A hysterectomy removes the uterus, which means the ability to conceive and carry a pregnancy is no longer possible. If the ovaries are also removed, menopause may occur if the woman has not already reached that stage. If the ovaries are preserved, menopause may occur naturally at the appropriate age. Hormonal changes can occur after a hysterectomy, especially if the ovaries are removed, which may lead to symptoms such as hot flashes, mood swings, or vaginal dryness. Hormone replacement therapy may be recommended to manage these symptoms. It is important to discuss fertility and hormone-related concerns with your healthcare provider before undergoing a hysterectomy.