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Doctor insights on: Low Dose Hrt

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I was bleeding on low dose HRT & meant to book internal app , i've stopped bleeding now & hrt, do I still need an internal examination ?

I was bleeding on low dose HRT & meant to book internal app , i've stopped bleeding now & hrt, do I still need an internal examination ?

Probably: Post-menopausal bleeding always needs to be evaluated. Estrogen dominance can cause hypertrophy of the uterine lining. Cancer is also a possibility, but extremely rare. Progesterone dominance can also cause a different kind of bleeding. A transvaginal ultrasound is a good idea. If you are pre-menopausal, that changes things. When in doubt, always follow up. ...Read more

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Dr. Bryan Treacy
860 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 there any way to avoid stomach bloating while on hrt? I'm on a low dose.

Is there any way to avoid stomach bloating while on hrt? I'm on a low dose.

Topical estrogen: If you have a uterus in place then a form of Progesterone should also be given to avoid endometrial cancer. If there is no uterus, then topical estrogen agents such as sprays or gels afford an even lower dose of estrogen to avoid bloating as they do not go through your liver at all.. ...Read more

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40yr F. Take bio-identical HRT & armour (low dose). Significant hair loss, male pattern. Should I see dermatologist or endocrine for follow up?

40yr F.  Take bio-identical HRT & armour (low dose).  Significant hair loss, male pattern.  Should I see dermatologist or endocrine for follow up?

Yes: Hair loss is hard to treat. You can have your thyroid retested which can cause hair loss. But if you have a family history of hair loss then it can be familial. You could try Rogaine (minoxidil) and consult your dermatologist. ...Read more

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Could low dose asa therapy cause you to bruise more easily and to develop purple spots on skin? I am also on HRT and lotrel (amlodipine and benazepril) for hypertension.

Could low dose asa therapy cause you to bruise more easily and to develop purple spots on skin? I am also on HRT and lotrel (amlodipine and benazepril) for hypertension.

Yes: That is a common effect of low dose Aspirin due to the inhibition of blood platelets. If your hypertension is well controlled it can still happen but is more likely if not controlled. As one gets older the skin gets thinner and capillaries get more fragile and tear easier which makes these bruises appear more often. ...Read more

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Plz be honest should a dr thats pt has a HRT rate above100 all the time an a low BP such as last time 54/92 not have some kind of work up done,if so??

Plz be honest should a dr thats pt has a HRT rate above100 all the time an a low BP such as last time 54/92 not have some kind of work up done,if so??

Needs evaluation: Hi. That is abnormal, and at face value, strongly suggests to me the need for a diagnostic evaluation. For clarification, the BP is 92/54, not 54/92. If chronic, I would not tend to suspect hypovolemia ("dehydration"), but rather other causes. If fluid intake adequate? Adrenal insufficiency can cause that. Are your blood salts normal? That BP could be normal. Also check thyroid. Needs evaluation. ...Read more

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On test cyp for hrt. Test was in low 100s. 2 docs prescribed injections, as no other test product worked. What supplements should I take with regimen?

On test cyp for hrt. Test was in low 100s. 2 docs prescribed injections, as no other test product worked. What supplements should I take with regimen?

No supplements: Only take supplements if you want to waste your money on products that you don't know what's in them or what they will do to you. If you already have gynecomastia, make sure you've had a full endocrine work-up by an endocrinologist. Injections are a poor way to replace testosterone. Other products are generally better. 2% gel almost always increases levels to normal at some dose if taken properly. ...Read more

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Im on the hrt. I am taking aldactone (spironolactone) 25mg, diane 35 and micropil. Adding dose of aldactone (spironolactone) can faster my feminization?

Im on the hrt. I am taking aldactone (spironolactone) 25mg, diane  35 and micropil. Adding dose of aldactone (spironolactone) can faster my feminization?

Transgendered Care: I wish i knew where you were and what doses you are on. Your treatment is very different than what I am used to in the United States. Aldactone is being used as a testosterone blocker. It is not very powerful, but drugs like it are always part of the regimen when one is transitioning gender. ...Read more

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43 yo male. Testosterone is 299 on 260-1100 scale. Feel low, anxiety, sleep issues, dizzy. Dr. stopped HRT after five years. Is this all related?

