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Hormone fluctuations with ovaries Hormone fluctuations with ovaries

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Unread 10-18-2010, 03:00 PM
Hormone fluctuations with ovaries

During my 6 week post-op appointment today, I was discussing hormonal fluctuations that occur after the hysterectomy when you keep your ovaries. The doctor said it takes a while for your hormones to get back to normal. She said she could give me an anti-depressant with serotonin to take if the symptoms bothered me that much. I'm just having tender breasts, trouble sleeping, and some emotional swings. I didn't get the prescription because I don't think I need an anti-depressant. Has anyone else been through something similar? Would the pills help? And would it be a good idea to take them for a while?
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Unread 10-18-2010, 03:36 PM
Re: Hormone fluctuations with ovaries

It took a few months for my body to settle down following my hysterectomy. However, PMS could be pretty intense each month for years and still is at times. My doctor suggested low dose birth control pills or natural progesterone cream if I wanted to try to tone down my symptoms. (We attributed mine to surgery and estrogen dominance amplified by the fact that I had been using birth control pills for years to help with my cycles so just me and my own hormones was a new ballgame!)

Anti-depressants can help with these kinds of symptoms. The med is not prescribed as an anti-depressant in these situations and the dose can be quite different as well--a lot lower than needed for depression issues. Some women who have had both ovaries removed and are unable to use HRT for one reason or another use various anti-depressants to minimize their surgical menopause issues including hot flashes. So if you go this route, you won't be the only woman on the site utilizing this family of medications for hormonal purposes!

Also, consider that for migraines one can use anti-epileptic meds (I used Keppra), and for kidney stones a medication normally used for prostate issues can be prescribed even for women (I took that one, too!). Many different medications are used off-label and in different doses for issues other than they were originally discovered. So if you need something to help with the hormonal issues until your body settles down, consider the anti-depressant--not because you are depressed or need an anti-depressant but because those meds have been found to minimize hormonal issues. Or, ask your doctor about the options my doctor suggested for me.

I did choose and have chosen to deal with the hormonal issues on my own, especially since my neurologist feared any hormonal choices could affect my migraines. Back when I had my hysterectomy, the anti-depressants were really being used off-label for hormonal issues so they were not offered (though I have used one off label for pain issues!).

Wishing you well!

Unread 10-18-2010, 03:46 PM
Re: Hormone fluctuations with ovaries

Thank you for the very helpful answer. That makes a lot more sense to me now. The doctor did mention that it would be a low dosage of the medicine. The symptoms I have now are tolerable considering the symptoms I had before the surgery so I think I'll see how it goes for the next few weeks. I really appreciate your explanation.

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