026 - Surgical Menopause - Dr Rebecca Lewis & Dr Louise Newson
The Dr Louise Newson Podcast
Dr Louise Newson
4.7 • 935 Ratings
🗓️ 3 December 2019
⏱️ 30 minutes
🧾️ Download transcript
Summary
In this week's episode, Dr Louise Newson chats to her good friend, Dr Rebecca Lewis, who is also a clinical director at Newson Health Menopause and Wellbeing Centre. Together they discuss surgical menopause. Surgical menopause can often be very different to a natural menopause because it happens very suddenly. Women who have their ovaries removed during an operation are plunged into the menopause straight away. In addition, women who have a hysterectomy without their ovaries being removed still have a higher risk of an early menopause. Dr Newson and Dr Lewis discuss the most effective ways of treating surgical menopause.
Dr Lewis' Three Take Home Tips:
- Think about menopause before your surgery - be aware of the symptoms you may experience.
- Discuss HRT with your surgeon before surgery.
- Have a solution and treatment plan in place before the operation.
Transcript
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| 0:00.0 | Welcome to the Newsome Health Menopause podcast. I'm Dr Louise Newsome, a GP and menopause specialist, |
| 0:14.5 | and I run the Newston Health Menopause and wellbeing centre here in Stratford-upon-Avon. |
| 0:29.5 | So I'm delighted today. I've got Rebecca Lewis with me again. We've already recorded one podcast together. But today we're going to talk slightly differently about women who have |
| 0:35.5 | had a surgical menopause. So women who have had really an |
| 0:40.2 | enforced menopause. So welcome, Rebecca. Hello, Louise. To some of you who might have |
| 0:45.6 | listened to Rebecca's and me talking before might know or might know from the website, Rebecca is a |
| 0:50.2 | very dear friend and colleague and she is also one of the medical directors here in my clinic |
| 0:55.0 | in Stratford-Pron-Avon. So thank you for coming this morning. That's a pleasure. Nice to be here. |
| 0:59.5 | Obviously we see lots of menopausal women, don't we, from all ages. And as a lot of you know, |
| 1:05.5 | listening, the average age of the menopause in the UK is 51. So that's a year after your last period, you can be |
| 1:12.5 | officially menopausal. And usually it's because there's a natural decline in our ovaries, |
| 1:17.4 | the hormones drop. But for some women, they have a so-called surgical menopause, don't they? |
| 1:22.6 | So explain what that means. So, I mean, some women obviously have to have a hysterectomy for various reasons and removal of the ovaries as well. That's called a total hysterectomy and bilateral salpingo ufrectomy. And then these women are plunged into the menopause. And I use the word plunge because it literally is that they can go from a normal level of hormones to suddenly |
| 1:45.7 | having no hormones at all and these are the important hormones to help with our functioning |
| 1:51.4 | estrogen and testosterone and the ovary that's the main producer of these hormones of the ovary so |
| 1:57.7 | when we lose these hormones we're plunged into into the menopause. And so the symptoms |
| 2:03.5 | can come on very quickly and dramatically and can really flaw some women. And it's a shock because |
| 2:09.5 | often they're so consumed with their actual operation and for the reason they're having their |
| 2:13.7 | operation, the sort of menopause effect is forgotten. |
| 2:18.1 | Yeah, so it's not always spoken about. |
| 2:19.7 | I mean, we, as you know, work out of the nice guidance, the National Institute of Health |
| 2:23.5 | and Care Excellence, Menopals guidelines that are very clear, aren't they, that women who are |
... |
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