Posted by AMenz on June 27, 2001, at 10:43:52
In reply to Re: To All Women Over 45: Estrogen = Major AD! » Zo, posted by shelliR on June 26, 2001, at 15:35:31
Anyone out there besides me have horror story of the effect of perimenopause or menopause on their BPII symptoms or medication regimen?
>
> > Major study just published on Medscape advising docs to use estrogen FIRST for Depression in *any* woman who might be even perimenopausal. Never would have believed it, til it happened to me. . .but it's that profound.
> >
> > Zo
>
> Not to be really picky, because I'm really grateful that you brought up the study. But the exact recommendation is a little tighter:
>
> ... "if someone comes into your office with signs of depression, perimenopausal symptoms, and a
> clinical indication for estrogen replacement therapy, perhaps estrogen should be used as a first-line
> therapy,"
>
> So basically, he saying use it for depression instead of an antidepressant, if indications ARE ALREADY THERE to use estrogen replacement therapy. If it is not needed, he feel that a regular AD is a safer alternative.
>
> So I am in the right age range, but so far no perimenopausal symptoms. So I'm not sure that it would be a first line therapy for me, especially since my sister had breast cancer and estrogen replacement increases the chances. On the other hand, I do feel that my sudden lack of response to nardil, about a year and a half ago could well be due to hormone changes. And being a vegetarian I eat (drink) a lot of soy, so that may be why I'm not feeling any perimenopausal symptoms.
>
> Shelli
poster:AMenz
thread:67708
URL: http://www.dr-bob.org/babble/20010625/msgs/68070.html