ENDO Messages for May, 2006: Re: Just DX with ENDO: What do you think is best HRT

Re: Just DX with ENDO: What do you think is best HRT

From: Alyson (anonymous@obgyn.net)
Thu May 4 10:34:12 2006

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In reply to: Pamela: "Just DX with ENDO: What do you think is best HRT"

Pamela, My understanding is that hormone "replacement" is for use when taking Lupron to counteract some of the side effects. Your estrogen completely plumets when on Lupron, so the doc may provide a very low dose hormone to give you a little estrogen back and ease off the menopausal side effects. The hormone replacement is not an endo treatment. Lupron and other drugs used to treat endo function to supress your estrogen production. The thought is that estrogen drives the endometriosis and by supressing the estrogen the endo is not being "fed". Other treatments include birth control pills, progestins (I took Aygestin), Danazol (testosterone derivative, I'm currently taking this one), and others. The kicker is that you can't get pregnant while taking any of these drugs. You will have to go "cold turkey" without any hormone treatments. The good news...my doctor told me that the best time to try to conceive is within 4-6 months following a laproscopy. I assume he meant that everything is cleared out of there and you shouldn't have any "interference". The other thing I want to mention is in reference to your doctor's statement that "you shouldn't have any problems". Endometriosis is a progressive disease, there is no cure. It often returns within some time following surgery. The goal is usually to control it with some type of hormone supression to keep it "at bay".

-- Alyson

At Wed, 3 May 2006, Pamela wrote: > >To Anyone Who will listen, > >I was finally diagnosed with the Endo. My doctor said it was Moderate & >with the Laser Ablation he removed everything he could & my ovaries & >tubes are fine & I should not have anymore problems. He told all this >to my husband (I did not get to talk to the doctor after the surgery). I >have a followup appointment tomorrow to go over the surgery & what to do >from there. He mentioned Hormone Replacement Therapy. I have read >quite a bit about Lupron from all of you here on the forum & I am pretty >sure I do not want to take it (I already have a history of 2 bulging >discs in my back & I do not think I can handle the joint pain once off >it if that were to happen). So what I am wondering is: what other types >of HRT have any of you been on & did it help you or not. My husband & I >are also trying to get pregnant ASAP. We really want a child. Do you >have to be on the HRT while trying to get pregnant? I am really new to >all this Endo awareness. I am learning as much as I can through the web >(which is a godsend on getting all the information that you can get) & >on this forum (it helps to get others opinions who are going through >what you yourself is going through & who can relate). > >Thanks, >Pamela

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