Question 1

do you need to be on estradiol if you had an hysterectomy?

Accepted Answer

If overies gone, yes: Estradiol  replaces estrogen from the ovaries, which if removed during surgery, is necessary for replacement in pre-menopausal women.

Question 2

i had a hysterectomy and i'm currently taking estradiol. i gained an extremely amount of weight. what can i do to lose weight. is the estradiol the ca?

Accepted Answer

Wt gain: Some people develop a stronger appetite when they take hormones. 

Also, there are other  hormones such as thyroid,  testosterone and Progesterone that if out of balance can make wt loss difficult.

Nutrition however is number one.  Check hormone balance, stop Phentermine as it doesnt work once you stop it. Plus when you skip meals because of the phentermine,  you lose muscle more than body fat.

Question 3

i have had a partial hysterectomy and only have my left ovary? my ssh is 3.2 my lh is 1.38 and my estradiol is 86.8 . is this normal.

Accepted Answer

Yes: I believe you mean FSH. If so, these are normal levels. Sounds like your left ovary is working well.

Question 4

how long can one take estrace (estradiol) 1mg/day? had hysterectomy w/bilat oophorectomy- age 26 and started it then and now i'm 51.

Accepted Answer

Estrace (estradiol): Take this medication exactly as it was prescribed for you. Do not use the medication in larger amounts, or use it for longer than recommended by your doctor.

Long-term estradiol treatment may increase your risk of breast cancer, ovarian cancer, or uterine cancer. Talk with your doctor about your individual risks before using estradiol long-term.

Question 5

had 3misscarriages & 1 laparoscopic hysterectomy, my prolactin level 749, fsh-5.7, lh-5.4, estradiol-34.what does this mean? answer please!

Accepted Answer

Prolactin high: A prolactin of 749 is very high and can be a sign of pituitary tumor, you should have this evaluated by and endocrinologist.

Question 6

i had a hysterectomy 1yr ago my dr put me on estradiol .5mg. im still having bad hot flashes and zero sex drive. is there anything to help me?

Accepted Answer

Estrogen: You should see your doctor and discuss your dose of estradiol. You probably need to increase the dose if you are still having symptoms.

Question 7

53 year old female who did a partial hysterectomy three years ago. estradiol is 263and dhea is 0.70 and progesterone is 6.7. what fdoes thst mean?

Accepted Answer

Menopause: Your estrogen levels suggest ongoing ovulation and at least ovulating in that cycle if you want to confirm menopause use fsh levels elevated levels helpful.

Question 8

i'm 68 and i don't want to come off estradiol...what should i do? dr. christensen, i'm 68, had a partial hysterectomy (ovaries left) @45, i went on estradiol 2mg at @53. my daughter, who is a nurse, said i had to come off @66 because i had been on too lon

Accepted Answer

I'm : I'm very happy you made a choice based on the quality of your own life - that is ultimately the way to go. Hormone therapy is much safer than the media makes it out to be, especially when the hormones used are bioidentical.
Because you do not have your uterus, you are not at risk for uterine cancer from the Estradiol you are taking. I do not believe you are increasing your risk of breast cancer either. The debate around hormone therapy and breast cancer mostly skips over several very large studies (both in the U.S. And in europe) that show that the increase in breast cancer risk with hrt is due to synthetic progestins, which are not the same as bioidentical progesterone. In your case, as we said, you don't need any progestin to balance the estrogen. (notice i did not say you don't need any Progesterone - this can help with sleep quality, anxiety and mood, and does not increase your risk for breast cancer as long as it is bioidentical - Prometrium (micronized progesterone) or compounded progesterone.) 
on the other hand, you are at a relatively increased cardiovascular risk because you are taking oral estrogen. If there is any way you can change it to a form of Estradiol through your skin (gel, cream, or patch), then you will significantly lower your risk of cardiovascular side effects such as stroke, heart attack, and peripheral blood clots. Some women really need the oral estrogen, such as if the transdermal forms do not work well for them. If this is the case for you, then we are back to quality of life as the way to decide. The absolute risk of any of these cardiovascular events is small; it is the "relative" risk that is increased. So, especially in light of all the potential benefits of estrogen, i recommend going for feeling the best you can for as long as possible.

Question 9

at 68, can vaginal exams stop? am on vivelle (estradiol) dot 5mg. had a total hysterectomy in '89

Accepted Answer

Depends . . .: Tricky question to answer bc depends upon definitions. Pelvic/vaginal exams are separate from Pap smears which look for cervical cancer. Assuming total hysterectomy (TH) for non-cancerous reasons, there's no further need for Pap smears. Common misunderstanding that TH includes removing ovaries - this is not true, as it only refers to removing whole uterus. If ovaries removed too then stop pelvic

Question 10

i had a hysterectomy (kept ovaries) 2yrs ago.tested recently. premenopause? estradiol 67.5pg/ml, lh 9.7miu/ml, fsh24.1miu/ml,prolactin 7.9 ng/ml

Accepted Answer

Test results: It is better for individual test results to be interpreted by the doctor who ordered them who can place the results in the proper clinical context. FSH and LH levels will vary throughout the month until menopause. Since your levels are low  and your Estrogen level is normal it does not appear that you are premenopausal. Schedule follow up for a more individualized analysis.

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Doctor answers about:

Estradiol after hysterectomy

A member asked:

Do you need to be on estradiol if you had an hysterectomy?

A member asked:

I had a hysterectomy and i'm currently taking estradiol. i gained an extremely amount of weight. what can i do to lose weight. is the estradiol the ca?

A member asked:

I have had a partial hysterectomy and only have my left ovary? my ssh is 3.2 my lh is 1.38 and my estradiol is 86.8 . is this normal.

A member asked:

How long can one take estrace (estradiol) 1mg/day? had hysterectomy w/bilat oophorectomy- age 26 and started it then and now i'm 51.

A member asked:

Had 3misscarriages & 1 laparoscopic hysterectomy, my prolactin level 749, fsh-5.7, lh-5.4, estradiol-34.what does this mean? answer please!

A member asked:

I had a hysterectomy 1yr ago my dr put me on estradiol .5mg. im still having bad hot flashes and zero sex drive. is there anything to help me?

A member asked:

53 year old female who did a partial hysterectomy three years ago. estradiol is 263and dhea is 0.70 and progesterone is 6.7. what fdoes thst mean?

A member asked:

I'm 68 and i don't want to come off estradiol...what should i do? dr. christensen, i'm 68, had a partial hysterectomy (ovaries left) @45, i went on estradiol 2mg at @53. my daughter, who is a nurse, said i had to come off @66 because i had been on too lon

A member asked:

At 68, can vaginal exams stop? am on vivelle (estradiol) dot 5mg. had a total hysterectomy in '89

A member asked:

I had a hysterectomy (kept ovaries) 2yrs ago.tested recently. premenopause? estradiol 67.5pg/ml, lh 9.7miu/ml, fsh24.1miu/ml,prolactin 7.9 ng/ml

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