Is Estrogen Replacement Therapy Necessary After Endometrial Hysterectomy

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. After having endometrial hysterectomy, normally, woman would also be given the choice for estrogen replacement therapy. In this article, we will discuss is estrogen replacement therapy necessary after endometrial hysterectomy?

Hormone replacement therapy is always a very controversy subject, you easily find thousand of people agree with it and thousand of other people opposite to it.
Both agree that endometrial hysterectomy is necessary if the endometriosis is in progression state, or the woman has exhausted other treatments or endometriosis is become cancerous.
I. The good of estrogen replacement therapy
1. It helps to normalize the estrogen level caused by removal of ovaries that regulate the estrogen in the woman reproductive system.
2. It helps to reduce symptoms of menopause state caused by endometrial hysterectomy, as the woman no longer can produce enough estrogen for her body needs.
3. Reduce stress and depression for women who can not adapt to her new life cycle as well as helping to rebuild confidence and self esteem.
4. Decrease the risk of bone loss due inability of digestive absorption because low level of estrogen reduce level of acid that is necessary for breaking down foods that enter our digestive system.
5. Increase sexual desire for some women.

II. The bad of estrogen replacement therapy (ERT)
1. Study from US Women's Health Initiate (WHI) shows that estrogen replacement increases the risk of breast cancer.
2. Increase the risk of blood clots in deep vein
3. Increase the risk of ovarian cancer for women who do not have their ovaries removed during endometrial hysterectomy

In fact, very few thing are risk free, women with endometrial hysterectomy may try to explore the compromise between estrogen replacement therapy and other treatments that not only can help to relieve the symptoms of menopause effectively without expose herself to unacceptable risk. There fore, if you decide to use estrogen replacement therapy, it is best to use to start with lowest dose that works for you and for a short time if possible.