Menopause ko samajhna

Bachedani nikalwana aur menopause

Bachedani ka operation woh nishani le jata hai jis se zyada tar auratein menopause ka andaza lagati hain: mahwari. Saath mein ande daniyan bhi niklein ya nahin, yehi tay karta hai ke aage kya ho ga. Yahan parhein ke hidayat kya kehti hain.

Is safhe par
  1. Lafz aur hidayat
  2. Yeh kya hai
  3. Yeh kaisa mehsoos ho sakta hai
  4. Hidayat mein kya likha hai
  5. Ilaaj ke baare mein hidayat kya kehti hain
  6. Doctor ko kab dikhayen
  7. Doctor se poochne ke sawal
  8. Deen aur ghar wale
  9. Is par nazar rakhein
  10. Aam sawal
  11. Milte julte mauzuaat
  12. Hawale

Agar aap ne 30 ya 40 ki dahai mein bachedani nikalwai thi, to menopause baghair kisi nishani ke aa sakta hai. Na koi mahwari rukti hai, na us ke pattern mein koi tabdeeli nazar aati hai. NHS ki website kehti hai ke yeh operation sab se zyada 40 se 50 saal ki auraton ka hota hai, to bohat si auratein is daur mein pohanchti hain jab aam nishani pehle hi ja chuki hoti hai.

Lafz aur hidayat

English
Hysterectomy (womb removed)
In naamon se bhi dhoonda jata hai
womb removal, uterus removal
Urdu
بچہ دانی نکلوائی ہوئی
Roman Urdu
bachedani nikalwai hui

Auratein asal mein kya kehti hain

  • بچہ دانی کا آپریشن (bachedani ka operation)Bachedani ka operation. Ise aksar isi tarah kaha jata hai, aur is se yeh saaf nahin hota ke ande daniyan bhi nikali gayin ya nahin.
  • NHS ki website kehti hai ke agar bachedani ke operation mein ande daniyan bhi nikal di jayen, to operation ke fauran baad menopause ho jata hai, umar chahe kuch bhi ho. Agar aik ya donon ande daniyan rakh li jayen, to us ke mutabiq imkaan hai ke menopause us se pehle aa jaye jab waise aata.
  • NICE NG23 kehta hai ke jin auraton ki bachedani nikali ja chuki ho, un mein menopause un ki alamaat ki qisam aur un ke mel se pehchana jata hai, aur misaal ke taur par hot flush aur paseenon ka naam leta hai (sifarish 1.3.1).
  • Pakistan Menopause Society ki 2026 ki sifarishaat bhi yehi kehti hain: bachedani ke operation ke baad tashkhees alamaat ke pattern aur mel se ho, khaas taur par hot flush aur paseenon se, kyunke mahwari wale paimane yahan kaam nahin aate (Table 3).
  • Yehi sifarishaat kehti hain ke bachedani ke operation ke baad sirf estrogen wali HRT munasib hai, jabke jin auraton ki bachedani maujood hai, unhein estrogen ke saath progestogen bhi chahiye taake bachedani ki androoni teh mehfooz rahe (section 5.4 aur 7.1.1).

Yeh kya hai

Hysterectomy, yani bachedani nikalne ka operation. NHS ki website kehti hai ke agar aap ka menopause pehle nahin hua tha, to is ke baad mahwari ruk jati hai, umar chahe kuch bhi ho, aur hamal nahin ho sakta.

NHS ki website is ki kai qismein batati hai: poora operation (bachedani aur bachedani ka munh donon nikale jate hain, yeh sab se aam hai), aadha operation (bachedani ka munh rehne diya jata hai), poora operation jis mein andon ki naaliyan aur ande daniyan bhi nikali jati hain, aur radical operation, jis mein aas paas ke tissue bhi nikale jate hain.

Menopause ke liye asal sawal ande daniyon ka hai. Women's Health Concern samjhata hai ke bachche paida karne ki umar mein aap ki ande daniyan estrogen banati hain. Mahwari bachedani se aati hai. Hormone ande daniyon se aate hain.

Agar ande daniyan nikal di gayin

Operation ke fauran baad menopause shuru ho jata hai. Ise operation se hone wala menopause kehte hain, aur is ka apna safha hai.

Agar ande daniyan rakh li gayin

Mahwari ruk jati hai, lekin ande daniyan tab tak kaam karti rehti hain jab tak khud aahista na ho jayen. NHS ki website kehti hai ke imkaan hai ke yeh operation ke baghair ke muqable mein pehle ho. Chunke dekhne ko mahwari nahin, is liye perimenopause ki shuruaat aasani se nazar se chhoot jati hai.

