As the ovaries gradually stop working, fertility ends, and hormone levels can fluctuate. Most women go through the menopause within 5-10 years after a hysterectomy, even if the ovaries are left in. The degree of symptoms during the menopause is variable - ranging from severe to virtually symptom free. The estrogen dosage and brand necessary to control or reduce symptoms varies from person to person, requiring an individualized approach. Symptoms usually return if treatment is discontinued.
Women generally feel better emotionally and physically when taking replacement hormones.
Many medical authorities consider the low numbers of women taking estrogens to be a sign of failure by physicians to properly educate women. One out of four white women over 60 suffers from back or hip fractures. Tens of thousands of women suffer hip fractures each year - frequently dying of complications within 12 months. Wrist fractures are common. Osteoporosis of the spine can result in incredibly painful fractures from normal activities, including sneezing or coughing.