 PMDD - Oophorectomy with/without a Hysterectomy the Answer? |
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Ask A Doctor
I have been diagnosed with PMDD. PMDD has caused me a lot of trouble in many ways and has completely disrupted my life...or lack of one. Is PMDD cured with ovary removal? And how about leaving the uterus in? Any information would be helpful.
Premenstrual dysphoric disorder (PMDD) causes women to experience severe depression, irritability, tension and anxiety before menstruation. The symptoms of PMDD are more severe than those associated with premenstrual syndrome (PMS). There are a wide range of physical and emotional symptoms that can occur one to two weeks prior to the start of the monthly menstrual cycle, with most symptoms stopping shortly after the period begins.
The cause of PMDD is unknown. However, alcohol abuse, being overweight, eating disorders, large amounts of caffeine, smoking, lack of exercise, and having a mother with a history of the disorder could be contributing factors to PMDD.
There is some research that indicates PMDD may be the result of serotonin deficiency. Other research indicate the issue may be the interaction of hormones produced by the ovaries with the neurotransmitters (chemical that serve as messengers). Estrogen and progesterone levels for women with PMDD are the same as those without the disorder indicating the problem may be the brain’s response to normal hormone fluctuations during a menstrual cycle.
For this reason, the selective serotonin reuptake inhibitor class of antidepressants are effective for some women with PMDD.
Before considering surgery, other alternatives should be considered. Treatment options can include a healthy diet, exercise, vitamins and supplements such as B6, calcium and magnesium, birth control pills to top ovulation and regulate hormones, pain medications, anti-depressants, or medications to suppress the ovaries (Lupron, Depo Provera).
If a surgical procedure is being considered, one needs to carefully weigh the surgical pros and cons besides considering the possible effects for PMDD. Some women do find that using a steady does of HRT following a bilateral oophorectomy (removal of both ovaries) does resolve the majority of their PMDD issues while preventing many surgical menopause symptoms. However, finding the right HRT balance can be difficult for many. Also, an oophorectomy may not cure PMDD for everyone and it can open the door to surgical menopause health concerns that would need to be addressed.
If the uterus is not removed along with the ovaries, progsterone will be needed to insure that the endometrium does not thicken to unsafe levels, leading to a cancer concern. For some women, progesterone is part of the reason for PMDD issues so retaining the uterus might not be the right choice them.
It is important to find a knowledgeable physician to work with you through the options to determine what is best for you. Keeping a detailed symptom diary can be critical for helping you and your medical team monitor your symptoms to determine which choices are the right ones. A psychiatrist can also be a valuable member of your medical team through this process.
This content was written by staff of HysterSisters.com by non-medical professionals based on discussions, resources and input from other patients for the purpose of patient-to-patient support.
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Hysterectomy Checkpoints
Hysterectomy News May 18,2013
