Methadone: A Flicker Of Light In The Dark

Methadone: A Flicker Of Light In The Dark

To provide a better understanding of the very important role methadone plays in the treatment of addiction.
 
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 Methadone and a Woman's Hormones and Menopause, of course!

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mojo



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Number of posts : 1
Location : Phoenix, Arizona
Registration date : 2009-04-07

PostSubject: Methadone and a Woman's Hormones and Menopause, of course!   Fri Jul 10, 2009 12:58 am


Does anyone know if methadone takes away our hormones? I am 54 years old and female, and have been on MMT since 1978. I have 2 grown sons. Any research on what methadone does to the female hormones?
Presently, I'm n Sad ot producing any estrogen, and wonder if any other women my age have experienced this or not.
T.I.A.
Mojo Sad


Last edited by Admin on Sat Jul 11, 2009 6:28 pm; edited 1 time in total (Reason for editing : Aligned.)
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lilgirllost
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Female
Number of posts : 863
Age : 45
Location : live in Louisiana but attend MMT clinic in Tx
Job/hobbies : COUPONING & GEOCACHING are my favorite past times but I also love reading and spending time with my husband and kids
Humor : I don't have a sense of humor.............
Registration date : 2009-05-25

PostSubject: Methadone And Hormones   Fri Jul 10, 2009 2:09 pm

Your question is one I have often wondered about myself so I am glad you brought it up. I am 36 yrs old and have been on MMT for over nine years. I have been having menopause-like symptoms for over a year and have not had a period in over 8 months! I went to my GP and he said that sometimes methadone causes problems with "female health" and can prevent you from having your period. (He is running some other test to rule out other things, but he says this is a possibility).

What has your doctor said about the lower estrogen levels? Does he think it could becaused from MMT?

I have tried to do some research myself online about this and haven't found anything definite but here are a few things I did find:

*The following is a summary of a presentation made at the 1999 ASAM (American Society of Addiction Medicine) Conference:
Diminished sexual interest and function due to methadone maintenance treatment (MMT) is a common complaint among our MMT patients, which sometimes adversely affects treatment outcome. Lowering of methadone or LAAM dosage and/or stimulant (cocaine) abuse are examples of strategies reported by our patients in attempts to restore lost libido. We were aware that MMT patients demonstrate elevated prolactin levels. Non-opioid dependent individuals who develop hyperprolactinemia from prolactinoma (benign pituitary tumor) or taking antipsychotic medications demonstrate an array of sexual dysfunction signs and symptoms, as well as weight changes.
In men, decreased libido and impotence are the main presenting complaints. Hyperprolactinemic women commonly experience cessation of menstruation, galactorrhea and infertility, as well as diminished libido and inorgasmia. 
If you wish to read the complete article I got this from, you can go to
http://www.methadonetoday.org/A7N12.pdf

I haven't been able to find anything specific to lower estrogen levels and Methadone Maintenance Treatment. The only articles I could find about it at all was from the Canadian AIDS Treatment Information Exchange:
http://www.catie.ca/eng/home.shtml and this is what they had to say:
 
Opioids—including codeine, heroin and morphine—can impair the functioning of cells that repair bones. These drugs can also impair the formation of new bones. Opioids can also reduce the level of hormones such as testosterone, estrogen and DHEA. Less-than-normal levels of these hormones may cause unexpected tiredness, depression and bone loss.

To read the complete article you can go to:
http://www.catie.ca/TU.NSF/df739470490ae50d8525717f0061769d/f3d3f6bbd1e4b6c885257331004eaf5b!OpenDocument


RuthAnn
aka lilgirllost

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Number of posts : 51
Age : 59
Location : Vermont
Registration date : 2009-03-05

PostSubject: Does Methadone Deplete Your Estrogen Levels?   Sat Jul 11, 2009 6:07 pm



