HysterSisters Articles for Hysterectomy
HRT | When Do I Start?
From the Menopause and Hormones Articles List
When should HRT begin? I have read some posts that say patients wake up with a hormone replacement patch on, and I have also heard that the body has some stored estrogen so it doesn't need the HRT right away.
Hormone Replacement Therapy (HRT) after a hysterectomy is not always necessary, and some women opt against it even when menopausal symptoms are present. Some doctors assume HRT will be required, though, and prescribe it to be used immediately after surgery. Others prefer the wait-and-see approach, gauging a woman's need for HRT as hormone levels drop off and menopausal symptoms begin to appear. You should discuss your doctor's approach before surgery if at all possible. Conduct research on your own and ask the HysterSisters about their experiences with and without HRT to help you understand the pros and cons of hormone replacement therapy in surgical menopause. Here are some example responses to this question from the HysterSisters forums
"I did not wake up with a patch on. My doctor waited until I started experiencing signs of menopause. He said that not everyone needs HRT, and therefore he waits to see if his patients will. A word of advice: If you start experiencing menopause symptoms, don't wait too long to call your doctor. I thought I could work through them on my own; boy was I wrong!"
"I am 46 and had a TAH BSO. My menopause symptoms started about 14 days post-op, and steadily increased in frequency and intensity. I had hot flashes, night sweats, and a lot of trouble sleeping at night. It also felt like I had a wool blanket over my head. I started having hot flashes about 20–25 times per day. I finally called the doctor and said HELP! She put me on estrogen replacement therapy (ERT)—Estoidal 0.5 mg dose, (lowest dose) (a pill)—and it got me back on track within 24 hours. I now sleep at night, which is a major plus! My hot flashes are down to about 5–8 a day. While that may seem like a lot, it is way better than 25!"
"I started off with the hot flashes, which at first were mild but increased in intensity every day. I figured I could deal with them. Then I started having night sweats and insomnia (about four days after the hot flashes started). Then the body aches kicked in, and I was miserable. My family couldn't stand me. My boyfriend took up residence in the spare bedroom because I kept our room like a meat locker and tossed and turned all night. I finally figured out I was not going to be able to handle all this on my own. I placed a call to my doctor, and she gave me Premarin."
"My doctor put me on Estradiol (1 mg) about a week after my hysterectomy. I don't know what I would do with out it!"
"I went to my first post-op appointment five days after my hysterectomy. By that time, the hot flashes and crying had started. My doctor put me on 1 mg of Estrodiol once a day to start."
"I didn't wake up with a patch on, but my doctor did start me on an oral estrogen the same day of surgery. My doctor told me that it was absolutely necessary for me to start it early because of my age. The younger you are, the higher risk you have of having other health problems if you do not have estrogen. Even with the low dose of Premarin that I started in the hospital, I had night sweats like no other. I had a horrible time sleeping, and I was so emotional, I didn't even know myself. After a couple of dosage adjustments, I have no symptoms at all!"
As you can see, results and treatments vary per patient. Make a list of questions and concerns you have for your doctor, and make sure you get all the answers you need to make an informed decision.
This content was written by staff of HysterSisters.com by non-medical professionals based on discussions, resources and input from other patients for the purpose of patient-to-patient support.
HysterSisters Free Hysterectomy BookletWhat 250,000 Women Know About Hysterectomy
with 50 pages of information, helpful tips and hints as you prepare and recover from hysterectomy through an organized timeline.
Options to Hysterectomy
Hormone and Menopause
Intimacy after Hysterectomy
Fitness after Hysterectomy
Grief and Loss
Ask A Doctor
Do you have a question?
If you have a medical support question related to this article, come JOIN US in our HysterSisters Community Forums. You will receive helpful replies to your questions from our members. See you there!
Recommended for Hysterectomy Recovery
The HysterSisters Store has gathered products made specifically for your recovery from surgery. Here are the best sellers we can recommend to help you:
- The Great Binder Set - We have made it very easy for you and combined the two best binders and the Silky Sac into a great set to save you money! Our favorite is the Perfect Pocket binder with cold/hot packs!
- Deluxe Hyst Prep Set - As you plan, we've gathered the best products into one set for special pricing.
- Post-Op Panty - These great panties speed recovery, and reduces scarring. They contain a medical-grade silicone panel over incision to reduce scar's apperance while they provide support to weakened muscles and tissues from surgery. Excellent!
- Softest Bra Ever - When you want to wear something, but feel nothing. This is the softest bra ever, in microfiber with no hardware or tags to chafe or dig! The comfort-ribbed underband stays in place gently, so it is perfect for sleeping and lounging.
- HysterSisters Accessory Kit - Are you a HysterSisters fan? This set has a fun collection of HysterSisters items.
- Very Private Moisture - Once your doctor gives you the green light for intimacy, this is the stuff! This is a best selling product with a high rate of permanent, satisfied, repeat customers! Relieves vaginal dryness instantly, protects tissue & enhances intimacy.
"Buy it for the problem, use it for the pleasure."
Find a Surgeon
|Lillian Schapiro, M.D.
275 Collier Road, Suite 250
Atlanta GA 30309
|Diane DiTusa, M.D.
2671 hwy 70
Manasquan NJ 08736
|Robert Furr, M.D.
Women's Surgery Center
1604 Gunbarrel Road
Chattanooga TN 37421
|Geoffrey Bowers, M.D.
2401 E Evesham Rd
Voorhees NJ 08043
|Terry Grogg, M.D.
4461 S Broadway Suite 200
Grove City OH 43123
|Quanita Crable, M.D.
8160 Walnut Hill Lane
Dallas TX 75231
|Beverly Love, M.D.
46 Sgt. Prentiss Dr.
Natchez MS 39120
|Aileen Caceres, M.D.
Center for Specialized Gynecology/Florida Hospital
410 Celebration Place, Suite 302
Celebration FL 34747
|Arnold Advincula, M.D.
Florida Hospital Celebration Health
400 Celebration Place
Celebration FL 34747