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Menopause  (Expert Forum)
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Another question???
Answered by
Machelle Seibel, MD - Women's Health, menopause, ReproductiveMedicine
University of Massachusetts Medical School MA
Questions in the Menopause forum are answered by Dr. Machelle Seibel. Topics covered include menopause issues, depression, hormone replacement therapy , hot flashes, joint or muscle problems, memory problems, mood swings, osteoporosis , sexual problems, skin changes, sleeping problems, vaginal problems, and weight problems.

Another question???

by Jenny Wren, Sep 29, 2006 12:00AM
You answered a post question for me the other day about perimenopause.  You talked about tactile hallucinations, from what I read, its caused by mental disorders, epilepsy, and neurological diseases.  Is this true?  I'm scheduled to have a cervical MRi today, and very upset, I had a normal brain MRI in April of the year, would something have showed if it was from these hallucinations.  These to me don't seem like hallucinations, they are real, when I pull my clothing away from my skin it stops, some days its worse than others.  Being I suffer from migraines, my neuro told me that this could be something called "increased central sensitization".  I have been extrememly upset and stressed out about these sensations, to long, probably 6 years, anxiety meds do lessen them some, but don't take them away.  I worry now that I'm having seizures, how do they test for seizures?  Could you please explain why you think this is hallucinations?  Thank you very time and patiences!!!!! Could anxiety cause this?

by Machelle Seibel, MD, Sep 29, 2006 12:00AM
A. Tactile Hallucinations is just the medical term, just like formication which is what you called it.  It doesn’t mean your sensations aren’t real and certainly they are real to you.  But there are no bugs. It feels like bugs crawling and that is why that term is used.

Ask your neurologist to explain more to you about increased central sensitization and what he/she can offer you as treatment.  If you cannot get an answer, it might be helpful to seek a second opinion from another neurologist.  It might also be helpful to see a mental health person, not because you are immagining things, but because this is all so upsetting that it would cause anyone anxiety and stress. They might be able to help you relieve the stress that is associated with it.
Machelle M. Seibel, MD
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