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  #1  
Unread 06-12-2010, 08:03 AM
Anxiety

I've been having out of control anxiety since my TLH/BSO, while i have a history of anxiety and depression...this time it's thru the roof.
I started the Vivelle patch one week ago .01 (assuming this is smallest dosage?). I've also started Zoloft and Xanax as needed. Does anyone know if low estrogen is the cause of anxiety, mood swings or is it progesterone? Should I be taking progesterone as well? I know these are questions for my gyn, but unfortunately I'm between docs right now.
Thanks for any info!
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  #2  
Unread 06-12-2010, 08:09 AM
Re: Anxiety

Low estrogen does it for some women. Usually you need to get your estrogen regulated before adding things in. It does take a while for the meds to feel the full effect, too. Hope you can get a new GYN and feel better soon.
  #3  
Unread 06-12-2010, 08:10 AM
Re: Anxiety

Thanks! Still having to work on this "patience" thing....it's a bear
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  #4  
Unread 06-12-2010, 08:30 AM
Re: Anxiety

Sadly, zoloft takes time to kick in, too. Patience is easier when you're not anxious----anxiety is really not pleasant at all. I do feel more relaxed once my estrogen kicked in, so hopefully the meds will help you, too.
  #5  
Unread 06-12-2010, 08:40 AM
Re: Anxiety

About how long for the Zoloft? And how long should I give this Vivelle before considering a larger dose?
  #6  
Unread 06-12-2010, 08:55 AM
Re: Anxiety

Some people "feel" zoloft sooner but it can take 3-4 wks. My Dr told me to give the patch 3 wks, although I've read here to give it longer----not sure if Drs have a standard time on that. Did you have something like hot flashes or insomnia that you can use to judge whether the dot is working yet? That might help to give a clue.
  #7  
Unread 06-12-2010, 11:28 AM
Re: Anxiety

Kari,
Do keep in mind that you are still early post op. Your body is still recovering from surgery and that in itself can cause hormone fluctuations, which can cause symptoms of imbalance. I always suggest keeping a journal during the early months post op. It can help to see if things are getting or better worse over time.

  #8  
Unread 06-12-2010, 12:56 PM
Re: Anxiety

Did you mean .1 mg of vivelle patch? if so, that is the highest dose it comes. because I don't think there is a .01 mg. i don't know if this is your case but for me whenever i've tried antidepressants, specifically zoloft and recently effexor, i have anxiety through the roof. i quit them after 3 days because i couldn't hold out. if you are starting everything at the same time, it will be hard to determine what is causing your symptoms. also, as kim m always told me, "keep in mind your are still early post op." soooo many changes are occuring in your body to adjust to an endocrine gland (ovaries) that are no longer there.
  #9  
Unread 06-12-2010, 06:52 PM
Re: Anxiety

The way my doc handled the HRT for me was he got me semingly stable on estrogen, then he added back progestin to suppress any microscopic endo.

I have had past trauma, so I am prone to anxiety. This is a stressful time combined with hormones being in MAJOR upheaval! Pre Op I was on Zoloft. Post Op my anxiety ramped up. Frequently felt as though I was going to have a panic attack, but never quite got there... My GP is supplementing the Zoloft with Buspar.

My personal mindset is that I am prone to anxiety, but my body is learning to "budget" it's estrogen use.

In this time of relearning, I am going to try my best to keep my anxiety under control through add'l help from meds, counseling, a massage when I can afford it, and trying to root out stressors in day to day life. Some people understand it and have empathy for it... some try to understand... and the ones who just flat out refuse to understand or try to support me, they can hit the bricks! You have to take care of yourself! Anxiety can have serious long term affects on our bodies, and like Sally Field says, "I've only got one body."
  #10  
Unread 06-14-2010, 10:02 PM
Re: Anxiety

Yes....Yes....and.....Yes

I found that progesterone helped. I went to my Dr and told him my anxiety got so bad that I was literally almost rageful at times, wanting to bite the heads off of everyone who walked near me. He gave me Progesterone, and it helped.

As far as Zoloft goes, you do need to give it time, but I never found it worked for me, though everyone is different. While some anti-depressants and ant-anxiety meds work for some, they do not work for others. I take 300 mg of Well Butrin, and it works wonders.

Definitely check with your doctor when you find one, and let them know everything you are feeling and going trough. Journaling is good. That way you can bring it with you.

Hugs to you while you go through this!
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