Your Guide To Menopause, Hysterectomy And HRT

   

 

 

   

 
 

 Feature:
Subcutaneous Hormone Implants...
Relief for Persistent Menopausal Symptoms And Sexual Dysfunction
HRT Therapy...
Part 1: Hormone Replacement Therapy, Panacea or Poison?
Part 2: Hormone Replacement Therapy Is A Personal Choice
Part 3: What Is Optimum Hormone Replacement?
How To Find A HRT Program That Works For You...
Part 1: Finding An Ideal Regimen
Part 2: Unpleasant Side Effects
Part 3: Progesterone, Progestins & Progesterone Cream
Sex:
Sex and Menopause
Sex & Libido With HRT
Menopause:
Menopause Overview
Menopausal Symptoms
Sex and Menopause
Menopause & Weight Gain
Menopause & Migraine
Menopause & Hair Loss
Hysterectomy:
Hysterectomy Overview
Ovarian Failure Following Hysterectomy
I Want To Know If I Should I Keep My Ovaries
HRT & Hormones:
About HRT
Methods Of HRT
HRT Regimens
Sex & Libido With HRT
Breast Cancer & HRT
Hormone Deficiency
Ask Dr N:
New Questions & Answers
Archive Of Previously Asked Questions And & Answers
Find Out More:
About Getting The Information You Need
About Dr N
Useful Links
Recommended Books
 

Comments And Suggestions

 

 

Ask Dr N - Archive Of Previously Asked Questions And Answers

Scroll Down To View Previously Asked Questions By Subject... Click On "Read More" To View The Entire Question And Dr N's Response, Or Use Our Drop Down List To Go Directly To The Subject You Are Interested In. The Ask Dr N Sections Include Over 90 Pages Of Useful Information. For The Most Current Postings Click Here

OVARIES REMOVED AT 29 AND I HAVE A FAMILY HISTORY OF BREAST CANCER SHOULD I USE HRT? (#87)

I AM 29 YEARS OLD AND HAD A COMPLETE HYSTERECTOMY THREE WEEKS AGO. I'M VERY SCARED ABOUT BEING ON ESTROGEN PATCHES FOR THE REST OF MY LIFE. I HAVE A LARGE HISTORY OF BREAST CANCER...

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HRT & Breast Cancer (#1)
I am on the verge of going for HRT. Four years ago I had a mastectomy, stage II, 28 lymph nodes removed (two were invaded). Chemo for six months...

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HRT In Conjunction With A History Of Breast Cancer (#27)
My wife has had a long history of uterine fibroids and now has one near her ovary that seems to be fast growing. She is 53 years of age, post menopausal and had a small lump removed from...

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Breast Cancer,TAH, and HRT (#42)
I am 40 yrs. old, have a strong family history of breast cancer, and recently had a partial mastectomy for breast cancer, myself. No lymph nodes were affected. Before starting the recommended...

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My doctor gave me the Gail Model test and told me I have an increased risk of breast cancer. Should I take Evista or HRT? (#90)

I was in for my physical & my dr. gave me the Gail Model test. She said I have a 4 x greater chance of getting breast cancer than herself, according to the results. I have a sister that had a mastectomy at 41 yrs. old & my mom at 78. I am on the vivelle patch .075...

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HRT With History Of Cancer - "Grin And Bear It?" (#35)
I have read your page with interest, but have a question. I have recently visited my doctor to discuss HRT as I am experiencing severe nightsweats (waking 3-5 times each night drenched in...

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HRT & Ovarian Cancer (#18)
I have just had a complete hysterectomy and ovaries removed 2 weeks ago... the night flushes are terrible...my doctor has put me on bellergal space tabs. I cannot take estrogen because...

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HRT - Choosing A Program (#2)
With all the drugs out there for hormone replacement therapy and nice drug reps providing samples of their HRT of choice - Do M.D.'s/D.O.'s have a specific criteria for determing which...

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Withholding HRT Following Hysterectomy For Endometriosis (#45)
I recently had to have my ovaries removed due to "possible cancer of the ovaries". It turned out to be extensive scarring and endometriosis which I was diagnosed with in 1985...

