Is there a way to increase estrogen levels after a hysterectomy?

Published: December 12, 2012

Dear Dr. Teitelbaum,

I had a total hysterectomy earlier this year (leaving my ovaries intact). For the last 6 weeks I've woken up 6-8 times a night drenched in sweat, absolutely on fire. I understand that the ovaries can go into a "sleep" mode when you've had a hysterectomy and it is lack of estrogen that causes these god-awful hot flashes and night sweats (oh yeah, due to the memory loss I forgot to mention the daytime hot flashes - sheesh). Is there any natural way "wake up" the ovaries? Is it possible to make them start producing estrogen again? What would be your best recommendation for me?

I thank you in advance for your time.



Hi, Nancy.

Estrogen deficiency within 2 years of a hysterectomy is common, and suspected to be from disruption of blood flow to the ovaries. This usually takes longer than 2-3 months to develop, and its relatively quick onset raises a chance that the ovarian tissue is stunned and may recover. Beyond a good multivitamin with antioxidants, and a handful of edamame each day and the herb black cohosh (the latter 2 to decrease hot flashes after 1-2 months), I am not aware of much to help ovary healing. If it were me, I would take a bioidentical estrogen/progesterone cream. If it helped the hot flashes, I would stay with it. If not, I would look for hidden infections, especially candida.

Hope this is helpful.


Dr. T

Jacob Teitelbaum, MD

is one of the world's leading integrative medical authorities on fibromyalgia and chronic fatigue. He is the lead author of eight research studies on their effective treatments, and has published numerous health & wellness books, including the bestseller on fibromyalgia From Fatigued to Fantastic! and The Fatigue and Fibromyalgia Solution. Dr. Teitelbaum is one of the most frequently quoted fibromyalgia experts in the world and appears often as a guest on news and talk shows nationwide including Good Morning America, The Dr. Oz Show, Oprah & Friends, CNN, and Fox News Health.

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