Tag Archives: surgical menopause

Women who have undergone hysterectomy may benefit from BHRT

Pittsburgh bioidentical hormones expert, Keith Wharton, M.D. discusses how bioidentical hormone therapy could help women who have undergone surgical menopause.

Women would only be a candidate for estrogen-only bioidentical hormone replacement therapy (BHRT) if they have undergone a hysterectomy; otherwise there is a significant risk of uterine cancer. However, in women who have had a hysterectomy, estrogen will provide protection from osteoporosis, decrease the risk of colon cancer and provide cardiac protection from heart attack. Additionally, estrogen will enhance the quality of sleep. It will decrease the mental fog experienced by menopause. It will help with dry skin and some patients notice less dry eyes and vaginal dryness.

There are estrogen receptors in the urethra and lower bladder. So Estrogen reduces the risk of bladder infections and helps with overactive bladder and urinary incontinence in postmenopausal women. Also, intimacy issues can improve as vaginal dryness is eliminated.

The best time to start taking an estrogen regimen is within the first 3 years of menopause. This gives better bone and cardiac protection because it is taken for a longer period of time. It is best to start immediately rather than waiting for a problem to develop.

For more information, read: Hysterectomy and Bioidentical Hormones

About Dr. Wharton
Dr. Keith Wharton received his undergraduate from West Virginia University in 1976. After completing his Doctorate at Marshall University School of Medicine in 1981, Dr. Wharton went on to fulfill his Residency in Obstetrics and Gynecology at the State University of New York, where he received the Vincent Capraro Award for Academic and Clinical Excellence in 1985. Dr. Wharton served as President of the Pittsburgh Obstetrical and Gynecological Society from 2007-2008 and is an active member in several professional organizations and medical societies, including the American College of Obstetrics and Gynecology, the Pennsylvania Medical Society and the Allegheny County Medical Society.

Medical Monday: Hysterectomy – Surgical Menopause

Medical Mondays  – You ask the questions and our highly trained bioidentical hormones experts will post your answer LIVE!


I had a total hysterectomy about 2 years ago.   If all my female parts are gone, why am I still dealing with all the mood swings and depression?  I thought that removing everything would effectively remove the root of the problem so I didn’t have to deal with all this?  I’m finding that my symptoms are getting worse, not better.  Please help.”


Click on the image below to watch Dr. Raskin’s answer

Do you have a specific question relating to health or hormones? Leave your question in the comment section below and tune in on Mondays to watch the answer revealed live by one of our expert physicians!

Sex… Before, During and After Menopause: Good for the Mind and Body!

Low sex drive in menopauseWhen you enter menopause, either surgically or naturally, your hormones go haywire. We’ve known for a long time that this hormonal imbalance causes the unpleasant symptoms associated with menopause and post menopause including hot flashes, mood swings, weight gain, low libido (sexual desire) and more. Now a new study shows a strong link between low sexual desire caused by menopause and overall wellness.

Performed by researchers at Procter & Gamble Pharmaceuticals and the University of North Carolina at Chapel Hill, the study shows that women with a continual low sexual drive, also known as hypoactive sexual desire disorder (HSDD), have more health problems and a lower quality of life. The study looked at over 1,100 postmenopausal women and revealed that back pain, fatigue, depression and memory problems are more than twice as likely among the women with low libido. The researchers say that these health issues are similar to those found in women with hypertension, asthma, diabetes, osteoarthritis and other chronic health conditions.

Interestingly, the study shows that women who enter menopause surgically, through a partial or complete hysterectomy are somewhat more likely to have HSDD and these other health conditions. This presumably is due to the immediate hormonal cut-off as oppose to the slightly more gradual natural menopause.

This study helps confirm what our expert anti-aging physicians have known for years: maintaining hormonal balance throughout menopause and post menopause not only provides relief to the common menopause symptoms, but also improves overall wellness and quality of life.

So, it seems that the fountain of youth may have been hiding in your bedroom the entire time! If you think you may need some help to ‘get your sexy back’ consider getting your hormones tested by a qualified physician specializing in natural bioidentical hormone replacement therapy. We’ll be glad to help!

9% to 26% of women in America (the greater percentage being menopausal women) are suffering from HSDD. Don’t be a percentage!