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I have had successfully treated endometrial cancer and my doctor says I can't take HRT (#68)

Over two months ago, I had a complete hysterectomy due to endometrial cancer. My ONC/GYN does not think it necessary to use hormone therapy at all....

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I had a hysterectomy and my doctor said I didn't need HRT anymore (#85)

I had a total hysterectomy (ovaries included) several years ago and was placed on premarin. Recently my doctor took me off premarin stating it was no longer considered effective, etc. and told me I no longer need hrt...

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Why Do I Need To Take HRT? (#38)
I had a total hysterectomy 2 years ago and was put on Premarin, lowest mg, experienced thining hair, broke out in rashes when exposed to sun and cold temperature. Didn't feel any...

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Is It Too Late To Start HRT? (#46)
I HAVE ALREADY GONE THROUGH MENOPAUSE. I OPT NOT TO TAKE HORMONES BECAUSE OF BREAST CANCER RISKS AND FAMILY HISTORY OF BREAST CANCER. I'M WONDERING NOW...

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HRT - Monitoring Hormone Levels (#3)
I recently saw an article on the TV that chronicled one woman's attempt to document the need for monitoring hormone levels in individual women so that their HRT dosages could be adjusted...

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Monitoring Hormone Levels (#22)
Is it beneficial to do the saliva testing to determine hormone levels? How often should this testing be done? Thanks so much in advance...

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HRT - Testosterone (#8)
I had a total hysterectomy (ovaries, too) in April 1999 at age 45 (fibroids and cystic ovaries). What a relief to not have pain 2-3 weeks out of every month! I take 2 mg of Estrace per day...

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HRT - Testosterone (#26)
First of all, I would like to thank you for your web site. This is the first one I have read in days that didn't leave me feeling hopeless & depressed. I had my hyster. & ovaries removed 6 months ago...

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HRT & Weight Gain (#10

In April of 1998 I had to have a hysterectomy, I was 40. The doctor had to remove both ovaries. Since then I have been trying different forms of HRT. Should a person be gaining weight while taking HRT...

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I'm gaining weight on Prempro & Estratab (#66)

I want to continue on the hrt but do not want to gain weight. I am in shape, go to the gym all the time, have tried prempro gained weight with this and then estrab .625 with protreium 100mg, didnt like that...

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HRT & Breast Soreness (#13)
My periods stopped 3 years ago when I was 49. I didn’t think I needed to take hormones because I really didn’t have much in the way of problems associated with my menopause. But in the...

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HRT And Cholesterol (#50)
I take cholesterol medication and was wondering if by being on estrogen, (I'm on vivelle patch .l0 mg) it would possibly lower my cholesterol without taking the cholesterol medicine? I've heard...

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Natural Menopause & HRT (#11)
I am a fifty year old woman who has been on HRT for approximately 10 years. I still have regular (light) periods. I was put on HRT for hot flashes, night sweats, etc. Will I always have to be on HRT?...

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HRT & Persistent Symptoms (#19)
I have been reading everything I can get my hands on , finding all kinds of information on the web and I am now more confused than ever. I am on Premarin , 9 MG. I am having the worst hotflashes...

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HRT After Hysterectomy (#28)
Hi, I am a 36yr old female. I am going to a total hysterectomy with removal of my ovaries in less than two weeks. I have to admit I am really scared about this surgery. I have had endometriosis for...

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Blood Clots Following Hysterectomy And HRT (#29)
Two weeks ago I had a hysterectomy with ovaries removed. It was an emergency surgery for abnormal bleeding. I am 48 years old. Due to some blood clots in my legs I can not take HRT for at least 6...

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HRT Patch Will Not Stay Put (#32)
I had a "total" hysterectomy in January. My ovaries and all were removed. My OBGYN put me on the Climara patch. (I tried Premarin, but had hot flashes and mood swings) After a "dip" in my sex...

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Allergy To Estrogen Patch (#43)
IS IT POSSIBLE TO GET AN ALLERGIC REACTION TO THE PATCH. I WENT ON ONE ABOUT 2-3 WEEKS AGO AND WHERE I HAD A PATCH I ITCH SO BAD...

