3 Surprising Hysterectomy Side Effects

Many women with fibroids think they need a hysterectomy—a surgical removal of the uterus. Some are told it’s the only way to relieve fibroid symptoms. But there are less invasive treatments available, like uterine fibroid embolization (UFE). This is a problem because, no matter what the reason, women who undergo hysterectomies face major surgery complications. And now, studies show that hysterectomies may also lead to mental health struggles.

How a Hysterectomy can Hurt Your Mental Health

Women’s risk for anxiety and depression increase after  hysterectomy, according to a study in the journal Menopause.

To reach this conclusion, researchers reviewed the medical records of 2,094 hysterectomy patients. For this study, none of those women had cancer. Next, they compared the records to those of same-aged women who hadn’t had a hysterectomy. And then they followed both groups for 22 years.

As it turns out, woman’s risk for depression relatively increased by 26 percent with hysterectomy. And the risk for anxiety increased by 22 percent after hysterectomy. Researchers discovered that age matters, too. In young women, who had a hysterectomy before 35, there was a 47 percent increased risk for depression. Also, the anxiety risk increased by 45 percent. Outside of cancer, the reason for the hysterectomy didn’t seem to impact the increased risk of mental health issues.

Female with Fibroids

According to lead study author, Dr. Shannon K. Laughlin-Tommaso, an associate professor of obstetrics and gynecology at the Mayo Clinic, “Hysterectomy is right for some women. But there is this 4 to 6 percent of women who will be affected by depression or anxiety. We’re hoping women will talk with their doctors and see if there’s any alternative they could use instead.”

Uterine Surgery May Interfere with Memory

Depression isn’t the only way hysterectomy may affect your brain function. According to a new, prehuman trial from Arizona State University, a hysterectomy could impact your memory. Now, if that sounds strange, it is. But here’s what we know: your ovaries and brain are connected.  So your estrogen and progesterone levels impact your memory. But we now know that your uterus is tied to your autonomic nervous system. Which means that losing your uterus could affect your cognitive ability.

In order to illustrate this fact, Dr. Heather Bimonte-Nelson studied rats before and after a hysterectomy. Allowing for 6 weeks of recovery time, the study tested their post-hysterectomy working memory. And here’s the bad news: after hysterectomy, rats couldn’t navigate a maze they used to complete. In comparison, rats who kept their uterus had no problem finishing the maze. In other words, losing their uterus directly impacted rat memory. Clearly, this study has troubling implications for human females.

 

UFE: The non-surgical fibroid treatment option

Thankfully, many women with fibroids can find a non-surgical alternative to hysterectomy in our Houston-area practice. Using imagine, catheters and an injection, we are able to cut off blood flow to your fibroids, which makes them shrink and, eventually, disappear. It’s a minimally invasive procedure, usually not involving a hospital stay.

If you have fibroids and are concerned about having a hysterectomy, reach out to our doctors. We can help you determine if UFE is the right treatment option for you.

Sources: Menopause, The New York Times, Journal of Endocrinology

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