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Looking for Insight: Emotional Changes After Hysterectomy
I’m about 10 weeks post-hysterectomy (ovaries were kept), and while I’m no longer in pain, I’ve been struggling with intense anxiety, emotional swings, dizziness, headaches, and insomnia. It feels different than my pre-surgery anxiety, more unpredictable and harder to manage.
I’ve dealt with anxiety for years, but it was always fairly well-managed with medication. Since surgery, though, it feels like something has shifted and my usual tools aren’t working the same.
Before surgery, I had a diagnosis of simple endometrial hyperplasia w/o atypical. Post-op pathology showed no hyperplasia, adenomyosis, or endo, just two small fibroids and a retroflexed uterus.
My recent hormone labs:
• Estradiol: 186
• FSH: 7.4
• Progesterone: 0.29
My doctor says I’m not in menopause, but I’m wondering if low progesterone could be behind how I’m feeling. I’m also on meds for ADHD and anxiety (methylphenidate, Wellbutrin, and Buspar) and trying to figure out how to approach this safely.
Has anyone experienced emotional changes like this post-hysterectomy, even with normal estrogen? Did progesterone therapy help?
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Maybe have your thyroid tested, TSH, free t3. Many things cause low progesterone, thyroid imbalance is one that could also cause the mental symptoms you are having
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2 ReactionsI guess I never considered my thyroid. I’ve dealt with anxiety for years but they never mentioned thyroid problems.
Also check your parathyroid. It is small on the back of your thyroid many people don’t know about it.
I forgot to mention free T4. So a complete thyroid blood test is usually a TSH, free T4 and free T3
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1 ReactionI found this online. It supports low progesterone being behind some of your symptoms. Still need to address why the low progesterone.
https://www.google.com/search?q=symptoms+of+low+progesterone&rlz=1C9BKJA_enUS938US939&oq=symptoms&gs_lcrp=EgZjaHJvbWUqDAgAEAAYQxiABBiKBTIMCAAQABhDGIAEGIoFMgYIARBFGDkyEAgCEAAYkQIYsQMYgAQYigUyDQgDEAAYkQIYgAQYigUyEAgEEAAYkQIYsQMYgAQYigUyDQgFEAAYkQIYgAQYigUyDAgGEAAYQxiABBiKBTIMCAcQABhDGIAEGIoFMgwICBAAGEMYgAQYigUyDAgJEAAYQxiABBiKBdIBCDQ1OTVqMGo0qAIBsAIB4gMEGAEgXw&hl=en-US&sourceid=chrome-mobile&ie=UTF-8
Did your doc ever mention polycystic ovaries?
Nope I was told ovaries looked great.
I just figured low progesterone was just a thing by itself never considered it was due to other reasons. I never had problems until recently when they diagnosed my endometrial hyperplasia.
Did you have hormone levels checked before surgery? Might be helpful to know if there has been a change
Unfortunately I didn’t 😞