrogen dominance (too much estrogen in relation to progesterone). While these symptoms are common, they are not normal.

Perimenopause Symptoms

  • irregular menstrual cycles
  • heavy periods without clotting
  • menstrual cramps
  • ovarian cysts
  • uterine fibroids
  • endometriosis
  • premenstrual breast tenderness
  • fluid retention and weight gain
  • anxiety
  • panic attacks
  • depression
  • mood swings
  • migraines
  • decreased libido

Some of these symptoms would be reasons your doctor may recommend a hysterectomy, such as abnormal or heavy bleeding, painful periods, and uterine fibroids (the most common reason for a hysterectomy). Why take the risk of having surgery when all you may need to do is restore your hormone levels back to normal to resolve your symptoms

Hormones After a Hysterectomy

If your doctor told you that a hysterectomy would solve all your hormone-related health symptoms, then you may have been disappointed to find out that was not the case after all. Many women experience a rude awakening after this surgery because they don’t feel like themselves anymore. They feel tired, can’t sleep, have hot flashes and night sweats, headaches, anxiety and just plain feel awful. Many women tell me that they feel like a completely different person.

Having a hysterectomy puts a woman into what is called “surgical menopause” and can cause the following symptoms:

Symptoms after a Hysterectomy 

Hot Flashes                  Night Sweats
Weight Gain                Depression
Anxiety                        Vaginal dryness
Low Libido                  Insomnia
Brain fog                      Mood swings
Fatigue                         Migraines
Frequent urination       Urinary incontinence

If you have had a hysterectomy, don’t lose hope. You still have the chance to feel better with natural solutions.

Help Before and After a Hysterectomy

Whether or not you have had a hysterectomy, if you are experiencing symptoms of hormone decline, we can help. It only makes sense to replace what is missing and restore your hormones back to normal levels with bioidentical hormones that are identical to those made by your body. At Hotze Health & Wellness Center, we’ve had great success in helping women resolve their symptoms and get their lives back with bioidentical hormones.

To schedule a Free Wellness Consultation—via telemedicine or at the Hotze Health & Wellness Center—call us at 281-698-8698 or visit  Click here to take the symptom checker to find out if you could be experiencing symptoms of hormone decline.



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Dr. Steven Hotze

Dr. Hotze is the Founder and CEO of the Hotze Health & Wellness Center, Hotze Vitamins and Physicians Preference Pharmacy International. Dr. Hotze received his medical degree from the University of Texas Medical School at Houston. Dr. Hotze believes that everyone deserves a doctor and a team of professionals who can coach them onto a path of health and wellness, naturally, so that they can enjoy a better quality of life without the use of pharmaceutical drugs. Dr. Hotze is the best-selling author of Hormones, Health, and Happiness, Hypothyroidism, Health & Happiness and Do A 180. Suzanne Somers dedicated an entire chapter to Dr. Hotze in her New York Times best seller, Breakthrough. “This Texan doctor is going to steal your heart,” writes Somers. “He has so much energy he can’t wait to get to his office each day.” Dr. Hotze has appeared on hundreds of television and radio shows across the nation, including ABC, NBC, CBS, and FOX affiliates, CBS’ The Morning Show and The Biography Channel. He has also appeared on the morning program, Great Day Houston with Deborah Duncan. Dr. Hotze hosted “Health & Wellness Solutions” radio show on KSEV 700 AM and “Dr. Hotze’s Wellness Revolution” radio show on KPRC AM 950 and iHeart radio. He currently hosts the Dr. Hotze’s Wellness Revolution podcast. He has been married to his high school sweetheart, Janie, for 52 years. They have 8 children and 23 grandchildren.