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What Causes Night Sweats After A Hysterectomy?

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Posted on Sat, 14 Jun 2014
Question: I had a hysterectomy August,1986, and am just now experiencing night sweats. My doctor had told me back then that I would not have to go through menopause. I was on hormone replacements for nine years or so before I was taken off of them. Could the night sweats be caused by something else? Is there something I can take to stop them? Or should I just suck it up and tough it out? One would think after almost 30 years I shouldn't be having them.
doctor
Answered by Dr. Shehzad Topiwala (1 hour later)
Brief Answer:
Night sweats

Detailed Answer:
I am sorry to hear about your symptoms.

Menopausal hot flashes and night sweats can occur at anytime of life after the ovaries stop working. Naturally this occurs around the average age of 51 to 52 worldwide. Most women have mild symptoms for a short time, upto a few years and hence are not incapacitated by the symptoms. A smaller proportion, however, experiences more severe problems and require treatment. Although typically these symptoms occur in the first several years after menopause, they can occur at any time later too.

When you had the hysterectomy in 1986 you were about 32 years old. Do you know if your ovaries were also removed at the time?
I also see you were on hormone replacements for 9 years. May I know approximately from which year and until which year you took them.

When it is reasonably certain that the symptoms are menopause related, then it is important to consider 2 things:

1 How severe they are

2 What are risks and benefits of hormone replacement, especially later in life at your age. your

If hormone replacement is deemed unsafe by your gynecologist in your particular instance after discussion with you, then other non hormonal treatment options will need to be considered.

I also suggest that a general bloodwork is done that includes

CBC
CMP
TSH
Free T4
Thyroid antibodies
A1c
Lipids
Urine albumin to creatinine ratio
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shehzad Topiwala (18 hours later)
I had a total hysterectomy. Premarin was prescribed from 1986 - 1993. For the first 2 or 3 years, I was also on Progestin.

From 1998 - 2002 I was on Hormone Replacement Therapy. (Natural hormones were compounded specifically for me.) During this time I was given a B-12 shot once a month as well.

I recently had most of the tests you recommended done. All of the results were within normal ranges except for my triglycerides which were a little high.

The night sweats aren't horrible but they are annoying. I would guess they are normal. They occur 2 or 3 times a week on average.

Thank you for your help. It's really appreciated.
doctor
Answered by Dr. Shehzad Topiwala (6 hours later)
Brief Answer:
Follow up

Detailed Answer:
I have noted your responses.

I hope you find help and symptom improvement soon
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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What Causes Night Sweats After A Hysterectomy?

Brief Answer: Night sweats Detailed Answer: I am sorry to hear about your symptoms. Menopausal hot flashes and night sweats can occur at anytime of life after the ovaries stop working. Naturally this occurs around the average age of 51 to 52 worldwide. Most women have mild symptoms for a short time, upto a few years and hence are not incapacitated by the symptoms. A smaller proportion, however, experiences more severe problems and require treatment. Although typically these symptoms occur in the first several years after menopause, they can occur at any time later too. When you had the hysterectomy in 1986 you were about 32 years old. Do you know if your ovaries were also removed at the time? I also see you were on hormone replacements for 9 years. May I know approximately from which year and until which year you took them. When it is reasonably certain that the symptoms are menopause related, then it is important to consider 2 things: 1 How severe they are 2 What are risks and benefits of hormone replacement, especially later in life at your age. your If hormone replacement is deemed unsafe by your gynecologist in your particular instance after discussion with you, then other non hormonal treatment options will need to be considered. I also suggest that a general bloodwork is done that includes CBC CMP TSH Free T4 Thyroid antibodies A1c Lipids Urine albumin to creatinine ratio