WOMENS-HEALTH Messages for May, 1997: Re: alt.tx. post hysterectomy

Re: alt.tx. post hysterectomy

From: Kelly (anonymous@obgyn.net)
Tue, 20 May 1997 23:38:05 -0500 (CDT)

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At Tue, 20 May 1997, Joanne wrote: >
>Hi everyone.
>
>I just had a TAH/BSO last week due to extensive stage IV endo. Also
>needed a bowel resection, but colostomy was avoided due to the
>effectiveness of the bowel prep.
>Though my RE, and GI surgeon are both confident they got all of the
>endo, they want to hold off on ERT for awhile, if I can handle the
>menopausal symptoms.
>On discharge I began drinking soy powdered drink mixes, and started
>taking Evening Primrose Oil, 1 tab tid. This has helped with the
>symptoms tremendously.
>My question, is there any danger of taking these, while waiting to be
>put on ERT, and could this even replace ERT?

The soy contains phytoestrogens (plant estrogens). There is some thought that they act as pro-estrogens in some body tissues (cardivascular, for one) and anti-estrogens in others (like the breast). There has not been a lot of research into this. I think the soy protein can definitely help with your symptoms and *probably* won't cause any residual endometriosis you have to grow.

In terms of it being a replacement for ERT, that hasn't been well studied. I personally think, wihtout the support of rigorous scientific studies, that it can be a replacement IF (and I emphasize the IF) you make some pretty substantial lifestyle changes: vegetarian diet, lots of natural soy products like soybeans,tofu and soy milk and fresh, whole foods; 1500mg of calcium daily; daily exercise, both weight bearing, including weight lifting, and aerobic; alcohol in moderation if at all; no smoking. Those are an awful lot of changes to ask the average American to make.

-- Kelly Shanahan, MD, FACOG S. Lake Tahoe, CA

note: Opinions here are for educational purposes only. This information is not intended to supplant the need for you to consult with your own physician. It cannot take the place of a face to face consultation and examination.

Next message: Harvey S. Marchbein, M.D.: "Re: antiphospholipid antibodies"
Previous message: Kelly: "Re: Another Diabetes Question"
In reply to: Joanne: "alt.tx. post hysterectomy"
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