WOMENS-HEALTH Messages for September, 2000: Re: HRT and ablation

Re: HRT and ablation

From: anonymous@obgyn.net
Tue, 12 Sep 2000 19:58:48 -0500 (CDT)

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At Tue, 12 Sep 2000, nancy wrote: >
>I was just reading the opinion of a Doctor who says that if a woman has
>had an ablation, as I have, mine was for dysfunctional uterine bleeding,
>I had polyps, should not be put on hormone replacement therapy. Will it
>cause the bleeding to start again? I have an appointment tomorrow
>afternoon to discuss starting HRT. I am 49, FSH levels were normal in
>July. I have had hot flashes for a few years now, also heart
>palpitations that disappeared when I gave up caffeine a year ago. What
>is your opinion on ablation/HRT? I was thinking that it would be a good
>idea to help get thru menopause more smoothly, now I am confused! Thanks
>so much for all the valuable info you provide.

I would have to disagree with this opinion. HRT is too important for most women to limit their access for such a small reason. If the ablation will control women who are not yet menopausal, then it will continue to work for the relatively much smaller estrogen levels of HRT. You will need to take progesterone as well as estrogen, but there is no reason whatsoever that an ablation precludes you from using HRT.

--
William D. McIntosh, MD, FACOG
Clarksville, TN

This is for educational purposes only, and is not intended to be replacement
or substitute for consultation and examination by an appropriate medical
professional.  Due to time constraints, private e-mails cannot be answered.

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