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Scenarios","hyperlink",{"data":418,"marks":419,"value":382,"nodeType":332},{},[],{"data":421,"content":422,"nodeType":334},{},[423],{"data":424,"content":425,"nodeType":333},{},[426,429,438],{"data":427,"marks":428,"value":382,"nodeType":332},{},[],{"data":430,"content":432,"nodeType":416},{"uri":431},"https:\u002F\u002Fjamanetwork.com\u002Fjournals\u002Fjamanetworkopen\u002Ffullarticle\u002F2788287",[433],{"data":434,"marks":435,"value":437,"nodeType":332},{},[436],{"type":414},"Association Between Laparoscopically Confirmed Endometriosis and Risk of Early Natural Menopause",{"data":439,"marks":440,"value":382,"nodeType":332},{},[],{"data":442,"content":443,"nodeType":334},{},[444],{"data":445,"content":446,"nodeType":333},{},[447,450,459],{"data":448,"marks":449,"value":382,"nodeType":332},{},[],{"data":451,"content":453,"nodeType":416},{"uri":452},"https:\u002F\u002Fwww.sciencedirect.com\u002Fscience\u002Farticle\u002Fpii\u002FS2949838424000239",[454],{"data":455,"marks":456,"value":458,"nodeType":332},{},[457],{"type":414},"Women with endometriosis in the United States: National Survey of Family Growth, 2011–2019",{"data":460,"marks":461,"value":382,"nodeType":332},{},[],{"data":463,"content":464,"nodeType":334},{},[465],{"data":466,"content":467,"nodeType":333},{},[468,471,480],{"data":469,"marks":470,"value":382,"nodeType":332},{},[],{"data":472,"content":474,"nodeType":416},{"uri":473},"https:\u002F\u002Fwomenshealth.gov\u002Fa-z-topics\u002Fendometriosis",[475],{"data":476,"marks":477,"value":479,"nodeType":332},{},[478],{"type":414},"Endometriosis",{"data":481,"marks":482,"value":382,"nodeType":332},{},[],{"data":484,"content":485,"nodeType":334},{},[486],{"data":487,"content":488,"nodeType":333},{},[489,492,501],{"data":490,"marks":491,"value":382,"nodeType":332},{},[],{"data":493,"content":495,"nodeType":416},{"uri":494},"https:\u002F\u002Fwww.sciencedirect.com\u002Ftopics\u002Fnursing-and-health-professions\u002Festradiol-blood-level",[496],{"data":497,"marks":498,"value":500,"nodeType":332},{},[499],{"type":414},"Estradiol Blood Level",{"data":502,"marks":503,"value":382,"nodeType":332},{},[],{"data":505,"content":506,"nodeType":334},{},[507],{"data":508,"content":509,"nodeType":333},{},[510,513,522],{"data":511,"marks":512,"value":382,"nodeType":332},{},[],{"data":514,"content":516,"nodeType":416},{"uri":515},"https:\u002F\u002Fpmc.ncbi.nlm.nih.gov\u002Farticles\u002FPMC5850813\u002F",[517],{"data":518,"marks":519,"value":521,"nodeType":332},{},[520],{"type":414},"The Management of Menopause in Women with a History of Endometriosis: A Systematic Review",{"data":523,"marks":524,"value":382,"nodeType":332},{},[],{"data":526,"content":527,"nodeType":334},{},[528],{"data":529,"content":530,"nodeType":333},{},[531,534,543],{"data":532,"marks":533,"value":382,"nodeType":332},{},[],{"data":535,"content":537,"nodeType":416},{"uri":536},"https:\u002F\u002Fpmc.ncbi.nlm.nih.gov\u002Farticles\u002FPMC6723930\u002F",[538],{"data":539,"marks":540,"value":542,"nodeType":332},{},[541],{"type":414},"Hormonal Replacement Therapy in Menopausal Women with History of Endometriosis: A Review of Literature",{"data":544,"marks":545,"value":382,"nodeType":332},{},[],{"data":547,"content":548,"nodeType":334},{},[549],{"data":550,"content":551,"nodeType":333},{},[552,555,564],{"data":553,"marks":554,"value":382,"nodeType":332},{},[],{"data":556,"content":558,"nodeType":416},{"uri":557},"https:\u002F\u002Fmenopause.org\u002Fwp-content\u002Fuploads\u002Fprofessional\u002Fnams-2022-hormone-therapy-position-statement.pdf",[559],{"data":560,"marks":561,"value":563,"nodeType":332},{},[562],{"type":414},"The 2022 Hormone Therapy Position Statement of The North American Menopause