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Emotionally challenged... Emotionally challenged...

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Unread 01-15-2012, 07:29 AM
Emotionally challenged...

I'm new to this site. Thought it would give me some relief talking with others like myself. I am scheduled to have a TAH tomorrow because of endometriosis. I'm not prepared for the side effects of the surgical induced menopause, and am on the fence regarding HRT.

If anyone can shed some light on my situation I would really appreciate it.

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Unread 01-15-2012, 08:26 AM
Re: Emotionally challenged...

I had a DaVinci with removal of both ovaries. Some people have very little problems with sudden onset of menopause. That being said, I wasn't one of them. It hit me like a ton of bricks. I had horrible hot flashes, mood swings and insomnia. I couldn't sleep and was pretty miserable. I begged my doc for HRT and it really helped. I am on a low dose of estradiol and prometrium. This has helped with menopause. I also had(have) endometriosis. That is why we are doing very low dose.
Just a quick note. The hysterectomy does not cure endometriosis. I have had continued signs of it ever since the surgery. Right now, it seems pretty well controlled. The docs can't tell if it is endo or if it is something else. We kind of trial something to see if it helps.
Unread 01-15-2012, 09:49 AM
Re: Emotionally challenged...

I understand your concern. I certainly wasn't prepared either. In fact, I had no clue that I would go into menopause. All I thought about was the surgery.

For me, the symptoms weren't bad in terms of hot flashes or the usual obvious symptoms. However, I found pretty quickly that I wasn't nearly as emotionally or physically strong as I had been. I was hit with new insecurities and self-doubt. I found this strange and didn't relate it to menopause but I do now.

I have never taken HRT because my symptoms weren't that bad. Recently, my cardiologist said I shouldn't even consider it because I have an irregular heart beat and slightly high blood pressure. I am fine with it because I have learned to live with the changes.

You are wise to be thinking about this and to be prepared for whatever may come. You may notice nothing at all or you may be hit with every possible symptom, or somewhere in between. The good news is that there is HRT if you need it and also natural remedies out there. You might want to search the Hormone Central forum here for more support as well.

I wish you the best!
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Unread 01-15-2012, 01:14 PM
Re: Emotionally challenged...

I had a TAH and woke up with an unexpected Oophorectomy . I had asked my surgeon not to take my one remaining ovary but she couldn't save it for a variety of reasons including it was fused to my uterus and a fibroid and it had multiple cysts (she said it didn't look good at all).

They put an estrogen patch on me the next day. I'm okay doing hormones for the next few years for a number of reasons:

1. I'm forty-nine. There is some evidence that women who have their ovaries removed before the age of 45 have higher rates of cv diseases and other health issues.

2. I was going through peri-menopause before surgery but was still having very regular periods and minor peri-menopause symptoms. If I had not had this surgery I would probably have had natural estrogen for at least the next few years anyway.

3. In the infamous WHI study, women who had hysterectomies and only took estrogen actually had less breast cancer than those who never took HRT.

4. The results of the KEEPS study (studying the effects of HRT on women our age - the average age of WHI participants was 62 and were women who never took HRT until well into menopause) are due this year and next. The will give us a clearer picture of the effects of starting HRT during peri-menopause and immediately following menopause rather than waiting 10 years.

For those reasons I am okay being on estrogen for the next few years. I have spend umpteen hours reading medical studies and researching this issue over the last 10 days. HRT is a very personal decision but I strongly encourage women to really research the issue for themselves. The WHI has been widely panned as being faulty. There have been numerous other studies out there that showed the opposite results. It's all very confusing but don't let fear be the overriding decision point. Good luck.

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