Can Uterine Fibroids Cause Hot Flashes

Frequently Asked Questions

  1. QUESTION:
    What are your experiences with depot lupron?
    I have had horrible side effects from the Depot Lupron shot (3-months doasage), now I am not talking about depot provera, this is a stronger shot to treat endometriosis. It has helped with the pain and lessened the growths, but I have bad hot flashes, weight gain, dryness, the list goes on. Anyone have better experience with it? Can anyone suggest an alternative treatment?? BCPs don't work, i tried them already.

    • ANSWER:
      Stay FAR away from Lupron!!!!!

      Endo is an estrogen dominance disease. You need to replace the progesterone that your body is missing with a NATURAL PROGESTERONE CREAM! Email me and I can tell you more.

      This is some very nasty stuff. :(
      Here is an article I found....

      Be Careful of Lupron for Endometriosis, It Could Be the Kiss of Death
      By Nicholas Regush

      This particular saga began a decade ago with an injection of a powerful prescription drug called Lupron. Lynne Millican took the shot for endometriosis, a condition in which pieces of the lining of the uterus are found in other parts of the body, especially in the pelvic cavity.

      Ten years later, Millican believes she is still suffering from the effects of that injection. Her many symptoms have included the development of a noncancerous tumor, breast cysts, cardiac arrythmias, dizziness, swelling and fatigue.

      Millican is a registered nurse (and paralegal) living in the Boston area who has become deeply involved in a grass-roots movement to force the U.S. Food and Drug Administration (FDA), and Members of Congress to take a close look at Lupron.

      The FDA first approved Lupron in 1985 for treatment of men with advanced prostate cancer, and then approved it for treatment of endometriosis in 1990 and uterine fibroids in 1995.

      "There are thousands in the United States who say they have been victimized by this drug," Millican said, emphasizing that symptoms can be severe, such as tremors, seizures and memory loss.

      "Many women I know say their symptoms didn't stop when they stopped taking the drug."

      The FDA has received a wide range of reports of serious side-effects, including death, suspected to be associated with the use of Lupron, but the agency, which holds that the drug's benefits outweigh the risks, does not believe there is sufficient proof to blame Lupron.

      TAP Pharmaceuticals Inc., jointly owned by Abbott Laboratories and Takeda Chemical Industries of Japan, has steadfastly maintained that Lupron is safe.

      Millican, who feels that the FDA has been very slow on the draw with Lupron, is also frustrated by the lack of response from almost all of the many senators and representatives in Congress to whom she has written. She has even submitted written testimony to various committee hearings - but to no avail.

      "It seems that no one but the people who suffer from Lupron are interested in looking into this drug," she said.

      Millican cannot even recall anyone with an MD degree who has voiced strong concern about Lupron.

      At the very least, she feels Lupron's safety should be an issue because doctors use it for purposes that were never approved by the FDA. While legal under federal law - once approved for an indication, a drug can be used for other purposes - unapproved use often occurs without the benefit of appropriate safety and efficacy studies.

      One of Millican's main concerns is Lupron's unapproved use in fertility clinics. The drug is essentially used to suppress female hormones which produce a mature egg. This allows fertility doctors to then induce "controlled" stimulation of multiple eggs.

      "I am concerned that women who undergo these procedures are not being sufficiently informed about Lupron's side-effects," Millican said.

      There is even much more at stake, according to Millican. On September 5, she provided testimony to congressional committee hearings on stem cell research, pointing out that the use of Lupron in the process of creating embryos may cause "the very diseases that are being claimed as those
      diseases necessitating embryonic stem cell research for a cure."

      Millican finds it hard to swallow that the debate over stem cell research has totally ignored Lupron.

      Redflagsweekly January 25, 2002

      Dr. Mercola's Comment:

      Folks, Lupron is a disaster drug that in no way shape or form treats the cause of the problem.

      I have seen it absolutely devastate many women's lives. It is one of the few drugs that I actually cringe when patients tell me that they have taken it.

      It is my experience and belief that this drug causes permanent neurological damage.

      This drug needs to be avoided at all costs.

      It is usually used for endometriosis, which is an estrogen dominance problem and is typically treated quite nicely with natural progesterone, a dietary program, and addressing the emotional stresses which cause the adrenal glands to become impaired

      Since the adrenals is the main biological of estrogen and progesterone, it is important to restore the proper functioning of this gland.

      One could take adrenal glandulars, or DHEA and pregnenolone, but those tend to be natural band-aids that don't address the reasons the adrenal became impaired.

  2. QUESTION:
    I've been getting pain on the right side of my head lately, any ideas?
    I've never had migraines before, but from what people have told me, this doesn't seem similar. This pain comes from the back of my head, goes right up and over towards my right eye. It wakes me at night or I can't sleep from it. I've been taking Advil Liqui-Gels and they help, but I can tell when the medicine is gone because the pain comes right back. This has been going on for about 5 days.

    • ANSWER:
      Homeopathic Treatment :-
      Please read the following carefully and let me know if you have symptoms similar to these, if you find it similar to your own conditions especially the Head symptoms, please take this remedy in 30 potency thrice a day for complete cure of your Headache(Migraine) :-

      SANGUINARIA CANADENSIS
      Blood Root
      (SANGUINARIA)

      Is a right-sided remedy pre-eminently, and affects chiefly the mucous membranes, especially of the respiratory tract. It has marked vaso-motor disturbances, as seen in the circumscribed redness of the cheeks, flashes of heat, determination of blood to head and chest, distention of temporal veins, burning in palms and soles, and has been found very applicable to climacteric disorders. Burning sensations, like from hot water. Influenzal coughs. Phthisis. Sudden stopping of catarrh of respiratory tract followed by diarrhœa. Burning in various parts is characteristic.

      Head.--Worse right side, sun headache. Periodical sick headache; pain begins in occiput, spreads upwards, and settles over eyes, especially right. Veins and temples are distended. Pain better lying down and sleep. Headaches return at climacteric; every seventh day (Sulph; Sabad). Pain in small spot over upper left parietal bone. Burning in eyes. Pain in the back of head "like a flash of lightning".

      Face.--Flushed. Neuralgia; pain extends in all directions from upper jaw. Redness and burning of cheeks. Hectic flush. Fullness and tenderness behind angle of jaws.

      Nose.--Hay-fever. Ozæna, with profuse, offensive yellowish discharges. Nasal polypi. Coryza, followed by diarrhœa. Chronic rhinitis; membrane dry and congested.

      Ears.--Burning in ears. Earache with headache. Humming and roaring. Aural polypus.

      Throat.--Swollen; worse, right side. Dry and constricted. Ulceration of mouth and fauces, with dry, burning sensation Tongue white; feels scalded. Tonsillitis.

      Stomach.--Aversion to butter. Craving for piquant things. Unquenchable thirst. Burning, vomiting. Nausea, with salivation. Sinking, faint all-gone feeling (Phos; Sep). Spitting up of bile; gastro-duodenal catarrh.

      Abdomen.--Diarrhœa as coryza improves. Pain over region of liver. Diarrhœa; bilious, liquid, gushing stool (Nat sulph; Lycop). Cancer of rectum.

      Female.--Leucorrhœa fetid, corrosive. Menses offensive, profuse. Soreness of breasts. Uterine polypi. Before, menses, itching of axillæ. Climacteric disorders.

      Respiratory.--Œdema of larynx. Trachea sore. Heat and tension behind the sternum. Aphonia. Cough of gastric origin; relieved by eructation. Cough, with burning pain in chest; worse, right side. Sputum tough, rust-colored, offensive, almost impossible to raise. Spasmodic cough after influenza and after whooping-cough. Cough returns with every fresh cold. Tickling behind sternum, causes a constant hacking cough; worse at night on lying down. Must sit up in bed. Burning soreness in right chest, through to right shoulder. Severe soreness under right nipple. Hæmoptysis from suppressed menses. Severe dyspnœa and constriction of chest. Offensive breath and purulent expectoration. Burning in chest as of hot steam from chest to abdomen. Fibroid phthisis. Pneumonia; better, lying on back. Asthma with stomach disorders (Nux). Valvular disease with lung development, phosphates in urine and loss of flesh. Sudden stoppage of catarrh of air passages brings on diarrhœa.

      Extremities.--Rheumatism of right shoulder, left hip-joint and nape of neck. Burning in soles and palms. Rheumatic pains in places least covered by flesh; not in joints soles of feet burn. Right-side neuritis; better touching the part.

      Skin.--Antidotes: Rhus poisoning. Red, blotchy eruptions; worse in spring. Burning and itching; worse by heat. Acne, with scanty menses. Circumscribed red spots over malar bones.

      Modalities.--Worse, sweets, right side, motion, touch. Better, acids, sleep, darkness.

      *********************************************************
      The symptoms given above are taken from the Materia Medica of Homeopathic Medicine By Dr William Boericke MD.

      Take Care and God Bless you !

