Having ovaries but no uterus, often the result of a hysterectomy, means you will no longer menstruate and cannot become pregnant, but your ovaries will continue to produce hormones.
Hormonal Changes and Menopause
The primary function of the uterus is to house a developing fetus. Without it, pregnancy is impossible. However, the ovaries are responsible for producing estrogen and progesterone, the primary female sex hormones.
- Hormone Production: Your ovaries will continue to produce hormones even without a uterus. This means you will not immediately go into menopause.
- Potential for Earlier Menopause: Although the ovaries continue to function, some studies suggest that a hysterectomy (even when preserving the ovaries) can potentially lead to earlier menopause compared to women who have not had the procedure. The exact reason for this is not fully understood, but it could be related to blood supply changes to the ovaries during the surgery. The reference mentions this point as well.
- Testosterone Production: Even after menopause, your ovaries continue to produce testosterone for many years.
Absence of Menstruation
Since the uterus and its lining (endometrium) are shed during menstruation, the absence of a uterus means you will no longer have periods. This is a direct and immediate consequence of a hysterectomy.
Symptoms and Considerations
- No More Periods: The most obvious change is the cessation of menstruation.
- Menopausal Symptoms: Although you retain your ovaries and their hormonal function, be aware of potential early menopausal symptoms. Discuss any concerns with your doctor.
Summary
In essence, having ovaries but no uterus results in the cessation of menstruation while, at least initially, maintaining ovarian hormone production. The long-term hormonal impact can vary, and it's crucial to have open communication with your healthcare provider.
