I really don't know what to do here.

Hello all, I am a 26 year old female, recently married to a wonderful man. I am diagnosed bipolar type I with psychotic features. I currently take 900mg lithium, 1000mg depakote, 20mg lexapro, 100 mg topamax, 300 mg seroquel, 6mg Risperidone, 50mg primidone, 500mg metformin, and 20mg atorvastatin with a skyla IUD. It is the only "cocktail" that has worked for me yet. The IUD fortunately has caused all my periods to cease, thankfully because my moods change drastically with my hormones. I become a completely different person when I have a period, darker even than my normal bipolar depression and very angry at everything. I also tend to get very suicidal and self injurious. It's scary, and it scares me. Neither my husband nor I want children or plan on having children. The time is coming up for me to get a new IUD, and I am considering approaching my doctors with the idea of a hysterectomy. I believe this would be the best option, the safest option for me... To not only save me from my hormones but to also prevent any possible pregnancies in the future (because the last thing I want is to be a bipolar mother, I am not stable enough for that and I dont think I ever will be unfortunately due to my psychosis.) Has anyone ever had a hysterectomy or something other for reasons similar to these? Please share your story, I am trying to figure out the best way to approach my doctors over this. I have appointments this week and Next. Thank you.

I am sorry for what you have gone through with your bipolar diagnosis. I do know a young woman that when she was 26 had a bilateral mastectomy and a hysterectomy and her ovaries and Fallopian tubes removed because she is BRACA Gene positive and had many woman including her mother died young of either breast or ovarian cancer. I know she had to see a psychiatrist to make sure she was not clinically depressed and that she understood the ramifications of her decision before the surgeons would operate. Good luck to you.

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Originally Posted by Sj22 ... It is the only "cocktail" that has worked for me yet. The IUD fortunately has caused all my periods to cease,

Dear Sj22:

Congratulations on your recent wedding!

I'm so sorry to hear of your health struggles, and it sounds like you have very valid reasons to pursue hysterectomy.If your current cocktail + IUD is working well for you, please consider carefully before upsetting that balance.

I hope you are able to find the rights answers soon. I am sending huge cyberhugs