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Gynecology (Expert Forum)
Hysterectomy, HRT & Panic Disorder
Answered by
Keith Downing, MD - Obstetrics, Gynecology
MA
This forum is for questions and support regarding gynecology issues such as: Cervical Disorders, Colposcopy, Cramps, Cystitis, Fallopian Tube Disorders, Menstruation, Ovarian Disorders, PAP Test, Pelvic Exam, PID, PMS, Surgery, Tests, Ultrasound, Uterine Disorders, Vaginal Disorders.
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Hysterectomy, HRT & Panic Disorder
by ccamrine, Aug 04, 2007 12:00AM
I am 43 years old. I am having a hysterectomy in 10 days. I have large fibroids in my uterus. I get cysts on my ovaries alot. I have a history of cervical dysplasia (4 times). I also have pmdd and panic disorder. About 10 weeks ago my pmdd was so bad I ended up in a psych hospital. I did not harm or attempt to harm myself, but did have suicidal ideation and basically had a nervous breakdown in front of my therapist. My question is: If I have both ovaries taken out, will my panic disorder get worse? I know that pmdd goes away in the absence of the ovaries, but my concern is HRT. Will it worsen my anxiety condition? I take 20 mg. celexa and .50 mg klonopin bid daily. What direction do you think we should take my HRT in if I have my ovaries removed? At this point the oopherectomy is elective unless he finds them in bad shape. I personally feel that my hormones are contributing to my anxiety problems. Although I have pretty much stabilized on my current meds. I am probably pre-menopausal, too. Sorry this is so scattered but I need answers to many questions.
Doctor's Answer
by Keith Downing, MD, Aug 06, 2007 12:00AM
, Aug 06, 2007 12:00AM
Hello,
If you have your ovaries removed, you may want to wait and see if you experience any, and to what extent you may experience, menopausal symptoms (particularly hot flushes and vaginal dryness) before deciding whether to start HRT or not. Additionally, being on a SSRI may provide some relief of possible menopausal symptoms.
For your bone protection, you'll want to make sure you are getting an appropriate daily requirement of Calcium (1500 mg/day) and Vitamin D (800 IU), and participate in some degree of weight bearing exercises.
Best wishes,
Dr. Downing
If you have your ovaries removed, you may want to wait and see if you experience any, and to what extent you may experience, menopausal symptoms (particularly hot flushes and vaginal dryness) before deciding whether to start HRT or not. Additionally, being on a SSRI may provide some relief of possible menopausal symptoms.
For your bone protection, you'll want to make sure you are getting an appropriate daily requirement of Calcium (1500 mg/day) and Vitamin D (800 IU), and participate in some degree of weight bearing exercises.
Best wishes,
Dr. Downing
Member Comments (2)
by ccamrine, Aug 04, 2007 12:00AM
To: addition to question above
What I mean about being stabilized on my meds is my panic disorder. I still get pmdd during the luteal phase usually until menses end. Sometimes worse than others. Thanks in advance for your advice.
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