WOMENS-HEALTH Messages for October, 1997: Re: HRT first pass syndrome

Re: HRT first pass syndrome

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Thu, 30 Oct 1997 20:52:16 -0600 (CST)

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In reply to: anonymous@obgyn.net: "HRT first pass syndrome"

At Thu, 30 Oct 1997, anonymous@obgyn.net wrote: >
>Hello.
>
>I stumbled upon this e-mail address under the subject of
>HRT/first-pass-syndrome.
>
>I am an almost 42 yr old woman who had a complete hysterectomy two years ago.
>
>I cannot tolerate oral estrogen, presumably because of the firs-pass
>phenomenon. I cannot tolerate any kind of progesterone. Using the patch, I
>feel absolutely fabulous about 30% of the time; I feel O.K. about 30% of the
>time, and I feel uterly misterable the remainder of the time. Right now I'm
>wearing about 2-1/2 patches. Sometimes I need 1 to 1-1/2 patches to feel
>normal. Sometimes that number is insufficient. Sx include irritablility at
>times, with great relief resulting from adding more patch(es).
>
>At other times, I feel intermittant tension in the throat area (around the
>thyroid?), which will also disappear when the patch amount is right.
>Incidentally, blood thyroid levels always show normal, whereas my body temp.
>is always low.
>
>I will be seeing my M.D. soon to discuss the possibility of using estrogen
>injections (though she has expressed reluctance previously due to the up and
>down experience many woman have related to the wearing off over time).
>
>The hysterectomy was supposed to be the answer to all my problems. I have to
>hope that this will all work out eventually. Do you have any ideas? Suggestions?
>
>(I know that sometimes when I discuss this situation, people have acted as
>if this is all in my head, or emotional in origin. I'm willing to look at
>any possibility, and have been doing therapy for 6 months to see what comes
>up. Nothing seems related,
>but I'm staying longer to keep working on myself. I have an otherwise stable
>life. I'm a massage therapist; married to a wonderful D.D.S. for almost 16
>years; have a great 10 year old daughter, am a girl scout leader, etc. etc.
>etc.)
>
>Any info you might have would be greatly appreciated.
>
>Thanks.
>
>Marvel E. Galvin

Marvel (my nickname, BTW),

This is not in your head. Have your doctor get an ESTRADIOL level. You may just need more medication than other people.

--
Harvey S. Marchbein, M.D. FACOG, FACS
OBGYN.net U.S. Representative, New York
Great Neck, New York
http://www.obgyn.net/states/bios/marchbein.htm
http://www.obgyn.net/women/advisors/harveym.htm

*Note:  Opinions expressed here are for educational purpose only.
This information is not intended to supplant the need for you to
consult with your physician prior to choosing therapeutic options.

**Private emails cannot be entertained due to time constraints,
consequently no private emails will receive a response.
**Thank you for your understanding ;-)

Next message: Harvey S. Marchbein, M.D.: "Re: Fluid around the Uterus"
Previous message: Mary: "Leg Numbness During Pregnancy"
In reply to: anonymous@obgyn.net: "HRT first pass syndrome"

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