Society",{"data":565,"marks":566,"value":382,"nodeType":332},{},[],{"data":568,"content":569,"nodeType":334},{},[570],{"data":571,"content":572,"nodeType":333},{},[573,576,585],{"data":574,"marks":575,"value":382,"nodeType":332},{},[],{"data":577,"content":579,"nodeType":416},{"uri":578},"https:\u002F\u002Fthebms.org.uk\u002Fwp-content\u002Fuploads\u002F2022\u002F12\u002F10-BMS-TfC-Induced-Menopause-in-women-with-endometriosis-NOV2022-A.pdf",[580],{"data":581,"marks":582,"value":584,"nodeType":332},{},[583],{"type":414},"Induced Menopause in Women with Endometriosis",{"data":586,"marks":587,"value":382,"nodeType":332},{},[],"ordered-list",{"data":590,"content":591,"nodeType":333},{},[592],{"data":593,"marks":594,"value":382,"nodeType":332},{},[],"HRT and Endometriosis: Benefits and Risks for Women","hrt-endometriosis","hrt-and-endometriosis",{"title":599,"pageTitle":600,"slug":601},"Sexual & Urogenital Health","Sexual & Urogenital Health During Menopause","sexual-urogenital",{"metaTitle":603,"metaDescription":604,"metaKeywords":605,"jsonLd":606},"HRT and Endometriosis: Benefits and Risks for Women | Winona","Learn if hormone replacement therapy (HRT) is safe for menopausal women with endometriosis while exploring each type of HRT's benefits and risks.",null,{"@context":607,"@type":608,"mainEntity":609},"https:\u002F\u002Fschema.org","FAQPage",[610,616,620,624,628],{"@type":611,"name":612,"acceptedAnswer":613},"Question","Does hormone replacement therapy (HRT) make endometriosis worse?",{"@type":614,"text":615},"Answer","Estrogen therapy alone can reactivate dormant areas of endometriosis, as it is an estrogen-dependent condition. Even if a woman has had surgical treatment, introducing estrogen through hormone replacement therapy (HRT) may stimulate any remaining endometriotic tissue in a woman's pelvis, potentially making symptoms worse. For this reason, doctors recommend combined HRT with estrogen and progesterone for women with a history of significant endometriosis — whether or not they still have an intact uterus — to reduce the risk of tissue reactivation.",{"@type":611,"name":617,"acceptedAnswer":618},"Do women with endometriosis need progesterone even after a hysterectomy?",{"@type":614,"text":619},"Yes, some women with a history of endometriosis may still need progesterone after a hysterectomy. This is because the addition of progesterone reduces the risk of endometriosis reactivation if any residual disease remains in the body.",{"@type":611,"name":621,"acceptedAnswer":622},"Can hormone therapy reactivate endometriosis after menopause?",{"@type":614,"text":623},"Yes, endometriosis can sometimes recur after menopause, although it's less common. After a patient undergoes surgery to remove endometriotic lesions, some tissue may remain in the body, so it's possible that hormone therapy may reactivate microscopic tissue. It's important for women to monitor for any new or worsening symptoms and consult with a doctor if concerns arise.",{"@type":611,"name":625,"acceptedAnswer":626},"When can you start HRT after surgery for endometriosis?",{"@type":614,"text":627},"The timing of hormone therapy after endometriosis surgery depends on individual circumstances and the extent of disease removed during surgery. Some doctors recommend delaying hormone therapy after surgery to allow time for any remaining endometriotic tissue to regress or become inactive. Others may recommend starting hormone therapy sooner to help manage severe menopausal symptoms. The most appropriate timing should be determined in consultation with a physician who is familiar with the patient's surgical history.",{"@type":611,"name":629,"acceptedAnswer":630},"What are the alternatives to HRT for menopause symptoms if you have endometriosis?",{"@type":614,"text":631},"For women with endometriosis who cannot or prefer not to use hormone therapy, different non-hormonal options can help in managing menopausal symptoms. Lifestyle approaches such as getting regular exercise may help reduce hot flashes, while cognitive behavioral therapy (CBT) or certain antidepressants may help in managing psychological symptoms. Vaginal moisturizers or lubricants can address localized symptoms like vaginal dryness or painful