Weight Gain After Partial Hysterectomy: Causes and Prevention Strategies

Contributing Factors

Weight gain is not inevitable after hysterectomy but can result from several interacting factors:

• Hormonal shift: If ovaries removed (surgical menopause), estrogen/progesterone drop → reduced metabolic rate, increased visceral fat.
• Reduced activity: 4–6 week recovery limits exercise.
• Emotional eating: Stress, body‑image changes, grief.
• Aging and genetics: Natural metabolic slowdown.

Mitigation Strategies

• Gradual return to activity (walking → resistance training) per surgeon's clearance.
• Protein‑rich, fiber‑dense diet to support satiety and muscle.
• Monitor weight weekly; address trends early.
• Hormone therapy (if indicated) may attenuate metabolic changes.
• Psychological support for mood and eating behaviors.