WOMENS-HEALTH Messages for May, 2001: Re: Hormone Replacement Therapy

Re: Hormone Replacement Therapy

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 30 May 2001 23:25:49 -0500 (CDT)

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In reply to: anonymous@obgyn.net: "Hormone Replacement Therapy"

At Wed, 30 May 2001, anonymous@obgyn.net wrote: >
>I had a hysterectomy with both ovaries removed. I was not given any
>hormone replacement therapy until months after my surgery. And then it
>was "here ya go, try this." I continued to complain about symptoms and
>was basically ignored.
>
>I tried to get adjustments but was not taken seriously. I was told that
>most women do not need adjustments to their HRT, that I am a rare case
>and that women do well after having their ovaries removed, and if a
>women needs HRT, which is rare, that one patch or one pill, and some
>synthetic testosterone should do the trick. And because it is not
>working for me that I need an anti-depressant--Effexor.
>
>During the past two years I have had the following symptoms (not all at
>once but some at the same time): heart palpatations, hot flashes,
>insomnia, acne, incontinance, weight gain, hair loss, excess hair,
>inability to concentrate, confusion, extremely low energy...
>
>I had the hysterectomy when I was 42, I am now 44 and still having
>symptoms. I recently requested some blood work to check my estrodial
>and testosterone levels. My estrodial is 27, testosterone 160 and my
>sex hormone is not binding.
>
>Is Effexor the best treatment for these symptoms?

Estrogen therapy has to be tailored to the individual. I am not saying all of your symptoms are a result of inappropriate estrogen, but it could certainly be contributing. I would recommend seeing a decent gynecologist. In regard to the "sex hormone is not binding", that is sex hormone binding and there should be a value associated... Lynn

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**Note:  Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship.  This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)

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