  3. QUESTION:
    the after effects of lupride injection?
    i'm 47,sept 06 i had laproscopy done for uterine fibroids after which i was given lupride injection.the uterus was surtured,since i did not want toget rid of my uterus.iplan to conceive in the near future but i'm worried since i hv'nt got my period as yet.pl advise as to when i'll get my periods or hv i started menopausing?cld it be coz of the lupride injection?

    • ANSWER:
      Lupride (a.k.a. Leuprolide or Lupron) is used to treat prostate cancer in men, endometriosis and uterine fibroids in women, and early puberty in children. It is also used to regulate the menstrual cycle in women undergoing fertility therapy. Leuprolide injections have always cause tenderness/pain at the injection site for me which always lasts for several days. The injection can also cause redness, itching, burning, swelling - typical of many injections. Side effects of the medication itself are similar to menopausal symptoms in women - hot flashes, night sweats, and vaginal dryness. It can also cause headaches, weakness, increased urination, breast tenderness (or growth of breasts in men), nausea/vomiting, changes in weight, hair loss, acne, and so on. Extended use of the drug (more than 6 months at a time) is not recommended due to the risk of bone density loss/osteoporosis.
      http://www.byedr.com/medicine/370-medicine-4.html

  4. QUESTION:
    5 years of menopause and period comes back?
    My mom's period stopped when she was 45 and she's had hot flashes and all that jazz every since because of menopause. Today her period came and she's hurting. She doesn't even wanna walk just lay down all day. A couple of days ago she has weird rashes/bruise looking things in her chest and her nipples hurt. What's going on? is this normal?!?!?!
    she just told me this happened two year ago. and since it came her boobs and nipples don't hurt

    • ANSWER:
      What Causes Postmenopausal Bleeding?

      Most women become menopausal between the age of 45 to 55 years, however, for some women, the onset of menopause may take place at an earlier age due to lifestyle-related issues. Since menopause refers to the cessation of menstruation, women often get alarmed if they experience bleeding after menopause. Given below are some of the factors that may be responsible for causing menstrual bleeding after menopause.

      Hormone Replacement Therapy: During the transitional period that precedes menopause and postmenopause, hormonal changes bring about a lot of distressing symptoms such as vaginal dryness, hot flashes, headaches, irregular heartbeat, excessive sweating, weight gain, reduced sex drive, fatigue and sleep disturbances. If the symptoms are unmanageable, hormone replacement therapy is recommended. Women opting for this treatment usually take synthetic hormones orally or transdermally. Hormone replacement therapy may alleviate some of the symptoms to some extent, but it may cause certain side effects, one of them being postmenopausal bleeding.

      Uterine Growth: Development of a benign growth in the uterus could also be responsible for causing postmenopausal bleeding. Development of fibroids or polyps on the walls of the uterus could be the reason why a woman may have a menstrual period even after approaching menopause. Polyps or the benign tumor-like growths that appear in the cervix or on the uterine walls may lend a distorted appearance to the uterus and cause bleeding. Fibroids, which are benign tumors filled with fibrous tissues, can also cause heavy bleeding. These growths must be removed as soon as possible.

      Cancerous Uterine Growth: Since menopausal bleeding could also be associated with malignant growth in the uterus or ovaries, gynecologists often conduct a pelvic examination and examine the cervix and the vagina. Pap smear, ultrasound and endometrial biopsy may also be conducted to examine the reproductive organs and ascertain the presence of a cancerous growth. These tests can help the doctors measure the thickness of uterine lining, which in turn, may help in the diagnosis of the initial stage of uterine cancer or endometrial hyperplasia. If left untreated, hyperplasia may progress into uterine cancer. Due to the serious nature of the disease, timely diagnosis and treatment is extremely essential for averting serious complications.

      Vaginal Atrophy: Vaginal atrophy is a condition that is associated with the thinning of vagina. This is caused due to the decrease in the production of estrogen by the ovaries. Due to the drying and thinning of the vaginal lining, the vagina becomes fragile and quite prone to injuries, which is why, postmenopausal women may experience spotting or bleeding after intercourse. This condition also makes women prone to vaginal infections. Use of vaginal creams, vaginal estrogen ring or tablets can help in treating this condition.

      Besides the following conditions, nutritional deficiencies may also bring about a hormonal imbalance and cause menstrual bleeding after menopause. Women who suffer drastic weight loss at this time, are also prone to experiencing vaginal bleeding after menopause. Symptoms that are experienced during this time usually stress women out, so, they need to stay relaxed and calm their frayed nerves. Since bleeding after menopause may be indicative of a serious disease, a proper medical checkup becomes extremely essential. Drug therapy, natural remedies and lifestyle-related changes may help in managing the symptoms. Growths within the uterus or the reproductive organs may need to be removed through surgery.

  5. QUESTION:
    Anyone taking Lupron medication?
    On Lupron injections to help shrink fibroids & control bleeding during future myomectomy to remove them - how soon after the last shot did your menstruation return? What was your first post-surgery menstruation like?

    • ANSWER:
      Leuprolide (generic name) Lupron (brand name) is used to treat:
      * symptoms of advanced prostate cancer in men
      * endometriosis (condition in which cells normally found in the uterus become implanted in other areas of the body) in women
      * uterine fibroids (noncancerous growths in the uterus) in women
      * central precocious puberty (a condition causing children to enter puberty too soon, resulting in accelerated bone growth and the development of sexual characteristics) in girls usually younger than 8 years of age and in boys usually younger than 9 years of age
      Leuprolide may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:
      * weakness
      * headache
      * dizziness
      * hot flashes (a sudden wave of mild or intense body heat)
      * sweating or night sweats
      * tiredness
      * nausea
      * vomiting
      * diarrhea
      * constipation
      * loss of appetite
      * change in weight
      * increased need to urinate, especially at night
      * breast tenderness or change in breast size in both men and women
      * decrease in sexual desire in men and women or ability to perform in men
      * decrease in size of testicles
      * vaginal discharge, dryness, or itching in women
      * absence of menstrual periods in women
      * spotting (light vaginal bleeding)
      * swelling of the hands, feet, ankles, or lower legs
      * depression
      * difficulty concentrating
      * anxiety or nervousness
      * difficulty with memory
      * difficulty falling asleep or staying asleep
      * flu-like symptoms
      * muscle aches
      * itching, swelling, burning, stinging, pain, bruising, redness, or development of a sore at injection spot
      * firmness or hardness at subcutaneous injection spot
      * bleeding, bruising, burning, pain, pressure, itching, swelling, or redness at the place where the implant was inserted
      * hair loss
      * acne
      Some side effects can be serious. If you experience any of the following symptoms, call your doctor immediately:
      * hives
      * rash
      * itching
      * difficulty breathing or swallowing
      * numbness, tingling, weakness, or pain in the feet or lower legs
      * painful or difficult urination
      * blood in urine
      * bone pain
      * testicular or prostate pain
      * inability to move arms or legs
      There is an increased risk of osteoporosis (condition in which the bones become weak and fragile and can break easily) while using leuprolide. Talk with your doctor about the risks of using leuprolide.
      In children receiving leuprolide for early puberty, signs of sexual development may not decrease or may increase during the first few weeks of treatment. In girls receiving leuprolide for early puberty, the onset of menstruation or spotting (light vaginal bleeding) may occur during the first two months of treatment. If bleeding continues beyond the second month, call your doctor.
      Myomectomy: This surgery removes the fibroids. It is frequently the chosen treatment for women who want to have children, because it usually can preserve fertility. Another advantage of a myomectomy is that it controls pain or excessive bleeding that some women with uterine fibroids have. More fibroids can develop after myomectomy.

  6. QUESTION:
    menopause help please?
    I have been going through menopause for the past 5 years,i am now 49 and am fed up and opted for a hysterectomy to stop the out of control bleeding,but have read some horror stories about loss of sex drive and do not want that either as it is the only part of my life that has remained the same,in fact it actually improved.My family doc ordered an ultrasound before booking me in with a obgyn and they found a uterine fibroid growth and a cyst,are the one and the same? I know the hysterectomy will not stop the hot flashes or mood swings unless i opted for removal of the ovaries also,i am to have another ultrasound in 2 weeks to check the growth rate of the fibroid im assuming,anyways m family doc has been no help at all during any of this and i would like advice from other women going through this, the menopause and or hysterectomy's.I do have a very active family history of cancer with my whole family,including myself,so now i am thinking a full or partial hysterectomy is not what i want,unless as a last resort depending on all the test results.Are there other options available that someone has experienced in dealing with any or all of this? I am feeling like i have lost total control of my mind and my body,i have managed to alienate every and anyone around me,family,friends,strangers,its is terrible,i am scared i may actually physically hurt someone at this point due to the rages i can work myself into over little things.I seem to be okay with any kids and my pets but that is it and i can only manage to avoid people for so long,wow. I can not sleep without having horrid nightmares,the need to get up 5 times a night to urinate,the sweating, i am physically and mentally exhausted along with my husband,who is bearing the worst of my behaviour.My mother lives with me also which is not good for my stress level and we have had other stress factors,daughter going through a divorce,pending legal matters,nothing criminal though...lol...and to top things off my husband works out of town and is only home at part time which leaves me to deal with may things alone...i feel like im at the point of snapping and am so exhausted i can barely shower some days which is not me at all.Sorry for too much info but i really need some info,advice,experience etc,at least to make me feel a little more armed with info for my appt in the next few months and helping me feel not so insane...anything would be helpful at this point.thanks in advance.and if any men are living like this at the moment i would not mind hearing from them either,im sure my hubby would appreciate some help also...lol...thanks in advance.
    lol..i really have considered that option...

