Should I have my uterus removed to treat migraine
What are the functions of the uterus, fallopian tubes and ovaries?
The uterus, fallopian tubes and ovaries are reproductive organs: they are required to have a baby. The ovaries produce hormones such as estrogen and progesterone. The ovaries also produce the egg. The fallopian tubes allow for the egg to pass through to the uterus. The uterus is where an that has been fertilized may attach and grow into a baby.
What is a hysterectomy and salpingo-oophorectomy?
A hysterectomy (total abdominal hysterectomy, TAH) is a surgical procedure that involves removing the uterus. If the fallopian tubes and the ovaries are also removed, the surgery is called a hysterectomy and salpingo-oophorectomy.
Why would I need my uterus removed?
A hysterectomy may be needed for different reasons including fibroids, endometriosis or concerns about cancer. It is important that you talk to your doctor to discuss the reasons for the surgery.
Should I have my uterus removed to help my migraines?
No. It is not recommended to remove your uterus to treat your migraines only.
I require my uterus to be removed for a medical reason. Will my migraines get worse?
If you require the uterus and ovaries to be removed, then you may have worsening of your migraines due to the rising and falling of the estrogen levels. You may also develop symptoms of menopause such as hot flashes, vaginal dryness, insomnia and other symptoms.
Is there anything that can be done if my ovaries are required to be removed?
If your ovaries need to be removed there are a few options to help with the changes in your estrogen levels.
Talk to your doctor about whether it would be safe to have estrogen either through a pill, patch or gel to prevent drops in estrogen levels.
If estrogen supplementation is not safe, then talk to your doctor about other medications such as Serotonin Norepinephrine Reuptake inhibitors (SSRI), Gabapentin and other medications that may be helpful for your migraine? symptoms.
To read more about migraine and menopause, look here. (See this post)
REFERENCES
Ripa P, Ornello R, Degan P, et al. Migraine in menopausal women: a systematic review. Int J Women’s Health. 2015;7:773-782.
MacGregor EA. Migraine management during menstruation and menopause. Headache. 2015; 21(4):990-1003.
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