sex.",{"items":633},[634,639,645,651,657,663],{"sys":635,"title":479,"pageTitle":637,"slug":638},{"id":636},"5Pqp8H5wNeZOIvUUiJ16tZ","Endometriosis & Menopause","endometriosis",{"sys":640,"title":642,"pageTitle":643,"slug":644},{"id":641},"4iTKLe3v2XahRwbkrdz9zq","HRT","HRT for Menopause","hrt",{"sys":646,"title":648,"pageTitle":649,"slug":650},{"id":647},"7nlD8ko6PfNfHW8drgZxpJ","Estrogen","Estrogen Therapy for Menopause","estrogen",{"sys":652,"title":654,"pageTitle":655,"slug":656},{"id":653},"7AvBf0S90o6bwH0CGup68p","Painful Sex","Painful Sex & Menopause","painful-sex",{"sys":658,"title":660,"pageTitle":661,"slug":662},{"id":659},"43oKu242SU6lJU1Fo3pGFI","Progesterone","Progesterone Therapy for Menopause","progesterone",{"sys":664,"title":666,"pageTitle":667,"slug":668},{"id":665},"6VehNsYr7S5eaDjPihfgn0","Menstrual Disorders","Menstrual Disorders During Menopause","menstrual-disorders",{"name":670,"slug":671,"image":672},"Erin Marie McCluskey","erin-marie-mccluskey",{"url":673,"title":670,"description":670},"https:\u002F\u002Fimages.ctfassets.net\u002Flyqt8dkk29ch\u002F6mp7H8mWpadkT8SlNrcem7\u002F740399f376ba194ad51be63a475b69a7\u002Funnamed.jpg",{"items":675},[676],{"sys":677,"slug":679,"name":680,"credentials":681,"image":682},{"id":678},"GBBEsSai93cfIpQHIp4jE","dr-saranne-perman","Saranne Perman","MD",{"url":683,"title":684},"https:\u002F\u002Fimages.ctfassets.net\u002Flyqt8dkk29ch\u002F7GrmBQwlnGqRw6Rq7vRDRO\u002F436c4e33e599a1aa3179db053e2211b5\u002FGroup_2745.png","Dr. Saranne Perman",{"url":686,"title":687,"description":382},"https:\u002F\u002Fimages.ctfassets.net\u002Flyqt8dkk29ch\u002F7iqvonJmJoNgFgK5gj6irM\u002Fc7080f9d52b44da3531b893eccaac180\u002Fpicture-beautiful-thoughtul-mature-50-yeard-old-female-writer-casual-clothes-sitting-comfortable-chair-modern-living-room-i.webp","picture-beautiful-thoughtul-mature-50-yeard-old-female-writer-casual-clothes-sitting-comfortable-chair-modern-living-room-interior-making-notes-copybook-having-pensive-look",{"json":689,"links":1245},{"data":690,"content":691,"nodeType":383},{},[692,711,732,741,800,808,828,859,879,886,893,914,951,958,978,985,1058,1106,1114,1121,1153,1160,1178,1200,1207,1213,1220],{"data":693,"content":694,"nodeType":333},{},[695,699,707],{"data":696,"marks":697,"value":698,"nodeType":332},{},[],"Women with endometriosis who experience menopausal symptoms may benefit from ",{"data":700,"content":701,"nodeType":416},{"uri":138},[702],{"data":703,"marks":704,"value":706,"nodeType":332},{},[705],{"type":414},"hormone replacement therapy (HRT)",{"data":708,"marks":709,"value":710,"nodeType":332},{},[],". However, the potential benefits must be carefully weighed against the specific health risks associated with the condition. ",{"data":712,"content":713,"nodeType":333},{},[714,718,728],{"data":715,"marks":716,"value":717,"nodeType":332},{},[],"Due to a lack of high-quality research, no official clinical guidelines have been established regarding HRT for endometriosis patients.",{"data":719,"content":720,"nodeType":416},{"uri":408},[721],{"data":722,"marks":723,"value":727,"nodeType":332},{},[724,726],{"type":725},"superscript",{"type":414},"(1)",{"data":729,"marks":730,"value":731,"nodeType":332},{},[]," Doctor recommendations are often based on the patient’s severity of menopausal symptoms, health history, and personal preferences. It’s important for women diagnosed with endometriosis to receive comprehensive information about the benefits and risks of HRT in order to make informed decisions. ",{"data":733,"content":739,"nodeType":740},{"target":734},{"sys":735},{"id":736,"type":737,"linkType":738},"30w9TIyz1CPCd7iqOy01X0","Link","Entry",[],"embedded-entry-block",{"data":742,"content":743,"nodeType":333},{},[744,748,757,761,770,774,783,787,796],{"data":745,"marks":746,"value":747,"nodeType":332},{},[],"\nResearch suggests a link between endometriosis and menopause, including a potential increased risk of early natural