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Doctor insights on: Surgical Menopause Without Hrt

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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

Dr. Bryan Treacy
865 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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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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Men's inverted nipple treatment without any surgery?

Men's inverted nipple treatment without any surgery?

Male inverted nipple: Inverted nipples are uncommon in men. See a breast surgeon or your pcp and get baseline examination and testing to ensure no other pathlogy exists. ...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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What is the risks for lupron (leuprolide) injections to induce menopause at 30 years old?

What is the risks for lupron (leuprolide) injections to induce menopause at 30 years old?

Minimal, if: Minimal risks if used appropriately for the right reasons, and for a limited period of time. A few symptoms, but no significant risks. It is not appropriate to treat a solid/septate ovarian mass with Lupron (leuprolide) without a firm diagnosis though. ...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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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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Is postmenopausal bladder prolapse progress slowly? Only using estrace cream for HRT.

Is postmenopausal bladder prolapse progress slowly? Only using estrace cream for HRT.

Bladder prolapse: Although Estrace cream can assist in keeping the epithelium of the vagina distensible, post menopausal bladder prolapse is more function of the lack of bladder ligament support or prior vaginal childbirth trauma. Patient's who have had multiple vaginal deliveries are more likely to see a more rapid bladder prolapse then not. ...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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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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Total hysterectomy at 32 for bilateral dermoid cysts. On estradiol HRT. Told its safe and no breast cancer risk with estrogen only? Is this true?

Total hysterectomy at 32 for bilateral dermoid cysts. On estradiol HRT. Told its safe and no breast cancer risk with estrogen only? Is this true?

I would agree: Your surgeon ie breast surgeon ,if you had one may not agree.I would say that at this point in your life the benefits outweigh the risks,especially if you don't have a breAst cancer history in your family.The problem with having surgical menopause at such a young age , is genitourinary atrophy and bone loss.It also affects libido ...Read more

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29 years old. AMH 1.56 FSH 9.8ul and menopausal symptoms. Could this be peri menopause ?

29 years old.  AMH 1.56 FSH 9.8ul and menopausal symptoms. Could this be peri menopause ?

Normal AMH: Your AMH is normal. To interpret the FSH one needs to know what day of the week it was checked. Day 3 is the normal day to check this. These results do not support the idea that this is menopause causing your symptoms ...Read more

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Can estrogen replacement after hysterectomy make your breasts larger?

Can estrogen replacement after hysterectomy make your breasts larger?

Yes: Estrogen does stimulate breast tissue. If your does is too high it can also cause persistent tenderness. Tell you prescribing doctor if this occurs. ...Read more

Dr. Janet Greenhut
1,738 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