Yeh kaisa mehsoos ho sakta hai

Alamaat wohi hain jo kisi bhi menopause mein hoti hain: hot flush (achanak garmi lagna), raat ke paseene, tooti tooti neend, mood mein tabdeeli, dukhta hua jism. Jo nahin hoti, woh mahwari ki nishani hai jo batati ke aisa kyun ho raha hai.

Agar ande daniyan nikal di gayin, to NHS ki website kehti hai ke operation ke baad aam taur par menopause ki shadeed alamaat hoti hain, aur agar aap HRT (hormone ki dawa) nahin le rahin to andaam nihani ki khushki ka imkaan zyada hai.

NHS ki website yeh bhi kehti hai ke bachedani nikalwane ke baad kuch auraton ko kuch kho dene ka ehsaas hota hai, khaas taur par agar un ka menopause nahin hua tha aur ab un ke bachche nahin ho sakte. Kuch ko lagta hai ke woh pehle jitni aurat nahin rahin. Woh batati hai ke yeh operation kabhi kabhi depression ka sabab ban sakta hai.

Hidayat mein kya likha hai

Tashkhees alamaat se hoti hai

NICE NG23 aur Pakistan Menopause Society aik baat par muttafiq hain: bachedani nikalwane ke baad menopause aap ki alamaat ki qisam aur un ke mel se pehchana jata hai, khaas taur par hot flush aur paseenon se. Women's Health Concern mazeed kehta hai ke khoon ke test bhi karwaye ja sakte hain, kyunke ab mahwari se andaza nahin hota. Dekhein kya menopause ka koi test hai?

STRAW+10 ke paimane banane wale researcher kehte hain ke jin auraton ki bachedani nikali ja chuki ho, un ka mor mahwari se bilkul tay nahin ho sakta. Woh kehte hain ke operation ke kam az kam teen mahine baad hormone ka test karwayen, kyunke pait ke nichle hisse ka operation kuch arse ke liye hormone barha sakta hai, aur yeh ke aik akela nateeja gumraah kar sakta hai, is liye aksar test dobara karwana parta hai.

Main kahan hoon? kaise istemaal karein

Main kahan hoon? par mahwari wale sawal ke jawab mein "Pata nahin chalta" chunein. Tab woh koi mor nahin bataye ga; aap ka nateeja aap ki umar aur alamaat se bane ga, jo doctor bhi yehi dekhta hai.

Ilaaj ke baare mein hidayat kya kehti hain

NHS ki website kehti hai ke agar bachedani ke operation ke baad aap ka menopause operation ki wajah se hua hai, to aap ko HRT pesh ki jani chahiye.

Kaun si, yeh is par hai ke kya nikala gaya. Pakistan Menopause Society kehti hai ke sirf estrogen wali HRT un auraton ke liye hai jin ki bachedani nikali ja chuki ho, jabke jin ki bachedani maujood hai unhein saath mein progestogen bhi chahiye. British Menopause Society do istisna batati hai jin par doctor se baat karein. Aadhe operation ke baad bachedani ki androoni teh ka kuch hissa reh sakta hai, aur woh kehti hai ke sirf estrogen tay karne se pehle yeh dekh liya jaye. Phaile hue endometriosis ki wajah se bachedani nikali gayi ho, to woh mushtarka HRT ka mashwara deti hai. Faisla aap ka doctor aap ke saath mil kar kare ga.

Doctor ko kab dikhayen

Operation se pehle poochein ke aap ki ande daniyon aur hormone ka kya ho ga. The Menopause Society sifarish karti hai ke jab bachedani cancer ke ilawa kisi aur wajah se nikali jaye, to un auraton ki ande daniyan rehne di jayen jo abhi menopause tak nahin pahunchin aur jinhein ande dani ke cancer ka aam sa khatra hai. Asia-Pacific Menopause Federation bhi yehi kehti hai. NICE NG23 kehta hai ke jin auraton ka menopause operation ki wajah se hone ka imkaan ho, unhein operation se pehle aur baad menopause aur bachche paida karne ki salahiyat ke baare mein sahara aur maloomat milni chahiye (1.2.6).

Operation ke baad, agar hot flush, neend ki mushkil ya mood ki tabdeeliyan shuru hon to appointment lein, chahe barson baad hon. NHS ki website kehti hai ke agar bachedani nikalwane ke baad udaasi khatam na ho to doctor ko dikhayen.

