HysterSisters Hysterectomy Support and Information
Advertising Info HysterSisters Hysterectomy Support Tutorial

Go Back   Hysterectomy HysterSisters > Endometriosis Articles

HysterSisters Articles for Hysterectomy


SHARING IS CARING

Endometriosis and HRT

From the Endometriosis Articles List

Endometriosis and HRTI have had a hysterectomy and oophorectomy because of endometriosis. Can I use HRT? Should I use estrogen only or a combination of both estrogen and progesterone?


There is not black and white answer to determine if a woman with endometriosis should use hormone replacement therapy (HRT) following an oophorectomy. Endometriosis is complex, and it can depend on your body and the skill of your surgeon as to whether or not you will face endometriosis issues following a hysterectomy and oophorectomy.

A hysterectomy, even with an oophorectomy, does not cure endometriosis. "Endometriosis is an extra-uterine disease, and the aim of treatment should be to remove all the extra-uterine disease while retaining all the healthy tissue including the uterus and ovaries," (BJOG). "Patients are sometimes misled to believe that the only long-term solution is removal of all female reproductive organs - a myth. Endometriosis is not cured by removal of the reproductive organs. This dangerous misconception in the medical field is responsible for countless, needless hysterectomies performed each year," (Endometriosis). Thus, even after a hysterectomy and oophorectomy, endometriosis can remain and cause problems.

As estrogen is the fuel for endometriosis, finding a balance for providing adequate estrogen critical for overall health without creating intense endometriosis issues is a matter of trial and error. The ovaries produce a good deal of estrogen which floods the pelvic region each month. That estrogen can flare endometriosis implants, especially those that are close by. Not having ovaries, however, does not guarantee you will not have endometriosis; endometriosis can actually create its own supply of estrogen. Accordingly, going without estrogen replacement therapy (ERT) does not definitely stop endometriosis; in fact, it can open the door to a wide range of new health issues that can be more serious than endometriosis.

Lack of adequate estrogen can lead to serious health concerns such as heart disease, osteoporosis, and thinning tissues. Further issues can include gum disease, tooth decay, cataracts, colon cancer risk, and bladder concerns. Besides physical health concerns, there can also be mental and emotional ramifications involved. Hence, removing the ovaries and avoiding hormone replacement therapy (HRT) is not the best or right choice for all women, even those with an endometriosis diagnosis.

Doctors who prescribe ERT for women with endometriosis tend to suggest the lowest dose possible. The hope is that the small dose will minimize health risks and eliminate bothersome menopause symptoms such as hot flashes. Other doctors advocate using progesterone or progestin along with any ERT. The theory is that the progesterone/progestin could keep any remaining endometriosis at bay while allowing for the benefits of the ERT. On the other hand, not all doctors will prescribe progesterone/progestin to women without a uterus. Because there is controversy regarding all of these treatment options, each woman will have to work with her medical team to determine what is best for her.

No two women will make the exact same decisions. Each woman should learn all she can so she can make the most informed decision, seeking second opinions as necessary as doctors, too, will have varying opinions based on their own knowledge base. Keeping a symptom diary can help determine if menopausal symptoms are occurring to such a degree that they need treatment, and if adjustments need to be made for endometriosis.


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.

04-24-2013 - 11:04 AM


SHARING IS CARING


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!


HysterSisters Free Hysterectomy Booklet

What 350,000 Women Know About Hysterectomy with pages of information, helpful tips and hints to prepare and recover from hysterectomy. Free download for members.




HysterSisters Articles

Diagnosis
Options to Hysterectomy
Treatment Alternatives
Pre-Op Hysterectomy
Post-Op Hysterectomy
Separate Surgeries
Hormone and Menopause
Intimacy after Hysterectomy
Pelvic Floor
Separate Surgeries
Fitness after Hysterectomy
GYN Cancer
Breast Health
Grief and Loss
Endometriosis
Uterine Fibroids
GYN Genetics
Hysterectomy Stories
Ask A Doctor




Find a Surgeon

HysterSisters Doctor Directory
Antonio Gargiulo, M.D.
Brigham and Women's Hospital
75 Francis Street
Boston MA 02115
617-732-4222
Aileen Caceres, M.D.
Center for Specialized Gynecology/Florida Hospital
410 Celebration Place, Suite 302
Celebration FL 34747
(407) 303-4573
Ted Lee, M.D.
Magee Womens Hospital
300 Halket Street
Pittsburgh PA 15213
412 641 6412
Charles Miller, M.D.
120 Osler Drive
Suite 100
Naperville IL 60540
630-428-2229
Ken Sinervo, M.D.
1140 Hammond Dr., Ste. F6220
Atlanta GA 30328
770-913-0001
Arnold Advincula, M.D.
Columbia Ob/Gyn Midtown
51 West 51st St, 3rd FL
New York NY 10019
(855) 75-OBGYN
Debra Richardson, M.D.
Gynecological Oncology Clinic - SW Med
2201 Inwood Road Suite 106
Dallas TX 75390
214-645-4673
Lauren Streicher, M.D.
Gynecologic Specialists of Northwestern, S.C
680 N. Lake Shore Dr., Suite 117
Chicago IL 60611
(312)654-1166
Caren C Reaves, M.D.
Caring for Women
2805 S. Mayhill Rd
Denton TX 76208
940-591-6700

Advertisement

Hysterectomy News

April 18,2021

CURRENT NEWS

HysterSisters Takes On Partner To Manage Continued Growth And Longevity
I have news that is wonderful and exciting! This week’s migration wasn’t a typical migration - from one set ... News Archive

TODAY'S EVENTS

Calendar - Hysterectomies - Birthdays


Request Information


I am a HysterSister

HYSTERECTOMY STORIES

Featured Story - All Stories - Share Yours

FOLLOW US


Your Hysterectomy Date


CUSTOMIZE Your Browsing  



Advertisement


Advertisement