menopause.",{"data":749,"content":750,"nodeType":416},{"uri":431},[751],{"data":752,"marks":753,"value":756,"nodeType":332},{},[754,755],{"type":725},{"type":414},"(2)",{"data":758,"marks":759,"value":760,"nodeType":332},{},[]," Estimated to affect over 6% of women of reproductive age in the United States",{"data":762,"content":763,"nodeType":416},{"uri":452},[764],{"data":765,"marks":766,"value":769,"nodeType":332},{},[767,768],{"type":725},{"type":414},"(3)",{"data":771,"marks":772,"value":773,"nodeType":332},{},[],", endometriosis is a chronic disease that occurs when endometrial tissue, similar to that which lines the endometrium, grows outside of the uterus or elsewhere in the body. The condition commonly affects the ovaries and can cause symptoms of pelvic pain, severe menstrual cramps, and ",{"data":775,"content":777,"nodeType":416},{"uri":776},"https:\u002F\u002Fbywinona.com\u002Fmenopause-symptoms\u002Fpainful-sex",[778],{"data":779,"marks":780,"value":782,"nodeType":332},{},[781],{"type":414},"pain during sex",{"data":784,"marks":785,"value":786,"nodeType":332},{},[]," or bowel movements. \n\nCases of endometriosis are most often seen in women in their 30s and 40s.",{"data":788,"content":789,"nodeType":416},{"uri":473},[790],{"data":791,"marks":792,"value":795,"nodeType":332},{},[793,794],{"type":725},{"type":414},"(4)",{"data":797,"marks":798,"value":799,"nodeType":332},{},[]," However, women in perimenopause, menopause, or postmenopause can also be affected by the condition.",{"data":801,"content":802,"nodeType":807},{},[803],{"data":804,"marks":805,"value":806,"nodeType":332},{},[],"How HRT Affects Endometriosis","heading-2",{"data":809,"content":810,"nodeType":333},{},[811,815,824],{"data":812,"marks":813,"value":814,"nodeType":332},{},[],"HRT is an effective treatment used to reduce vasomotor and vulvovaginal symptoms of menopause. It may also help ",{"data":816,"content":818,"nodeType":416},{"uri":817},"https:\u002F\u002Fbywinona.com\u002Fjournal\u002Fhrt-as-an-effective-option-for-prevention-of-osteoporosis",[819],{"data":820,"marks":821,"value":823,"nodeType":332},{},[822],{"type":414},"lower the risk of osteoporosis",{"data":825,"marks":826,"value":827,"nodeType":332},{},[]," as women age. HRT works by increasing levels of sex steroid hormones in the body that naturally fluctuate and drop as ovarian function declines during this phase of life. ",{"data":829,"content":830,"nodeType":333},{},[831,835,844,848,856],{"data":832,"marks":833,"value":834,"nodeType":332},{},[],"Estrogen is one of the main hormones used in HRT treatment. Levels of the hormone decrease significantly throughout menopause and postmenopause, dropping by more than 90% of premenopausal levels by the time women reach age 70.",{"data":836,"content":837,"nodeType":416},{"uri":494},[838],{"data":839,"marks":840,"value":843,"nodeType":332},{},[841,842],{"type":725},{"type":414},"(5)",{"data":845,"marks":846,"value":847,"nodeType":332},{},[]," It may also influence the development of endometriosis. With less estrogen in the body to fuel endometriotic tissue growth, some women may find that their symptoms naturally lessen over time. Because endometriosis is an estrogen-dependent condition, increasing hormone levels through HRT may contribute to abnormal tissue growth or exacerbate symptoms.",{"data":849,"content":850,"nodeType":416},{"uri":408},[851],{"data":852,"marks":853,"value":727,"nodeType":332},{},[854,855],{"type":725},{"type":414},{"data":857,"marks":858,"value":382,"nodeType":332},{},[],{"data":860,"content":861,"nodeType":333},{},[862,866,875],{"data":863,"marks":864,"value":865,"nodeType":332},{},[],"Estrogen supplementation can provide substantial relief from a number of ",{"data":867,"content":869,"nodeType":416},{"uri":868},"https:\u002F\u002Fbywinona.com\u002Fjournal\u002F31-symptoms-of-menopause",[870],{"data":871,"marks":872,"value":874,"nodeType":332},{},[873],{"type":414},"common menopausal symptoms",{"data":876,"marks":877,"value":878,"nodeType":332},{},[],". However, unopposed estrogen therapy