From Your Administrator:
I want to address the question asked by the 54 year-old woman concerning whether methadone will deplete her estrogen levels. We all should be aware methadone does affect our sexual drive but it should straighten out our menstrual periods. I believe you included some great articles for the women to read and I don't know why you would be missing periods taking methadone. Ruthann, I think it is too early for you to be experiencing the "Change Of Life." If you had a hysterectomy or one of your ovaries removed then it may not be too early but for Mojo, it is normal at her age for her estrogen to be low.
Methadone does not decrease your estrogen levels at all infact it really should help your menstrual periods become normal after you stop using all the illicit drugs and settle down to taking methadone. I would advise you Ruthann to have your levels checked. You should not have missed as many periods but first are you taking any birth control tablets? Have you had a hysterectomy? I am concerned about what is happening with you. What kind of birthcontrol pills are you taking, if you are?
As for as the lady you answered, I would like to reply to her. I am assuming you have gone through the change of life or you are experiencing it presently. If you have already gone through the change or you are presently dealing with it- your estrogen levels should normally be low. Once you have experienced the change of life, your body is producing very low levels of estrogen. Estrogen comes from two sources, your ovaries and your adrenal glands but once your ovaries are removed or you have experienced the change of life, very little estrogen is coming from your ovaries. The only estrogen being produces and it is in very minute amounts is coming from your adrenal gland.
Methadone does not in any way affect your production of estrogen. If you think your estrogen levels are low and if you are fifty-four years old they should be low...you can ask your Primary Physican to check the level of your estrogen and see if your need E.R.T. (Estrogen Replacement Therapy). Many Gynecologists believe in E.R.T. and others are against it. Are you having any symptoms which make you think your estrogen is low? Have you been through the change of life? I have been through the "change of life" at thirty years old because I had a early hysterectomy (complete) because of Endometriosis. They didn't want to give me E.R.T. because they believed it caused the Endometriosis to start growing again.My Gynecologist did not want to perform the hysterectomy on me because He was very concerned about me dealing with the symptoms which accompany the loss of estrogen. (I wasn't as well educated as I am now ad I believed it was all in women's heads.) I found it wasn't even though they are people who have no problems at all but I wasn't one of them.
I was finishing up College School in Chapel Hill @ UNC and my husband had just died from Agent Orange he had contracted in Vietnam which manifested in Leukemia and He was gone one month after the diagnosis. I had a son to raise which was nine years old at the time and had two years of college left. I was only working part-time at the college when all of this transpired. I went through the hysterectomy about one year after his death but before they decided to do the hysterectomy I had two other surgeries to remove most of the Endometriosis off my intestines and other areas and they had hoped we would not have to resort to a hysterectomy. I had been bleeding for years and I just wanted it done but afterwards, it wasn't as easy as I imagined.
I almost had a nervous breakdown from the lack of estrogen and at this time in my life I wasn't on methadone. I had hot flashes really bad and to the point it would embarrass me if I was talkiing to another person. My emotions were up and down and I could be screaming one moment and crying the next and at night I sweated bad I would have to change clothes 2-3 time nightly and change my bed sheets. I couldn't afford to have a nervous breakdown because I needed to finish college so I could support my son and I and every day it became worse and I knew if I did not get help it was going to happen.
I went to my gynecologist and explained to Him what I was experiencing and He knew what all I had dealt with and I started crying and practically begging Him to please give me the estrogen. I told Him my son had lost his Father and He didn't need his Mother to have a nervous breakdown. He gave me the estrogen replacement therapy and it made all the difference in my life. I stayed on it for many years even though many said it would cause breast cancer but my sanity and well-being was more important to me. There was no breast cancer in my family but if there are in yours then talk over with your gynecologist.
Methadone does not deplete your estrogen levels and I will find you a reference to back what I am saying up -I know only because I studied Anatomy and Physiology but if you are actively going through Menopause it will deplete your methadone much quicker especially if you are having night sweats, hot flashes and your hormones are out of balance. Some of the Opiate Treatment Programs are aware of it just as they are if you work in the hot sun all day ...you need a higher dose of methadone but many of them believe it is not true. I experienced it and I spent much time researching it and know it is true.
If you are 54 years old, I feel quite sure you are low on your estrogen and you should have your estrogen level checked. If it is low the they can give you replacement therapy and it really does make all the difference in the world as for as your well-being goes. Check it out and see what it is and if you haven't been feeling up to par and your Gynecologist agrees, start Estrogen Replacement Therapy. Everyone can't take it for some have problems with it but I was blessed and it did work for me. I wish for you the very best life can offer.
If I can be of any more help to you ...please do not hesitate to ask.
Your Fearless Leader,
Deborah Shrira,CEO


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