WOMENS-HEALTH Messages for February, 1998: Re: Hormone Replacement Therapy

Re: Hormone Replacement Therapy

From: Kelly Shanahan, MD (anonymous@obgyn.net)
Mon, 23 Feb 1998 21:14:58 -0600 (CST)

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At Mon, 23 Feb 1998, Linda wrote: >
>I had a hysterectomy on 4/27/95 and haven't felt right since. My
>physician first started me on Ogen which was discontinued after
>persistant menopausal symptoms. I was then started on Estrace 1mg.
>daily and over a period of time my overall general well-being
>deteriorated to the point I thought I was actually going to die. From
>what I was told, my body wasn't absorbing the Estrace and my estrogen
>level was 27. He then started me on a regimen of IM Delestrogen
>(Estriadiol Valerate) at various dosages. For the past year I have been
>giving myself 5mg. IM every two weeks. Although the menopausal
>symptoms no longer manifest themselves, I feel dragged and tired
>especially when it comes close to the time when I need my injection. My
>feelings are that my body isn't tolerant of roller-coaster levels of
>estrogen.

You may benefit from an estrogen patch -- there are several on hte market. They are worn on the skin, come in various strenghts and, depending on brand, either are worn for 3 days or a week. A major advantage is that they help to maintain a steady level of estrogen in your body.

After what initially occured to me after taking hormones p.o. >I am confused and don't know where to turn. I just know that at 38
>years old, I shouldn't be feeling this way. Any suggestions or
>referrals to someone in or near Maine who specializes in this area would
>be greatly appreciated. Thank You.
>
>--
>Linda Desrosier

Another option is adding a little testosterone to your estrogen. This combo is available under the brand name Estratest, and comes in 2 strengths. If you use the estrogen patch but alos want the benefits of testosterone, your local pharmasist can make a testoterone ointment that you apply to your genitals (2% testosterone proprionate) >

--
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.
Sorry, but private e-mails will not be answered.

Next message: Harvey S. Marchbein, M.D.: "Re: Throbbing pain after intercourse"
Previous message: Harvey S. Marchbein, M.D.: "Re: Side pain @ 29 weeks"
In reply to: Linda: "Hormone Replacement Therapy"
Next in thread: Sally: "Re: Hormone Replacement Therapy"
Reply: Sally: "Re: Hormone Replacement Therapy"

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