2 doctors weighed in:

I had a hysterectomy. Could i benefit from estrogen and progestrin replacement therapy to help with decreased libido, hot flashes should I use pills or injections

2 doctors weighed in
Dr. Yvonne Thornton
Obstetrics & Gynecology

In brief: It

It depends whether your ovaries were removed when the hysterectomy was performed and your age.
After a hysterectomy in a premenopausal woman, the treatment can be symptom-based. One no longer needs the protective nature of Progesterone (against uterine cancer) after a hysterectomy. Hot flashes also can be addressed with a non-estrogen plan of management. In 1991, the the women’s health initiative (whi) was launched and consisted of a set of clinical trials and an observational study, which together involved 161, 808 generally healthy postmenopausal women. The clinical trials were designed to test the effects of postmenopausal hormone therapy, diet modification, and calcium and vitamin d supplements on heart disease, fractures, and breast and colorectal cancer. The hormone trial had two studies: the estrogen-plus-progestin study of women with a uterus and the estrogen-alone study of women without a uterus. First, the benefits of the study showed that hormonal therapy did reduce hot flashes and night sweats. It relieved vaginal dryness and prevented osteoporosis-related fractures. However, on the quality of life issue, there were no clear benefits for those taking hormonal therapy compared to those who did not and there was an increase in breast cancer, coronary heart disease and clots in the lungs. One should know the risks and benefits of replacement hormonal therapy before embarking on that course of treatment and discuss your concerns with your gynecologist. For more information about hormonal and non-hormonal replacement, you may want to refer to my ebook on this and other women’s health issues. http://www.amazon.com/inside-information-women-mysteries-ebook/dp/b004kspxt6/ref=sr_1_1?ie=utf8&qid=1328377660&sr=8-1 if you and your gynecologist decide on estrogen replacement, then a dermal (skin) patch may be an option.

In brief: It

It depends whether your ovaries were removed when the hysterectomy was performed and your age.
After a hysterectomy in a premenopausal woman, the treatment can be symptom-based. One no longer needs the protective nature of Progesterone (against uterine cancer) after a hysterectomy. Hot flashes also can be addressed with a non-estrogen plan of management. In 1991, the the women’s health initiative (whi) was launched and consisted of a set of clinical trials and an observational study, which together involved 161, 808 generally healthy postmenopausal women. The clinical trials were designed to test the effects of postmenopausal hormone therapy, diet modification, and calcium and vitamin d supplements on heart disease, fractures, and breast and colorectal cancer. The hormone trial had two studies: the estrogen-plus-progestin study of women with a uterus and the estrogen-alone study of women without a uterus. First, the benefits of the study showed that hormonal therapy did reduce hot flashes and night sweats. It relieved vaginal dryness and prevented osteoporosis-related fractures. However, on the quality of life issue, there were no clear benefits for those taking hormonal therapy compared to those who did not and there was an increase in breast cancer, coronary heart disease and clots in the lungs. One should know the risks and benefits of replacement hormonal therapy before embarking on that course of treatment and discuss your concerns with your gynecologist. For more information about hormonal and non-hormonal replacement, you may want to refer to my ebook on this and other women’s health issues. http://www.amazon.com/inside-information-women-mysteries-ebook/dp/b004kspxt6/ref=sr_1_1?ie=utf8&qid=1328377660&sr=8-1 if you and your gynecologist decide on estrogen replacement, then a dermal (skin) patch may be an option.
Dr. Yvonne Thornton
Dr. Yvonne Thornton
Thank
Dr. Heidi Fowler
Psychiatry

In brief: Dr.

Dr. Thornton provided an outstanding response.
Here are two options that could be considered that do not involve hormone replacement. A number of providers used selective serotonin reuptake inhibitors (especially lexapro) to assist with hot flashes and other menopasual sxs. Medical acupuncture can also be very helpful. Good luck.

In brief: Dr.

Dr. Thornton provided an outstanding response.
Here are two options that could be considered that do not involve hormone replacement. A number of providers used selective serotonin reuptake inhibitors (especially lexapro) to assist with hot flashes and other menopasual sxs. Medical acupuncture can also be very helpful. Good luck.
Dr. Heidi Fowler
Dr. Heidi Fowler
Thank
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