Doctor insights on:
Hrt After Total Hysterectomy
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 moreSee 1 more doctor answer
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
Had a total hysterectomy 9 years ago. Had some complications and couldn't do hrt. I recently started HRT and over the past month I've had severe pain?
I had a total hysterectomy in 2004. Took HRT after until blood clot last year. Hot flashes are horrible. Estroven and black cohosh don't work.
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 moreSee 1 more doctor answer
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?
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
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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