    • ANSWER:
      Hi. Hmmm. You sound like you're going through a lot of stress, and it's leading you to fixate on this one thing as the answer, or at least as something that will greatly improve things. I would have to disagree with you there. Hysterectomy is the nuclear option, not the go-to option. See, the thing that is likely causing all of this bleeding is the fibroid. that's notoriously what they do. The easiest thing for the doc to do in such a case is hysterectomy. A quick procedure they've done numerous times and that will solve the problem. Unfortunately, since removing a major body part--one that helps situate and secure all of your abdominal muscles--can often have other effects that are new problems. So you might be trading in one problem for another. Which would be a shame, since you DO have other options, here. The main option is to remove the fibroid, not the entire uterus. This can be done with the minimally invasive, increasingly common and usually effective procedure known as Uterine Artery Embolization (UAE). They block the artery leading to the fibroid so the fibroid shrinks away. Then, once you are fully through menopause, risk of it coming back is tiny, since it is fed by ovarian hormones. The cyst they've mentioned is likely an ovarian cyst. Cysts are fluid-filled balloons, basically. A problem regarding hysterectomy and sex is that the uterus plays a role in orgasm, so orgasms are often less intense or hard to come by after a hysterectomy. If you get your ovaries removed too, then that's basically castration, and orgasms will cease or be almost non-existent and quite weak, most likely. Your sex drive will likely go away entirely so you won't ever want sex, anyway. You will also get vaginal atrophy and be very dry. This happens to pretty much everybody but because of taboos about women talking about sex, many do not complain and instead you only hear the complaints from the men. Also, if you have your ovaries removed, that does not mean your hot flashes and mood swings will stop. It means your mood swings and hot flashes will get WORSE, since they're caused by low hormones, and the hormones of someone in surgical menopause are much lower than those of someone with still working yet perimenopausal hormones. Hysterectomy without ovary removal could also cause your ovaries to stop working anyway, so you'll have all those problems I've listed above, anyway. Oh, and while mood swings in perimenopause are a b!tch, you might be able to alleviate them by going on the birth control pill. The pill keeps the hormones from fluctuating, easing or eliminating swings.

      You have not mentioned what type of cancer is in your family. It makes an enormous difference what type of cancer there is in order to make any kind of risk assessment or recommendation, so I can't comment.

      The sweating and urinating at night and exhaustion are due to inadequate hormones, which would just get worse with hysterectomy. These things, too, can likely be eased or eliminated via birth control pills.

      In sum: try the UAE option! You can always have the hyst later! Another option is uterine ablation (Novasure). Then, for now, while considering options, go on the birth control pill so you can get on an even keel and get some sleep and relief! It will only be for a few months. The pill will also shrink your cyst, most likely.

  7. QUESTION:
    Is sex as good after a hysterectomy? My wife has no desire at all now. she says there is no feeling .?
    my wife has no feeling at all when we have foreplay or any kind of sex. she cries and said that the feelings she used to have are all gone. Is this normal or should she see a doctor about it? We had a very good sex life before the operation but it is now a chore for her to do anything sexually. please help thank you.

    • ANSWER:
      http://www.4woman.gov/faq/hysterectomy.htm

      Hysterectomy
      [Printer-friendly version -- PDF file, 175 Kb]
      ·What is a hysterectomy?
      ·How common are hysterectomies?
      ·How is a hysterectomy performed?
      ·How long does it take to recover from a hysterectomy?
      ·Why do women have hysterectomies?
      ·Are there any risks?
      ·Can a hysterectomy lower my sexual desire?
      ·Do options other than a hysterectomy exist?
      ·What should I do if I am told that I need a hysterectomy?
      ·If my cervix was removed in my hysterectomy, do I still need to have Pap tests?
      See also...
      ·Endometriosis
      ·Uterine Fibroids
      What is a hysterectomy?
      A hysterectomy is an operation to remove a woman's uterus (womb). The uterus is where a baby grows when a woman is pregnant. In some cases, the ovaries and fallopian tubes also are removed. These organs are located in a woman’s lower abdomen (see image below). The cervix is the lower end of the uterus. The ovaries are organs that produce eggs and hormones. The fallopian tubes carry eggs from the ovaries to the uterus.

      Image Source: National Cancer Institute
      There are several types of hysterectomies:
      ·Complete or total. Removes the cervix as well as the uterus. (This is the most common type of hysterectomy.)
      ·Partial or subtotal. Removes the upper part of the uterus and leaves the cervix in place.
      ·Radical. Removes the uterus, the cervix, the upper part of the vagina, and supporting tissues. (This is done in some cases of cancer.)
      Often one or both ovaries and fallopian tubes are removed at the same time a hysterectomy is done.
      If you haven't reached menopause (when you haven't had a period for 12 months in a row), a hysterectomy will stop your monthly bleeding (periods). You also won't be able to get pregnant. And you may have menopausal symptoms, such as hot flashes and vaginal dryness. If both ovaries are removed as well, you will suddenly enter menopause.
      How common are hysterectomies?
      A hysterectomy is the second most common surgery among women in the United States. (The most common is cesarean section delivery.) Each year, more than 600,000 are done. One in three women in the United States has had a hysterectomy by age 60.
      How is a hysterectomy performed?
      Hysterectomies are done through a cut in the abdomen (abdominal hysterectomy) or the vagina (vaginal hysterectomy). Sometimes an instrument called a laparoscope is used to help see inside the abdomen during vaginal hysterectomy. The type of surgery that is done depends on the reason for the surgery. Abdominal hysterectomies are more common and usually require a longer recovery time.
      How long does it take to recover from a hysterectomy?
      Recovering from a hysterectomy takes time. You will stay in the hospital from one to two days for postsurgery care. Some women may stay in the hospital up to four days.
      ·Abdominal. Complete recovery usually takes four to eight weeks. You will gradually be able to increase your activities.
      ·Vaginal or laparoscopic. Most women are able to return to normal activity in one to two weeks.
      For both, by the sixth week, you should be able to take tub baths and resume sexual activities.
      Why do women have hysterectomies?
      Hysterectomy is used to treat:
      ·Fibroids. More hysterectomies are done because of fibroids than any other problem of the uterus. For many women with fibroids, symptoms are minimal and require no treatment. Also, the fibroids often shrink after menopause. But fibroids can cause heavy bleeding or pain in some women.
      ·Endometriosis. This happens when the tissue lining the inside of your uterus grows outside the uterus on your ovaries, fallopian tubes, or other pelvic or abdominal organs. When medication and surgery do not cure endometriosis, a hysterectomy often is performed.
      ·Uterine prolapse. This is when the uterus moves from its usual place down into the vagina. This can lead to urinary problems, pelvic pressure, or difficulty with bowel movements.
      ·Cancer. If you have cancer of the uterus, cervix, or ovary a hysterectomy may be part of the treatment your doctor recommends.
      ·Persistent vaginal bleeding. If your periods are heavy, not regular, or last for many days each cycle and nonsurgical methods have not helped to control bleeding, a hysterectomy may bring relief.
      ·Chronic pelvic pain. Surgery is a last resort for women who have chronic pelvic pain that clearly comes from the uterus. However, many forms of pelvic pain aren't cured by a hysterectomy, and so this approach can be a permanent mistake.
      Are there any risks?
      A hysterectomy involves some major and minor risks. Most women do not have problems during or after the operation. Some risks include:
      ·Heavy blood loss, that requires blood transfusion
      ·Bowel injury
      ·Bladder injury
      ·Anesthesia problems (such as breathing or heart problems)
      ·Need to change to abdominal incision during surgery
      ·Wound pulling open
      Can a hysterectomy lower my sexual desire?
      Women who have had a hysterectomy, in which one or both ovaries are removed, can have lowered sexual desire and decreased pleasure and orgasm. If you have problems with sexual desire or functioning, talk to your doctor.
      Do options other than a hysterectomy exist?
      If you have cancer, a hysterectomy might be the only option. But if you have uterine fibroids, endometriosis or uterine prolapse, there are other treatments you can try first.
      ·Drug therapy. Certain medications may lighten heavy uterine bleeding or correct uterine bleeding that is not regular. Certain medications can help with endometriosis.
      ·Endometrial ablation. If you have heavy or irregular uterine bleeding, this procedure might ease your symptoms. With a special device, a doctor uses electricity, heat, or cold to destroy the lining of your uterus and stop uterine bleeding.
      ·Uterine artery embolization. For treating fibroid, this procedure involves blocking the blood supply to the tumors. Without blood, the fibroids shrink over time, which can reduce pain and heavy bleeding.
      ·Myomectomy. If you have fibroid tumors, this surgical procedure removes the tumors while leaving your uterus intact. There's a risk that the tumors could come back.
      ·Vaginal pessary. This is an object inserted into the vagina to hold the womb in place. It may be used as a temporary or permanent form of treatment. Vaginal pessaries come in many shapes and sizes, and they must be fitted for each woman individually.
      Talk to your doctor about nonsurgical treatments to try first. Doing so is really important if the recommendation for a hysterectomy is for a reason other than cancer.
      What should I do if I am told that I need a hysterectomy?
      ·Talk to your doctor about your options. Ask about other treatments for your condition.
      ·Consider getting a second opinion from another doctor.
      ·Ask about possible complications of surgery.
      ·Keep in mind that every woman is different and every situation is different. A good treatment choice for one woman may not be good for another.
      If my cervix was removed in my hysterectomy, do I still need to have Pap tests?
      Ask your doctor if you need to have periodic Pap tests. Regardless of whether you need a Pap test or not, all women who have had a hysterectomy must continue to have regular gynecologic exams.
      For more information...
      To learn more about hysterectomy, contact the National Women's Health Information Center (NWHIC) at 1-800-994-9662 or the following organizations:
      Agency for Healthcare Research and Quality
      Phone Number(s): (800) 358-9295 for requesting publications
      Internet Address: http://www.ahrq.gov/consumer/
      American College of Obstetricians and Gynecologists (ACOG) Resource Center
      Phone Number(s): (800) 762-2264 x 192 (for publications requests only)
      Internet Address: www.acog.org
      American College of Surgeons
      Phone Number(s): (312) 202-5000
      Internet Address: http://www.facs.org

