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Doctor insights on: Surgical Menopause Hrt

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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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Dr. Bryan Treacy
862 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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For how long should the typical woman take HRT after surgical menopause at 38?

For how long should the typical woman take HRT after surgical menopause at 38?

See below...: I would typically have a surgically menopausal woman on hrt until they would have gone through menopause naturally. The average age of menopause is about 51 years of age. At that point, you would re-evaluate the need for hrt. The biggest concern is loss of bone mineral density. ...Read more

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Should the typical woman take alendronate after surgical menopause at 38 if is already on hrt?

Should the typical woman take alendronate after surgical menopause at 38 if is already on hrt?

Better choices: Alendronate or Fosamax (alendronate) should no longer be considered a "go to" medication for bone density. There are much better choices. Consult your primary care doctor about medicinal alternatives. The best therapy for a 38 y/o surgical menopause patient is regular weightbearing exercise, a well balanced diet, avoidance of nicotine, adequate calcium intake, and vitamin d3 at 5000 iu per day. ...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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Can oral contraceptives be used as HRT after surgical menopause?

Can oral contraceptives be used as HRT after surgical menopause?

Surgical menopause: Yes bc pills can be used, however these are all synthetic chemicals and not bio-identical to ones natural hormones that are supplied to the body before menopause. To get superior treatment ask for bio=identical hormone therapy to balance your hormone system. ...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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Did HRT help with menopausal symptoms?

Did HRT help with menopausal symptoms?

Yes: Hormone therapy did -- and still does -- help with menopausal symptoms like hot flashes and vaginal dryness. Some women still take them even though they are not as safe as once believed. For women who are experiencing or have just gone through menopause the risks of heart disease, stroke, and breast cancer are quite low, although not zero. Check out www.Menopause.Org or see your doctor. ...Read more

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After menopause, please give me advise on hrt?

After menopause, please give me advise on hrt?

Easy or hard?: How has menopause been for you? Ez or hard? The kind of challenges you face determine whether or not you want treatment and what kind of treatment. Short term HRT may the answer for some women. Others choose diet, exercise, supplements or acupuncture. Some of us breeze through this transition & don't need to do anything at all. So it really depends. Hope you find what you need. ...Read more

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What is the best HRT for a menopausal woman who has had endometriosis?

What is the best HRT for a menopausal woman who has had endometriosis?

Patch: There is no correct answer to that question, but probably an estrogen patch will be of most benefit. And if you have a uterus, probably continuous Progesterone will be of some benefit in helping to suppress any residual endometriosis. But there are many different ways to go about this. ...Read more

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Is bioidentical HRT worth the risk if you do not have any menopause symptoms?

Is bioidentical HRT worth the risk if you do not have any menopause symptoms?

I think so. : In menopause the ovaries are no longer producing both estrogen (estradiol) and progesterone, which are potent female hormones. Every cell in a woman's body has estrogen and Progesterone receptors, not just the reproductive system, so the entire body suffers once in menopause. Find an integrative medicine doctor who specializes in menopause. They are best trained to prescribe bioidentical hrt. ...Read more

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What is hrt? Does someone tht has premature menopause really need it? What are the pro and cons?

What is hrt? Does someone tht has premature menopause really need it? What are the pro and cons?

HRT: Hrt is hormone replacement therapy. It is very important for patient with premature menopause or premature ovarian failure. Without hrt, you will developed some of menopausal symptoms and consequences such as hot flush, mood disturbance, early heart disease, bone fracture, decreased libido and sexual function, et al. ...Read more

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Should HRT elimate all menopause symptoms? Or is it normal to still have some hot flashes after 6 weeks on it?

Should HRT elimate all menopause symptoms? Or is it normal to still have some hot flashes after 6 weeks on it?

Unlikely: No pills can replace the natural rhythm of the body. While hrt can raise your level back to normal, it cannot "adjust" quickly so it's possible some symptoms can remain. ...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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What is hrt? How is it given after the setting of menopause?

Hormone Replacement: Hrt is hormone replacement therapy, or estrogen (occ with progesterone) given after the levels drop at menopause. There is a lot of disagreement and discussion as to whether, what, and for how long to give hrt. Some don't recommend it at all. There's been a lot of hyper, but only a little science. Check w/your doctor. ...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 have been on HRT for 9 years having started menopause at 38 years of age. I'm concerned with long term use of hrt. Should i continue with this?

Probably: If you went in menopause at 38 that was very early and estrogen replacement is definitely recommended because normally your levels would be higher. You should continue until the average time women go into menopause which is ~ 51 y/o. Then be reevaluated by your doctor to see if continuing or trying to stop is the best option. More benefits of hrt are seen in younger women than older women. ...Read more

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Does taking HRT delay the menopause?

Does taking HRT delay the menopause?

Nope: Taking hormone replacement will not delay menopause. This will happen regardless of which hormones are taken. Hrt will however mask the symptoms of menopause or delay symptoms because you are replacing the hormones your body no longer makes. An analogy is a diabetic who has normal blood sugars with insulin...Still diabetic, right? ...Read more

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Aside from hrt, is there anything i can do to deal with skin changes at menopause?

Aside from hrt, is there anything i can do to deal with skin changes at menopause?

BHRT. : The Estradiol and Progesterone deficiencies caused by menopause can accelerate skin wrinkling and dryness. The best treatment is to replace these hormones using bioidentical hrt. That is, hormones which are identical in chemical structure to what the body would produce if it could. ...Read more

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Gyno will not let me take HRT due to brca1. Menopause issues suck. What should I do?

Gyno will not let me take HRT due to brca1. Menopause issues suck. What should I do?

Non meds: Some menopausal symptoms, like hot flashes, mood changes, and fatigue, have a perceptual component and can improve with non-drug approaches like acupuncture or hypnotherapy. May sound funky but many of my patients have benefited of those therapies. ...Read more

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Dr. Janet Greenhut
1,730 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