Doctor se poochne ke sawal

  1. Kya meri ande daniyan nikali gayin, rakhi gayin, ya aik nikali aur aik rakhi? Kya aap mere operation ke kaghazaat dekh sakte hain?
  2. Mahwari ke baghair hamein kaise pata chale ga ke mujhe menopause ho gaya hai?
  3. Kya mere hot flush, neend ya mood ki tabdeeliyan menopause ki shuruaat ho sakti hain?
  4. Kya meri bachedani ya bachedani ke munh ka koi hissa baqi reh gaya hai, aur kya is se farq parta hai ke kaun si HRT mere liye theek ho gi?
  5. Mujhe endometriosis tha. Kya meri HRT mein progestogen bhi hona chahiye?

Deen aur ghar wale

Kuch auraton ke liye sab se mushkil baat hormone nahin hote, balke yeh ke ghar mein is operation ka kya matlab liya jata hai. Jin gharon mein aurat ki qadar bachchon se jori jati hai, wahan bachedani ka jana aisi baatein la sakta hai jo chubhti hain.

NHS ki website kehti hai ke un auraton se baat karna madad kar sakta hai jin ka yeh operation ho chuka hai, aur yeh ke aap ke doctor ya hospital ko kisi support group ka pata ho sakta hai.

Is par nazar rakhein

  • Roshara ka alamaat ka score chand minute mein 27 alamaat ko number deta hai, account ke baghair. Kul number apni appointment par saath le jayen. Alamaat ka score shuru karein
  • “Main kahan hoon?” us mor ko naam deta hai jis par aap shayad hain. Chhe sawal. Main kahan hoon? Shuru karein
  • Tracker mein roz ka haal likhein, aur yeh bhi ke us se zara pehle kya hua tha. Is ke liye muft account chahiye. Tracker kholein

Aam sawal

Kya bachedani nikalwane se menopause ho jata hai?
Fauran sirf tab jab ande daniyan bhi nikal di jayen. NHS ki website kehti hai ke ande daniyan nikalne se operation ke fauran baad menopause ho jata hai, umar chahe kuch bhi ho. Agar aik ya donon rakh li jayen, to menopause baad mein aata hai, agarche ho sakta hai us se kuch pehle jab waise aata. (Hawala: NHS website, Hysterectomy (reviewed 11 October 2022))
Kya khoon ka test bata sakta hai?
Kabhi kabhi madad karta hai. Women's Health Concern kehta hai ke agar aap ki bachedani nikali ja chuki hai, to doctor hormone dekhne ke liye khoon ke test karwa sakta hai, kyunke ab mahwari se andaza nahin ho sakta. (Hawala: Women's Health Concern, Perimenopause and menopause: your questions answered (reviewed April 2026))

Milte julte mauzuaat

Hawale

  1. NHS website, Hysterectomy (reviewed 11 October 2022)Hissa: Overview; Types of hysterectomy; Surgical menopause · 1 October 2026 ko khola gaya
  2. NHS website, Hysterectomy: Recovery (reviewed 11 October 2022)Hissa: Menopausal symptoms; Emotional effects; Sex · 1 October 2026 ko khola gaya
  3. NICE NG23, Menopause: identification and management (last updated 15 April 2026)Hissa: 1.2.6; 1.3.1 · 1 October 2026 ko khola gaya
  4. Pakistan Menopause Society, Good Clinical Practice Recommendations for Menopause Care in Pakistan (JSOGP 16(2), 28 April 2026)Hissa: Table 3; 5.4; 7.1.1 · 1 October 2026 ko khola gaya
  5. British Menopause Society, Tool for Clinicians: Surgical menopause (reviewed September 2024)Hissa: What is surgical menopause?; Management of surgical menopause; Endometriosis · 1 October 2026 ko khola gaya
  6. Women's Health Concern, Perimenopause and menopause: your questions answered (reviewed April 2026)Hissa: Why does it happen?; How is it diagnosed? · 1 October 2026 ko khola gaya
  7. Harlow SD et al. Executive summary of the Stages of Reproductive Aging Workshop + 10: addressing the unfinished agenda of staging reproductive aging. J Clin Endocrinol Metab 2012;97(4):1159-1168Hissa: Hysterectomy and Endometrial Ablation · 1 October 2026 ko khola gaya
  8. The Menopause Society (then The North American Menopause Society), The 2022 hormone therapy position statement, Menopause 2022;29(7):767-794Hissa: Primary ovarian insufficiency, premature or early menopause and bilateral oophorectomy: key points · 15 October 2026 ko khola gaya
  9. Asia-Pacific Menopause Federation, Consensus Statement on the Management of Menopause 2024, J Menopausal Med 2025;31:3-11Hissa: Statement 66 · 15 October 2026 ko khola gaya