Otes, I hear you! I continue to experience the same, on and off.
The thing is with oophorectomy is that levels plunge so fast, that the brain and nervous system is reeling. Sudden low estrogen means a real disruption in neurotransmitters too as low estrogen =
low seratonin and high erratic pulses of norepinephrine (as per the work of Dr. Elizabeth Vliet). Don't hesitate to add in a low dose of AD to help if you feel the need - balancing can take time and this might give you some breathing space. Citalopram at 10mg is very popular, as it seems reasonably well tolerated in start up.
We have particular issues in surgical meno., so please don't be afraid to use any and all strategies you need. You can always taper off again later. I wish I had gone down this route with a dual approach when I had my surgery - it would have saved me a lot of terrible anxiety and subsequent depression and heartache!
I know others will say that you need to optimise your estrogen and that's ok - but we deal with what is a very drastic situation, so something to lessen this blow while we figure out how to titrate and settle on our optimum dose (which can take a good while - at least weeks or months) is a big help. We don't have the 'luxury' of slowly declining hormones in our situation!
I have spoken to many women in our shoes, and many state that a dual approach (if only temporarily) has been the most helpful.
I hope this helps! xxxx