may pose risks for women with a history of endometriosis. ",{"data":880,"content":881,"nodeType":807},{},[882],{"data":883,"marks":884,"value":885,"nodeType":332},{},[],"Different Types of HRT for Women with Endometriosis ",{"data":887,"content":888,"nodeType":333},{},[889],{"data":890,"marks":891,"value":892,"nodeType":332},{},[],"Women experiencing bothersome menopausal symptoms may be prescribed different forms and doses of the following types of hormones:",{"data":894,"content":895,"nodeType":375},{},[896,905],{"data":897,"content":898,"nodeType":334},{},[899],{"data":900,"content":901,"nodeType":333},{},[902],{"data":903,"marks":904,"value":648,"nodeType":332},{},[],{"data":906,"content":907,"nodeType":334},{},[908],{"data":909,"content":910,"nodeType":333},{},[911],{"data":912,"marks":913,"value":660,"nodeType":332},{},[],{"data":915,"content":916,"nodeType":333},{},[917,921,930,934,948],{"data":918,"marks":919,"value":920,"nodeType":332},{},[],"Combined HRT with estrogen and progesterone is recommended for women with an intact uterus, including those with a history of endometriosis.",{"data":922,"content":923,"nodeType":416},{"uri":515},[924],{"data":925,"marks":926,"value":929,"nodeType":332},{},[927,928],{"type":725},{"type":414},"(6)",{"data":931,"marks":932,"value":933,"nodeType":332},{},[]," It’s believed to be a safer option than estrogen-only therapy because the addition of progesterone reduces the risk of endometrial hyperplasia, uterine cancer, and reactivation of endometriotic tissue. Unopposed estrogen may increase the risk of these health issues. To counteract this, a synthetic progestin or oral micronized progesterone, a bioidentical hormone chemically identical to the progesterone naturally produced in the body, may be prescribed.",{"data":935,"content":936,"nodeType":416},{"uri":515},[937,942],{"data":938,"marks":939,"value":929,"nodeType":332},{},[940,941],{"type":725},{"type":414},{"data":943,"marks":944,"value":947,"nodeType":332},{},[945],{"type":946},"italic","  ",{"data":949,"marks":950,"value":382,"nodeType":332},{},[],{"data":952,"content":953,"nodeType":807},{},[954],{"data":955,"marks":956,"value":957,"nodeType":332},{},[],"Benefits and Risks of HRT for Women with Endometriosis",{"data":959,"content":960,"nodeType":333},{},[961,965,974],{"data":962,"marks":963,"value":964,"nodeType":332},{},[],"The ",{"data":966,"content":968,"nodeType":416},{"uri":967},"https:\u002F\u002Fbywinona.com\u002Fjournal\u002Fbenefits-of-hormone-replacement-therapy",[969],{"data":970,"marks":971,"value":973,"nodeType":332},{},[972],{"type":414},"benefits of HRT",{"data":975,"marks":976,"value":977,"nodeType":332},{},[]," can significantly improve women’s quality of life. Treatment should not be ruled out solely because a woman has endometriosis. ",{"data":979,"content":980,"nodeType":333},{},[981],{"data":982,"marks":983,"value":984,"nodeType":332},{},[],"Menopausal women, with or without endometriosis, who receive HRT may experience relief from common menopausal symptoms, including the following:",{"data":986,"content":987,"nodeType":375},{},[988,998,1008,1018,1028,1038,1048],{"data":989,"content":990,"nodeType":334},{},[991],{"data":992,"content":993,"nodeType":333},{},[994],{"data":995,"marks":996,"value":997,"nodeType":332},{},[],"Hot flashes",{"data":999,"content":1000,"nodeType":334},{},[1001],{"data":1002,"content":1003,"nodeType":333},{},[1004],{"data":1005,"marks":1006,"value":1007,"nodeType":332},{},[],"Night sweats",{"data":1009,"content":1010,"nodeType":334},{},[1011],{"data":1012,"content":1013,"nodeType":333},{},[1014],{"data":1015,"marks":1016,"value":1017,"nodeType":332},{},[],"Vaginal dryness",{"data":1019,"content":1020,"nodeType":334},{},[1021],{"data":1022,"content":1023,"nodeType":333},{},[1024],{"data":1025,"marks":1026,"value":1027,"nodeType":332},{},[],"Painful sex",{"data":1029,"content":1030,"nodeType":334},{},[1031],{"data":1032,"content":1033,"nodeType":333},{},[1034],{"data":1035,"marks":1036,"value":1037,"nodeType":332},{},[],"Mood