Perimenopause After Hysterectomy: What You Need to Know

One of the most common questions we hear from women at The Metabolic Edit is:
“How do I know if I’m in perimenopause if I’ve had a hysterectomy?”

Whether your uterus was removed years ago or more recently, navigating hormonal changes without a monthly cycle can feel confusing, and even isolating. You may be experiencing symptoms, but without that predictable indicator of your cycle, it’s easy to wonder if what you’re feeling is in your head.

Let’s be clear: it’s not.
Your symptoms are real. Your experience matters. And there is a way to understand what’s happening in your body even without a period.

What Happens After a Hysterectomy?

The type of hysterectomy you had matters.

• If your ovaries were removed (oophorectomy), you are in surgical menopause, which can cause a sudden and intense drop in hormone levels.

• If your ovaries were preserved, your body may still cycle hormonally, but without a uterus, there’s no bleeding to signal when those shifts are happening.

• You may have been told that if you no longer have a uterus, you no longer need progesterone. This is not the case.

That’s where many women get stuck.
You may be in perimenopause, but without your cycle, it’s harder to track. Still, the hormonal changes are real and they often show up in other ways.

Signs You’re in Perimenopause (Even Without a Cycle)

Even without periods, your body speaks. You may notice:

• Brain fog

• Mood swings or increased anxiety

• Trouble sleeping

• Hot flashes or night sweats

• Vaginal dryness or changes in libido

• Weight gain (especially around the midsection)

• Increased sensitivity to stress

• Fatigue, even after a full night’s sleep
  
  These symptoms are often brushed off, especially in women who’ve had a hysterectomy. But they are classic signs of shifting hormones, and they deserve attention.

How The Metabolic Edit Approaches It Differently

At The Metabolic Edit, we look beyond the surface. Hayley works closely with women to track symptoms, review lab work and understand how hormonal patterns are showing up, even in the absence of a monthly bleed.

This includes:

• Testing hormone levels like estradiol, progesterone, testosterone

• Evaluating insulin sensitivity and inflammation markers

• Exploring stress response, gut health, and nutrient deficiencies

• Most importantly, listening to you, not just your labs

Because the truth is, “normal” labs don’t always equal optimal health. And your body’s story is more than a number on a page.

You Don’t Have to Guess What’s Going On

Perimenopause after a hysterectomy can feel like uncharted territory, but it doesn’t have to. With the right guidance and testing, we can uncover what your body needs and create a plan that truly supports you.

You don’t have to wonder if you’re crazy.
You don’t have to feel dismissed.
And you don’t have to figure it out alone.

If your body is asking for support, we’re here to help you listen.

Book your consultation or sign up for our newsletter to take the next step.
Let’s bring clarity, confidence, and calm back into your hormones…even without a cycle!