If you’ve had your ovaries removed before the age of your natural menopause whether due to endometriosis, genetic cancer risk or any other reason you will experience surgical menopause. This is different from natural menopause because it happens suddenly, often at a younger age, and without the gradual hormonal transition your body would normally go through. The removal of the ovaries causes an abrupt drop in oestrogen, progesterone, and testosterone, which can lead to severe symptoms such as: •

Not all women indeed need uterus removal (hysterectomy) after menopause, but in some cases, it becomes necessary. For example: 🔹 If large fibroids or an adenomyotic uterus cause pressure symptoms like urinary issues or rectal pressure 🔹 In endometrial hyperplasia, where the uterine lining thickens abnormally 🔹 In case of postmenopausal bleeding, which needs thorough investigation 🔹 If there’s uterine prolapse, when the uterus and surrounding organs like the bladder and rectum start falling d