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Is depression worse for anyone after their hysterectomy?? Is depression worse for anyone after their hysterectomy??

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  #1  
Unread 12-26-2004, 06:52 PM
Is depression worse for anyone after their hysterectomy??

Hi ladies:

I am 9 months post op, and in the beginning of my recovery I felt pretty good even emotionally. I even felt like I had gotten over my depression that I have been plagued with for about the last ten years. I don't know if it was because I had so many complications before and during surgery that I was just glad I pulled through and I was alive. Also, I had alot of support from family and friends during the whole ordeal and during my entire recovery. My job, bosses included and my dh job were also wonderful with calls,gifts, etc. So I don't know if it was from all of that attention during recovery that I felt really good.

I have been under major stress within the last few years. I lost my dad to a terminal illness, and watched him die. I lost my favorite uncle 3 months before him, then I got sick and needed 2 surgeries in one years time. During my early recovery my mom got sick and needed open heart and we almost lost her but now she is doing well. I handled all of this pretty good, or so I thought
But now within the last 3 months I have been depressed most of the time. I feel very sad and weepy most days, and feel like just being alone, a friend of mine just called to say hello, and I just didn't feel like talking to her and I just rather keep to myself, my mom calls everyday to check up and she is a real sweatheart but I just don't want to be bothered with anyone, My dh tries to be supportive but I am just so depressed. I don't know if it is hormones or if my depression is getting worse since the hysterectomy. I had my thyroid checked and it is normal. I don't have a gyn now because she dropped my ins. so now I have to get another one and I really liked her she was very skilled she was a gyn/onc so I hate to loose her.

I mentioned this to my psych, who is the one treating me for depression and I don't think he listens to what I am saying he always just says "well you look good, you must be feeling better", or "With all that you've been through I would be depressed too". I take wellbutrin xl and did take zoloft in the past and didn't like the side effects from it. I am not sure if my symptoms are from my hormones or what. I am on vivelle dot .1. I have been taking hormones for about 6 months. Has anyone else experienced any of this, any input would be appreciated. Sorry this is so long, I don't want to bother my dh about it because then he gets overly worried about me and he gets down. Sometimes I feel like such a burden to everyone.
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  #2  
Unread 12-26-2004, 10:12 PM
Is depression worse for anyone after their hysterectomy??

I would suggest looking for a good reproductive endocrinologist as I totally believe it could be hormones. Your ovaries used to produce many chemicals (so did your uterus) that your body relied on to keep in balance. The ovaries are a vital part of the endocrine system and as such worked in harmony with all the other endocrine organs (pituitary, adrenal, pineal, thyroid & ovaries/testes). I have read that antidepressants go into the estrogen receptors in our brain and block the uptake of the chemicals the ovaries produce(d). (Or replacement hormones.) I've also read that the blood test a typical gyn gives for "hormone" levels is not the best way to test these levels as the blood only shows what's available for uptake but doesn't show what your body is actually using. In other words, you may have plenty available in your blood but if your brain can't pick it up, what good does that do?

Also, our bodies store the hormones our ovaries produce and it can take up to a year for women to use their stored supply. This can explain why so many women feel so good in the first months after surgery so therefore, few connect the delayed reactions with the surgery. (Not even most doctors.) Recent research results are causing them to look more closely at this commonly reported side effect.

Someone told me there is a terrific psychiatrist in New York who has this all figured out and is really helping women but I can't find his name right now. I'll keep looking. Since I see you are in New York, maybe you can do a local search for this guy.

Hang in there. I believe it's a real, physical problem and you deserve a doctor who will listen and take you seriously.

Big hugs,
  #3  
Unread 12-27-2004, 08:34 AM
Is depression worse for anyone after their hysterectomy??

Lucille:

Thank you for your informative post. I will keep searching for answers. What you posted makes alot of sense. Hopefully I can find some answers soon, I woke up today feeling no better, and I am taking my meds everyday as well as changing the patch regularly and have no problems with it sticking or bubbling, but I am still not feeling myself.
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  #4  
Unread 12-27-2004, 09:27 AM
Is depression worse for anyone after their hysterectomy??


