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Choosing Surgery: Real Life Experience and
Clinical Evidence for the Benefit of
Hysterectomy & Bilateral Salpingo-
Oophore...
Ovulation Cycle
What is Progesterone?
Progesterone, also referred to as P4,
is a steroid hormone that plays a role
in the menstrual cycle,...
Recent studies show that
women with PMDD have
an increased sensitivity
to this particular
hormone and experience
increased...
Allergy vs. Intolerance
body's immune system responds to a
substance and causes adverse health effects
(allergy)
doesn't i...
Progesterone Intolerance
Symptoms
depression
tiredness
loss of libido
irritability
breast discomfort
and more
What may work
oral contraceptives
added progesterone
SSRIs
What may not work
oral contraceptives
added progesterone
SSRIs
what will work
total hysterectomy with
removal of the cervix,
tubes, and ovaries
96% of women
who underwent
a total
abdominal
hysterectomy/
bilateral
salpingo-
oophorectomy
(TAH/BSO) to
treat "severe
PMS...
TAH/BSO
both ovaries
both tubes
cervix
womb
Preparing for Surgery
Research
Peer Support
Therapy
Gynecological Surgeon
Insurance
Recovery Plan
Types of Surgery
What to Expect
Lots of opinions
Fear
Uncertainty
Skepticism
Self-doubt
Excitement
Hope
Recovery
Nothing over 10 lbs (gallon of milk)
Laparoscopic 4-6 weeks
Abdominal 6-8 weeks
Crushing Fatigue
Adhesions
Have P...
Be Prepared
Plan for and ask for help
“Bumps” - PMDD like symptoms
Phantom Cycles
Mixed Emotions
Emotional Recovery
Layers of
Healing
physical
emotional
treating
underlying
conditions
Now What?
HRT
Surgical Menopause
Self Discovery
Relearning Habits
Coping Skills
Advocacy
“My brain and my ovaries are at war. We can’t
remove my brain”
– PMDD Survivor
Become a memberatnapmdd.org to
viewthe accompanyingvideo forthis
presentation.
Choosing Surgery: Real Life Experience and Clinical Evidence for the Benefit of Hysterectomy & Bilateral Salpingo-Oophorec...
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Choosing Surgery: Real Life Experience and Clinical Evidence for the Benefit of Hysterectomy & Bilateral Salpingo-Oophorectomy (BSO)

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Presented at the 2015 National Association for Premenstrual Dysphoric Disorder (NAPMDD) on Sunday, August 9th, 2015 by Amanda LaFleur and Melanie Cargilo.

Published in: Health & Medicine
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Choosing Surgery: Real Life Experience and Clinical Evidence for the Benefit of Hysterectomy & Bilateral Salpingo-Oophorectomy (BSO)

  1. 1. Choosing Surgery: Real Life Experience and Clinical Evidence for the Benefit of Hysterectomy & Bilateral Salpingo- Oophorectomy (BSO)
  2. 2. Ovulation Cycle
  3. 3. What is Progesterone? Progesterone, also referred to as P4, is a steroid hormone that plays a role in the menstrual cycle, pregnancy and the formation of embryos.
  4. 4. Recent studies show that women with PMDD have an increased sensitivity to this particular hormone and experience increased activity in the emotional center of the brain. Much like some people drink alcohol and become happy while others become angry and violent.
  5. 5. Allergy vs. Intolerance body's immune system responds to a substance and causes adverse health effects (allergy) doesn't involve an immune reaction - an adverse effect (intolerance)
  6. 6. Progesterone Intolerance Symptoms depression tiredness loss of libido irritability breast discomfort and more
  7. 7. What may work oral contraceptives added progesterone SSRIs
  8. 8. What may not work oral contraceptives added progesterone SSRIs
  9. 9. what will work total hysterectomy with removal of the cervix, tubes, and ovaries
  10. 10. 96% of women who underwent a total abdominal hysterectomy/ bilateral salpingo- oophorectomy (TAH/BSO) to treat "severe PMS" were extremely satisfied with the results.
  11. 11. TAH/BSO both ovaries both tubes cervix womb
  12. 12. Preparing for Surgery Research Peer Support Therapy Gynecological Surgeon Insurance Recovery Plan
  13. 13. Types of Surgery
  14. 14. What to Expect Lots of opinions Fear Uncertainty Skepticism Self-doubt Excitement Hope
  15. 15. Recovery Nothing over 10 lbs (gallon of milk) Laparoscopic 4-6 weeks Abdominal 6-8 weeks Crushing Fatigue Adhesions Have Patience! You only get one chance to heal.
  16. 16. Be Prepared Plan for and ask for help “Bumps” - PMDD like symptoms Phantom Cycles Mixed Emotions Emotional Recovery
  17. 17. Layers of Healing physical emotional treating underlying conditions
  18. 18. Now What? HRT Surgical Menopause Self Discovery Relearning Habits Coping Skills Advocacy
  19. 19. “My brain and my ovaries are at war. We can’t remove my brain” – PMDD Survivor
  20. 20. Become a memberatnapmdd.org to viewthe accompanyingvideo forthis presentation.

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