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Bipolar Disorder/bipolar and hysterectomy
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Question
I am 43 and have bipolar i w psychosis. i need to have a laproscopic hysterectomy but have been told it will throw my bipolar out of control. I am working on a masters degree and want to know what your opinion is i have had cervical cancer cells twice and procedures i constantly keep cycts and fibroids and pain.
Hi Nena . . .
Most of my patients who have had psychotic bipolar episodes have done well following surgery. I routinely start them on antipsychotic medication prior to surgery, if they are not taking such medication, or increase the dose by about 50%, if they are taking such medication.
Best regards . . .
Ivan
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Answers by Expert:
Ivan Goldberg, M.D.
Expertise
I am a psychiatrist/psychopharmacologist with many years of expereince in treating individuals with depressions, manic-depression (Bipolar Disorder), other mood disorders,. I am especially interested in the psychopharmacologic treatment of individuals with so called "treatment-resistant" syndromes.
Experience
I have been on the staff of the National Institute of Mental Health, Columbia's College of Physicians and Surgeons, and the Columbia-Presbyterian Medical Center. I am currently in full-time private practice in New York City.
A.B. Johns Hopkins University
M.D. N.Y.U. College of Medicine
I am the creator of Depression Central:http://www.psycom.net/depression.central.html
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