  8. QUESTION:
    My doctor seems to believe I have fibroied tumors? Do anyone know the symptoms for this and treatment?

    • ANSWER:
      Uterine fibroids are benign tumors of muscle and connective tissue that develop within, or are attached to, the uterine wall.

      Symptoms:
      Sensation of fullness or pressure in lower abdomen
      Pelvic cramping or pain with periods
      Abdominal fullness, gas
      Increase in urinary frequency
      Heavy menstrual bleeding (menorrhagia), sometimes with the passage of blood clots
      Sudden, severe pain due to a pedunculated fibroid

      Note: There are often no symptoms.

      Methods of treatment depend on the severity of symptoms, the patient's age, her pregnancy status, her possible desire for future pregnancies, her general health, and characteristics of the fibroids. Treatment may consist of simply monitoring the rate of growth of the fibroids with periodic pelvic exams or ultrasound.

      Nonsteroidal anti-inflammatory medications like ibuprofen or naprosyn may be recommended for lower abdominal cramping or pain with menses. Iron supplementation will help to prevent anemia in women with heavy periods. These methods are usually sufficient in premenopausal women.

      Hormonal treatment, involving drugs such as injectable Depo Leuprolide, causes fibroids to shrink, but can also cause significant side effects. This method is sometimes used for short treatment periods before surgical procedures or when menopause is imminent.

      The hormones produce an environment in the body that is very similar to that of menopause, with associated side effects like hot flashes, vaginal dryness, and loss of bone density.

      The treatment lasts several months and during this time the reduction in estrogen concentration allows the fibroids to shrink. Fibroids will begin to enlarge as soon as treatment stops.

      Hysteroscopic resection of fibroids (an outpatient surgical procedure) may be appropriate for women with fibroids growing within the uterine cavity. In this procedure, a small camera and instruments are inserted through the cervix into the uterus to remove the fibroid tumors.

      Uterine artery embolization is a new procedure aimed at preventing the need for major surgery. Small catheters are placed through veins in the pelvis and advanced to the arteries that supply the uterus with blood.

      Materials are then injected to block these arteries permanently. The decreased blood supply to the uterus may prevent further growth of the fibroids and may cause them to shrink. The long-term effects of this procedure are still unknown, and the safety of pregnancy after this procedure is questionable.

      A myomectomy, which is a surgical procedure to remove just the fibroids, is frequently the chosen treatment for premenopausal women who want to bear more children, because it usually can preserve fertility.

      Another advantage of a myomectomy is that it controls pain or excessive bleeding that some women with uterine fibroids experience. However, a myomectomy often cannot remove very small fibroids that may grow and cause symptoms in the future.

      A total hysterectomy, which involves removal of the uterus, is a curative option that is often chosen by older women.

  9. QUESTION:
    can a dnc excellerate menapause?
    I had a dnc and two weeks following had hot flashes and night sweats for about one month which have completely stopped but I have not had a period since the dnc

    • ANSWER:
      It is very unlikely to accelerate menopause.Here is a little info for you to read as to see what the dnc is all about.

      A D&C may be required to diagnosed and/or treat a problem such as heavy or prolonged menstruation, as well as unexplained bleeding between periods. The are many possible causes for these menstrual abnormalities, one of the most common being a hormonal imbalance. Hormonal imbalance causes a thickening of the endometrium which sometimes causes irregular or prolonged menstrual cycles. Although this can happen at any age it most commonly occurs in young women just starting menstruation and in older pre-menopausal women.
      Abnormal uterine bleeding is also a warning of various types of growths, which are most often non-cancerous. One of these benign growths are polyps which attach either by a stem or a stalk most often to the lining of the uterus or the cervix. Polyps inside the uterus can usually be removed by D&C. Fibroid tumors are another common benign growth that occurs in the uterus. Fibroids can be silent causing no symptoms, or they can cause heavy bleeding and painful cramping. Although fibroid tumors are sometimes detected during dilation and curettage, another surgical procedure is necessary to remove them.

      Abnormal bleeding is sometimes a sign of endometrial cancer, particularly in women over 40. Women over 40, especially those past menopause, may have a D&C or another procedure called an endometrial biopsy. Occasionally a hysteroscopy is performed at the same time as a D&C, allowing the doctor a better view of inside the cervix, vagina, and uterus.

  10. QUESTION:
    how do yo treat uterine fibroids without surgery?

    • ANSWER:
      For the many women who experience no symptoms, fibroid treatment is not necessary. For others whose symptoms are mild to moderate, over-the-counter pain relievers, exercise and/or changes in diet may be the only uterine fibroid treatments needed. Some women who do not have severe symptoms may delay fibroid treatment until after menopause, when symptoms sometimes become less severe or disappear spontaneouslyHormone Therapy

      GnRH agonists are drugs that block estrogen production, starving uterine fibroids of estrogen and causing them to shrink. Lupron is the drug most commonly used, often in combination with other uterine fibroid treatments. Lupron may be used to shrink fibroid tumors, making fibroid treatment with surgery easier to perform. But shrinkage is temporary and the drug also is associated with menopause-like symptoms such as hot flashes, mood swings, insomnia, sexual dysfunction, and premature bone mineral loss
      Endometrial Ablation and Resection

      In this outpatient procedure, a gynecologist places a scope through the cervix into the uterine cavity to burn and scrape the lining of the uterus. The procedure also is used to burn and cut out uterine fibroid tumors that can be reached through the scope. The removal of the lining (endometrial ablation) stops bleeding, but not all uterine fibroid tumors can be removed with this technique. Like hysterectomy, this fibroid treatment causes permanent infertility.

      Myolysis or Cryomyolysis are uterine fibroid treatments in which uterine fibroids are burned or frozen via laparoscopic surgery.

      Uterine Fibroid Embolization (UFE)

      This is a new, non-surgical uterine fibroid treatment. It is safer than uterine fibroid treatments that require surgery, and a highly effective alternative for some women who strongly desire to avoid hysterectomy, or are likely to experience difficulty with myomectomy. Although it is relatively new compared to uterine fibroid treatments such as hysterectomy and myomectomy, more than 25,000 women have been treated with UFE, and patients have now been followed for up to 12 years.

  11. QUESTION:
    is there a medical condition out there that will make you have periods twice a month that could decrese your..
    is there a medical condition out there that will make you have periods twice a month that could decrese your fertility? also what else could this cause and also what could be causing me to have my period every other week...

    • ANSWER:
      "Anovulatory uterine bleeding" or AUB is diagnosis of exclusion arrived at when other causes of abnormal bleeding have been ruled out (examples include uterine fibroids or polyps, injury or disease caused by intercourse, infection, genital warts, fluctuation in hormone levels, stopping and starting birth control pills or estrogens, low thyroid function, IUD use, anticoagulant drugs, cervical conization or cauterization procedures).

      Ocurring in 20% of adolescents and 40% of women over 40, AUB is typically characterized by less than 28 days between menstrual periods and/or otherwise abnormal menstrual periods, menstrual flow ranging from scanty to profuse, mood swings, hot flashes, vaginal tenderness, and Hirsuitism (excessive hair growth, often evident in women with PCOS). Unfortunately, AUB can cause infertility, resulting from lack of ovulation. It can also cause anemia. Oral contraceptives or progestogen therapy are frequently used to treat AUB, and ovulation induction may also be necessary if fertility is desired.