changes",{"data":1039,"content":1040,"nodeType":334},{},[1041],{"data":1042,"content":1043,"nodeType":333},{},[1044],{"data":1045,"marks":1046,"value":1047,"nodeType":332},{},[],"Sleep disturbances",{"data":1049,"content":1050,"nodeType":334},{},[1051],{"data":1052,"content":1053,"nodeType":333},{},[1054],{"data":1055,"marks":1056,"value":1057,"nodeType":332},{},[],"Bone loss",{"data":1059,"content":1060,"nodeType":333},{},[1061,1065,1075,1079,1087,1090,1103],{"data":1062,"marks":1063,"value":1064,"nodeType":332},{},[],"However, it’s also possible that estrogen supplementation may trigger endometriotic tissue growth and increase the risk of endometriotic lesions becoming cancerous.",{"data":1066,"content":1068,"nodeType":416},{"uri":1067},"https:\u002F\u002Fpmc.ncbi.nlm.nih.gov\u002Farticles\u002FPMC6723930\u002F#sec1-medicina-55-00477",[1069],{"data":1070,"marks":1071,"value":1074,"nodeType":332},{},[1072,1073],{"type":725},{"type":414},"(7)",{"data":1076,"marks":1077,"value":1078,"nodeType":332},{},[]," Although the relative risk for ovarian cancer is higher in patients with endometriosis compared to those without the condition, the absolute risk is low overall. Women with severe cases of endometriosis or large ovarian endometriotic masses (endometriomas) may be at the highest risk for ovarian cancer. \n\nClinicians should take an individualized approach when determining whether the benefits of HRT outweigh the risks for women with endometriosis. Menopausal symptom severity, the risk of endometriosis reactivation, and HRT-related risk factors (such as a history of estrogen-dependent cancers like breast cancer) are all factors that should be taken into consideration.",{"data":1080,"content":1081,"nodeType":416},{"uri":1067},[1082],{"data":1083,"marks":1084,"value":1074,"nodeType":332},{},[1085,1086],{"type":725},{"type":414},{"data":1088,"marks":1089,"value":382,"nodeType":332},{},[],{"data":1091,"content":1092,"nodeType":416},{"uri":557},[1093,1099],{"data":1094,"marks":1095,"value":1098,"nodeType":332},{},[1096,1097],{"type":725},{"type":414},"(8)",{"data":1100,"marks":1101,"value":947,"nodeType":332},{},[1102],{"type":946},{"data":1104,"marks":1105,"value":382,"nodeType":332},{},[],{"data":1107,"content":1112,"nodeType":1113},{"target":1108},{"sys":1109},{"id":1110,"type":737,"linkType":1111},"1JUDn6saAzRplYUkmGXHu4","Asset",[],"embedded-asset-block",{"data":1115,"content":1116,"nodeType":807},{},[1117],{"data":1118,"marks":1119,"value":1120,"nodeType":332},{},[],"How HRT Post-Hysterectomy Affects Endometriosis",{"data":1122,"content":1123,"nodeType":333},{},[1124,1128,1137,1141,1150],{"data":1125,"marks":1126,"value":1127,"nodeType":332},{},[],"A ",{"data":1129,"content":1131,"nodeType":416},{"uri":1130},"https:\u002F\u002Fbywinona.com\u002Fjournal\u002Fthe-relationship-between-hysterectomy-and-menopause",[1132],{"data":1133,"marks":1134,"value":1136,"nodeType":332},{},[1135],{"type":414},"hysterectomy",{"data":1138,"marks":1139,"value":1140,"nodeType":332},{},[]," is a procedure in which the uterus is surgically removed. Some women may also have both ovaries removed, a procedure known as a bilateral oophorectomy. When this occurs, women enter surgically-induced menopause and may immediately begin experiencing symptoms such as hot flashes, vaginal dryness, or low libido.",{"data":1142,"content":1143,"nodeType":416},{"uri":578},[1144],{"data":1145,"marks":1146,"value":1149,"nodeType":332},{},[1147,1148],{"type":725},{"type":414},"(9)",{"data":1151,"marks":1152,"value":382,"nodeType":332},{},[],{"data":1154,"content":1155,"nodeType":333},{},[1156],{"data":1157,"marks":1158,"value":1159,"nodeType":332},{},[],"It’s recommended that women with endometriosis who have had their uterus removed receive continuous combined HRT with estrogen and progesterone for as long as needed to effectively treat menopausal symptoms and improve quality of life.",{"data":1161,"content":1162,"nodeType":333},{},[1163,1167,1175],{"data":1164,"marks":1165,"value":1166,"nodeType":332},{},[],"In