no sweat

In filling out the mountain of paperwork for the BI-BATH autonomic function center, I thought “gosh, I should pay attention to the sweating” since there were lots of questions about it.  I know I am now consistently waking up drenched in sweat at night.  Change the clothes and put down a towel over the soaked sheet drenched.  But what about outside of that?  I have a vague sense that perhaps I now no longer sweat as much as I used to.  Tough to know though.  I avoid the heat as a general rule, and when I can’t, I usually have other things on my mind like “uuuuunnnnnggggghhhhh, need more blood in brain!” But mother nature has decided to help me out by giving us a heat wave on my vacation.  It’s 95 degrees here in the suburbs of Big Northeastern City and it’s been in the 90s for days, with more to come.  I know, it’s hotter elsewhere in the US even.  But keep in mind that I live in the northeast – in a place where houses and buildings are not designed with sustained high temperatures in mind.  So I got a warm New England house right now.  Because I will pass out from too much heat, we do have an air conditioner in the kitchen.  Carbon footprint be damned!  Seriously though, I do not have a TV in every room, my husband and I carpool to work and I hardly ever drive anywhere now on the weekends, we’re good about other things like not running the washer or dryer unless we have an actual full load of laundry, and we have no kids.  So I figure we’ve got a little carbon credit to spare for HVAC.

However, the kitchen AC is not powerful.  It’s small and older.  We should upgrade but having just bought our massive, mahogany pulping-capable blender, we’re not up for another big ticket item.  Even with the AC on, when it’s 95 degrees outside, and the kitchen catches a full day of direct sunlight (again, New England construction), and you’re running the stove and the range then it’s probably still over 90 in there.  At one point, I look over at my husand and he’s shining with sweat.  Hm.  I feel my forehead.  Dry.  Neck?  Dry.  Back? Dry.  Holy crap.  Underarms?  Backs of knees?  Maybe slightly tacky.  I look at my husband again – who, it should be said, has amazing temperature regulation – and see a bead of sweat rolling down his leg, droplets standing out on his forehead.  “Um, sweetie?  Do I feel dry or sweaty to you?” I ask, because I like to get independent confirmation.  This is not insecurity, it is an awareness than one observation or repeated observations from one observer is not usually a sufficient basis for general conclusions.  He checks, but his hand is damp.  Wipes hands off… Verdict is?  Very very dry.  Creepliy dry.  I guess I have my answer.

 

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Sweating it out, part two

When I mentioned the night sweat thing at my appointment yesterday, the surgeon mentioned possible changes in the blood supply to ovaries after hysterectomy.  So like a mini-menopause? I asked – a minipause!  Although he is adorable, and although I’ve seen things approaching emotions on his face, I have to say that I’ve met few people who do stone-faced as well as my Nordic GYN surgeon.  Apparently “mini-pause” warrants stone faced.  And “it should pass.”  I knew if I pressed for scale of “passing”, I’d get evasion.  I don’t know, maybe it was something about him or just experiences with doctors in general.  Anyhow, I went home and looked it up after yet another sweaty (but not in the fun way) night.  An unscheduled hormone hop would also explain the HUGE migraine.  Hell, my body doesn’t even like the regularly scheduled ones, so you can imagine how it would feel about “minipause” ones.

http://www.ncbi.nlm.nih.gov/pubmed/15629673

    Ovarian changes after abdominal hysterectomy for benign conditions.
    Chan CC, Ng EH, Ho PC.
    Department of Obstetrics and Gynaecology, The University of Hong Kong, Queen Mary Hospital, Hong Kong, People’s Republic of China.AbstractOBJECTIVES: To investigate any change in the ovaries, including early follicular serum follicle-stimulating hormone (FSH) level, total ovarian volume, total antral follicle count, and ovarian stromal blood flow, in patients who had undergone abdominal hysterectomy for benign conditions. 

    METHODS: Fifteen women with abdominal hysterectomy and conservation of ovaries for benign conditions and who were between 29 and 44 years old were recruited to undergo three-dimensional ultrasound examination with power Doppler to assess total ovarian volume, total antral follicle count, and vascularization index (VI), flow index (FI), and vascularization flow index (VFI) of ovarian stromal blood flow. Serum FSH, estradiol, and progesterone levels were checked on the same day. The results of the assessments were considered taken during the early follicular phase if the estradiol and progesterone levels were basal. Fifteen age-matched healthy women underwent the same assessments on the second day of menstruation.

    RESULTS: Women with hysterectomy had significantly elevated serum FSH level and lower ovarian stromal blood flow indices, including VI, FI, and VFI, as compared with healthy women. The total antral follicle count and the total ovarian volume were similar between the two groups.

    CONCLUSION: These changes may suggest altered ovarian function after hysterectomy.

     

sweating it out

I’ve been having miserable night sweats all week!  Gah – so not only does my sleep get disrupted, but I wake up shivering and drenched.  I’ve had bouts of this before, back when I had Lyme Disease and on and off some since then (when I was on hormones for the endo).  But what the hell?  Not infected, no temps (well, no greater than my usual slightly elevated temps).  I’m not even having a lot of overheating during the day since I’m at home and can control my immediate environment right now much better than I usually can at work.  It’s a pain in the ass!