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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Weight Gain,depression,anxiety And Paranoia After Hysterectomy?

I had a complete hysterectomy in 1992. (My ovaries were pre-cancerous). I had gone through pain every month, with the exception of about ten years after the birth of my son in 1975. When it returned, it was terrible. I would have back and abdominal pain for four days every month that literally brought me to tears. After trying for several days of trying to find a pain reliever that I could use, I finally went home on extra strength Tylenol. My Dr. felt that my ovaries had worked occasionally, but my body didn t know what to do with HRT. I was so emotional, and couldn t remember things... It was awful, and my Dr. tried for at least a year to get me a set dosage, but nothing worked for me. I finally decided to just not even try to take anything, and it wasn t much different from what I had been going through. It would be nice if that was only struggle. Unfortunately, since that time I have been very emotional and easily upset one way or the other. I ve experienced serious depression, and take anti depressants. I ve had anxiety issues, and paranoia, along with such a low self esteem that I finally gave up trying to get and hold down a good job a couple of years ago. I was able to just quit and stay home (Thanks to a wonderful husband) it has been exactly the refuge I needed. I felt I could not try one more time without losing all control. I still have a scattering of mental issues, but after two years with a psychologist, I just don t know if that could be an answer either. When I mention some of the problems I experience to my family Dr, I think she feels I am looking for attention. I would love to be able to get inspired and begin exersizing and lose weight as she suggests, but many times I just don t have the stamina to stay with it. I know what I need to do to lose weight and exercise, but I find myself just giving up, even though I know how much it would mean to me.
Mon, 26 Mar 2018
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OBGYN, Gynecologic Oncology 's  Response
Hello,

There are reports of weight gain in women after removal of uterus and or ovaries. The exact mechanism is not clear. It is believed to be a result of lifestyle factors rather than a change in hormones.

As in your case, the ovaries were removed as well, the weight gain and depression could have been due to the withdrawal of hormones that ovaries produce. A low estrogen state can change the metabolism, increase fat deposition, resulting in loss of muscles. They also tend to bring variations in emotional experience, mood changes, and depression. All these together could contribute to low energy levels.

Diet and exercise are the mainstays of managing weight. However, I would like to recommend that you get blood tests to check on full blood count and liver function to make sure that it is not a coincidental cause such as anemia or poor liver function that is contributing to decreased energy.

You have mentioned that ovaries were precancerous. With that information, it might be worth considering a follow up with blood tests and imaging to make sure there is no re-appearance of disease in the body. The chances for this are small. And the tests would reassure you that there is no serious undercurrent disease that is affecting your health and well-being.

Once it is out of the way, you can focus on a suitable support to manage your diet and nutrition, to manage weight loss. It by itself will improve energy levels, mood, and self-esteem. You are heading in the right direction. You are aware of your health, the next step is to take focussed action and persevere. That you have a supportive husband is an asset.



Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Sabina Hussain
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What Causes Weight Gain,depression,anxiety And Paranoia After Hysterectomy?

Hello, There are reports of weight gain in women after removal of uterus and or ovaries. The exact mechanism is not clear. It is believed to be a result of lifestyle factors rather than a change in hormones. As in your case, the ovaries were removed as well, the weight gain and depression could have been due to the withdrawal of hormones that ovaries produce. A low estrogen state can change the metabolism, increase fat deposition, resulting in loss of muscles. They also tend to bring variations in emotional experience, mood changes, and depression. All these together could contribute to low energy levels. Diet and exercise are the mainstays of managing weight. However, I would like to recommend that you get blood tests to check on full blood count and liver function to make sure that it is not a coincidental cause such as anemia or poor liver function that is contributing to decreased energy. You have mentioned that ovaries were precancerous. With that information, it might be worth considering a follow up with blood tests and imaging to make sure there is no re-appearance of disease in the body. The chances for this are small. And the tests would reassure you that there is no serious undercurrent disease that is affecting your health and well-being. Once it is out of the way, you can focus on a suitable support to manage your diet and nutrition, to manage weight loss. It by itself will improve energy levels, mood, and self-esteem. You are heading in the right direction. You are aware of your health, the next step is to take focussed action and persevere. That you have a supportive husband is an asset. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sabina Hussain