Manic episode after total abdominal hysterectomy with bilateral salpingo-oophorectomy: case report

Times of rapid decline in reproductive hormones have been associated with mood episode onset, and the menopausal transition confers an increased risk of depression. Mood state in women with bipolar disorder during the rapid decline in reproductive hormones resulting from surgical menopause has not b...

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Bibliographic Details
Published inMenopause (New York, N.Y.) Vol. 19; no. 4; p. 476
Main Authors Marsh, Wendy K, Brown, Alan P, Rothschild, Anthony J
Format Journal Article
LanguageEnglish
Published United States 01.04.2012
Subjects
Antimanic Agents - therapeutic use
Bipolar Disorder - drug therapy
Bipolar Disorder - etiology
Bipolar Disorder - psychology
Female
Health Status
Humans
Hysterectomy - adverse effects
Middle Aged
Ovariectomy - adverse effects
Women's Health
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Summary:Times of rapid decline in reproductive hormones have been associated with mood episode onset, and the menopausal transition confers an increased risk of depression. Mood state in women with bipolar disorder during the rapid decline in reproductive hormones resulting from surgical menopause has not been reported. The case of a 46-year-old woman with bipolar disorder presenting to her psychiatrist after total abdominal hysterectomy with bilateral salpingo-oophorectomy is described. A manic episode was diagnosed, with onset 10 days after surgical menopause. Surgical menopause may place a woman with bipolar disorder at greater risk of mood episodes. In particular, risk of mania must be considered.
ISSN:1530-0374
DOI:10.1097/gme.0b013e318230dffc