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Anxiety And Nausea From Hormones (#49)
My DR. at this time is on vacation. I took prefest for one month. During this time my anxiety increased and continually was nauseous. I was in absolute misery. I had no idea that it could...

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Loss of libido in a 35 year old woman on oral contraceptives whose doctor wants her to have a psychiatric evaluation (#77)

Your site is great! It answers a lot of questions and is filled with great information. I have some additional questions. Do you only need HRT if you have had a hysterectomy or are going through menopause? Can reduced libido be a VERY early symptom of menopause?...

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Problems with libido from oral contraceptives (#78)

I am 29 years old, no kids or husband, and feel my sex drive is slowly but surely going away. What should I do? I feel tired most days with an accompanying little headache and am always sleepy and fatigued. There are no hot flashes, though...

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Libido Problems And Undiagnosed Abnormal Vaginal Bleeding (#58)
I am 38 years old and was recently placed on a regime of premarin .625 every day dropping every third day and replacing it with es estratest hs along with medroxyprogesterone 2.5. I take 5...

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Libido And HRT (#54)
I am 53 and have had a complete hysterectomy. What I need to ask if this: Since I had the surgury when I have sex their is no feelings whatsoever. I am taking Permarin l.25 and still nothing...

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Loss Of Libido & HRT- Lack Of Physician Cooperation (#36)
First, let me thank you warmly for your update. Also, I would like to tell you that after the information you gave me on "loss of libido" I went to a female gynecologist with my concerns. She wanted...

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No Libido, Surgical Menopause and Unresponsive Physician (#56)
I have been telling my MD for years that I have no libido. My husband is a wonderful man and we have a very good relationship in every other aspect. We love each other very much, have a...

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Loss Of Libido And Clitoral Sensitivity (#24)
Although I am greatful that I am basically a healthy individual, I am very distressed (and so is my partner) at the fact that my libido has dramatically declined. I had a complete hysterectomy about 12...

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Testosterone As An Aid To Libido (#33)
I read with interest your comments on the importance of testosterone in HRT therapy if one is experiencing low libido. I am 54 yrs old and had a complete hysterectomy at 48...

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Subcutaneous Implants/Testosterone (#52)
Could you please explain what a subcutaneous implant is in regards to delivery of the hormone Testosterone ? You indicated in your information that this method rarely fails to establish libido...

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Viagra for sex drive? (#51)
I am 38 years old. When I was 26 I had a complete Hysterectomy because of severe endometriosis. I have very little sex drive and even when I have the urge my body will not agree with my mind...

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A 47 year old woman with problems adjusting to HRT following a hysterectomyr (#65)

I am 8 weeks post op (hysterectomy and bilateral oopherectomies for enlarging complex ovarian masses that were benign, 47 years old, history of myomectomy and adenomyosis and chronic anemia, family history of ovarian cancer). My surgeon put me on a Climara patch...

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Hysterectomy & Progesterone (#4)
I am scheduled for a LAVH. I am not having a BSO, unless the Dr finds my ovaries to be unhealthy at the time of surgery. My question to you is: Can I take Prempro after my surgery?....

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I Had A Hysterectomy. Is It Necessary For Me To Take Estrogen Or Can I Live Without It? (#48)
I am 45 years old. I just had a radical hysterectomy 5 weeks ago for cervical cancer. I don't have any menopausal symptoms. (just a very slight hot flash once in awhile) Actually, I feel great...

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Hysterectomy, Happy With Results (#5)
I had a total hysterectomy March 1, 1999. I feel wonderful! I have recommended it to everyone, even though we all are different. I had moderate-severe endometriosis. July of 1995, I was diagnosed...

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Positive experience with hysterectomy (#84)

I had a complete hysterectomy in April of this year. I must say it is the best thing I've ever done for myself! I awoke after surgery asking for my Premerin. I had heard many women say that this was going to keep me from feeling menopausal...

