Early menopause and Hormone Replacement Therapy (HRT)

Hi all, 

Here at Jo's we know that there is a lot of misinformation about HRT, and many people have lots of questions about it. So we spoke to Jessica and Debby Holloway, a Gynaecology nurse consultant from Guys and St Thomas’ hospital, about early onset menopause caused by cervical cancer treatment, and the potential benefits of going on HRT.

You can find it on our website here: https://www.jostrust.org.uk/blog/early-menopause-hrt

I hope you find the blog helpful.

With my best wishes,



Excellen. Thanks for this. Very much needed right now as I was feeling confused about hrt. 

Hi, I am about to have a radical hysterectomy next week and am still undecided whether to have my ovaries removed or not. I initially agreed to it however now I'm not sure as I don't know if I want to hit menopause immediately alongside recovery. I'm 43 and looking for any advice at all really. Thank you


I'm 45 and I had a radical hysterectomy 2 weeks ago. I chose to have my ovaries removed. But I did it on the proviso that I could go straight on to HRT. My consultant said that would be fine. I went to see my GP before my procedure and was perscribed with estrogen patches and I stuck the first one on as soon as I was home from hospital. The patches seem to be working fine as i've had no symptoms I would associate with the menopause.

I could have left my ovaries but I didnt want the risk of having to have the removed at a later date for some reason. And if I need any radiation etc it's going to damage them anyway.  I wanted complete control over my menopause. And HRT gives me this control.

I think it depends how you feel about HRT and your suitibility. I did a lot of research online and was determined to have it. I have no risk factors to having estrogen. But if HRT had not been an option I think its possible I would have made a different decision. 



Hello, I had a radical hysterectomy in June 2018 and had my ovaries removed - I'm 45 and had not agreed HRT at the time, but did agree to discuss it post op. Fast forward and I found that my menopause symptoms started about 8 weeks after my operation - for my check up I had written down everything to ask my consultant and he put me on HRT tablets - I have to say, it has worked for me - my symptons showed as:

- tiredness (although part of that was recovery from a major operation anyway)

- night sweats (trust me to get those in that hot summer - I couldnt work out if it was the heatwave or night sweats for a while!)

- hot flushes - blimey, these caught me by suprise as to be honest, I am the 'older' of my group of friends so no one has been through this, so I dont think I was prepared for this!

- forgetfulness - this one still bugs me, being a control freak there is nothing worse that putting your glasses down, or your cup of tea, and not remembering where you put them. Now this is one thing my mum did suffer from as well (I finally plucked up the courage to ask her as in our family its quite a 'get on with it' and we don't always discuss stuff like this!)

- frustration - at myself for forgetting things, I am a very calm person so it upset me that I got upset and that made it worse (hmmm... odd but true..), I could see how it could escalate into losing my temper and when I felt like i was going to I found a quiet space to calm down - so far I have avoided screaming at anyone!

Of the above - it didnt take long for the HRT tablets to sort out my night sweats and hot flushes, I am accepting that I do get forgetful a bit - not as much though as at first - and I make lists now. I dont feel the need to find a quiet space before screaming anymore either!


Hope this helps - I am now 9 months into recovery, so far so good - back at the gym, swimming and working. Just had the OK for the second time since the op so staying positive.

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Thank you so much for sharing! It's very informative and helpful.

Re-Mapping the Page.
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Thanks for sharing. It's great to know how you're finding it all. I have two weeks until surgery: radical hysterectomy and lymph node removal. My consultant has recommended the removal of my ovaries too. Although the risk is very low, he advised that it would be better to remove and go straight into HRT. Mainly because I have adenocarcinoma and also because they may fail anyway within 5 years of surgery and then I'd have to deal with the menopause. I am in agreement but also very nervous I won't be myself afterwards. 

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Hi Alindsay1

What did you decide? How did it all go? I'd love to hear as I'm in the same position. I have surgery in two weeks and I'm still undecided. 

Hi @AshCloud Not sure if you still usr this site but I’m now in a similar position to yours at the time of your posting. I have 1b1 adenocarcinoma. I’m 40. Due to have radical hysterectomy, lymph node removal and removal of ovaries is recommended. I’m not sure whether to keep one. How did you get on? Has HRT been effective? Thanks. Gina

Hi Gina,

I’m so sorry I didn’t see this. I haven’t been on the site until today. What did you decide? How did you get on?

Ash x

I just shared a post on another topic that I thought might be helpful to anyone that comes across this feed looking for accurate information about HRT, link below, I hope it helps.

Ash xx