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Re: Feeling really depressed need some answers

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Thu, 28 Sep 2000 16:37:45 -0500 (CDT)


At Thu, 28 Sep 2000, Peggy wrote: >
>I have a question about medications that I have been taking for 2 weeks
>for the treatment of endometriosis it involves taking Arimidex and
>Aygestin, Since Monday all I have been doing is crying and I'm not sure
>if it related to the medication or not, Brief history is, Hysterectomy
>and LSO 4/98 ,Laporoscopy for adhesions 10/98 and 4/99 then 11/99 a
>laporoscopy and RSO I am still having problems with endo and elevated
>estrogen levels so my Dr. thinks I might have an ovarian remnant, Also
>around the same time each month (which started Sunday) I get migraines
>and I am beginning to think it is all cyclic(SP) related it is almost
>like I am having PMS is this possible? Sorry this was so long but I
>would like to get an answer to this if possible, I really do not like
>feeling this way,Thanks in advance,Peggy

Aygestin is a progestational agent similar to provera. Most progestational agents are reported to cause depression and mood swings in some women.

I don't know what arimidex is for sure. Its generic name is Anastrozole and it is indicated for the treatment of Advanced breast cancer, so I suspect it is also some kind of hormone. Ovarian remnant syndrome is very easy to rule in or out. Go off all hormones for 2 weeks and then get an FSH level. If it is above 50, there is no ovarian remnant. If under 25, then there is something producing estrogen somewhere and that would most likely be an ovarian remnant.

RDB

--
R.Daniel Braun, MD  FACOG   FOG

**Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

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