Hi KK....I think Lucille might be on to something...it could very well be partly a hormonal issue. I'm at 5 months and still trying (but coming closer) to a hormonal balance that me and my family can live with. This is a very major surgery that we have been through. There is alot of research on hormonal balance and natural hormone replacement. I have read my eyeballs out on the subject. I have noticed that I still "cycle" every month w/the PMS, even though I do not have my ovaries....I'm guessing it takes our bodies a long time to adjust to surgical menopause.

A couple of books that have helped me were "Sudden Menopause" and Dr. Lee's "What your doctor never told you about Menopause"... both of which are listed on the resource section of this site. Another thing that has helped me has been this site. In reading posts on these boards, I found out that I'm not alone nor am I crazy or wierd for all of the aches and pains and emotional roller coasters.

You may want to have your doc do either a saliva test or a blood test to check your levels to see if your hormones need further "tweeking". Take care! Lucille had some good advice....I hope your doctor will pay attention and try and help.

  #5  
Unread 12-27-2004, 09:42 AM
Is depression worse for anyone after their hysterectomy??

Piano player:

Thanks for your reply, when my dh insurance changes over, I will have to find a new doc. I am in limbo right now with that because his company is in the middle of some major changes(Long story) and he has to choose another insurance carrier. The gyn I had is excellent but she is no longer on our insurance so when we get the new one I will have to find someone. As far as the doc treating me for depression I will definitely have to get another, I think he believes my visits are social visits and I just haven't been able to switch yet. I haven't had success with alot of docs in the past, they were either quacks or the good ones retired,(and believe me I shopped around and asked friends for references on who they use, but ultimately I have to choose who is on my ins. plan) or in the case of my gyn they dropped our insurance. I know I needed the hysterectomy and in my case it was life saving but sometimes I think the emotional pain is worse than the physical pain. But, thank you ladies for suggestions, they are very helpful

I also believe alot of this is hormonal because even though I suffered from depression already, it was pretty much under control with the meds and I didn't feel this bad before the hysterectomy, I think I will try to find a good reproductive endocrinologist, that sounds promising to me.
  #6  
Unread 12-27-2004, 01:57 PM
Is depression worse for anyone after their hysterectomy??

Don't forget, it is perfectly acceptable to interview any doctor before "hiring" him/her as your physician. If you do not find the doctor to be accessible and easy to communicate with then keep looking. When calling around you can even tell them up front you are looking for a doctor who can help you with the real, physical affects the oophorectomy has had on your emotional health. Tell them you are seeking hormonal balance, not therapy.

I can't tell you how many doctors wanted to shove anti-depressants down me but I knew it was a physical change and I refused to take them. FINALLY I found a doctor who said "ABSOLUTELY it is because of the hormonal changes" and he had me feeling better within 24 hours. He spent over an hour with me on my first visit and is always accessible. We have worked hard, together, over the last year to get my own personal, hormonal balance tweaked just right and not once, ever, have I felt like he was not listening to me or considering my input into my own health care. Turns out he is considered one of the top doctors in America, something I didn't know in the beginning but I can certainly see why. If I have learned anything over the past four years it's that you have to take an active part in your own health care and although it may be a daunting task, you owe it to yourself to find a doctor who will respect you and give you some credit for knowing how you feel. Afterall, you are the one living in your body, not them.

Good luck and best wishes,
  #7  
Unread 12-27-2004, 03:47 PM
Is depression worse for anyone after their hysterectomy??

Lucille:

Thanks. I always do interview my docs also. Its just the one I had for the depression, I had for a while, I have had depression before the hysterectomy its just since the surgery its worse. In the begining the doctor was good, I think the problem is that he overextended himself he is working out of two offices in two different towns and he has way too many patients now. As far as a gyn, I got her through very reputable sources and she was highly skilled, she only handles difficult cases and she does bloodless surgery which is what I wanted, but I don't think she is all that skilled with the hormonal stuff.

I decided to go with my gyn I had before the surgery, he is also the one who found out the problelms I had and is highly skilled and very thorough. The only thing he doesn't do bloodless surgery. But, when he knew I needed the hysterectomy he spent about 45 minutes with my dh and me going over everything, so I will go back to him. I called his office today and spoke with his nurse and found out he deals with hormonal issues and menopause so I was glad of that I have an appointmemnt with him in 2 weeks. I have fired plenty of docs when they were not up to par, and I don't just take what the doc tells me without doing my own research. So you are right we owe it to ourselves to be an advocate for our own health.
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