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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by corafree on October 25, 2006, at 22:32:31
My si*ter shares the same 'hormone probs' as I did, tho' not quite so severe, or maybe she just has 'a very understanding husband'.
I had PMDD. Then, I had a TAH-BSO. (Later doc said 'wish I'd left one ovary', as still have prob' re needing a lot of estrogen and only tolerate injections or patches. No cancer in family hx.)
Sis has endometriosis and doc recommending ablati*n.
My biggest concern is 'how her hormones will react' after ab*ation.
tks4shareanyone, cf
Posted by ClearSkies on October 27, 2006, at 10:30:29
In reply to Anyone knowledgeable of uterine ablat*on?, posted by corafree on October 25, 2006, at 22:32:31
My doctor had considered ablation as a possible treatment for my perimenopause symptoms. The ablation causes bleeding to cease (sometimes only temporarily), but does not affect hormone production, from what I understand. Since my particular problem has been severe hot flashes, the ablation would not have been appropriate.
In other words, the ovaries still produce their hormones (and eggs), it's just that there is no longer a uterine lining to shed every cycle.
CS
Posted by corafree on October 28, 2006, at 17:50:09
In reply to Re: Anyone knowledgeable of uterine ablat*on? » corafree, posted by ClearSkies on October 27, 2006, at 10:30:29
Tks Clearskies ...
So, if there is no change in hormone production, one w/ an overload-or-underload of a particular hormone (I believe it to be estrogen.), causing PMS or PMDD, would not benefit, I guess.
I had TAH-BSO re: slight uterine prolapse, but rea*ly 4 PMDD, and what it did do, was stop the ups and downs; I remained in the same mood all the time. This was better, but doc wished had kept an ovary as I seem to require a great deal of estrogen.
FYI - Eff-XR works w/ estrogen patches to totally wipe out hot flashes. B4 Eff-XR, was still having a few, shorter, less hot, w/ the patches on. When on estradiol valerate injections had 'zero' hot flashes, but d.c.'d it re: appetite stimulation.
tksagain, cf
There would be the benefit of the possibility of anemia being averted though, I believe.(?)
Posted by ClearSkies on October 29, 2006, at 8:21:09
In reply to Re: Anyone knowledgeable of uterine ablat*on? » ClearSkies, posted by corafree on October 28, 2006, at 17:50:09
>
> There would be the benefit of the possibility of anemia being averted though, I believe.(?)I would think so.
Funny (ha ha!) enough, while I was on Effexor, my hot flashes became really severe and frequent. It went on for 2 years. I do a lot of laundry :-)Now I am on HRT, the hot flashes are resolved; though I am a sweater and living in a hot climate means I just plain get uncomfortable. I have always been this way. When I lived "up north" I had the worst hat-hair in the winter because my scalp would perspire so much (um, noticeably so).
Instead of flashing with heat, the HRT seems to have initiated a depressive episode. I am loathe to go back for any medication adjustments simply because my hot flashes finally have been relieved. I'm hoping that I will Buck Up, but if anyone dares actually say that to me, I will bop them on the nose.CS
Posted by corafree on October 29, 2006, at 13:12:47
In reply to Re: Anyone knowledgeable of uterine ablat*on? » corafree, posted by ClearSkies on October 29, 2006, at 8:21:09
> Funny (ha ha!) enough, while I was on Effexor, my hot flashes became really severe and frequent. It went on for 2 years. I do a lot of laundry :-)
>What was you Eff-XR dosage? I'll be darned; opposite effect it had on me! It has helped 2 completely eradicate head and back of neck sweating.
> Instead of flashing with heat, the HRT seems to have initiated a depressive episode. I am loathe to go back for any medication adjustments simply because my hot flashes finally have been relieved. I'm hoping that I will Buck Up, but if anyone dares actually say that to me, I will bop them on the nose.
>A depressive episode! Well that s*cks! You should get hot flash relief and 'sense of well-being' relief too. That's called for in HRT ... a good GYN should expect and know this.
Ya' know, I 'cannot tolerate' any of the oral forms of HRT; from the beginning (in my 30s) ... always, only, 'patch' and recently 'injections of estradiol valerate' worked extremely well. The estradiol valerate has a 'small' appetite inducing property. Now on Vivelle-Dot twice a week. Some women only need it once a week. My bod' sucks up stuff fast!
Tell your doc' to fix ya' or else you'll bop him on the nose!
love, cf
Posted by ClearSkies on October 30, 2006, at 7:34:30
In reply to Re: Anyone knowledgeable of uterine ablat*on? » ClearSkies, posted by corafree on October 29, 2006, at 13:12:47
> > Funny (ha ha!) enough, while I was on Effexor, my hot flashes became really severe and frequent. It went on for 2 years. I do a lot of laundry :-)
> >
>
> What was you Eff-XR dosage? I'll be darned; opposite effect it had on me! It has helped 2 completely eradicate head and back of neck sweating.
>I was at 175mg/day before I had to stop due to increased blood pressure. Seems I got the severe side effects along with the benefits on this medication. Now I'm on Cymbalta, which works with much fewer problems. (Headaches if I have to make a dosage change or time of day change.) "Your mileage will vary" is what I keep in mind. There are many here who have the direct opposite reaction to the medications I take.
> > Instead of flashing with heat, the HRT seems to have initiated a depressive episode. I am loathe to go back for any medication adjustments simply because my hot flashes finally have been relieved. I'm hoping that I will Buck Up, but if anyone dares actually say that to me, I will bop them on the nose.
> >
>
> A depressive episode! Well that s*cks! You should get hot flash relief and 'sense of well-being' relief too. That's called for in HRT ... a good GYN should expect and know this.
>
You know... my GYN told me that depression might be a side effects of HRT, so I considered myself fairly warned.> Ya' know, I 'cannot tolerate' any of the oral forms of HRT; from the beginning (in my 30s) ... always, only, 'patch' and recently 'injections of estradiol valerate' worked extremely well. The estradiol valerate has a 'small' appetite inducing property. Now on Vivelle-Dot twice a week. Some women only need it once a week. My bod' sucks up stuff fast!
>
> Tell your doc' to fix ya' or else you'll bop him on the nose!
>I trust my GYN's decisions regarding my treatment, especially after seeking a second opinion which concurred with hers, and trying a myriad of alternative therapies which made me feel worse instead of better.
> love, cf
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