creating a post-hysterectomy medication plan for pcos

A few years ago, I was diagnosed with Polycystic Ovary Disease (PCOS). As a woman, it's all kinds of awesome to have: you get hair in totally cool places for women (think chin, neck, breasts), it helps you put on weight, and your period ranges from little to nonexistent. Then again, the last one's not so bad.

In a nutshell, my ovaries weren't doing me any favors. Needless to say, when it came time to make the decision about my hysterectomy, I told the doctor to take out everything, including my ovaries. I donated one to a PCOS study, and one to a study about embryo development.

Prior to the surgery, my only meds were my daily vitamin and the Metformin (prescribed due to the PCOS). I'm not the type to take medicine unless absolutely necessary. In general, I just don't like to put all that extra crap into my body. If I've got a headache, I'll muster through it. If I'm sick, I don't take Tylenol PM, or Sudafed, or anything like that.

On top of my post-hysterectomy to-do list was to meet with Dr. Nice Lady and talk about my medication plan. Do we explore hormone replacement therapy? Do I still need to take the metformin? What about hotflashes? Menopause? How will we replace the function my baby oven used to give to my body?

First things first: she's thrilled with the amount of weight I've lost since my cancer diagnosis in February (12 pounds to date). We chatted about what to do going forward. I'll continue with my daily multivitamin, and she wants me to stay on the Metformin so she can continue to monitor my body sans ovaries. I'm happy Dr. Nice Lady agreed with my decision to not want hormone replacement therapy. (Nurse Mom swears that the hormone replacement she received after her hysterectomy led to her breast cancer. That knowledge, coupled with the research I'd done, led me to the decision to not want to pursue it.)

To date, I've not had a single hot flash. #fingerscrossed

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