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I Am 22 And I Want A Hysterectomy (#53)
I want to have a Hysterectomy because I dont want children or a period anymore. I'm 22 can I have one at this age without children? And if not why not??? ...

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Hysterectomy And Withholding HRT for 6 Weeks (#34)
Hi, I am scheduled for a complete hysterectomy including removal of both ovaries, in May. In discussing hormone replacement therapy with my OB/GYN he mentioned having me "bite the bullet" after...

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Hysterectomy Without Hotflashes (#23)
I had a hysterectomy on Feb. 11, 2000. I was given 1.25mg of Premarin. I took the drug for 4 days and felt terrible. I stopped taking it and have not taken a single drug since. No hormone...

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Hysterectomy - Exams Following (#9)
Just happen to find your web-site and found it very helpful! But! I never seem to hear of anyone who has a similar case to me. So here goes-February 1983 (age 33) I had a total hysterectomy...

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My doctor wants me to have a hysterectomy ... should I get another opinion? (#89)

I am 44 years old and believe I am in the early stages of premenopause. I have three children, all born to a normal delivery, no abortions nor miscarriages, and have had a tubal ligation after the birth of my last child in 1984. I lost my mother last year and was deeply traumatized and began noticing changes since, such as loss of sexual desire, hot flashes at nights, mood swings,etc...

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I am 34 and have a cyst, should I have my ovary removed? (#62)

I am 34 and had a partial hysterectomy (is that what you call it when you have the uterus and one ovary taken out?) last April. I had a tumor that had grown larger than a grapefruit and had completely taken over my left ovary. Thankfully it wasn't cancer. Now my one remaining ovary has a cyst on it...

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Hysterectomy With Ovaries Removed & Natural Remedies (#14)
On Feb.7th I had a hysterectomy w/ovaries removed. My dr. is adamant about HRT. I believe this is ingrained in him as opposed to this being a decision based on my individual circumstance...

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Hysterectomy Without The Removal Of Ovaries And Symptoms (#15)
How rare is it for a women that is 37 to be going through menopause. That is what is happening to me. I had a partial hysterectomy a few years back, I still have my ovaries, but...

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Endometriosis And Hysterectomy And Possible HRT (#16)
I am a 33 year old woman. I have 3 children and don't plan to have anymore. The problem that I have is that I have been having a lot of problems related to my reproductive system, some of them are...

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Endometriosis And Undecided About Hysterectomy (#20)
I am thirty-seven years old and scheduled to have a hysterectomy in a few days. I am feeling pretty good right now, so it is easy to try and talk myself out of doing it. However, there are days when I....

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Hysterectomy & PMS (#17)
I had a hysterectomy about 3 years ago, keeping my ovaries. The reason for the surgery was for bad PMS symptoms. I lived on Anaprox for years. A few months after I felt like the same...

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Hysterectomy And Estroven (#30)
I am a 50 year old diabetic (insulin dependent) woman who had a hysterectomy 9 years ago. I stopped taking Estrogen 6 months ago because of the controversy regarding breast cancer and also...

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My mom is going crazy! (Following her hysterectomy) (#64)

I was wondering if you could please give me some additional information. My mother will be 50 this year, and had a full hysterectomy 2.5 years ago. Prior to the surgery, no hormone levels were aquired, so she is now in the middle of a guessing game...

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What is the difference between Premarin & Prempro and which is best after a hysterectomy? (#73)

What is the main difference between the prescriptions Prempro, and Premarin? Would one be of more benefit than the other and/or safer to a woman...

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Do women who have had a hysterectomy have special needs? (#74)

I had a total hysterectomy 10 years ago at the age of 32, because of enodometriosis. I have had trouble ever since, I tried all the synthetic HRT's right after surgery for 5 years with a lot of side effects and because of my fear of the breast cancer, for the last 5 years have tried natural products, but they never get rid of my hot flashes. I've had it..

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Complete hysterectomy and unrelieved symptoms (#76)

I had a complete hysterectomy a year ago, and still have not found the answer to HRT. A month ago I started the patch .1mg, I also use testosterone cream 1%, 1/16 tsp. everyday. My question is, how long before I can measure my hormone levels...