43 yo male. Testosterone is 299 on 260-1100 scale. Feel low, anxiety, sleep issues, dizzy. Dr. stopped HRT after five years.  Is this all related?

Cause of the problem: If your T of 299, it is in the normal range. I doubt that "low T" is the cause of your symptoms, but if you want to explore hormones, then you should see an Endocrinologist and look not just at testosterone, but other hormones too. ...Read more

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How fast can Atherosclerosis progress? No Diabetes, thin, low chol., low bp, good health but have ICA Atherosclerosis. Mom, stroke 54, Dad HRT atk 54.

How fast can Atherosclerosis progress? No Diabetes, thin, low chol., low bp, good health but have ICA Atherosclerosis. Mom, stroke 54, Dad HRT atk 54.

Genetic factors: Some people inherit tendency to develop atherosclerosis even in absence of "traditional" risk factors. Consider screening for unusual risk factors e.g. homocysteine, abnormal lipoproteins, other hematologic factors etc. Consider aggressive Rx with e.g. statins, B-vitamins, aspirin etc. Seek out an academic cardiologist-specialist in atherosclerosis. Check out cardiology depts at Emory &/or MCG. ...Read more

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I recently had a hysterectomy. On HRT and now thyroid levels are low. Can my hormones cause my thyroid to be mistaken for hyperthyroid?

I recently had a hysterectomy. On HRT and now thyroid levels are low. Can my hormones cause my thyroid to be mistaken for hyperthyroid?

Not really: Hormones can raise your total T4 but not your free T4 which is more accurate. If your total T4 is a bit high but your TSH is normal you are not hyperthyroid. Would help to see actual test resutsl ...Read more

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Irreg an high resting HRT rate, can it cause exhaustion, low enenergy, wt loss, an get strange feelin in head/eyes? Tachycardia not sure cause!

Irreg an high resting HRT rate, can it cause exhaustion, low enenergy, wt loss, an get strange feelin in head/eyes? Tachycardia not sure cause!

Dysautonomia - MVP : You may have dysautonomia which is associated with mitral valve prolapse syndrome - neither are usually life threatening but both cause patients anxiety about their symptoms. Read dr. Richard hoffman's book on mvp on amazon.Com. Increase fluid and salt intake, try magnesium supplements. ...Read more

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I am 38 & have low testosterone &  low estrogen b4, I have normal periods and no gyno issues but have other health issues, would  HRT help? 2- any Risks of HRT?

Yes and Yes: 1) with low t / low e2, you seem to be an ideal candidate for hrt {bioidentical vs synthetic} 2) risk is inherent with any and all medical prescriptions. Even life itself is a risk because of what happens during the aging process. I prefer to evaluate the risk:benefit ratio. If the risk of therapy is minimal when compared to the benefit of therapy, then therapy wins. ...Read more

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If higher estrogen dose is prescribed in addition to HRT therapy in peri/menopause will this help with breast tissue loss? A short time - wean off?

If higher estrogen dose is prescribed in addition to HRT therapy in peri/menopause will this help with breast tissue loss? A short time - wean off?

Confusing Q: Hrt is by definition estrogen. Are you suggesting that your doctor is going to increase the estrogen portion of your hrt? To my knowledge, i haven't heard of estrogen being used to help with breast tissue loss. Hrt should be used primarily to ameliorate the symptoms of menopause like insomnia, hot flashes, vaginal dryness. If breasts are your prime concern, how about implants? ...Read more

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Should i quit HRT low dosage birth control to take amberen? I am 59 years old and have considerable belly fat, sleepless nights, and mood swings

Should i quit HRT low dosage birth control to take amberen? I am 59 years old and have considerable belly fat, sleepless nights, and mood swings

See you gynecologist: From you symptoms, you may have more that just menopause. Please see you gynecologist for a full workup. Amberen is an otc supplement that is not regulated by the fda as a medicine. ...Read more