WOMENS-HEALTH Messages for October, 2000: Re: Hormones all out of whack.. possible perimenopause?

Re: Hormones all out of whack.. possible perimenopause?

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Sat, 21 Oct 2000 20:03:47 -0500 (CDT)

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In reply to: Mercedes: "Hormones all out of whack.. possible perimenopause?"

At Sat, 21 Oct 2000, Mercedes wrote: >
>I have a question about my hormones after a subtotal hysterectomy.

I'm presuming you mean a supracervical hysterectomy and the ovaires were left in.

>I
>had a hyst done 10 months ago and ever since then my hormones have been
>on superhigh. I feel like I am PMS'ing 3weeks out of every month. I am
>producing so much progesterone my face looks like a warzone with all the
>acne.

Progesterone is manyfactured after ovulation for 2 weeks, so any progesterone related symptoms for more than 2 weeks may be from other causes.

> I don't know what to do. I am irritable and anxious because of
>the elevated hormone levels

Have they been measured?

>and they never seem to calm down. Could
>this be a sign of perimenopause?

Could be. May or may not be age related.

>I do also get hotflashes where I sweat
>profusely, but this doesn't happen often just every once in a while.

Not unusual from age 35 on, regardless of uterine status.

>Can
>anything be done about this? Can my hormones be kept under control with
>meds?

If not contraindicated, birth control pills may be helpful and are used by many for just such symptoms.

>Should I have any testing done? And if so what?

If you're going to go on the pill, no testing is necessary.

>Also do I have to
>see my gyn about this or can I see my GP?

Either is fine but I'd recommend the gyn since s/he didi the surgery and should follow up on any problems post-operatively, even those not directly caused by the surgery.

>I am embarrassed to see my gyn
>because I have had so many problems since the hyst I am afraid he will
>think I am just making this up. I don't know what to do! I have lived
>with this long enough. I went to see a dermatologist for my skin, but
>nothing he has given me has helped. The acne goes away for a couple
>days and then the PMS starts and it comes right back again. I hate
>feeling like I want to slam my head into a wall and so jittery and
>anxious. I don't know what to do with myself. What can be done to
>control this? Help, anyone, please!!!

IN addition to the pill, there are several medication now recommended for PMDD, the psychological part of PMS. Speak to your doctor about this as well.

>
>--
>Mercedes
>

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

**Note:  Opinions expressed here are for educational purposes only
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Next message: Harvey S. Marchbein, M.D.: "Re: period or not?"
Previous message: Harvey S. Marchbein, M.D.: "Re: Depo provera.....wanting to get pregnant"
In reply to: Mercedes: "Hormones all out of whack.. possible perimenopause?"

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