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Future Hysterectomy And Concerns About HRT (#79)

I am 30 years old and have two children, and am a single mother. When I was sixteen I had one ovary and tube, along with part of my other ovary removed due to damage by ovarian cysts. When I was 19 a Dr. finally had the common sense to do a laporoscopy and found that I had adhesions between 1-2 inches all through my abdominal area. (most likely caused by scaring from the first surgery) Well 11 years later its back....

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Concern About Prempro Cautionary Statement (#80)

I am 46 years old and I had a hysterectomy in 1995, because of a large cyst in my uterus. I do not have my ovaries. I am now taking Prempro. This prescription renewal was the first time there was a cautionary statement concerning skipping doses...

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Subcutaneous implants after deep venous thrombosis? (#81)

I have been advised against HRT after a complete hysterectomy due to a previous problem several years ago with DVT. Is there a chance that this form of HRT might be OK for me to use?...

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How long does the change of life take? (#82)

I have had a hysterectomy and ovaries also, the question is. Does a woman's body undergo change of life all at once with this procedure, or is it a process. And how long does this "change of life" take....

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Worried about side effects of hysterectomy (#83)

I am scheduled to have a total hysterectomy on August 31st. I am also going through a divorce. The thought of gaining weight, growing facial hair and having no sexual desire are scaring the heck out of me to the point of almost putting the operation off...

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Failure Of Premarin And Estroven To Relieve Menopausal Symptoms (#39)
I had a total hysterectomy last June. I was put on premarin 1.25mg. I was having hot flashes and mood swings and my sex life was awful. I took it upon myself to try something different. I started taking...

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Hysterectomy - Menopausal Symptoms With Ovaries Present (#31)
I'm sure this is a question you've heard before , I had a hysterectomy done two years ago, everything was removed except one ovary. I had a prolapsed uterus and fibroid tumors. My doctor...

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Hysterectomy and UTI and failure of Estratest to restore libido (#69)

I had a total vaginal hysterectomy in April of 99; and ever since, I have been plagued with UTI's. My doctor insists there is no connection, but both my sister and niece (who've also had hysterectomys) suffer the same problems. I am on 0.5 mg Estrace/day; they are both on Estratest. I have tried Estratest, but do not like it.....

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Unrelieved Symptoms Following A Hysterectomy With Ovaries Remaining (#47)
Two weeks ago I had a hysterectomy, which the Doctor left my ovaries. Six days after surgery I began to have night sweats, which occured every hour on the hour. I had been put on premarin...

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Hysterectomy - Why Does The Doctor Want To Remove My Ovary? (#41)
I was reading your web page and I find it very interesting. Two weeks ago I went to my doctor for a pap smear and check up. After being told that I may have a fibroid, I was sent for an ultra sound...

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Remove Both Ovaries - Leave Uterus? (#57)
I am scheduled for removal of ovarian cyst and the doctor said that he may possibly have to remove the ovary. My other ovary was removed 2 yrs ago for choc. cyst/endometriosis...

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Bladder Pressure Following A Hysterectomy (#44)
I had a hysterectomy seven or eight weeks ago. I feel pretty good, except for my bladder. Is it normal to feel pressure and discomfort due to a hysterectomy? When I wake up to urinate...

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Post Hysterectomy Diarrhea (#55)
I had a complete abdominal hysterectomy just a bit more than two months ago.I haven't had bouts of diarrhea in years, but now two weeks in row have experienced bouts that have lasted...

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Hysterectomy At 26 With Menopausal Symptoms (#60)
I am 26 years old. I had a hysterectomy February of 1999 and they removed everything but one ovary. I had severe bleeding (1 box of tampons in a night) and ovarian cysts. My Dr. said I was the...

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Bleeding post menopause (#75)

First let me preface by saying that I have had a thyroidectomy and am on synthroid. While checking my blood levels, my endrocrinologist said that i was post menopausal. I had not had a period in over a year. I am 50 y/o and not on HRT. In the past 2 months I have had a regular period...

