A client fears severe menopause symptoms after a hysterectomy. What should the nurse inform her?

The correct response highlights the important connection between the surgical procedure and menopause symptoms, specifically addressing the role of the ovaries. When a woman undergoes a hysterectomy, if her ovaries are also removed—an operation known as a salpingo-oophorectomy—she will experience immediate menopause due to the abrupt cessation of estrogen and other hormones that the ovaries produce. This can lead to sudden onset of menopause symptoms, which can be more severe compared to those experienced during natural menopause.

The understanding of this physiological change is crucial for providing accurate information to the client. It reassures her by acknowledging her fears and validating that the surgical decision can have significant effects on her hormonal balance and overall well-being. Women who retain their ovaries might transition more gradually into menopause, with potentially milder symptoms, which is an essential distinction the nurse should make clear regarding the impact of the surgery on menopausal experience.