<s>[INST] I am almost 4 weeks post-op (laparoscopic myomectomy), the 5 incisions are healing well and I just returned to work after being out for 3 weeks. My problem is that I still feel extremely tired and just recently started feeling depressed. Also, my libido was extremely high pre-surgery now the thought of sex makes me feel ill. I had what I think was a period about 2 weeks after the surgery but I feel like I am about to start my cycle again but it hasnt. This has been ongoing for about a week now. Are these symptoms normal? [/INST] Hello Post surgery depression is a common thing. You are having tiredness, weakness, poor libido, lack of motivation etc. symptoms and I would like to tell you that these are the symptoms of depression. Try to divert your attention in watching TV or reading good books. If possible exercise daily and practice yoga. This thing help to improve self-confidence. Consult a Psychiatrist for management of depression if not controlled by exercise.  Chat Doctor. Cognitive therapy is also a useful alternative. You can contact a Psychologist for this. Thanks </s>