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BREASTPAIN: persistant breast pain

From: Rose (anonymous@obgyn.net)
Fri, 22 Jun 2007 19:26:12 -0500 (CDT)


I am 46 and two years post-hysterectomy and bilateral oophorectomy. I am using the Estring and Vivelle Dot .0375. My gyn reduced my Vivelle Dot from .075 three months ago due to breast swelling and tenderness that developed when I added the Estring due to vaginal atrophy. The lower Vivelle dosage has helped somewhat, but I still have tenderness and aching in both breasts. My gyn recently suggested I move to the Vivelle Dot .025, but hot flashes, headaches, and becoming very emotional were immediately a problem. I had to return to the .0375 dose. My gyn does not run blood tests to check estradiol levels, so we are dosing on the basis of my symptoms. The tender chest would indicate too much estrogen, but the hot flashes on a lower dose of estrogen would indicate not enough. I am very confused.

My question is: Is it O.K. to continue to use ERT even though the breasts are very sensitive to it?






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