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Re: surgical menopauseFrom: Angela (anonymous@obgyn.net)Sun, 18 Jan 1998 21:44:56 -0600 (CST)
At Sun, 18 Jan 1998, Harvey S. Marchbein, M.D. wrote: > >At Sun, 18 Jan 1998, Patricia wrote: >> >>I had an oophorectomy following breast cancer treatment. Unfortunately >>I have had a difficult time with testosterone depletion. I was not >>informed of this complication prior to this elective surgery. I have >>spent much time educating myself and trying to find treatment resources. >>I have had some success but I am still greatly puzzled by the fact that >>health care providers are either ignorant about this complication of >>surgical menopause or don't explain it to patients. Why isn't this >>aspect of surgical or treatment induced menopause dealt with more? >> >>-- >>Patricia Hogan >> >I share your frustration and have my own frustration from a physician's >point of view. I wish there was more info on specific treatments for >this problem with safety guidlines for treatment. Unfortunately, there >are non-scientific materials being written about this but the risks, >benefits, alternatives and overall success rate have not been defined by >RCT (randomized control tests) to a point whereby safety and efficacy >can be assured. > >I'd love more info for the patients and the doctors. And you're right >that doctors should at least be up on the info. The exact treatment has >not been determined, as noted above, yet. > >Varying doses of methyl-testosterone have been used with variable >responses. > >-- >Harvey S. Marchbein, M.D. FACOG >OBGYN.net U.S. Representative, New York >Great Neck, New York >http://www.obgyn.net/states/bios/marchbein.htm >http://www.obgyn.net/women/advisors/harveym.htm > >**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. > >**Private emails cannot be entertained due to time constraints, >consequently no private emails will receive a response. > >**Thank you for your understanding ;-) > Patricia, I have experienced the same problem with lack of testosterone, loss of libido, fantasy, and orgasm. I don't even dream anymore (good or bad) when I can sleep. It has been 1 year last December. I had thought by now my body and the hormones would have straightened out. I have also found the GYN's and even the endocrinologists very lacking in information and understanding of how far reaching surgical menopause is to our bodies. I think that is why they don't tell us prior to surgery. Many of us would not have the surgery if we were told All possible consequences, good,bad, and maybes. I would like to hear from any of the doctors about if they remove ovaries in consequence to hysterectomy? Thank you and Good Luck! Angela
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