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Study, 1991

Do women who've had a hysterectomy still get premenstrual symptoms?

Yes. Most women who have had a hysterectomy but still have ovaries continue to have cyclic mood and physical symptoms. However, symptoms clustering late in the cycle (like traditional PMS) were less common than in women who still menstruate.

Early or limited evidence 36 women with PMS who had a hysterectomy but kept their ovaries

What they did

36 women who had a hysterectomy (uterus removed, ovaries kept) recorded eight mood states and five physical symptoms daily during 109 ovarian cycles. Researchers analyzed when symptoms occurred.

What they found

Significant mood changes happened in 71% of cycles and significant physical symptom changes in 69% of cycles. Late-cycle symptoms (like traditional PMS) happened in only 36% of cycles: nine women never had them, 22 had them sometimes, and 5 had them consistently. Symptoms clustered around 85% through the cycle for moods and 83% for physical symptoms.

What it means for you

Women without a uterus can still have cyclic mood and physical symptoms tied to their ovaries. However, the timing is different. symptoms tend to come earlier than they do in women who still menstruate. This suggests menstruation itself might trigger or worsen the symptoms late in the cycle.

36

women studied

71%

of cycles with significant mood changes

69%

of cycles with significant physical symptom changes

About the study

Original title
Premenstrual syndrome in hysterectomized women: mood and physical symptom cyclicity
Authors
Metcalf MG, Livesey JH, Wells JE et al.
Journal
Journal of psychosomatic research
Year
1991
Study design
Study
Participants
36
What was tested
None. Women recorded their symptoms daily.

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