I had an interesting conversation with a surgeon who performs Tubal Ligation reversals. I have known him for awhile and he saw me when i was at my worse. As such, he knows my PVPS situation. He started talking about Post Tubal Ligation Syndrome. In a nutshell, he said that most of the issues women experience aren’t necessarily pain but are often hormone induced. Usually when they are in pain, it is a very obvious issue with the way the tubal was done, so the pain is easy to address. The real problem they experience is more emotionally driven related to hormone imbalances. Symptoms often include anxiety, depression, severe mood swings, irritability, etc He said, like most of the uros we deal with, that it’s still questionable whether the disorder actually exists. I told him that there was clear evidence/research supporting PVPS, and he stated that similar thorough research is lacking for their disorder.
It was an interesting conversation and got me thinking. Although the pain is obviously our main focus, I can’t help but wonder about the hormonal changes men go through following a vasectomy. We often get caught up on our T levels, but there are so many hormones that can affect our mental stability that i wonder if we don’t experience similar hormonal changes. I know i have had injuries and pain before, but I have never responded so bad mentally to the pain like I did post vasectomy. It seems like I am not alone with the severe anxiety and depression I have gone through the last 8 months. Sadly, unless someone starts research, we may never have an appropriate response about hormonal changes outside of testosterone. Just some thoughts.