      Treatment is successful in about 80% of cases, but some women experience such resistant, severe symptoms that they opt for surgical therapy like endometrial ablation.

      Your GYN can help you diagnose whether AUB or another condition is involved. Depending on the cause, he or she can help you choose the right treatment and get you on your way to feeling better.

      Good luck.

  12. QUESTION:
    Can HRT cause skin ageing?
    I have noticed a difference in my body over the past couple of months and feel that my body now looks older than it should. I am on estrogen only, and have been now for about a year, due to having to have a hystorecomy because of a cancer scare. Have any other women noticed this while on estrogen and if so is there some way to solve this problem? For some reason I have not noticed a difference in my face, only on my body. Any advice would be appreciated. Thanks.

    • ANSWER:
      If you have had a hysterectomy, including the loss of ovaries, you are Estrogen Dominant.
      And now, you are pumping MORE estrogen into your already overloaded hormone system.

      In addition, synthetic estrogen is known to CAUSE cancer!!

      Get a saliva test done to evaluate your hormone levels. I'm willing to bet that you need progesterone. NATURAL progesterone.

      Estrogen Dominance & What Are The Symptoms

      Doctors have historically recommended, and prescribed, synthetic estrogens and progestins to treat the symptoms of menopause and PMS. This is largely because most of the information that the doctors receive about new treatments are from the pharmaceutical companies. And because a product that can be produced naturally can not be patented the pharmaceutical companies have to create a synthetic version with a slightly modified molecule in order to patent the product.

      This however has been shown to be extremely unhealthy for your body. A New England Journal of Medicine article in 1995 involving 121,700 women showed that the chance of developing breast cancer went up to 40 percent in women that used estrogens and progestins (synthetic progesterone) for more than five years. Estrogen dominance is a term coined by Dr. Lee. It describes a condition where a woman can have deficient, normal, or excessive estrogen but has little or no progesterone to balance its effects in the body. Evan a woman with low estrogen levels can have estrogen-dominance symptoms if she doesn’t have any progesterone.

      The symptoms and conditions associated with estrogen dominance are:
      ******Acceleration of the aging process******
      Allergy symptoms, including asthma, hives, rashes, sinus congestion
      Arthritis
      Autoimmune disorders such as lupus erythematosis and thyroiditis, and possible Sjogren’s disease
      Breast cancer
      Breast cysts
      Breast tenderness
      Candida
      Cervical dysplasia
      Chronic fatigue
      Cold hands and feet as a symptom of thyroid dysfunction
      Copper excess
      Decreased sex drive
      Depression with anxiety or agitation
      Dry eyes
      Early onset of menstruation
      Endometriosis
      Endometrial (uterine) cancer
      Fat gain, especially around the abdomen, hips, and thigh
      Fatigue
      Fibrocystic breasts
      Foggy thinking
      Gallbladder disease
      Hair loss
      High blood pressure
      Headaches
      Hot flashes
      Hypoglycemia
      Increased blood clotting (increasing risk of strokes)
      Infertility
      Irregular menstrual periods
      Irritability
      Insomnia
      Magnesium deficiency
      Memory loss
      Mood swings
      Osteoporosis
      Painful swollen breasts
      PMS
      Polcystic ovaries
      Premenopausal bone loss
      Prostate cancer
      Sluggish metabolism
      Skin: Rosacea, rashes, dermatitis
      Thyroid dysfunction mimicking hypothyroidism
      Uterine cancer
      Uterine fibroids
      Water retention, bloating
      Yeast infection
      Zinc deficiency
      The above information was taken from "What Your Doctor may not tell you about Premenopause" by John R. Lee, M.D.

      John R. Lee, M.D. is internationally acknowledged as a pioneer and expert in the study and use of the hormone progesterone, and on the subject of hormone replacement therapy for women. He used transdermal progesterone extensively in his clinical practice for nearly a decade, doing research which showed that it can reverse osteoporosis.

  13. QUESTION:
    Pregnant? Plz help of u can?
    These are my symptoms

    -sensitive nipples
    - white muscus discharge (sorry tmi)
    - really hungry for a while now ive lost my appetite
    - really sore calf muscles
    - few cramps here & there
    - hot flashes (really warm then cold) not usual for me im usually cold
    - tossing & turning at night for ages b4 sleep - too warm at night - night sweats
    - feel really tired by the time the afternoon comes

    Could i be pregnant? Has anyone had these symptoms and got a positive hpt.

    • ANSWER:
      Hello Gracey Mae, Here are early symptoms of pregnancy and reasons for irregular periods.

      Early Symptom of Pregnancy: Spotting and Cramping

      A few days after conception, the fertilized egg attaches itself to the uterine wall. This can cause one of the earliest signs of pregnancy -- spotting and, sometimes, cramping. Known as implantation bleeding, this early symptom occurs anywhere from six to 12 days after the egg is fertilized.
      The cramps resemble menstrual cramps, and some women mistake them and the bleeding for the start of their period. The bleeding and cramps, however, are slight.

      In addition to bleeding, you may notice a white, milky discharge from your vagina. This is related to the fact that, almost immediately after conception, the vaginal walls begin to thicken. It is the increased growth of cells lining the vagina that causes the discharge. This discharge can continue throughout your pregnancy.

      Early Symptom of Pregnancy: Breast Changes
      Changes in your breasts are another very early sign of pregnancy. When you conceive, your body undergoes a rapid change in hormone levels. Because of the changes in hormones, you may notice in one to two weeks that your breasts have become swollen, sore, or tingly. Or they may feel heavier or fuller or feel tender to the touch. In addition, the area around the nipples, called the areola, may darken.

      Early Symptom of Pregnancy: Fatigue
      Feeling unusually fatigued is an early pregnancy symptom that can occur as soon as one week after you conceive. The excessive tiredness is often related to a high level of progesterone in your system, although other things such as lower levels of blood sugar, lower blood pressure, and increased blood production can all contribute.

      Early Symptom of Pregnancy: Nausea (Morning Sickness)
      The elevated levels of estrogen in your system can slow the emptying of your stomach. This contributes to another early symptom of pregnancy, nausea, or what many women call morning sickness.

      Early symptom of pregnancy- Missed Period

      The most obvious early symptom of pregnancy -- and the one that prompts most women to get a
      pregnancy test -- is a missed period.

      CAUSES OF IRREGULAR PERIODS:

      Significant weight gain or loss
      Over-exercise
      Poor nutrition (or a diet too high in carbohydrates)
      Smoking
      Drug use
      Caffeine
      Excessive alcohol use (interfering with how the liver metabolizes estrogen and progesterone)
      Eating disorders
      Increased stress
      Polycystic ovarian syndrome/estrogen dominance
      Uterine abnormalities (fibroids/cysts/polyps/endometriosis)
      Hormonal imbalance related to perimenopause
      Medications
      Chemotherapy
      Recent childbirth, miscarriage, or D&C
      Breastfeeding

      TAKE CARE! Mama Bear

      http://www.womentowomen.com/menstruation…

  14. QUESTION:
    Has anyone been on depolupron?
    My gyn has prescribed it to treat my severe endometirosis. From what i understand it will simulate menopause for 6 months. What should i expect during this time? Am I gonna gain a lot of weight? Have hot flashes?

    She has also prescribed some progesterone to go with it to (i guess) help with the side effects.

    PLEASE i would love some real world responses from people who have taken this medication...

    PS. I am also ttc...which means if i do the depolutron we will ahve to wait at least 6 months before trying again. Just had a laparascopy/hysterocapthy and my tubes are fine...but lots of endometriosis.

    • ANSWER:
      Lupron Depot (leuprolide acetate for depot suspension) is a GnRH agonist -- a hormone that works in two distinct phases. Phase one stimulates the ovaries causing them to produce more of the most potent of the three estrogens produced by women -- estradiol. In phase two the messenger hormones that tell the ovaries to produce estrogen decline dramatically. This causes a significant reduction in estrogen levels, and causes women to experience menopause-like side effects.
      The most common use for Lupron in women is for the treatment of endometriosis. Lupron is also sometimes used in women for the treatment of uterine fibroid tumors. In men, Lupron is used to treat advanced prostate cancer, and the drug is used in children who are diagnosed with central precocious puberty (early puberty). Deciding whether to use Lupron should include knowing all the facts about the benefits and side effects and making an informed choice.

      Side Effects and Lupron Depot
      Side effects that have been associated with the use of Lupron Depot include hot flashes and/or night sweats in more than five percent of women; and palpitations, syncope, and tachycardia in less than five percent of the women who participated in clinical trials. Other side effects include generalized pain, headaches, vaginitis, nausea/vomiting, fluid retention, weight gain, acne, hirsutism, joint pain, decreased libido, depression, dizziness, nervousness, and breast changes that include tenderness and pain, among others. There have been no deaths directly related to therapy with Lupron Depot.

