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Doctor insights on: Estradiol After Hysterectomy

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Dr. Jeff Livingston
1,879 Doctors shared insights

Hysterectomy (Definition)

The entire uterus (womb), cervix, the part protruding into the vagina, and ...Read more


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

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

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

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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?

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?

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 doesn't work once you stop it. Plus when you skip meals because of the phentermine, you lose muscle more than body fat. ...Read more

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Dr. Alvin Lin Dr. Lin
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At 68, can vaginal exams stop? Am on Vivelle (estradiol) Dot 5mg. Had a total hysterectomy in '89

Dr. Alvin Lin Dr. Lin
1 doctor agreed:
At 68, can vaginal exams stop? Am on Vivelle (estradiol) Dot 5mg. Had a total hysterectomy in '89

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 ...Read more

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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.

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.

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. ...Read more

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

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

Hormones may be off.: It sounds like you are not getting enough estrogen ; a simple blood test can be done to see what your level is, and the dose can be adjusted. Sex drive is also related to testosterone levels, as well as estrogen. You may need to have that level checked, too. ...Read more

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I had a hysterectomy 2 yrs ago and have gone on the vivelle (estradiol) dot patch. My hair has thinned considerably. What do I need to do? Worried...

I had a hysterectomy 2 yrs ago and have gone on the vivelle (estradiol) dot patch. My hair has thinned considerably. What do I need to do? Worried...

Worried: Yes you should be concerned but you must discuss this with your Gynecologist. The Gynecologist will take careful information from you, examiner you clearly and make decisions for your ongoing health.
You may need to see a different specialist to care for your hair loss.

Please keep me informed. ...Read more

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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

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

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. ...Read more

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53 year old female who did a partial hysterectomy three years ago. Recent blood works. Estradiol is 263 and dhea is. 70 and progesterone is 6.7meaning?

Ovaries: Still functioning. Not completely in menopause yet. You are estrogen diment and might feel better with a topical Progesterone supplementation. Progesterone is the first jopme lost in early menopause ...Read more

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I am 61, have had a hysterectomy, then a bladder suspension mesh, and now have been prescribed estrace (estradiol) cream to avoid mesh protrusion is this normal?

I am 61, have had a hysterectomy, then a bladder suspension mesh, and now have been prescribed estrace (estradiol) cream to avoid mesh protrusion is this normal?

Yes: This is very standard after the surgeries you described. Using the estrogen cream will help reduce problems with the mesh, which are actually quite rare. The cream helps to tissue stay healthy and lubricated. ...Read more

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Hormone blood work. Hysterectomy. One ovary left 25.1 estradiol 0.2 progesterone 19.7 LH 53.3 FSH Does this mean I need to take hormones?

Hormone blood work. Hysterectomy. One ovary left 25.1 estradiol 0.2 progesterone 19.7 LH 53.3 FSH Does this mean I need to take hormones?

Menopause: Although I am unable to give an absolute answer without the range of the lab involved, these numbers suggest you are not in the menopause and therefore do not require hormone replacement. Furthermore, if you are asymptotic you do not require medication. The true issue is what is bothering you? Hope this helps. DrG ...Read more

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My estradiol level is 376 &estrogen is 870.Had a partial hysterectomy in march they just removed the uterus. What do these levels mean? Any advice please

Not menopause: Well, first of all you are not in menopause. Estradiol < 28 means menopause. Beyond that, angelique, it does not mean much else. It seems to be a healthy level of estrogen despite your partial hysterectomy. If you want to get pregnant, at that Estradiol level, it may still be possible. If you had the partial hysterectomy because of a fibroid, you want to keep your Estradiol at a healthy level. ...Read more

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Can I use estrace (estradiol) for atrophy if I carry the BRACA2 mutation? Hysterectomy but still have ovaries and cervix.

Can I use estrace (estradiol) for atrophy if I carry the BRACA2 mutation? Hysterectomy but still have ovaries and cervix.

Quality of life: If your quality of life would improve dramatically while using estrace (estradiol) for atrophy, it may be worth the risk of promoting breast cancer. ...Read more

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I'm 31 had cancer when I was 25 had a full hysterectomy I'm now on combipatch (estradiol and norethindrone) 50/140 twice a week but every time I change it I get bruised why?

I'm 31 had cancer when I was 25 had a full hysterectomy I'm now on combipatch (estradiol and norethindrone) 50/140 twice a week but every time I change it I get bruised why?

Irritation?: If you are referring to skin irritation under the patch, let your prescribing doctor know (show it to him/her) so a decision can be made whether to use a topical cream or medication or whether the patch should be discontinued. There is a whole spectrum of degree of the reaction. ...Read more

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Dr. Jeffrey Satinover
239 Doctors shared insights

Gynodiol (Definition)

Gynodiol is an estrogen-based agent which is a kind of women's ...Read more