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Doctor insights on: Menopause And Hrt

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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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What depletes estrogen and testosterone in women and what can I do to boost both of these hormones. I am post menopausal on HRT?

Hormone replacement: age is most common factor. surgery , radiation therapy , thyroid disorders may cause hormone deficiency. may need hormone replacement if no contraindication. ...Read more

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Why do I start having night sweats and bleeding when i workout hard. I'm 55 and menopausal and on hrt.?

Why do I start having night sweats and bleeding when i workout hard. I'm 55 and menopausal and on hrt.?

Not common: You should not have bleeding if you are post menopausal.You may bleed if you are not taking your hrt correctly and this may also be why you are still having night sweats. Consult your gyn asap because you need a sonogram. ...Read more

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I'm in surgery menopause. I take HRT . My 17 beta estradiol is only 28, 76 pg/ml ( normal 103- 572) . Why? What could i do?

I'm in surgery menopause. I take HRT . My 17 beta estradiol is only 28, 76 pg/ml ( normal 103- 572) . Why? What could i do?

Dont check estradiol: The reason to take hrt after menopause is to relieve the symptoms of menopause, not to produce a "normal" Estradiol level. There is no reason to be checking this level as long as your symptoms are resolved. ...Read more

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I have started having problems with being hot & sweating for no reason, day & night. I am post-menopausal, but on HRT since hysterectomy approx 3 yrs.

I have started having problems with being hot & sweating for no reason, day & night. I am post-menopausal, but on HRT since hysterectomy approx 3 yrs.

Hormonal levels ?: If ovarian function was not surgically removed bilaterally at the time of hysterectomy, the function of the ovaries may now be slowing or ending, thus giving a loss of overall hormonal levels and increased menopausal symptoms of sweating. A physician needs more history to better answer this question accurately. ...Read more

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49 yr old menopausal symptoms. Began HRT, having heart palpitations on it, why cant Dr. tweak dosage? He wants to discontinue!

I am not sure: of your doctor's thoughts but it likely has something to do wit the fact that you are experiencing side effects. HRT has serious potential side effects. There are real pro's and con's. See: http://www.webmd.com/menopause/guide/menopause-hormone-therapy#1 ...Read more

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I'm in surgery menopause. I take hrt. I have a cyst in the right breast. Should I do a biopsy ?Thanks

I'm in surgery menopause. I take hrt. I have a cyst in the right breast. Should I do a biopsy ?Thanks

If recommended: Benign cysts are common in breasts, and most breast lumps are benign. But a breast radiologist is really the person who can guide you. A simple fluid-filled cyst does not need to be biopsied, but if the doctor is concerned about any features seen on imaging, and advises a biopsy, you should have one! ...Read more

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With zero estrogen after surgical menopause, and no HRT how can I protect myself against the potenial side effects such as altzeimers, lung cancer et?

Exercise: The best defense against chronic diseases (including cancer) is living a healthful lifestyle (i.e. Eating an anti-inflammatory diet, exercise, stress reduction, don't smoke, avoid toxins and carcinogens.). ...Read more

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How to reduce or stop hot flashes and excessive sweating from menopause but without HRT because I'm breast cancer survivor?

How to reduce or stop hot flashes and excessive sweating from menopause but without HRT because I'm breast cancer survivor?

Damiana, menopause: Damiana has been widely used, and is reportedly useful for a number of conditions, including imbalanced female hormones. Many women have reported reduction in night sweats and vaginal dryness associated with menopause. It is best taken as a tincture. Black Cohosh is another consideration, but use should be limited to short periods of time due to the potential for liver damage. ...Read more

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What can I take for menopause with out taking hrt?

What can I take for menopause with out taking hrt?

Several options: There are several things to try. Anti-depresssants have worked for many women (ssri's like Celexa (citalopram) or wellbutrin). Clonidine affects the blood vessels and can help hot flushes, especially at night. Gabapentin has also been used pretty successfully. All treatments (including doing nothing) have risks and benefits so talk to your doctor about your particular risks. ...Read more

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Is it possible to get relief from menopause symptoms without any hrt?

Is it possible to get relief from menopause symptoms without any hrt?

It's possible. : There are all kinds of remedies and medications which can treat each of the numerous different symptoms of menopause, some work better than others. However, besides bioidentical hrt, none of them address the primary problem of menopause (estradiol and Progesterone deficiency). ...Read more

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I am 48..Menopaused and not using hrt..But I am having one glass of soya milk per day, at bedtime. Any concerns?

I am 48..Menopaused and not using hrt..But I am having one glass of soya milk per day, at bedtime. Any concerns?

No concern: Great question. A recent german observational study found the following in post menopausal women: ". High and low consumption of soybeans as well as of sunflower and pumpkin seeds were associated with significantly reduced breast cancer risk compared to no consumption (or = 0.83, 95% ci = 0.70-0.97; and or = 0.66, 95% ci = 0.77-0.97, respectively)." therefore, enjoy your soy milk. ...Read more

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Was diagnosed pre-menopausal at 45yr, am now 56yrs, taking natural Remifemin for symtoms, how long does menopause last??. Was on HRT but made me bleed

Was diagnosed pre-menopausal at 45yr, am now 56yrs, taking natural Remifemin for symtoms, how long does menopause last??. Was on HRT but made me bleed

Rest of your life: Menopause will last the rest of your life. The SYMPTOMS of menopause tend to decrease over time and varies for each person. ...Read more

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I have a 1 CM breast cyst. I'm in surgery menopause and i take HRT . Can HRT get the cyst bigger in few months?

I have a 1 CM breast cyst. I'm in surgery menopause and i  take HRT . Can HRT get the cyst bigger in few months?

Needs evaluation: All breast masses regardless of how old you are should be promptly seen and evaluated by a doctor. Some can be influenced by hormones others no. You will need to find out what kind of cyst you have. ...Read more

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Normal range for hemoglobine and hematocrit is the same for 30yo woman with regular periods and 30yo woman in surgery menopause (in therapy with HRT)?

Normal range for hemoglobine and hematocrit is the same for 30yo woman with regular periods and 30yo woman in surgery menopause (in therapy with HRT)?

Yes: The expected ranges of hemoglobin and hematocrit will be about the same for a woman on hormone replacement therapy (HRT) as for one with natural periods, assuming the latter has adequate iron intake and is not iron deficient. Men have slightly higher expected values due to effects of testosterone. ...Read more

Dr. Janet Greenhut
1,727 doctors shared insights

Menopause (Definition)

The absence of menstrual periods for 12 months. During menopause, the ovaries stop producing estrogen and progesterone. After the complete transition into menopause, women can no longer get pregnant. The average age for menopause is 51 years old. Symptoms include dry vaginal tissue, irregular periods, hot flashes, mood ...Read more