Doctor insights on:
Estrogen Replacement Therapy After Hysterectomy
Yes: Hormone replacement (hrt) should be given to all women unless they have significant contraindications. Unfortunately the medical sentiment has changed against hrt over the last decade. It is coming back but physicians are still very reluctant. Many benefits and few risks if done in non-oral fashion. Especially very important if the hysterectomy was done before age 50. Don't wait seek hrt. ...Read more
Usually no: During the time a woman is perimenopausal hormonal manipulation can cause some spotting or bleeding depending on how the hormones are dosed. Once a woman is truly menopausal hrt does not usually cause menstruation. Vaginal bleeding in the post-menopausal woman is considered abnormal & worthy of investigation. ...Read moreSee 1 more doctor answer
Increases risk: Hormone replacement therapy (hrt) has been shown to increase one's risk for breast cancer if taken for longer than 5 years. The current recommendation is to take low doses for a limited amount of time and then stop. There are some other non hormonal medications that can be used to help manage menopausal symptoms. ...Read moreSee 3 more doctor answers
Can be, depends: Hormones are powerful things! they should be prescribed by licensed practioners acting within their scope of practice! they can be helpful for hot flashes, painful sex, night sweats, and bone health. Risks: blood clots, stroke, heart attacks. This is a personal decision between you and your doctor with a specific plan for results and followup. Fda approved=bioidentical! ...Read moreSee 3 more doctor answers
Depends on age: Early estrogen replacement rx (hrt) is of major value in women with either surgical menopause or early menopause in diminishing the likelihood of heart disease. It diminishes the chance for osteoporosis and colon cancer. It makes a females sexual-life longer. However, in older females with metabolic syndrome, or who have been off or never on hormones, a serm like Evista (raloxifene) may be better option. ...Read more
After cushing surgery i'm in hormone replacement cortisol 25 ml.Is headache normal after 3 weeks after surgery? Thank you hormones replacement
Ask surgeon: You need to discuss this with your surgeon. ...Read more
Is testosterone treatment for aging men comparable for hormone replacement therapy for menopausal women?
Yes: Having been in this situation, i can tell you that balancing out hormones in men is just as important as doing so for women. Men lose their sex drive, become Insulin resistant, lose their vitality. I'll post a page later that describes my own personal treatment success. I feel great at almost 52 years of age. ...Read moreSee 4 more doctor answers
Yes, an option: There are many things you can do to avoid osteoporosis. Things you can't change: your family history, race, aging. Things you can change: get adequate calcium: 1500 mg per day, vit d 2000 iu per day, physical activity: 150 minutes per week (or 50 jumps per day), have normal tsh, get regular screening, and know your personal risk factors. Have a frax score done to help you decide what to do. ...Read moreSee 2 more doctor answers
Should i consider radioactive iodine therapy for regrowth of tissue after -partial, then total thyroidectomy?
It depends : That would depend on the original diagnosis and reason for thyroidectomy. If it was for benign modular disease or goiter then it shouldn't be necessary. If it was treatment of cancer then it is probably advisable but there are other factors that would need to be explored with your doctor. ...Read more
Complex issues: Female hormones increase thromboembolism, deep venous thrombosis--progesteron is blamed, more than estrogen--because at menopause, there is changes in blood coagulation?Increase weight, arteriosclerosis, metabolic syndrome all of this increase risk of cardiovascular disease-- estrogen can be given at low dose for brief periods. ...Read moreSee 2 more doctor answers
What are your thoughts on DHEA supplement after total hysterectomy vs the traditional estrogen and testosterone therapy?
Don't bother w/DHEA: DHEA is a dietary supplement that garnered a lot of press at one as mother of all hormones but there's no proof of clinical benefit despite theory. There are definite risks as well as benefits to hormone replacement. Individual answer depends upon your personal & Family History. Total hysterectomy refers only to removing uterus which means ovaries are left behind. Ask if BSO necessary which means ...Read moreSee 1 more doctor answer
Which is better for hormone replacement therapy: prempro or combipatch (estradiol and norethindrone)?
Prefer Combipatch (estradiol and norethindrone): Most importantly because it is a patch vs a pill, sometimes for an individual though, one may be better tolerated that the other and one may be more effective than the other. All things being equal, topical therapy is preferable for relief of menopause symptoms. However, Prempro (conjugated estrogens and medroxyprogesterone) is probably more protective for osteoporosis ...Read more
Will hormone replacement therapy following menopause restore the normal menstrual cycles in a woman?
Any thoughts on bhrt using the biote pellet procedure for my hormone replacement after my hysterectomy?
Balance is Key: If the surgical procedure included the removal of both ovaries, then one will experiece a sudden decrease of progesterone, testosterone and estrogen. Compounded pellet implants for women come in the forms of Estradiol and testosterone. Progesterone is rx as a topical, inj or oral. The advantage of the pellet implant tx is the steady-state delivery over 3-6 months. ...Read moreSee 2 more doctor answers
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