Heavy Periods in Perimenopause: Risks of Hysterectomies and Root Cause Solutions

Heavy Periods in Perimenopause: Risks of Hysterectomies and Root Cause Solutions

In this episode, Karen dives into the common yet challenging issue of heavy periods during perimenopause. She explores the risks associated with procedures like hysterectomies and uterine ablation, highlighting why these options should not always be the first choice.

 

Let's dive into the complex journey of navigating perimenopause, particularly the challenges of managing heavy menstrual cycles. This episode explores why common medical solutions like ablation, birth control pills, and hysterectomy may not always be the best options, examining their consequences on hormone levels, gut health, and cognitive function.

Understanding Heavy Menstrual Cycles in Perimenopause

Heavy menstrual cycles are a common issue for many women during perimenopause. It's crucial to understand the root causes of heavy bleeding, such as endometriosis, adenomyosis, and hormonal shifts, before considering significant surgical interventions.

Treatment Options and Considerations

Hysterectomy: Often suggested for heavy bleeding but may not be the best option. Potential side effects include early menopause and cognitive impairments.

Uterine Ablation: A less invasive option compared to hysterectomy.

Hormonal Balance and Gut Health: Crucial considerations for menstrual health.

Bioidentical Hormones and Supplements: Can play a role in managing heavy menstrual bleeding.

Hormonal Factors

  • The role of progesterone in regulating menstrual cycles affects bleeding.
  • Hormonal shifts during perimenopause impact progesterone levels and menstrual cycles.
  • Testing hormone levels is essential to avoid assumptions about estrogen dominance.

Other Contributing Factors

  • Endometriosis is more than just a hormonal condition and involves immune dysregulation.
  • Fibroids and adenomyosis can contribute to heavy menstrual bleeding.
  • Uterine cancer and polyps should be ruled out as causes of heavy bleeding.

Misconceptions and Social Influences

  • Misconceptions exist around the use of birth control pills for heavy bleeding.
  • Social norms influence women's health decisions and treatment options.

Impacts of Hysterectomy

  • Removing ovaries during hysterectomy can lead to immediate menopause.
  • Hysterectomy can impact bladder, bowel, and pelvic support.
By understanding these factors, women can make informed decisions about managing heavy menstrual cycles during perimenopause, considering all available options before resorting to significant surgical interventions.
Motivation Podcast Cover.zip - 2.jpeg__PID:1106e527-881f-45a2-ba92-6c1850431c66

Find Karen Martel on Apply Podcast 

Karen Martel is a Certified Hormone Specialist and Transformational Nutrition Coach dedicated to empowering women through their health journeys.

As the host of the popular podcast The Hormone Solution, Karen tackles the complexities of hormonal health, weight loss resistance, and the challenges that come with perimenopause and menopause. Her mission is to disrupt outdated narratives surrounding women's health, providing reliable information and practical solutions that help women reclaim their vitality.

Tune in to discover how to embrace life's stages while enhancing overall well-being.

Progest Calm
Progest Calm
Progesterone: ProgestCalm - karenmartel
Progesterone: ProgestCalm - karenmartel
Progest Calm
Progest Calm
Progesterone: ProgestCalm - karenmartel
Progesterone: ProgestCalm - karenmartel

Progest Calm

$59.99

Listen to more

Hot Topics in Menopause: Round Table with The Meno Besties

Hot Topics in Menopause: Round Table with The Meno Besties

Sep 29, 2025
by
Karen Martel

Are you ready to unravel the mysteries of menopause with a sprinkle of fun and a dose of expertise? Join us for a lively roundtable where Dr. Fiona Lovely, Zora Benhamou and Karen debunk myths and bring clarity to this transformative life stage. Ever wondered why menopause is often compared to "reverse puberty," or how unresolved childhood trauma might affect hormonal health? Have you ever questioned if stress could be accelerating your journey into perimenopause? This episode dives into unexpected challenges women face in their late 30s and beyond. What’s the real story behind hormone replacement therapy, and how can you navigate it effectively with personalized care?

Part 2 The Deepest Hormone Dive Yet: Genetics, Detox & Root Causes of Imbalance & More with Dr. Liz Bartman

Part 2 The Deepest Hormone Dive Yet: Genetics, Detox & Root Causes of Imbalance & More with Dr. Liz Bartman

Sep 22, 2025
by
Karen Martel

Want to unlock the secrets of hormonal health during menopause? Curious about how hormone replacement therapy interacts with histamine sensitivity? Part 2 of this series with Dr. Liz Bartman dives deep into the relationship between estrogen, progesterone, and histamine, especially for those navigating mast cell activation syndrome. Have you ever wondered why your menstrual migraines occur? Or how enzymes like diamine oxidase and NQO1 play a pivotal role in managing hormonal balance and oxidative stress? This episode reveals the science behind these complex interactions and how they impact your overall well-being.

Compare0

              Terms & Conditions

              Karen Martel Hormone Solutions supplies products listed on the website, and in our stores under the following Terms and Conditions. Please read these Terms and Conditions, and our Privacy and Cookie Policies carefully before using any of our websites, or ordering from us.

              The Terms and Conditions apply to your use of any Karen Martel website and to any products you purchase from them; regardless of how you access the website, including any technologies or devices where our website is available to you at home, on the move or in store

              We reserve the right to update these Terms and Conditions at any time, and any updates affecting you or your purchases will be notified to you, by us in writing (via email), and on this page.

              The headings in these Conditions are for convenience only and shall not affect their interpretation.

              We recommend that you print and keep a copy of these Terms and Conditions for your future reference...