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Q:  I am 27 years old and I have had my left tube removed due to an eptopic pregnancy. I deal with just about every symptom listed for hormone problems, but what I did not see listed was nausea. Is that not also an symptom? I can no longer have children, so what are treatments for someone my age that has three children?

A: Keep in my mind that my answers are meant to be general since I cannot make a
diagnosis or recommend treatment on the web.
Surgery on the tubes should not affect anything hormonal because the tubes do not make hormones and are separate from the ovaries.
Nausea is a non-specific symptom which means it can have many causes. The only time it is likely to be hormonal is when it is cyclic, that is when it happens only at specific times during a woman's cycle. If it happens at other
times, it is more likely to be a problem in the stomach. A common cause is GER (gastroesophageal reflux) in which acid from the stomach backs up, usually during the night, and irritates the esophagus.
For persistent nausea, it is best to see a physician since, as I have said, it can have many different causes. Primary care physicians see this problem frequently. The specialty which deals with it is gastroenterology.

Hope this his helpful.

Geoffrey Redmond, MD

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