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Doctor insights on: Hrt After Total Hysterectomy

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Just had a (4 weeks ago)total hysterectomy at 46 due to bad endo. Do you recommend HRT and what kind?

Just had a (4 weeks ago)total hysterectomy at 46 due to bad endo. Do you recommend HRT and what kind?

HRT: As there are rare but serious risks such as breast cancer and blood clot formation, you should understand these risks and they are acceptable to you. If you decide to have hrt, you should take the lowest effective dose of estrogen needed to relieve menopause symptoms for the shortest amount of time needed. ...Read more

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Dr. Bryan Treacy
846 doctors shared insights

Hormone Replacement Therapy (Definition)

Usually done to provide the hormones that would be deficient upon surgical removal or inactivity or malfunction of a hormone producing gland or organ. The endocrinologist is the medical specialist that specializes amongst other things , in doing just that. Insulin/glucagon-pancreas, thyroid hormone-thyroid, ovaries, testicles, hypothalamus, ...Read more


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Is it safe to use HRT after removal of mucinous cystadenoma and total hysterectomy ?

Is it safe to use HRT after removal of mucinous cystadenoma and total hysterectomy
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Yes: Assuming you have no other medical issues preventing you from taking hormones. A mucinous cystadoma is a benign ovarian tumor and would not disqualify you from hormone therapy. ...Read more

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Had hysterectomy. Have one ovary left . 43 years old . Do I need to go trough HRT?

Had hysterectomy. Have one  ovary left . 43 years old . Do I need to go trough HRT?

No, not necessarily.: If you don't have symptoms of hormone loss/imbalance (hot flashes, low mood, vaginal dryness, painful intercourse, insomnia, foggy brain, low libido) then your remaining ovary is probably producing enough for now. However, if you do have these symptoms then you might need HRT. If you're unsure then the best way to tell is to test all the hormone levels. ...Read more

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I am a 41 year old woman. I had a full hysterectomy in my early 30's. I have been able to stay of HRT but lately my moods, hot flashes etc. Are out of controll. Do I need to consider hrt?

I am a 41 year old woman. I had a full hysterectomy in my early 30's. I have been able to stay of HRT but lately my moods, hot flashes etc. Are out of controll. Do I need to consider hrt?

Yes: Assuming your ovaries were removed at the time of the hysterectomy, i would encourage you to try estrogen replacement therapy. You are too young to be without estrogen. No estrogen can cause bone and vaginal problems in addition to the symptoms you describe. ...Read more

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What should FSH level be if you are on HRT post hysterectomy?

What should FSH level be if you are on HRT post hysterectomy?

Not measured!: If you had a hysterectomy with oophotectomy (which is removal of the ovaries) your FSH will go very high, usually into the 100's. The FSH responds differently in different people to HRT. In some it does not change in others it comes to undetectable. What is important is how you feel not a number! Also, know in situation it is safe and appropriate to be on HRT, see link. ...Read more

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Its been 1 year since hysterectomy with ovary removal, and HRT is not working, I feel old, and unlike me?

Its been 1 year since hysterectomy with ovary removal, and HRT is not working, I feel old, and unlike me?

Hormone evaluation: See a gyn specialist in menopause issues, surgical menopause occurs after removal of ovaries in a reproductive age woman. It can be very abrupt and difficult to manage. Proper evaluation and hormone treatment should be able to help you get back on track. Sometimes patients need additional types of therapy such as testosterone. Other issues like thyroid and depression should be addressed. ...Read more

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I had a complete hysterectomy in june and no hrt. Now my FSH shows 17.4. Is that normal?

I had a complete hysterectomy in june and no hrt. Now my FSH shows 17.4. Is that normal?

A "complete": Tah or tvh, or total hysterectomy takes out the uterus. A bso removes both ovaries and tubes. 17 would indicated that there is little estrogen to suppress its production. That may be due to your age as much as the surgical procedure, whatever it actuall was. ...Read more

Dr. Jeff Livingston
1,837 doctors shared insights

Hysterectomy (Definition)

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