Doctor insights on:
Insomnia After Hysterectomy
In 2007 I had a full hysterectomy. Since then I have had insomnia. I was prescribed the vivelle dot and ambien. I am using Obamacare for health insurance. The ONLY gynecologist I can go to is PLANNED PARENTHOOD, who can not prescribe either of these medic
Are the side effects for a partial hysterectomy the same as full (still have ovaries) ie;early onset of menopause, anxiety, depression, dizziness fatigue, insomnia, memory problems, mood swings, nervousness and etc. Should I pay for a saliva testing (zrt)
No: Your ovaries are likely still working. Many people seek solutions for mood and stress via ovarian hormones. You could get a serum fsh that can tell if the ovaries are functioning, but serum testing can reveal fluctuations. Do you grind teeth when sleeping? Do you have panic attacks, crying spells, low energy, etc. I'm not saying its all psychiatric just don't use resources seeking perfect horm. ...Read more
Once a month my breast get tender and enlarged, bad insomnia, anxiety and diarrhea for 1 week. Had partial hysterectomy 2007. What could this be?
Severe Constipation: The cause of this patient's constipation is partly due to Shy Dragar Syndrome and partly due to the meds she has been on. She is taking Dilauded and may be some others as well. Lizess is being given and not helping along with laxatives. I will add Movantik to counter the effect of dilauded. Modification of diet.high fiber, stool softners, and plenty of fluids. For Hypotension may need more salt in the food. The abdominal pain may be secondary to severe constipation. Suggest nutritional consult. Also suggest shared informations by all treating specialists. Gi.Rheumatologist and any others have to be in communication about this patient. And at some stage if the Dilauded can be tapered and discontinue, that will definitely help the constipation and the pain as well ...Read more
Not sleeping well at night. Would a natural progesterone help? I am 32 and had hysterectomy in 07.
I was 37 years old when I had a hysterectomy, 5 years ago. Istill have hot flashes, anxiety and insomina. Are hormone patches safer?
Depends: You need to consult with your md. Taking any kind of hormone replacement depends on you general health, other medical conditions and reason for the hysterectomy. It would be very common for a 37 year old to have these symptoms after having her ovaries removed. If you are a good candidate the patch may work well for you. ...Read more
I had a hysterectomy 7 years ago. I am 42 years old. I am having night sweats and trouble sleeping. Do I need hormone replacement? I have one ovary.
Possibly: Go and see an ob/gyn doctor. Without a full history and physical exam and possible some lab tests, trying to make a diagnosis would only be guessing. Please go and get better soon. ...Read more
That depends: It depends on what type of hysterectomy you are having, meaning open, vs laparoscopic, vs robotic, vs vaginal and what the reason for the hysterectomy is. Also whether the ovaries are being removed at the same time. You will have some pain after that will be treated with pain meds. I have my patients chew gum (sugarless) after, as this has been shown to help bowels return to normal faster. ...Read more
Unsure: There is no age that would be too young for a hysterectomy, depending on the indication for the hysterectomy. While 40 is still young, it is not too young for a hysterectomy if you have appropriate indications for surgery - see your doctor or get a second opinion if you already have seen your doctor and that was what you were told. ...Read more
HPV types: You are probably referring to E6/E7 HPV RNA that perhaps was detected on your pap smear. The typical next step is a microscopic exam of the cervix called a Colposcopy. It would not be appropriate to do a hysterectomy just based on this issue alone. Your doctor will have much more information than we do an can help address the overall plan of care. ...Read more
Three choices: There are basically 3 choices. A traditional abdominal hysterectomy. A traditional vaginal hysterectimy and the newer laparoscopic assisted vaginal or laparoscopic total hysterectomy. ...Read more
At age of 37 the: Advantage of keeping an ovary is that you will not go through menopause immediately after your surgery. If the hysterectomy is not for cancer treatment and you are not at high risk for ovarian cancer in the future, it may be better to keep the ovary so you do not experience premature menopause (usually women go through menopause around 52 yo). ...Read more
No: Hysterectomy is the removal of the uterus, and therefore a pregnancy cannot occur once this is done. A rare exception to this would be an ectopic pregnancy in the fallopian tube or abdomen. An ectopic pregnancy occurs when an egg is fertilized outside of the uterus and implants somewhere it isn't supposed to be. This can be serious, and is fortunately extremely rare after a hysterectomy. ...Read more
Need a visit: After a hysterectomy, you may not need a pap smear technically, although some argue that there is a small risk of having cervical type cells that remain after hysterectomy which would benefit from screening. I think you absolutely should maintain a routine of regular check ups because we check other things at those exams-external area, vagina, rectum and ovaries if they remain! ...Read more
After hysterectomy: If you had a supracervical hysterectomy it is not unusual to have mild light periods, depending on how much endometrial tissue is left behind. If your uterus and cervix were both removed, than any bleeding needs to be immediately investigated. Please contact your surgeon's office to set up an appointment. ...Read more
Steady as she goes!: One nice thing about hormonal replacement is that you can get on estrogen (no need for a progestin when you've had a hysterectomy) and basically be in the same hormonal status on a continuous basis without the fluctuations that accompanied ovarian function earlier in life. Talk to your doctor about different preparations and ways of taking estrogen. It's not a balancing act anymore! ...Read more
Terminology: Hysterectomy is removal of the uterus and the cervix generally. On rare occasions an obgyn cannot remove the lowest part of the uterus and performs a supracervical hysterectomy. If the ovaries and tubes are removed abdominally along with the uterus, the procedure is called a tahbso (total abdominal hysterectomy bilateral salpingo-oophorectomy). ...Read more