      Lupron is an effective and medically accepted treatment for endometriosis. Despite the fact that many women do experience side effects during treatment with Lupron Depot, women often consider these side effects to be a necessary price to pay for the relief of the severe pain and suffering of endometriosis.

      What happens during treatment with Lupron?
      A full course of treatment for endometriosis with Lupron is six months long. Although Lupron is not a cure for endometriosis, the pain relief it provides can last for several years. During clinical trials, 63 percent of women diagnosed with mild endometriosis said they were symptom-free five years after the end of treatment. Only 26 percent of women diagnosed with severe endometriosis still reported that they were symptom-free after five years.

      For the first week or two after the first injection of Lupron, reproductive hormones increase causing an increase in symptoms. However, after the first few weeks these hormones decrease to levels seen in menopausal women. Menstruation may become less regular and can be heavier or lighter. Some women experience complete cessation of menstrual periods during Lupron therapy.

      It is important to remember that Lupron is not a contraceptive and it is possible for pregnancy to occur during therapy. Even if you are not having periods, ovulation could occur. Non-hormonal birth control must be used to prevent pregnancy during treatment. Suitable forms of contraceptives include condoms, diaphragms with contraceptive jelly, and IUDs (only non-hormonal IUDs). Contact your clinician immediately if you suspect that you may be pregnant while using Lupron.

  15. QUESTION:
    Question about abdominal pain.?
    For awhile now (maybe past year or so, on and off) I have been getting these shooting lightening bolts of pain that are very sharp...in my abdomin. I went to the doctor and she told me that it was just from my period. But I get them at times when I'm not even on my period. Now when I get them, I become extremely hot...and basically have hot flashes. The past couple days the pain has started to move up to just in between my rib cage. I don't think its appendicitus...because it happens randomly each day.

    Anyone know what I have? =S

    • ANSWER:
      Abdominal pain that is similar to that of period cramping may indicate a problem in a reproductive organ. This includes conditions such as endometriosis (when tissue from the uterus is displaced to somewhere else like the pelvic wall or ovaries), uterine fibroids (thick bands of muscular and fibrous tissue in the uterus), ovarian cysts, ovarian cancer (rare), or pelvic inflammatory disease (PID) infection of the reproductive organs, usually from a sexually transmitted disease.

      Based on your symptoms and what you wrote, I would recommend that you consult with another doctor or a gynaecologist for a second opinion to rule out any serious causes.

      Good luck :)

  16. QUESTION:
    what can a hormonal disorder cause on an 18 yr. old female?

    • ANSWER:
      Mood swings / PMS
      Tender breasts
      Bloating
      Sleep disturbances
      Irritable
      Anxious
      Fibrocystic breasts
      Uterine fibroids
      Weight gain
      Menstrual changes
      Incontinence
      Cystic ovaries
      Nervousness
      Sugar cravings
      Elevated triglycerides
      Decreased libido
      Low body temperature
      Hot flashes
      Night sweats
      Vaginal dryness
      Fuzzy thinking
      Memory problems
      Tearful
      Depressed
      Heart palpitations
      Headaches

  17. QUESTION:
    why am i bloated so much?
    is this a sign u will becomeing on your period soon or not from a side veiw i look like i am pregnate but i havent had sex only useing a bottle can u get pregnate by this please write bk

    • ANSWER:
      Hormonal Bloating
      For premenopausal women, bloating is often related to the menstruation. During the last two weeks of the menstrual cycle, known as the luteal phase, women can retain water, which causes swelling in not only the abdomen, but also sometimes in the hands, feet and breasts.

      The rising levels of hormones also have a direct effect on the gastointenstinal tract. "This hormonal effect causes the GI tract not to empty as quickly and to produce gas," explains Dr. Grace Janik, director of Reproductive Endocrinology at St. Mary's Hospital in Milwaukee.

      Because stool and gas are moving more slowly through the intestines, women often have constipation and bloating in the two weeks before their periods. When women get their periods, their hormone levels drop and they sometimes get diarrhea.

      Although it's less common, women can also have hormone-related bloating from changing, starting or stopping birth control pills, or from the contraceptive Depo-Provera. Bloating due to these contraceptives, however, usually subsides after about three months.

      Abdominal swelling may be a sign of early pregnancy, particularly in women who aren't using birth control. Older women who are taking hormone therapy for menopausal symptoms such as hot flashes may also have discomfort from bloating.

      Dr. Linda Bradley, a gynecologist and director of hysteroscopic services at the Cleveland Clinic Foundation, says that after taking a younger woman's medical history, she often suggests the patient keep a diary of her symptoms to help determine the cause(s). If it appears to be related to the menstrual cycle, she may prescribe a mild diuretic or birth control pills. Exercising, avoiding gas-producing foods and adding bulk fiber to the diet may also ease premenstrual bloating.

      Sometimes, Bradley says, women are not necessarily seeking treatment; many just want to know that the cause is nothing serious.

      Gynecological Obstruction
      If abdominal bloating is persistent rather then cyclical, it might be due to a mass such as an ovarian cyst or uterine fibroid. Women older than 50 need to be especially cautious and consult a doctor about any chronic bloating, because it could be a sign of an ovarian tumor. "Age makes a difference," Janik says. "An increase in abdominal size is much more concerning in women in the postmenopausal range."
      To determine whether a mass is present, gynecologists will usually perform a transvaginal ultrasound. This will allow them to see if there is a mass on the ovaries that is putting pressure on the bladder or bowel and causing abdominal swelling and tightness. Women with ovarian cancer may also have ascites, an accumulation of fluid around the abdomen that can cause bloating.

      Gastrointestinal Bloating
      Bloating that is not hormonal in nature is often due to a gastrointestinal problem. Dr. Lin Chang, an associate professor of medicine at the University of California, Los Angeles, says that the first step in figuring out the cause of abdominal bloating is taking a detailed history to determine whether it's associated with eating or drinking.

      Bloating can be caused by diet, particularly if someone who has a high salt intake or eats a lot of gas-producing foods, such as dark leafy vegetables or beans. Calcium supplements can also cause gas in some people. Doctors may recommend that people avoid these foods or products to see if they're the culprit.

      But the most common gastrointestinal cause of abdominal bloating, Chang says, is irritable bowel syndrome (IBS). IBS is a common condition characterized by abdominal discomfort and bloating, along with diarrhea and/or constipation.

      Women with IBS do not usually have more gas and bloating than other people, but instead are more sensitive to it. While IBS is difficult to treat, it may be helped by medications or even psychotherapy.

      Persistent bloating can also sometimes be a sign of a partial or complete intestinal blockage. There are many possible causes of these blockages, including scar tissue from prior surgeries, certain medications, abdominal infections and hernias. Additional symptoms of a partial or complete blockage are colicky abdominal pain, swelling, rumbling bowel sounds (borborygmi) and vomiting.

      When bloating is accompanied by gas and diarrhea, a food intolerance could be the culprit. For example, people might be sensitive to lactose, the sugar in milk, or fructose, the sugar in fruit. This can be handled by simply avoiding lactose or fructose. Women with lactose intolerance may also choose to treat milk products with the enzyme lactase.

      Bloating is very common in women, but if the problem is making you uncomfortable, especially if it's persistent, experts say that getting it checked out is worthwhile.

  18. QUESTION:
    i've been getting these weird pains lately. anyone have any idea what they could be?
    it's been happening for a few months. it's lower than cramps. i guess about where my ovaries are. it's not the same pain as cramps. it doesn't feel like muscle pain. and it happens throughout the whole day. many times a day. it's not too bad. it's tolerable, but i want to know what it is. at first i thought maybe it was sort of like a trade off. every month i would get extremely bad cramps where the pain was almost unbearable, i coudn't sit down or stand up, i'd get extreme hot and cold flashes, fever, constant puking and dehydration. my doctor decided to put me on birth control. these weird pains didn't happen for the first few months, but then they started to happen a couple times a day so i thought it was some sort of trade. small tolerable pains instead of someone knock me out with a bat kind of pains but now it's a lot more noticeable that they don't seem to be muscle pains at all. what else could they be?

    • ANSWER:
      Possible causes:

      Primary:
      This occurs with no identifiable pathology in the genital tract, however the liver may be hypofunctioning (under-functioning). If you experience constipation it could be due to estrogen being reabsorbed from the bowels because they are not being emptied as frequently as they should. You may have a hormone imbalance with too high estrogen in relation to progesterone.

      Secondary:
      This involves an identifiable cause (ie. endometriosis, uterine fibroids, PID, adhesions). If this is suspected then you should see your doctor to have lab work done.

