WOMENS-HEALTH Messages for March, 1999: Re: 33 and on HRT

Re: 33 and on HRT

From: D.N. (anonymous@obgyn.net)
Tue, 9 Mar 1999 10:23:43 -0600 (CST)

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At Mon, 8 Mar 1999, Leah wrote: >
>My name is Leah Baker and I am searching for people like me. I am 33
>years old and at the age of 29 I went into the emergency room with a
>ruptured ovary due to a cyst. I have had both ovaries removed and have
>since tried many different therapies. There must be a balanced therapy
>or a study or something. Please help me. I am taking ovcon 35 and it
>seems to help the best but I am also having to take Wellburterin for
>depression and forget about any interest in sex. I am very fortunate to
>have an understanding husband, but I should not be at a sexual stand
>still at this young age. Please refer me to someone that can suggest
>who I should see.

Hi Leah,

I read your post and although my situation is somewhat different than yours, I thought I might have an idea that might help.

First, I am not a doctor and this is just my opinion.

I was curious, you say that you had both ovaries removed, but you are on Ovcon 35 which is a birth control pill. I too have had both my ovaries removed as well as having a hysterectomy because of fibroids and endo. I ended up with ovarian remnant syndrome and I take (at this time) Ortho-novum 1/50. ( I have been on Ovcon 35) I take the pill on a continuous basis, I do not take the inert pills.

I take these to prevent ovulation and to avoid cyclical pain I was having related to the endo.

Do you take the Ovcon on a continuous basis? Why did your doctor put you on this vs. Premarin or Estrace and a progesterone? The birth control pills have a much higher dose of estrogen than in just estrogen replacement therapy. As for libido, Estratest might be helpful for you. It is a combination of estrogen and testosterone. Testosterone should help elevate libido. Or maybe just a small amount of testosterone on top of the pill you are taking, if that is the only pill that works for you. Check with you doctor.

I take paxil for depression. Mine is related to the traumatic experiences I have had with my surgeries and hormonal ups and downs. My estrogen level still is messed up. When I am on these high estrogen birth control pills my estrogen level goes down to post-menopausal levels. So right now my choice is low estrogen levels or endo. I don't understand why these high estrogen birth control pills cause suppression of my own estrogen to post-menopausal levels. Is it possible your depression is related to the birth control pill? I am wondering if you are getting too much estrogen.

Anyway that is my two cents worth. Maybe these are things you have already tried, but I thought I might be helpful. I hope that you can find the answer to your questions.

Good Luck!

--
D.N.

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