Abnormal body heat after ovary and uterus removal may result from hormonal changes, particularly a drop in oestrogen, which can cause hot flushes or night sweats. Your doctor can advise on hormone replacement therapy or non-hormonal alternatives to help manage these symptoms.

Yes, hot or burning sensations with back pain may occur during perimenopause due to hormonal fluctuations. Mild symptoms may improve with lifestyle measures, while persistent or severe symptoms may require medical treatment, such as hormone replacement therapy or non-hormonal alternatives, prescribed by a doctor.

Yes, heavy or irregular bleeding may occur during the perimenopausal stage due to hormonal fluctuations. However, if the bleeding is very heavy, lasts a long time, or occurs between periods, please see a doctor to rule out other causes.

Menopausal symptoms can be managed with lifestyle measures such as regular exercise, a balanced diet, and stress management. Hormone replacement therapy is the most established treatment for moderate to severe symptoms. If hormone therapy is not suitable, non-hormonal options like cognitive behavioural therapy or medicines such as gabapentin and fezolinetant may help. Treatment should be personalised after consulting a doctor.

In most cases, a hysterectomy does not negatively affect your health after you stop breastfeeding, especially if your ovaries were preserved. Any hormonal changes after breastfeeding are natural and not caused by the hysterectomy. Regular follow-up with your doctor is advised to monitor long-term well-being.

Lifestyle changes can help manage your symptoms. Drink plenty of water and avoid irritants such as caffeine, alcohol, and very spicy foods to ease burning urination. Use artificial tears and include omega-3 fatty acids in your diet to help with dry eyes. Gentle stretching, core-strengthening exercises, and taking paracetamol may help relieve back pain. For hot flashes, wear light clothing, keep your bedroom cool, and practise relaxation techniques. If symptoms persist, consult your doctor for further advice and treatment.