some cases, a doctor may recommend switching to estrogen-only therapy as women age, as unopposed estrogen is believed to pose fewer risks in postmenopause. However, the potential risk of endometriotic tissue reactivation and cancer development should be considered if residual tissue remains after a hysterectomy.",{"data":1168,"content":1169,"nodeType":416},{"uri":578},[1170],{"data":1171,"marks":1172,"value":1149,"nodeType":332},{},[1173,1174],{"type":725},{"type":414},{"data":1176,"marks":1177,"value":382,"nodeType":332},{},[],{"data":1179,"content":1180,"nodeType":333},{},[1181,1185,1197],{"data":1182,"marks":1183,"value":1184,"nodeType":332},{},[],"Women who undergo a bilateral oophorectomy and have minimal leftover endometriotic tissue after the procedure may have a lower risk of endometriosis reactivation and ovarian cancer associated with HRT use. For women who have had a hysterectomy and present with little residual disease, combined HRT followed by estrogen-only therapy may be recommended. In the event that endometriosis reactivates with HRT treatment, women should consult with a menopause specialist.",{"data":1186,"content":1187,"nodeType":416},{"uri":578},[1188,1193],{"data":1189,"marks":1190,"value":1149,"nodeType":332},{},[1191,1192],{"type":725},{"type":414},{"data":1194,"marks":1195,"value":947,"nodeType":332},{},[1196],{"type":946},{"data":1198,"marks":1199,"value":382,"nodeType":332},{},[],{"data":1201,"content":1202,"nodeType":807},{},[1203],{"data":1204,"marks":1205,"value":1206,"nodeType":332},{},[],"Personalized HRT Treatment Plans for Women with Endometriosis",{"data":1208,"content":1212,"nodeType":740},{"target":1209},{"sys":1210},{"id":1211,"type":737,"linkType":738},"6NFfPxnFfhcl9YrMFxUHZp",[],{"data":1214,"content":1215,"nodeType":333},{},[1216],{"data":1217,"marks":1218,"value":1219,"nodeType":332},{},[],"Women with endometriosis should not have to endure menopausal symptoms on their own. HRT can help women achieve hormonal balance and reduce discomfort during this phase of life. A tailored treatment plan that factors in a patient’s age, menopausal status, symptom severity, and medical history is especially important for women with endometriosis, whose treatment approach may vary. ",{"data":1221,"content":1222,"nodeType":333},{},[1223,1227,1235,1241],{"data":1224,"marks":1225,"value":1226,"nodeType":332},{},[],"Women diagnosed with endometriosis who are interested in HRT should be medically evaluated to determine if they are eligible for treatment. For women who have had a hysterectomy and\u002For bilateral oophorectomy, the extent of endometriotic tissue growth should be assessed during surgery before starting HRT.",{"data":1228,"content":1229,"nodeType":416},{"uri":578},[1230],{"data":1231,"marks":1232,"value":1149,"nodeType":332},{},[1233,1234],{"type":725},{"type":414},{"data":1236,"marks":1237,"value":1240,"nodeType":332},{},[1238],{"type":1239},"bold"," ",{"data":1242,"marks":1243,"value":1244,"nodeType":332},{},[],"Women and their healthcare providers should continue monitoring endometriosis and adjust HRT treatment as needed.",{"entries":1246,"assets":1273},{"inline":1247,"block":1248},[],[1249,1262],{"sys":1250,"__typename":1251,"title":1252,"slug":1253,"altText":1254,"url":1255,"desktopImage":1256,"mobileImage":1259},{"id":736},"ImageAds","HRT Ad 2","hrt-ad-2","Don't let menopause symptoms hold you back. Start feeling like yourself again with Winona. Start Today.","\u002Fhealth-quiz",{"url":1257,"title":1258,"description":382},"https:\u002F\u002Fimages.ctfassets.net\u002Flyqt8dkk29ch\u002F62OlyzOFGfUS55XpTz0kI4\u002Fd6790f62298e5b8ca3e493b5d7e4d1c7\u002Fhrt-ad-2-desktop.webp?fm=webp","hrt-ad-2-desktop",{"url":1260,"title":1261,"description":382},"https:\u002F\u002Fimages.ctfassets.net\u002Flyqt8dkk29ch\u002F3z3oOw4oSl5BlV3w1h9PF4\u002F2ac561ad851c3d9cb0dad10b97a0b7bb\u002Fhrt-ad-2-mobile.png?fm=webp","hrt-ad-2-mobile",{"sys":1263,"__typename":1251,"title":1264,"slug":1265,"altText":1266,"url":1255,"desktopImage":1267,"mobileImage":1270},{"id":1211},"HRT