Menstrual Changes After Salpingo-Oophorectomy: What to Expect

A salpingo-oophorectomy is the surgical removal of one or both fallopian tubes (salpingectomy) and ovaries (oophorectomy). This procedure has significant effects on menstrual cycles and hormonal balance.

Impact on Menstruation

The ovaries produce eggs and the hormones estrogen and progesterone, which regulate the menstrual cycle. Their removal leads to:

• Immediate cessation of periods: Without ovarian hormones, the uterine lining does not build up and shed.
• Surgical menopause: If both ovaries are removed before natural menopause, the body enters menopause abruptly, causing symptoms like hot flashes, vaginal dryness, and mood changes.
• Infertility: Pregnancy is no longer possible naturally.

Hormone Replacement Therapy (HRT)

For premenopausal women undergoing bilateral oophorectomy, HRT is often recommended to manage menopausal symptoms and protect long-term bone and cardiovascular health, unless contraindicated (e.g., history of hormone-sensitive cancer).

Key Takeaway

After a bilateral salpingo-oophorectomy, menstrual periods stop permanently. Discuss hormone management and long-term health implications with your surgeon or a menopause specialist before surgery.