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    An_248244 posted:
    It seems every little thing that comes along, makes me cry, at work,at home, with family, it doesn't matter. The worse part is I can't stop it once it starts. I had a hysterectomy ( still have my ovaries) about 18 almost 19 years ago and now I am experiencing the symptoms of menopause. This past summer the symptoms have intensified, I have been having hot flashes, that will start the first part of the year and last 3 months, then I'm done until the next year ( done this for 2 years) this year it was March to May, and started again in late August, early September; but they are not extreme, just occasional.

    Last week was the worst, and into the first part of this week, but these last two days have been fairly decent.

    Any ideas let me know,

    Sincerely falling apart, sometimes
    Mary Jane Minkin, MD responded:
    Dear An_248244,
    It certainly sounds like you are at least peri, if not fully menopausal. It is hard to assess the effects of hormones on mood; these changes could be independent of your hormone levels. One thing you could certainly try to to use some transdermal estrogen replacement; the risk is truly minimal, and you could see if it has any effects on the mood. If it does, you may want to continue with the therapy, after discussing it with your health care provider. If it makes no difference, then you'd probably want to talk with your primary care provider, to suggest some talk therapy, or medication, to help out the mood changes. Some women do well with both hormones and antidepressant medications.
    Of course, certain interventions are always helpful: a good diet, lots of exercise-all can be helpful,
    Good luck,
    Mary Jane

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    For more information, visit the North American Menopause Society website