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03-11-2003, 06:21 PM
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Hyster Sister
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Hysterectomy: January 5th, 2001
Surgery Type: TAH
Ovaries: Removed both
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Help in decision-making
It's hard to answer your question, because no one can really tell you ahead of time if increasing your hrt or adding progesterone is going to help............sometimes you have to try something for a while and see if it works........we're all so different, and different things work for each of us. Also you are still early in recovery, and it really takes a while for things to settle down and your body to get used to the different hormones. I had trouble with insomnia for a while but it went away after a while. I never had much trouble with hot flashes, but I take black kohosh and I think it helps with that.
I can tell you this much.........for the first 6 months after my hyst I could my doc would only let me take 0.3 mg Premarin (the smallest dosage available) because I had so much endo. It helped some, but not enough, and I started on Progesterone cream, which seemed to help me feel better.
At 6 months post-op my doc increased the Premarin to .625 mg. Like you, I felt the best that I had in a long long time but I thought maybe I could feel better. I wanted to try a bio-identical hrt so my doc let me try the Climara patch......didn't work for me, I felt lousy. Same with Cenestin and Estratest. So I went back to the Premarin, and tried increasing the dose to 1.25 mg. It was too much for me..........I did not feel well at all.
I went back to .625 and continue to use Progesterone cream........I think it adds just enough of whatever it is that I needed that I don't get from my Premarin. I feel better with it.
The only way you'll know if increasing your Estrace, or adding Progesterone, will help you feel 100%, is to try it. But I would only add one thing at a time, and give yourself a few weeks, to see if there is any change, before I added or deleted anything else. If you try to many things at once, you won't know what's working.
Good luck to you!!
Ann
TAH/BSO 1/5/01
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