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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Cabergoline And Effexor Effective For Maintaining Hormone Levels?

I had a complete hysterectomy about 3 years ago and have never seemed to recover/feel like my old self ever since. I took whatever hormone that my doctor prescribed (orally) for about 3-6 months. It made me gain about 20lbs. I switched to the Vivelle dot patch .075 and lost the weight, but have battled all the symptoms associated with low estrogen especially depression and cognitive/memory issues. I ve been through the wringer so to speak over the last two years. I had my hormone levels tested. I had high DHEA and prolactin levels. They put me on cabergoline (0.5 mg 2x a week). I am also taking Effexor (150 mg). It s helped a little but I still am not myself. Could this patch just not be strong enough or what? I m so sorry. I did not realize there was a charge for this! Please disregard.
Mon, 1 Oct 2018
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Endocrinologist 's  Response
Hi,

You have early menopause, a pituitary adenoma that produces prolactin and some psychological problems that your doctor treat with Effexor.

I want to explain that in your actual circumstances, it is not easy to find the solution for all the problems. Anyway, the contraceptive pills, Cabergoline will help to normalize the hormone imbalance and the symptoms that are caused by these conditions.

If you do not find your wellbeing after the treatment with contraceptive pills and Cabergoline, then I can deduce that you may need to modify the doses of Effexor (Venlafaxine).

My advice is to consult physically your treating psychiatrist and discuss with him your actual symptoms and the right treatment.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Elona Xhardo,
Endocrinologist
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Can Cabergoline And Effexor Effective For Maintaining Hormone Levels?

Hi, You have early menopause, a pituitary adenoma that produces prolactin and some psychological problems that your doctor treat with Effexor. I want to explain that in your actual circumstances, it is not easy to find the solution for all the problems. Anyway, the contraceptive pills, Cabergoline will help to normalize the hormone imbalance and the symptoms that are caused by these conditions. If you do not find your wellbeing after the treatment with contraceptive pills and Cabergoline, then I can deduce that you may need to modify the doses of Effexor (Venlafaxine). My advice is to consult physically your treating psychiatrist and discuss with him your actual symptoms and the right treatment. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Elona Xhardo, Endocrinologist