WOMENS-HEALTH Messages for October, 1999: Re: commendation on alternative to HRT

Re: commendation on alternative to HRT

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Sun, 31 Oct 1999 12:49:29 -0600 (CST)

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In reply to: Susan: "Recommendation on alternative to HRT"

At Sat, 30 Oct 1999, Susan wrote: >
>I had TAH,BSO,appendectomy 5/26.2 days after surgery started on
>Estraderm patch.Never really felt good after surgery so went to
>Internist 10/1.Was having really weird abd.discomfort.Thought about
>hernia,aneurysm,gall bladder problems.Had all gall bladder tests before
>surgery that were negative.Had horizontal incision and all discomfort
>was way above it,in area of gallbladder.Always have had discomfort in
>gallbladder area and have had numerous upper GI's in past 25
>years.DIscomfort seemed to relate to hormone changes.Before periods,1st
>4 months of pregnancy really bad.Anyway Internist thought maybe
>Irritable Bowel as all gallbladder tests over years were
>negative.Started me on RX and just to see leave off hormones.Stopped the
>patch 10/1.Every day I have felt better and better.No menopause symptoms
>at all.No hot flashes,sleep better.No bloating,just really feel good.Now
>the question can I live without hormones or is it really too soon to say
>that hormones made me feel worse?

Anyone can live without hormones after surgery. It just depends upon the quality of life and side effects.

>I might add,always had problem with
>hormones.Birth control pills made blood pressure go way up.Even hormones
>I tried to take several years ago for irregular bleeding made blood
>pressure go up.I am 49 years old,have breast cancer in family but my
>risk is low.

Risk incrreases with age just like they say on the commercials.

>No breast lumps,1st child at 18.I am only 5' and really
>can't shrink anymore.

Many people wish that were true but it's not.

>Bone density test year before TAH was excellent.

Wait to see what bone density is liike after 2 years or more without hormones.

>No
>heart disease in family.

Gosh, I'm sounding like doom and gloom but just giving stats. 30-50% of women die from heart disease.

>I am using vaginal estrogen cream every couple
>of days as I had some dryness,some bleeding after sex.GYN said probably
>irritation.Recommendation as to what to take to prevent Osteoporosis?

Adequate calcium (1200mg total in 2-3 doses per day and Vitamin D 400IU) & weight bearing exercise.

>Can
>it be done with proper exercise,calcium?Can you really live to an old
>age,no problems without hormones?

It's possible but genetics plays a big role.

>Thanks in advance for a
>recommendation.Susan P.S.Used other patches too.Felt worse on the lowest
>one,Vivelle.

Consider soy protein. A study from California showed advantages in the amount of 50-60 grams per day. The FDA just this week stated (according to reports I received) that 25 grams per day will do wonders for alternative therapy results.

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

**Note:  Opinions expressed here are for educational purposes only
and, as such, do not constitute a physician-patient relationship.
This information is not intended to supplant the need for you to
consult with your physician prior to choosing therapeutic options
and/or interventions.

**Private emails cannot be entertained due to time constraints,
consequently no private emails will receive a response.

**Thank you for your understanding ;-)

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In reply to: Susan: "Recommendation on alternative to HRT"

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