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Unread 09-28-2002, 09:21 PM

Ok Ladies help me out here. I posted a couple of weeks ago about having hot flashes, no sex drive, can't remember squat, and so on. Wanted to know if I should get my remaining ovary tested? Called GYN he tested me said I need to get my thyroid tested cause the ovary is working. I went to the base hospital to get my thyroid tested. The PA asked why? What were my symptoms? I said hot flashes, not sleeping well (because of the hot flashes and aches) and no sex drive and of coures can't remember squat. He started asking me other questions like, do you have hobbies and if so are you still interested in them? YEP! Do you feel guilty? Duh I am a mom it comes with the job Has your appetite changed? NOPE! Then he asked me if I ever think of hurting or killing myself? NO! Then tells me that he thinks I am just depressed and gave me a prescription for Zoloft. I said you mean depression would cause me to have vaginal dryness and all that other stuff? He said that depression would make me have all kind of problems. Now just the other day I told my DH that I am so happy I could scream now that the pain is gone. And that I just can't wait to be completely healed. I am starting to enjoy being a mom again. Does this sound like a person that is in need of Zoloft? Side note I have never taken anything for depression.
Am I wrong to think he didn't listen? Anyone else have this happen to them? Any info would be great. Sorry to be so long. Thanks.
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Unread 09-28-2002, 10:16 PM

JMHO but I think I would be asking for a second opinion. Your gyno is right in thinking your thyroid might need to be checked. Maybe I'm over stepping my boundries here but I believe I would have said fine, I will take your script but what is the harm in testing my thyroid since my other doctor feels that is a possibility.
Your not wrong at all. Go with your instinct and find a doc to get a second opnion about that thryoid panel. S
Unread 09-28-2002, 11:28 PM

And, Becky, just because they give you the prescription doesn't mean you have take it. If it were an antibiotic, I might have a different answer, but a medication like Zoloft, when you are not demonstrating symptoms of depression, can create more havoc rather than solving the problem, as you so clearly point out.

I know it's the base hospital, but in some ways, that can work for you, as people get rotated through the clinics all the time. Go back , insist upon the labs, and remember, you have the choice whether or not to take medication.

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Unread 09-29-2002, 06:35 AM


Sorry you got treated so poorly. As it stands now, the doc has ordered tests to determine if the ovary is working, right? And those showed it was (and your symptoms have not changed - your hot flashes didn't start after the test or anything - ovaries can fail well after the surgery)

If that's true, getting a thyroid test is not a bad idea. Make sure it is a complete set - some docs only run one or two, and I think there are 4 tests. Someone with more medical knowledge or a book at hand would need to tell you - at regular labs it is called a complete thyroid panel. Antidepressents can help with hot flashes for some women, although I don't think Zoloft is the best choice for that - there are others that work better. And that's true for women in menopause, so I don't know how it would work for you. If that was the reason your doc was prescribing it, then I'd say go ahead and give it a shot.

IMHO, you have a couple of things going on here - 1)possible thyroid 2) possible premature ovarian failure and maybe something else. This stuff is complicated at sort of a biochemical level and unless the PA was very skilled, I think this requires a doctor to sort through.

