Does surgical menopause cause worse vaginal atrophy?
Yes, surgical menopause—removal of the ovaries—causes a sudden and severe drop in oestrogen, which can result in more rapid and severe vaginal atrophy compared to natural menopause.
Detailed Medical Explanation
Surgical menopause (oophorectomy) results in immediate loss of ovarian hormones. The sudden absence of oestrogen leads to a rapid onset of atrophy, with more severe dryness, thinning, and discomfort than the gradual decline of natural menopause. Women who have surgical menopause at a younger age are particularly affected. NHS: Surgical Menopause and Symptoms.
Clinical Context
We monitor women with surgical menopause closely and offer prompt, tailored treatment for symptoms. Hormone therapy is often considered unless contraindicated.
Evidence-Based Approaches
Guidelines support early intervention and specialist care for women undergoing surgical menopause. RCOG: Surgical Menopause.