      Some dietary suggestions:
      1. high fiber diet w/ lots of water
      2. increase sodium, iron, calcium and magnesium rich foods
      3. increase omega-3 and –6 FAs containing foods (vegetable, nut, seed oils, salmon (wild Alaskan only), herring, mackerel, sardines, walnuts, flaxseed oil, evening primrose oil, black current oil)
      4. increase blood nourishing foods; Spleen/Stomach foods, bland foods
      5. blackberries, beets, blueberries, parsley, raspberries

      Avoid:
      1. food intolerances
      2. coffee/caffeine

      Last but not lease...
      If you can afford it, you should get constitutional hydrotherapy done on you.

  19. QUESTION:
    Ive had chronic pelvic pain for about 24 months now. Should I just get the surgery over with?
    Im 46 yr old and have had lap surgery in August to diagnose pelvic pain. I have a large fibroid about the size of a lemon in my right lower quadrant. I went to a gynecologist who told me to have a total abdominal hysterectomy. NO WAY! I do not want my ovaries removed, so I had a 2nd opinion and he told me he would leave 1 ovary for hormones and take out my uterus and cervix.
    My mother had a hysterectomy at 40, and my sister had one when she was 25. Mom died from alzheimers disease at 63, and now my sister has early dementia at 56 just like my mom did.
    Ive studied up on dementia from hormone loss. A couple studies say the body should not lose hormones until the natural age of menopause at 50. I have been in misreable pain at times. Should I just get it over with or hang in there until I am 50 to have a hysterectomy, with 1 ovary left intact? I take regular doses of Naproxen, and Tylenol, or whatever is available at the time. I havent resorted to any narcotics.

    • ANSWER:
      1) If you just have a fibroid, then you don't need to get either of your ovaries removed. Just your uterus. Because the fibroid is on your uterus, not your ovaries. It's common, esp. in USA, for docs to take out ovaries when they take out the uterus. But they dont' have to, and in Europe, it's a lot less common to remove healthy organs just because you're doing surgery in the same area.

      2) Have you gone to any large teaching hospitals when you have seen docs? Have any docs recommended uterine artery embolization (UAE)? That's a non-surgical way to shrink your fibroid. They block the artery that supplies blood to the fibroid, so the fibroid is starved out and shrinks and goes away. A simple, outpatient procedure. Look into it. It's a relatively new procedure, which is why a doc at a smaller hospital might not ever have done it, nor suggest it. But a big teaching hospital is up on all the new stuff (by "new" I don't mean last week--it's been around for 10 years or so and well tested and safe) and will have the ability to do it.

      3) I agree with your concerns about getting your ovaries removed unnecessarily. And as I've explained above, it's probably not necessary. But don't freak out--even if you have them removed, you can still take hormones, and that will likely protect you from the early dementia you fear. Be sure to use estrogen patches, not pills.

      4) It sounds to me like NO, you should NOT be hanging in there until 50 with the severe pain you have. It is greatly affecting quality of life. And 50 is not a magic number in terms of your body's health. That is, like, when one is pregnant, one week can make a huge difference in terms of the health of the fetus. But going through menopause at 46 rather than 50 is not going to make a huge difference in your health. HOWEVER: in studies of the cognitive effects of menopause, the current thinking now (and this is all very new, so this might change) is that the largest cognitive damage is caused in the first few months of hormone deprivation. After that, restoring the lost hormones won't make a difference in brain health because the damage has already been done. What this means is that women who go through natural menopause end of faring worse, cognitively, than women who go through surgical menopause in many cases. This is because when going through surgical menopause, you start taking hormones immediately after surgery. You never have a time period in which you have no hormones. But with natural menopause, women typically don't start hormone replacement until they've been hormone deprived for awhile. The damage was done while they were not taking hormones because they didn't have hot flashes. Hot flashes occur when estrogen has gotten very very low, while it may be that brain damage occurs when they still have relatively more estrogen. So in that sense, surgical menopause can actually end up protecting your brain more than natural menopause. But this is all very new information, and the jury is still out. And it's always possible that your mother and your sister's dementia has nothing to do with hormones. Also. See this study: http://www.neurology.org/content/69/11/1074.abstract
      In sum: shock, shock, shock at the extent of cognitive impairment due to surgical menopause. Even greater shock that GETTING JUST ONE OVARY REMOVED also increases risk of dementia. Given that, I don't really get why docs go around leaving just one ovary in when they remove the uterus (though, this study is 3 years old, so very very new). If you get your uterus removed (and I think you should, but ONLY IF uterine artery embolization is not a possibility for you), make sure they leave both ovaries in. But: I don't want to scare you further, but getting your uterus removed can throw you into surgical menopause even if you keep your ovaries, because blood supply to ovaries is reduced. In someone your age, so close to menopause already, it's pretty likely to occur. So if you have to have your uterus removed, it might just be better to get the ovaries out, too. But you could also just start taking birth control pills after surgery, as that will keep your hormones at a good level regardless of whether or not your ovaries are up to full performance.

  20. QUESTION:
    heavy bleeding on hormone replacement therapy?
    I've been on PREMPRO (the lowest dose;.3mg/1.5mg) for about 3wks now and started bleeding lightly on Wed. until tonight in which I started bleeding heavy with fairly large clots. I've gone through two maxi pads in two hours and will probably fill a third. I should probably mention that I had uterine artery embolization done 4 months ago for fibroids. The last MRI showed they were dorment and not causing any problems. Should I be worried about this heavy bleeding?
    I'm 42, so it's not common for my age to have ovarian failure, but my hot flashes didn't start until 3mos after my UAE, and I missed my period as well. I may get my periods back naturally, but I think this is estrogen induced by the horome pills.
    It was over 60 days since my last real period.
    Your right about UAE messing with periods, and I also heard hot flashes can be common right after UAE, so you may be OK. With me, I had 2 periods, then missed period, had hot flashes and an elavated FSH level of >50. Still in 3mos, I will go off HTR and see if I get my periods naturally. I hope everything works out for you and that your fibroids shrink and die. I wish you the best!

    • ANSWER:
      I would call my IR and if he couldn't answer follow up with the OB/GYN. Why are you on HRT so soon after UAE? Did it push you into ovarian failure? Only asking since I had mine done 12 days ago and seem to be having hot flashes and night sweats - I am over 45 and that's a risk of the procedure I guess. Sounds like it helped your fibroids though. I was told that the first six months after UAE are rocky and can really mess with your cycle.

  21. QUESTION:
    lupride inj-effects?
    what are side-effects of lupride inj----?

    • ANSWER:
      Lupride (a.k.a. Leuprolide or Lupron) is used to treat prostate cancer in men, endometriosis and uterine fibroids in women, and early puberty in children. It is also used to regulate the menstrual cycle in women undergoing fertility therapy. Leuprolide injections have always cause tenderness/pain at the injection site for me which always lasts for several days. The injection can also cause redness, itching, burning, swelling - typical of many injections. Side effects of the medication itself are similar to menopausal symptoms in women - hot flashes, night sweats, and vaginal dryness. It can also cause headaches, weakness, increased urination, breast tenderness (or growth of breasts in men), nausea/vomiting, changes in weight, hair loss, acne, and so on. Extended use of the drug (more than 6 months at a time) is not recommended due to the risk of bone density loss/osteoporosis.

  22. QUESTION:
    use , effect , benfit of leuprolide?

    • ANSWER:
      Leuprolide is a synthetic hormone. It is used to make the body stop producing estrogen in females and testosterone in males. If you stop taking the medication, your hormone levels will turn back to the way they were before the medication.
      Leuprolide is used to treat prostate cancer in men, early puberty in children, and ovarian or breast cancer in women. It can also be used to treat anemia caused by uterine fibroid tumors in women.
      The side effects can be anything from nausea, vomiting, hot flashes, night sweats, bone pain, swelling of feet and ankles, headache, difficulty urinting for the first few days your on the medication, to also sometimes causing reduced desire to have sex. If you have rapid heartbeat, chest pain, painful urination, breathing difficulties, fever, chills, or persistent irritation at the injection site, you need to contact your doctor immediately.

  23. QUESTION:
    Bad Pain with Clomid (Clomiphene)?
    Hi,

    It's day 2 of my cycle (bleeding extremely heavily as its my first period for more than a year). I took my first tablet of Clomid today 2 hours ago and ive started having such heavy painful cramps, is this normal? its difficult just to sit in the office :(

    my periods so heavy ive changed 6 thick santowels since this morning itself!

    Can anyone help or offer advice? iF you have been through this pls let me know? i just want to make sure this is a normal symptom cos if its not then i will have to rush into the fertility clinic with emergency appt.
    I have PCOS and Clomid is meant to help my eggs to develop between day 2-6.