Unread 09-29-2002, 07:10 AM
antidepressant mania

Ever had this happen? EVERYTIME I have gone to the doctor in the last five years. I am 48 had my last child at 41 and been struggling with "hormones" most of my life. (birth control drives me NUTS, and I now know all the "goofy sypmtoms" more than likely were hormone related) .
Finally at 47 got a hysterectomy and removal of appendix for varicose veins in uterus and adhesions (not endo) on appendix. (had to go out of town to find a doctor WILLING to do the test, laproscopy needed to determine the cause of my pain). Turns out there was a physical cause for such, so I didn't NEED the previous "cures" and suggestions regarding an antidepressant curing all my "pains" did I?
I am VERY weary of all the antidepressants CURE everthing attitudes most if not ALL doctors are showing. Remember there is no "kickback" money in doctors performing FSH tests,(or any other "discovery" tests, and in them prescribing bio identicals, compounded creams, or in treating us according to our SYMPTOMS. I recently went to a highly reputible local GP with persistant muscle aches, and joint pain ( I strongly suspect an imbalance in progesterone and testosterone, as I am only replacing my estrogen with Climaria). Never once did I mention being "sleep deprived" or depressed, I only mentioned this "question" "in passing" to see if he KNEW anything about the strong evidence that "imbalance" in hormones can cause joint/muscle pain, as my obgyn doesn't believe in the compounded progest or testosterone creams apparently. I did state that my sex drive wasn't want I would like on the lower Climaria dose, but that I am MUCH calmer. This was only revealed as we were having a consultation regarding my "history" and the medications I was on since the surgery and currently. Mind you this doctor was NOT involved in my FEMALE treatments at all. YOu have to wait 3 months to see him, and he is just a gp, but has a very good reputation for helping "the elderly". I have to see him to get a referral to "specialists" to investigate the bone joint pains. I am trying to find what "other" stuff is going on as the lower pelvic joint/muscle pains have persisted AFTER the surgery. I am suspecting "something" not related to the surgery, or an imbalance in hormones, OR something totally unrealated. I spent over an hour discussing my previous medical history, AND my total dissatisfaction with "everyone and their dog" doing NO testing of any kind, and prescribing antidepressants, and that I do not take them, had a VERY bad experience on them years ago (didn't know what they were giving me, back then)
Guess what this gp I had waited four months to see prescribed? You guessed it, Wellbrutin, an antidepressant, as he wants me to stop smoking and he assures me it will help with ALL my other symptoms. No doubt one should quit smoking, but it wasn't the reason I went to the doctor!!!!! It was as if he had heard NOTHING I said the last hour, nor the fact I have had in the past, "reactions" to antidepressants I do NOT wish to repeat, EVER. Nothing whatsoever was discussed previously or at this visit remotely related to "depression", much said about the "pains", headaches, etc. that I had previous to surgery and STILL have. My only symptom now is persistant pain in the hip, pelvic, leg areas that were present BEFORE and AFTER the surgery. I reported the "numbness tingling in extremities, and the feeling from the waist down that I have been "run over by a truck". I am over five months post opt and recieved a "recovered" clean bill of health from my obgyn.
It would seem that everyone I know, and then some I hardly do go to the doctor ONLY to be given a script for some type of antidepressant!!!!! NONE of these people went to the doctor to seek a mind altering drug, but rather to be tested for "all the stuff" that seems to show up in MALES and FEMALES as they age, the usual endocrine, and body muscle joint disorders, and without EXCEPTION EVERYONE is simply being given antidepressants (or anti inflammatories AND antidepressants) to cure EVERYTHING minus any testing for anything. I have had blood work out the wazoo, but note that NONE of them are testing for the "usual" disorders such as thyroid, hormone readings, diabetic, arthritus, or ANY thing BEFORE the prescribe the antidepressants. This is SICK, and these doctors need HEALED and schooled in "doing no harm". This is my two cents worth, and frankly I refuse to pursue this further as the "answer is the SAME" no matter who I see, take an antidepressant!!!!! NOT getting the medical care I need is DEPRESSING ME, still I realize this is only a bandaid to cover up a gaping wound and so refuse to go there. My two cents worth, ps CAN ANYTHING be done? I already complained to my insurance about this in the past, only to find myself BLACKBALLED by all the other local doctors. Any advice or a petition we ALL could sign as "descriminated against females" would be in order, ya think?
Unread 09-30-2002, 05:26 AM
Hormones imbalances, Why antidepressants and I Answered my own question

Beyond Prozac:
New Treatments, New Hope

Welcome to the 21st-century lab, where hormones, brain pacemakers and magnetic coils can cure depression
By Lauren Slater

We've come a long way. Some psychiatrists used to think you could cure depression by removing a patient's colon or teeth. In the late 1800s, there was a doctor who observed his anxious patient become calm on a bumpy train; thereafter treatment consisted of shaking the poor man for greater and greater lengths of time.

In an attempt to cure the ancient malady of melancholia, we have resorted to scads of strategies, some of them plainly stupid or cruel, others, like Prozac, that work. But an estimated 30 percent of depressed patients are what's called treatment resistant; they don't respond to pills or talk or even shock. The good news is that there are new treatments making their way into the 21st-century world—treatments that offer hope for the newly diagnosed or for someone who has been suffering without, so far, a cure in sight.

Miracle Meds
It used to be that psychiatrists would try a patient on one antidepressant medication, wait eight weeks and, if it didn't work, switch to another one. While this is still a viable (if frustratingly slow) tactic, psychiatrists are relying more and more on secondary, and even tertiary, drugs to boost the primary player. One of those booster drugs is Cytomel, a thyroid stimulator. Even women with normal thyroid levels can, under a psychiatrist's supervision, take Cytomel in addition to an antidepressant. About 50 percent of the time, it helps the primary drug work more effectively. Other popular booster medications are lithium and Ritalin.