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Menopausal Symptoms (#6)
I am 52 years old and was given a blood test a week ago to determine my hormone level. My doctor informed me that the normal FSH level was 33 and mine was 77.4. He suggested that I...

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Menopausal Symptoms With Ovaries (#12)
I'm 36. In February, 1999, I had a hysterectomy (leaving the Ovaries). Over the past 2-3 months I have been having hot flushes and mood swings...

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One ovary and menopausal symptoms (#63)

I am very close to someone who has had one of her ovaries removed for 17 years now. Since then she hasn't felt the same. She has been taking estrogen pills and that hasn't helped either. She has become very paranoid. I was wondering if having one of her ovaries removed would contribute to this?...

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Uterine Fibroids (#7)
Before I have a surgical menopause, which they say is needed because I have large fibroids and a cyst on my left ovary, isn't it needed to have a MRI? I have had only a sonogram, and a CA125...

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Muscle & Joint Stiffness After Chemotherapy (#21)
Please let me know if the extreme muscle and joint stiffness I am feeling can possibly be related to menopause. My doctors seem to think that I should be stretching my muscles in order to...

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Fear Of Taking Premarin (#25)
I am 50 years old and had a hysterectomy on Oct. of 1999. My Dr. put me on Premarin 0.625mg. I am having a hard time staying on it because of my fears of cancer...

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Should I lower my estrogen level? (#86)

I had a total abd. hyst/bil ooph. in June. I am 51 yrs old. I have been on the Estrogen patch .10 mg since. It is really up to me as to how much estrogen I take accord. to my doc. I was on .05 first after surgery and had too many hot flashes and asked to be put on a higher dose...

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Is my progesterone cream countering the effects of Estrace? (#88)

Can progesterone counter act the good affects of Estrace? I take 1mg. estrace in the morning and use a little progesterone cream at bedtime, but by morning my skin feels dry, and after my shower, my skin almost hurts...

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Estrogen Vaginal Cream & Impotence (#37)
My question is about a woman who has had a hysterectomy that uses HRT such as premarin vaginal cream has sexual activity with her husband. Is her husband likely to experience side effects...

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Estrogen Replacement Therapy And Triglycerides(#40)
I am a 30 yr old female who had to have a complete abdominal hysterectomy in Nov. 99 due to severe endometriosis. I also have
hypertriglycridemia. After my surgery my doctor started me on...

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Suggestions From Doctor's Nurse (#59)
My question is: The nurse in my GYN office insists that I come off the hormones to "force" my body to stop having periods. She asks: Why have them when you don't need to?"...

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Orth-Prefest & Frequent Bleeding (#61)

My mother had a kidney transplant 3 years ago (at age 50) and stopped having periods after the surgery. Recently her gynecologist put her on HRT (Ortho-Prefest) due to Osteoporosis. Now she is bleeding...

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 I am feeling better with Estratest, but I have acne (#67)

I had a hyster. (left my ovaries) almost 9 years ago - I'm now 40 - and for the past few years have tried Premarin - to find that I gained weight, depressed and almost a nun! I tried Estratest for the past 3/4 months and its changed my life....

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Terrible headaches after having ovaries removed and leaving uterus while on Premarin and Provera(#72)

After reading your website, I hope you can help me. Just one month ago I had an oophrectomy after years of ovarian cysts, endo. , and adhesions. I still have my uterus, which now I wish I didn't after reading your answers. The surgeon suggested I could have it out, that I wouldn't have to take progestins, but also it was ok to leave it...

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Dr Nosanchuk is currently in practice in Southeastern Michigan and is accepting new patients. His office is located in Bingham Farms, a suburb of the Detroit Metropolitan Area. Dr N specializes in the care and treatment of menopausal women and has a special interest providing treatment to women whose lives have been altered by their menopause, hysterectomy, or both. This includes strategies to restore quality of life, by resolving problems, such as persistent symptoms, loss of libido and disturbances of sexual function.

Appointments with Dr Nosanchuk can be scheduled by calling (248) 644-7200

IMPORTANT

This web site is for educational purposes only. It is not intended to suggest a specific therapy for any individual and must not be construed to establish a physician/patient relationship.


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