### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
had a davinci robotic hysterectomy and full removal of ovaries last Friday.  Surgery was done because of extensive fibroids in uterus.  The ovaries where my choice.  Had some negative reactions to anesthesia and pain meds.  Stayed 2 nights because of vomitting and dizziness.  I am now how and physically feeling good.  I am off all pain meds and just taking 600mg of motrin every 6-7 hours.  My greater concern is with my emotional well being.  I suffer from depression and have been on Celexa for many years and it does well.  I also have a prescription for lorazepam that I take as needed.  On Sunday I began having unbelievable mood swings/hot flashes.  The dr. had originally put me on a .05estradiol patch, but with my symptoms added .0625 premarin oral pill.  I am beginning to feel a tiny bit better. How long does all of this take to settle into my system? Is there something else I can be doing....How long should I be taking it easy?

### output:

HelloThanks for using Chat Doctor for posting your query. I have gone through it in detail and I can understand what you are going through. After removal of the ovaries there is bound to be some hormonal disturbances. The hot flushes and the mood swings that you are describing are the same. It may be not be related to the depression. Hence, you may continue taking your usual antidepressants. With the patches already in action it may take 2-3 weeks for the hormonal symptoms to settle down. There is no need to change the antidepressants. Hope I am able to help you with your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ Chat Doctor. 