Question
Why do I still have PMS every month even though I’ve had a full hysterectomy? I thought the days of irritability, depression and bloating would be gone since it’s been four years since the surgery. I’ve talked to three doctors but they can’t explain it.
Answer
PMS symptoms arise as a response to hormonal fluctuations. Many people can continue to experience PMS symptoms (and even feel like they are cycling) if their ovaries aren’t removed at the time of a hysterectomy.
Often a hysterectomy involves removing the uterus while leaving the ovaries in place. The ovaries are the primary source of the hormones that cause the classic PMS symptoms. So, if they’re still present, PMS can still occur.
If you did, in fact, have your ovaries removed and feel like you are experiencing PMS symptoms, there are a few other potential explanations. One is that while the ovaries are the primary source of hormones, they aren’t the only source. Multiple other cells and organs in the body also produce hormones that may cause symptoms similar to those one might experience with PMS.
In addition, there are other conditions that can cause symptoms such as bloating, irritability and depression, which may be totally unrelated to PMS. For instance, changes in thyroid hormone levels or even serotonin can cause similar symptoms.
So it’s absolutely worth talking to your doctor about an appropriate evaluation and possible treatment options.