As we mentioned in other articles, endometriosis grow somewhere else other than the endometrium also reacts to hormonal signals of the monthly menstrual cycle, building up tissue, breaking it, and eliminating it through the menstrual period. Hysterectomy always is the last resource in treating endometriosis for woman who has exhausted all the treatments without success, or endometrial tissues has become cancerous, her doctor may suggest some kinds of hysterectomy. If you have the ovaries removed, you may want to consider hormone replacement therapy to re balancing your body's hormone.

I. Definition
Women who have their ovaries removed after hysterectomy, will have a menopause earlier than other women caused by low level of estrogen and progesterone in their body resulting of early menopause symptoms. Hormone replacement therapy (HRT) is defined as a treatment for woman who is in surgically menopausal, peri menopausal and post menopausal state, caused by diminished circulation of estrogen and progesterone hormones.

II. Types of HRT
a) Estrogen replacement therapy
Since woman who has the ovaries removed has low level of estrogen and progesterone. Estrogen therapy helps to increase level of estrogen in the body, therefore, it
a) Reduces the frequency of hot flash and other symptom of menopause.
b) reduce the loss of bone density that usually happen to women in menopause state, caused by poor digestive absorption or other mineral deficiency.
c) Reduce the risks of colon cancer and macular degeneration.
d) Increase brain function resulting of diminishing the risk of Alzheimer disease.

b) Estrogen and progestin replacement therapy
The combination of both estrogen and progestin therapy is a combination of the hormones treatment with both estrogen and pregesterone. While the estrogen in the EPT helps relieve symptoms of menopause such as hot flash, sleeplessness, vaginal dryness etc.

c) Testosterone replacement therapy
This kind of therapy, generally testosterone, is used to increase sexual desire for women with hysterectomy as well as treating energy deficiency and helping to reduce osteoporosis after menopause.


III. Risks
a) Increase the risks of liver or gallbladder problems and blood clots.
b) increases the risk of breast cancer
c) increase the risk of uterine cancers in women with intact uterine linings
d) combination of estrogen and progestin also increase the risk of high level of triglyceride and heart diseases.


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