Symptoms of menopause are a major health concern after treatment for cervical cancers. Menopause symptoms may result from the removal of both ovaries, chemotherapy and/or pelvic radiation. Not all menopausal symptoms need treatment. Cancer patients may have more severe symptoms compared to women going through natural menopause. Menopause symptoms may include: Night sweats Hot flashes Vaginal dryness or discomfort Pain with intercourse or sexual activity Bone loss, (osteopenia, osteoporosis) Confusion or memory loss Increased risk of heart disease. For premenopausal women who have surgery, saving the ovaries – one or both (called ovarian conservation) may be an option if no tumor is seen by the naked eye, during surgery.  For patients who have chemoradiation therapy either after surgery or as their primary treatment, ovarian transposition aims to lessen the amount of damage and exposure of radiation to the ovaries. This is a done with a procedure where one or both ovaries are separated from the uterus and moved away from the area where radiation is delivered. Ovarian function may be preserved with this procedure. Women who have early, or premature menopause should be offered hormone replacement therapy (HRT). This therapy should be taken until the average age of natural menopause (around age 51). It helps manage symptoms and lessen bone loss linked to early loss of natural estrogen. Women who had a hysterectomy can be offered estrogen-only therapy. Women who still have their uterus need both estrogen and progesterone. HRT is the most effective treatment for symptoms. HRT can be taken by mouth or through the skin with a patch. For women who have vaginal dryness and discomfort, vaginal estrogens may help symptoms. After radiation to the pelvis, vaginal dilators with topical estrogen cream may help prevent vaginal narrowing and scar tissue. HRT for women who have menopause due to treatment is safe and often recommended for patients under 50 years old.