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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
834 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 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 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 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 25mg, diane 35 and micropil. Adding dose of aldactone can faster my feminization?

Im on the hrt. I am taking aldactone 25mg, diane  35 and micropil. Adding dose of aldactone 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