Hormone Therapy
Scientists have spent years and years investigating chemicals like serotonin and their effects on mood, while neglecting to study brain chemicals still more common, and abundant, like estrogen and progesterone. Andrew Herzog, M.D., a neuroendocrinologist at the Beth Israel Deaconess Medical Center in Boston, treats many women who don't respond to Prozac and its chemical cousins with sex steroids. "The future of psychiatry lies largely in the realm of using hormones to regulate brain states," Herzog says.

He believes many women become depressed either because they have a measurable imbalance of estrogen and progesterone or because their brains are too sensitively tuned to normal fluctuations. "Hormones are psychoactive," Herzog says, "and there's no doubt that they can have huge effects on our feelings." Progesterone, claims Herzog, is seven times stronger than your average barbiturate, and it exerts a strong calming, even sleepy, effect. Estrogen, the opposite, provides pep just as well, if not better, than that Prozac pill you're taking. For women with agitated depressions that make them nervous and jumpy, Herzog might prescribe progesterone to calm with a bit of estrogen to brighten, in the form of a cream the woman rubs into her skin. For lethargic depressions, Herzog emphasizes the estrogen instead, and he's had remarkable success treating women who were deemed "untreatable." "These hormones gave me my life back," says one of his patients, who became depressed in her 40s and was incapacitated by her 50s.

Hormone treatment for depression requires that you see a knowledgeable neuroendocrinologist and that you undergo a hormone profile, having your levels of progesterone and estrogen measured at the beginning and end of the month. The procedure is new but so far highly promising.

Unread 09-30-2002, 06:57 AM

wow cricket,
where did you get this info? i found this so interesting. when i was in my 30's i went through a big bout with depression and some other problems that i have since found were hormonal and now that i'm close to being hormonally balanced...well i just can't believe what hormones can do. i would be interested in reading more about this. thanks for enlighening me. love, cynthia
Unread 09-30-2002, 09:03 AM

Thanks for your opinions on this matter. And thanks for that interesting info Cricket. Ya know I told the PA that I felt like my hormones were just a little off. But of course I was so sick with my allergies that day that when he told me he just thought I was depressed I began to cry. Which affirmed my depression to him. I was crying because I felt like he wasn't listening to me. He did send me for every blood test known to man so hopefully I will find out what is going on. Also he put me on estrogen cream JOY! who ever thoguht of putting meds in there? I haven't had as many hot flashes the past couple of days. And I haven't even opened the bottle of Zoloft. HMMMMMMMM wonder if it really was the lack of estrogen? Thank you all for replying! You have all made me feel better.
Unread 09-30-2002, 11:39 PM
Where I got this info linking hormones and depression and the "new studies'

Hello all, and thanks for YOUR info. Cynthia, I was surfing and followed a link about hormones to Healthy Place. com. There is more to this article, but I only posted the stuff about the "new" (like we ladies USING the stuff, didn't already know this) studies regarding the FEMALE hormones and how they can be used to help depression, or as I say how a LACK of or overload of ONE hormone can cause depression. (suggestion to all being prescribed antidepressants BEFORE anyone has tested you or checked you levels, tinkered with the prescribed hormones, or advised you to seek a means to have a "balance" etc. REFUSE to take them, (the anti's, or antidepressants or as I call them anti women pills) if you are the slightest bit "leary" and feel like you are being given a quarter to go away, eventually they will HAVE to come up with a better "cure" for your symptoms" that is my motto and if they try this I just keep shopping around. I happen to KNOW they don't work for me, (antidepressants) and often they just MASK symptoms anyway, and who wants to be whacked out, if you don't have to? To each his own and they DO work for some. I know this hormonal/depression link to be true as I OD'd on progesterone while taking depo shots for birthcontrol and went "wackyo" on an Estrogen dominance after my surgery. I happen to believe in SOME women the lack of estrogen or progest. or an "overdose" of such May cause testerone to run amok, as I have gotten very AGGRESSIVE both on too much progesterone and on too much estrogen. Go figure? Shame how we have to be "surgical" to "get it" regarding the very important role hormones play. My mom says I think they are the greatest thing since sliced bread, and in the "right" doses I do!!!!! I would say ninety percent of all females and lots of males problems are caused by hormonal imbalances. Oh well. Let me know if going to Healthy Place.com doesn't get you to the article and I will back track my history and favorites and try and find it again, and forward a link.
Unread 10-01-2002, 12:09 AM


Please do keep in mind that Depo-provera is NOT progesterone, in the way that your body understands it. Provera is a molecule similar to progesterone, but does not automatically have the same effects as using the same molecule can in the form of Prometrium or compounded capsules, or cream. So please, if you find that you need some help to balance that estrogen, don't give up automatically on the bio-identicals if there's a chance they might help you.


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