Ad 1","hrt-ad-1","Did you know there are over 100 menopause symptoms? Say goodbye to all of them with Winona. Try Winona Today.",{"url":1268,"title":1269,"description":382},"https:\u002F\u002Fimages.ctfassets.net\u002Flyqt8dkk29ch\u002F5w9moCtYPV6oZi49KMJWcX\u002Fb3e8d2f6c05f7973b8f2ade517cbcaba\u002Fhrt-ad-1-desktop.webp?fm=webp","hrt-ad-1-desktop",{"url":1271,"title":1272,"description":382},"https:\u002F\u002Fimages.ctfassets.net\u002Flyqt8dkk29ch\u002F3InkAOP1iZ1cTmjZCLENTg\u002Fa834563a8d6dae0cdd134046a7d4e6d9\u002Fhrt-ad-1-mobile.png?fm=webp","hrt-ad-1-mobile",{"hyperlink":1274,"block":1275},[],[1276],{"sys":1277,"url":1278,"title":1279,"description":382},{"id":1110},"https:\u002F\u002Fimages.ctfassets.net\u002Flyqt8dkk29ch\u002F1JUDn6saAzRplYUkmGXHu4\u002F57d7bd8ce088e5c36d80df24746b2b1d\u002Fwoman-going-through-abortion-process-2.webp","woman-going-through-abortion-process-2",{"symptomName":605,"pageForV2":597,"name":1281,"itemsCollection":1282},"Frequently Asked Questions About HRT and Endometriosis",{"items":1283},[1284,1296,1308,1320,1332],{"content":1285,"entryTitle":612,"title":612},{"json":1286},{"nodeType":383,"data":1287,"content":1288},{},[1289],{"nodeType":333,"data":1290,"content":1291},{},[1292],{"nodeType":332,"value":1293,"marks":1294,"data":1295},"Estrogen therapy alone can reactivate dormant areas of endometriosis, as it is an estrogen-dependent condition. Even if a woman has had surgical treatment, introducing estrogen through hormone replacement therapy (HRT) may stimulate any remaining endometriotic tissue in a woman’s pelvis, potentially making symptoms worse. \n\nFor this reason, doctors recommend combined HRT with estrogen and progesterone for women with a history of significant endometriosis — whether or not they still have an intact uterus — to reduce the risk of tissue reactivation.",[],{},{"content":1297,"entryTitle":617,"title":617},{"json":1298},{"nodeType":383,"data":1299,"content":1300},{},[1301],{"nodeType":333,"data":1302,"content":1303},{},[1304],{"nodeType":332,"value":1305,"marks":1306,"data":1307},"Yes, some women with a history of endometriosis may still need progesterone after a hysterectomy. This is because the addition of progesterone reduces the risk of endometriosis reactivation if any residual disease remains in the body. ",[],{},{"content":1309,"entryTitle":621,"title":621},{"json":1310},{"nodeType":383,"data":1311,"content":1312},{},[1313],{"nodeType":333,"data":1314,"content":1315},{},[1316],{"nodeType":332,"value":1317,"marks":1318,"data":1319},"Yes, endometriosis can sometimes recur after menopause, although it’s less common. After a patient undergoes surgery to remove endometriotic lesions, some tissue may remain in the body, so it’s possible that hormone therapy may reactivate microscopic tissue. It’s important for women to monitor for any new or worsening symptoms and consult with a doctor if concerns arise.",[],{},{"content":1321,"entryTitle":625,"title":625},{"json":1322},{"nodeType":383,"data":1323,"content":1324},{},[1325],{"nodeType":333,"data":1326,"content":1327},{},[1328],{"nodeType":332,"value":1329,"marks":1330,"data":1331},"The timing of hormone therapy after endometriosis surgery depends on individual circumstances and the extent of disease removed during surgery. Some doctors recommend delaying hormone therapy after surgery to allow time for any remaining endometriotic tissue to regress or become inactive. Others may recommend starting hormone therapy sooner to help manage severe menopausal symptoms. The most appropriate timing should be determined in consultation with a physician who is familiar with the patient’s surgical history.",[],{},{"content":1333,"entryTitle":629,"title":629},{"json":1334},{"nodeType":383,"data":1335,"content":1336},{},[1337],{"nodeType":333,"data":1338,"content":1339},{},[1340],{"nodeType":332,"value":631,"marks":1341,"data":1342},[],{}]