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Re: surgical menopause

From: 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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