    This is the first time i am taking meds to help with ttc

    • ANSWER:
      The following side effects are associated with Clomid Oral:

      Common side effects:
      Ovarian Cyst- Severe
      Enlargement of an Ovary -Severe
      Premenstrual Syndrome -Severe
      Uterine Fibroids- Severe
      "Change of Life" Signs- Less Severe

      Rare side effects:
      Yellowing of Skin or Eyes from Liver Problems- Severe
      Sensitive to Light -Severe
      Double Vision- Severe
      Blind Spot in the Eye -Severe
      Blurred Vision- Severe
      Persistence of an Image Visually When it is No Longer Seen -Severe
      Obstruction of a Blood Vessel by a Blood Clot -Severe
      Hepatitis caused by Drugs- Severe
      Depression -Less Severe
      Enlarged Breasts in Males -Less Severe
      Breast Tenderness- Less Severe
      Abnormally Long or Heavy Periods -Less Severe
      Bleeding Not Related to Menstrual Period- Less Severe
      Dizzy -Less Severe
      Abnormal Trouble Sleeping- Less Severe
      Low Energy- Less Severe
      Feel Like Throwing Up -Less Severe
      Throwing Up- Less Severe
      Nervous -Less Severe

      Clomid or Sereophene, both brand names for clomiphene citrate, are commonly prescribed oral medications to enhance your chances of getting pregnant. This fertility medication can be prescribed for certain women who are having difficulty with getting pregnant, usually because of ovulation issues, such as infrequent or poor ovulation.

      After a proper medical screening to ensure that you are a candidate, your regular OB/GYN, reproductive endocrinologist and sometimes nurse midwife or nurse practitioner can prescribe this medication for you. It is usually taken for five (5) days during your menstrual cycle, starting at the dose of 50 mg. This dosage can be increased, if a need is found.

      As with any fertility treatments, side effects associated with the use of Clomid/Serophene include:

      Mood Issues
      Fertility medications and hormones in general are often blamed for the foul mood of any woman of childbearing age. That said, increasing hormones can be a recipe for altered moods or mood swings. Most women find these to be temporary, usually lasting just during the actual days that you take the medication or a day or two later.

      Headaches
      Headaches are a problem also associated with hormones. Consult your doctor if you experience severe headaches or if you have any complications like visual disturbances with your headaches. If you are prone to headaches, try to talk to your doctor beforehand about the most appropriate treatment.

      Multiple Pregnancy (Twins, Triplets, etc.)
      The multiple pregnancy rate associated with the use of Clomid and its companions is about 10 percent. Talk to your practitioner to find out your personal risks because these may not all be related to the medication.

      Hot Flashes
      Hot flashes are annoying, but also a part of the hormone game. You may experience them anytime during therapy but many women find they strike often at night. Cool showers, fans and sleeping in the nude (also good for getting pregnant) can all help you maintain a sense of calm during this period.

      Ovarian Enlargement
      Ovarian enlargement or hyperstimulation is possible with this medication. This is why your doctor will follow you and watch you for signs of hyperstimulation. It is fairly uncommon but one of the main reasons that good follow up and screening are needed when using medication to induce or increase ovarian function.

      Hostile Mucous
      Hostile cervical mucous can prevent pregnancy. Your doctor may screen you or ask that you watch your signs of ovulation via your cervical mucous. Some physicians may prescribe aids for issues with cervical mucous, but you should not self-medicate.
      While many people think that Clomid is the answer to fertility problems, it is not the magic fertility pill many people assume. Only your doctor or other health-care professional can help you decide if Clomid therapy is right for your type of infertility.

      Clomiphene is a potent anti-estrogen that tricks the brain into thinking that your ovary is "slacking off." The result is that the brain releases more of the hormones LH and FSH to stimulate the ovary to develop egg-containing follicles. The side effects you experienced are not uncommon and relate to your body's need for estrogen. Unfortunately, anything done to minimize these side effects will diminish clomiphene's effectiveness at restoring normal ovulation.
      Without careful monitoring of your cycle, you may miss the benefits from this medication. Many physicians take a hand's-off approach. They don't check the ovaries to rule out ovarian enlargement before the start of the cycle; nor do they monitor your progress with ultrasound. If you do not ovulate, these physicians will simply give you medicine to bring on your period and increase the dose the following month.

      Unfortunately, many women treated this way develop painful ovarian enlargement and, in my opinion, waste a lot of time. Active monitoring of clomiphene therapy involves conducting a baseline ultrasound at the start of each cycle and withholding the medication if your ovaries are enlarged. LH and FSH levels are checked on day 9 of the first cycle. On or about the 12th day, you begin urine LH testing to pick up signs of ovulation. If no surge in LH levels is seen by the 16th day, an ultrasound is again performed to determine the exact source of the problem. If the problem is failure to grow follicles, a higher clomiphene dose can be use the next cycle. If a follicle grew but did not release a mature egg, you can have an hCG injection to release the egg (if the follicle is over 18mm in size and the uterine lining is 7mm or greater).

      I hope this helps you and good luck hopefully alll the side affects are worth it for you..tina

  24. QUESTION:
    Y am I haveing cramps and feeling like I want to throw up 24/7?
    Have been haveing cramps in my lower stomach I know its not my period because I had it monday the 11th. It was a very short period. I only bleed a day the other 2 were very light. is it posible my period could come back after a week? Iv also been feeling like im going to throw up from the time I wake up til I fall asleep my body just feels all messed up. I have no insurance so I cant go to the dr and the hosptial does nothing for me. Do u know what it could be? Also im not sure if this means anything but threw out the day my stomach changes theres times im bloted and my stomach feels rock hard (i look prego) and theres times I look soo skinny. Its freaking me out

    • ANSWER:
      Identification

      It is estimated that 70 percent of women are affected by painful cramping that occurs during the menstrual cycle. Dysmenorrhea is another term for menstrual pain. Teenagers frequently complain of painful menstrual cramps, but women in their 20s and 30s or older can also be affected. Menstrual pain is described as a dull ache, a sensation of painful waves, and slight pressure in the lower abdomen. Menstrual cramps are caused by normal uterine contractions. The uterus is a muscle and as such it contracts and relaxes. Women are not aware that this is occurring in their body. When menstruation occurs, these contractions become stronger and cause pain. This pain is often felt in the lower abdomen but can radiate to the lower back and thighs. This pain may be constant or may come and go. In some women, dysmenorrhea can also cause severe nausea, vomiting, body malaise, lethargy and diarrhea. There may also be breast tenderness and bloating a few weeks before menstruation begins.

      Considerations

      Women who have high levels of prostaglandins in the body will have intense uterine contractions. Some women may be more sensitive to the effects of these chemicals. Women vary in the level of prostaglandins that they have. These substances force the uterus to contract so hard that the uterine's blood vessels are deprived of oxygen. Furthermore, some of the extra prostaglandins escape from the uterus and into the bloodstream, where they target other smooth muscles. This is why women suffer migraines, hot flashes, diarrhea, nausea and vomiting.

      Time Frame

      Time is very important when it comes to dealing with the misery of menstrual cramps. Pain usually begins up to three days before the start of your period or the day of your period. The second that you begin to feel cramps, you should take an over-the-counter medication such as Ibuprofen, naproxen or acetaminophen. Even if you don't feel any pain, begin to take this medication before your period starts. If this doesn't take some of the severity out of your monthly cramps, then you should try taking regular doses of medication a week before your period begins. Menstrual cramps are typically easier to control before the pain becomes severe. Continue to take medication as long as you continue to have cramps.

      Types

      Most women have menstrual cramps that can be classified as primary dysmenorrhea. This condition is common among women who have not had children. Fortunately, these cramps lessen in severity after the first pregnancy. No underlying disease can be attributed to the menstrual pain. Secondary dysmenorrhea is pain that is caused by a reproductive disorder. One of the most common causes of secondary dysmenorrhea is endometriosis. This disorder causes the endometrium, which normally grows inside of the uterus, to grow on other areas. This tissue can implant itself on the ovaries, fallopian tubes and ligaments that support the uterus. Even though misplaced, this endometrial tissue still acts like it normally does during the menstrual cycle. This can result in severe pain, cramping and scar formation. Another cause of secondary dysmenorrhea is a narrow cervical canal. Pain may worsen as endometrial tissue passes through the narrow cervix. Fibroid tumors, which are noncancerous growths made up of muscle and fibrous tissue, can also cause severe pain.

      Prevention/Solution

      The goal in treating dysmenorrhea is to reduce prostaglandin levels. Most women can successfully manage menstrual cramps by treating them at home. Along with using anti-inflammatory medicines to reduce pain, apply heat to your abdomen. A heating pad or a hot water bottle can help to relax muscles and increases blood flow to the area. This may help to alleviate your cramps. Turn off the heating pad if you begin to feel drowsy. If your back hurts, lie down and place a pillow under your knees. Or curl up into a fetal position, bringing your knees to your chest. This will help to take pressure off the muscles in your back. Try drinking herbal teas such as chamomile or raspberry tea. These teas produce a calming effect, which can help to relax tense muscles. If you can tolerate it, try exercising to reduce the severity of cramping. Always listen to your body. If you aren't up for exercising, feel free to curl up in bed until you feel better.

      Read more: About Menstrual Cramps | eHow.com http://www.ehow.com/about_4617158_menstrual-cramps.html#ixzz1Ynp4kzyk

can uterine fibroids cause hot flashes