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Doctor insights on: Surgical Menopause Hrt

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Dr. Bryan Treacy
866 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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Treatment for ovarian failure/premature menopause?

Treatment for ovarian failure/premature menopause?

Estrogen replacement: Depending on your symptoms that may be early ovarian failure, tests can be done to see if your estrogen level is low. You can also obtain an amh level to determine if your ovarian reserve is truly low. If you need to take estrogen supplementation, Progesterone will need to be given each cycle as well if you still have a uterus. Your age and any medical issues may determine if you can take estrogen. ...Read more

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Can a zoladex (goserelin) 3.6mg implant induce artificial menopause?

Can a zoladex (goserelin) 3.6mg implant induce artificial menopause?

Chemical menopause: Zoladex (goserelin) 3.6 mg implanted every 28 days will put a woman chemically into menopause and make her menstrual periods stop. In fact, about 2 weeks after the first implant there will be a hormone withdrawal bleeding, after the next implant there will be no bleeding, if the medication works perfectly. ...Read more

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Does hormone replacement therapy for menopausal symptoms cause breast cancer?

Does hormone replacement therapy for menopausal symptoms cause breast cancer?

Increases risk: Hormone replacement therapy (hrt) has been shown to increase one's risk for breast cancer if taken for longer than 5 years. The current recommendation is to take low doses for a limited amount of time and then stop. There are some other non hormonal medications that can be used to help manage menopausal symptoms. ...Read more

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Menopause relief from remifemin?

Menopause relief from remifemin?

Hot flashes yes: Studies indicate that the active ingredient in remifemin - black cohosh- can reduce hot flashes by up to 50%. Remifemin is actually one of the best studied commercially available black cohosh remedies. This herbal med is safe for women who want or need to avoid estrogen- such as women who have had an estrogen dependent cancer. ...Read more

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Will taking hormone replacement therapy causes iatrogenic menstruation in menopaused women?

Will taking hormone replacement therapy causes iatrogenic menstruation in menopaused women?

Usually no: During the time a woman is perimenopausal hormonal manipulation can cause some spotting or bleeding depending on how the hormones are dosed. Once a woman is truly menopausal hrt does not usually cause menstruation. Vaginal bleeding in the post-menopausal woman is considered abnormal & worthy of investigation. ...Read more

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On hormone replacement therapy since hysterectomy at age 31 for ovarian cancer- now 50. Do i need to end HRT for normal menopause age?

On hormone replacement therapy  since  hysterectomy at age 31 for ovarian cancer- now 50. Do i need to  end HRT  for normal menopause  age?

Add progesterone: Estrogen continues to be made from the fat cells and adrenal glands so you need to be on natural Progesterone forever to balance the estrogen. It stimulates the p53 gene to protect you from cancers. ...Read more

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Is testosterone treatment for aging men comparable for hormone replacement therapy for menopausal women?

Is testosterone treatment for aging men comparable for hormone replacement therapy for menopausal women?

Yes: Having been in this situation, i can tell you that balancing out hormones in men is just as important as doing so for women. Men lose their sex drive, become Insulin resistant, lose their vitality. I'll post a page later that describes my own personal treatment success. I feel great at almost 52 years of age. ...Read more

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Hormone therapy for menopausal symptoms cause breast cancer?

Hormone therapy for menopausal symptoms cause breast cancer?

NO BUT INCREASE RISK: Hormone therapy does not cause breast cancer but it does increase your risk of breast cancer. According to the national nurses health study using hormone replacement therapy for 10-15 yrs increases risk about 20%, if used more than 15 yrs it doubles to around 40%. Talk to your doctor to help you decide how to better manage postmenopausal symptoms. ...Read more

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Are progesterone creams good menopause treatments?

Are progesterone creams good menopause treatments?

Not very good: In natural or surgical menopause (removal of both ovaries) the problem is lack of estrogen. Giving estrogen to women who have not had their uterus removed (hysterectomy) increases the risk of uterine cancer, so we give Progesterone or synthetic progestins to protect the uterus. Progesterone as skin cream is not enough to protect the uterus, but can reduce hot flashes and does not prevent bone loss. ...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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Advanced stage 4 endometriosis. 2015 treated by Hysterectomy + tubes/ovaries. How is recurrence Diagnosed? Currently use estrodiol 1mg for menopause​.

Advanced stage 4 endometriosis. 2015 treated by Hysterectomy + tubes/ovaries. How is recurrence Diagnosed? Currently use estrodiol 1mg for menopause​.

Estrogen: Endometriosis needs estrogens to make symptoms. If after stopping the Estradiol 1mg - which is a low dose and should not cause endometriosis to grow to begin with - symptoms what is thought to be endometriosis persists, that diagnosis needs to be challenged - it's unlikely to be endometriosis. ...Read more

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Post menopausal spotting of blood. 9 yrs since hysterectomy?

Post menopausal spotting of blood. 9 yrs since hysterectomy?

Spotting: You should not have spotting after hysterectomy. You should consult an Ob-Gyn to rule out other causes. ...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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Having a robotic hysterectomy what are some non estrogen alternatives for hot flashes also weight gain. history of breast cancer. Recovery time?

Having a robotic hysterectomy what are some non estrogen alternatives for hot flashes also weight gain. history of breast cancer. Recovery time?

Soy, Black Cohosh: All nonestrogen alternatives are non prescription and non FDA approved. Can try but no evidence they work. Lifestyle changes can help, try to avoid triggers of the hot flashes. Recovery time would be about a month ...Read more

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Temp is 96.8-97.5 during major hot flash. Post surgical menopause. Possible causes?

Temp is 96.8-97.5 during major hot flash. Post surgical menopause. Possible causes?

Normal: The hot flash sensation is caused by dilation of the blood vessels close to the skin. This releases heat from your body surface making your core slightly cooler. That is why many women feel cold a few minutes after the hot flash is over. ...Read more

Dr. Janet Greenhut
1,740 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