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Menopause

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Surgical menopause - handhold / advice needed (TW: suicide)

5 replies

HelenMirrensWeightedBlanket · 12/06/2022 18:23

I’m having my womb and ovaries removed on Wednesday and I’m absolutely terrified. Not so much of the operation itself (although I realise it won’t be a picnic) but about going through a surgical menopause overnight.

I have a 35 year history of severe chronic depression - I was suicidal for a decade, and it took me 15 years to find antidepressants that made a difference. I’m so, so frightened of what the menopause is going to do to my mental health (and yes, I do realise that the anxiety about this won’t be helping!)

My surgeon has said she’ll put me on HRT immediately after the op but she and my GP and the GP pharmacist have all said I’m likely to have a “very tough” few weeks while my hormones settle down.

As well as that, I’m expecting to be on morphine in hospital (I’m having full abdominal surgery not laparoscopic, and have endo / fibroids to remove too). I’ve had previous operations with morphine afterwards, and the morphine alone made me suicidal.

I’ve tried to prepare my partner and close friends for how I might be feeling and have told them I’ll need extra support. Ive talked to my GP about my concerns and said I might need to call them for help. I’ve also made an appointment with an HRT specialist for four weeks after the op to talk about how I’m feeling / whether I’m on the right dosage.

What else can I do to prepare for the next few weeks? I’m so scared that I can’t sleep or eat. Please help.

OP posts:
OhYouBadBadKitten · 12/06/2022 19:03

I was terrified that it would be bad. But honestly, I put an oestrogen patch on the day after my total hysterectomy and didn't have a single hot flush, or any other symptoms. I finally felt 'even' not being hostage to up and down levels of hormones. For me, it was brilliant.

HelenMirrensWeightedBlanket · 12/06/2022 20:30

@OhYouBadBadKitten - thank you so so much for your reassuring post.

Can I ask if you had any menopausal symptoms before the op?

I’ve been having night sweats, mood swings and irregular periods anyway, so am hopeful that like you, evening out the hormones once and for all might actually help.

God bless modern medicine!

OP posts:
OhYouBadBadKitten · 12/06/2022 20:43

I didn't have hot flushes, but my periods were totally nuts and I was really struggling with palpitations. They mostly vanished post surgery. Honestly, not being held hostage by my uterus and ovaries was one of the best decisions I've ever made.

Pain wise, I was laparoscopic, so not a direct comparison, but it wasn't as bad as I expected. Talk to the anesthetist about pain control and list your fears honstely. The gas pain was the worst for me, but yours will be a different experience. I did come off cocodamol early as the constipation was horrendous. Don't let that happen to you! Within a few days I was going for gentle walks.

itsgettingweird · 12/06/2022 20:55

I can't comment re mental health but I can handhold through the surgery.

I'm having a laparoscopic uterus removal (keeping ovaries) the following 2 weeks after you.

This thread can hopefully give useful advice and be a handhold.

welshweasel · 12/06/2022 20:59

I had lap hysterectomy for endo and adenomyosis aged 38. I had awful PMDD prior to surgery as well. Having the op was the best decision ever. Recovery was very quick, I went on to a 100mcg oestrogen patch immediately (most women under 40 will need 100) and have never felt so emotionally stable in my life. The post op pain was nothing compared to my usual endo pain and I can honestly say the whole process has been life changing for me. Good luck!

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