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TAH/BSO When to start HRT TAH/BSO When to start HRT

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  #1  
Unread 04-26-2013, 06:32 AM
TAH/BSO When to start HRT

Everyone I know that has had this surgery is telling me to start HRT right off the bat not to wait for menopause before asking the doctor for them as I am only 21. My grandma who had a BSO preformed by the same surgeon is saying he told he to wait for symptoms and call him she was 36 @ the time if he was to tell me this should I tell him I would prefer to go and start them because I have been told by other women that you feel better if you start them right of the bat or just do as he says. What Sid you do and how did you feel.
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  #2  
Unread 04-26-2013, 06:44 AM
Re: TAH/BSO When to start HRT

I was able to keep one ovary but it was a risk because I was already perimenopauseal two years prior to surgery. I felt ok, hormonally for about 3 weeks, then the bottom fell out. Every symptom of menopause possible hit me like a ton of bricks. The depression and CRYING were the worst. I started on 2mg of Estradiol 2 days ago and already feel 100 % better. The change it has made is nothing short of a miracle. I'd wait for your pathology report first and have either a prescription ready or a plan with your Dr to call you in some HRT the day you feel you need it. I suffered 2 weeks without it needlessly. HTH.

Edited to add: I was in the hospital 3 nights and my Dr already had my pathology report back when I was discharged.
  #3  
Unread 04-26-2013, 03:11 PM
TAH/BSO When to start HRT

  Quote:
Originally Posted by lilmis_minister View Post
Everyone I know that has had this surgery is telling me to start HRT right off the bat not to wait for menopause before asking the doctor for them as I am only 21. My grandma who had a BSO preformed by the same surgeon is saying he told he to wait for symptoms and call him she was 36 @ the time if he was to tell me this should I tell him I would prefer to go and start them because I have been told by other women that you feel better if you start them right of the bat or just do as he says. What Sid you do and how did you feel.
Just my opinion.. I had TAH/BSO on March 26, 2013. I had two surgeons. One was my GYN and the other was an oncologist. After surgery but prior to the pathology report, they both told me that nothing looked bad. The next day my GYN checked in on me and I looked like I had a sunburn. She asked me if I felt hot and I said yes but I also have a headache and and few other complaints besides the pain. Pain was expected of course. My doc opened up her cute little purse and slapped a 'patch' on me (estradiol). She said there was not necessary to suffer with menopause and surgery. The next day she came in and still saw me beet red. I got another patch. I am now on Minivelle @ .1 two times per week and regular menopause stuff has quit. I am a bit cranky at times but I think it's because I get tired out. I can wean off the dose or just go lower later when I am all healed up! I wish you all the best. Take Care!! P. S. Try some of the silicon scar gel too when you get the OK. Not only is it making the incision look better, it helps be to be more 'ok' with what needed to be done. I resisted surgery for three years and final did it when a really ugly ultrasound indicated my choices had been reduced to only one. I am very happy I did it now but before the surgery I was very uncertain.
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  #4  
Unread 04-26-2013, 04:33 PM
TAH/BSO When to start HRT

  Quote:
Originally Posted by PatienceNeeded View Post
P. S. Try some of the silicon scar gel too when you get the OK. Not only is it making the incision look better, it helps be to be more 'ok' with what needed to be done.
What's this, how do you use it and where can I get some?
  #5  
Unread 04-26-2013, 07:52 PM
Re: TAH/BSO When to start HRT

Hi lilmis_minister

At 21, you are very young to be having a TAH BSO. I would think that your doctor would want to start you off right away on the HRT, unless there is a health reason for you not to. Please discuss the pros and cons with your doctor for your long term health.

Here is an article on Estrogen - Is It Important? as well as HRT? No HRT? How to Decide.

I went on HRT about 12 weeks after my TAH BSO at age 46. I tried surgical menopause without it and was VERY MISERABLE. The HRT gave me my life back. My GP also said that it was better for my health to be on it.

Make the decision that is right for you.

:hugs2u:
  #6  
Unread 04-27-2013, 09:09 AM
Re: TAH/BSO When to start HRT

Good Morning lilmis_minister!

The scar gel I used is called Kelocote. I got it at CVS. You can also order it online. I've been using on some of my older scars and it works pretty good.

I saw you on the thread by DarkKnight who is asking similar questions in regards to a hyst at such a young age. As suggested in that thread, please consult with a specialist or two and really do your research so when the road gets tough that you will know in your heart (and your head) that you made the best decision you could with the information (get lots, it will help later) that you had at the time. It would have been much more difficult for me to make the decision if I was a young as you.

I have put up with adenomyosis, endometriosis, hyperplasia, polyps, fibroids, cysts and a variety of other 'unknown' masses for a long, long time. I did three D&Cs, multiple rounds of all sorts of drugs from Megace to birth control. I felt overwhelmed with all the attempts to fix things and it just got worse. I couldn't get through a couple of months without seeing the gyn. I was often on the 'hemorrhage watch' as I called it and never left the house without Aleve and lots of feminine products. Many outings and vacations were delayed or messed up because of this nonsense. But again, I am a lot older than you and this was a serious quality of life issue as well as a cancer concern. My biggest worry for the surgery was what it would do to my personality. I was not as concerned about the long term health risks (as you would be) because of my age. My surgeons told me they would leave what parts they could if they looked OK during surgery. No parts looked OK so they all went into the bucket (uterus, cervix, ovaries and tubes).

Hormones can be complicated. They do affect many of the systems of our bodies. Different doctors will have different opinions about how the hormones work and the interrelationships they have with each other. There is lots of information available and it might seem like it just too much at times. Use a doctor that you are comfortable with and that you really trust. This will help in whatever choice you make. If you are have having it done for a non-life threatening condition, please review the advice given to DarkKnight. I can't even begin to imagine what it would be like to be so young and to need to face this choice. You are a very brave and strong young lady.

Sending prayers and well wishes your way...
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