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TAH/BSO..Endo...Estrogen? TAH/BSO..Endo...Estrogen?

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Unread 10-27-2000, 04:44 PM

Hello Ladies,
On Nov. 27, I will be having a TAH/BSO because of endometriosis. I was just wondering if anyone out there went through this and their doc had them wait several months to start on estrogen and if so, did that make you feel crazy? How did you do? Were there any major problems due to the immediate lack of estrogen that we should know about and expect?
Thanks for any help and God Bless You All,
TAH/BSO 11/27/00
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Unread 10-27-2000, 05:33 PM

I can't answer this but wanted to bring it back up to the top.
Unread 10-27-2000, 06:52 PM

I had TAH-BSO 9/19/00 because of endo. But my Dr. put me on Estrace 2mg. right after surgery. His feeling is the chance of it returning is so slim that it is not worth the risk of not taking it. At this point I am just not sure about this.

But, I did want to tell you that you might want to post this question on the Road less traveled board, it seems there are more women there dealing with this type of issue.

Good luck!
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Unread 10-27-2000, 11:08 PM

Just a quick note to let you know that there are others of us out here! You are not alone at all. I had a TAH/BSO on 8/22/00 and my doctor felt that he wanted me to wait at least 6 months before considering HRT; I lasted two days and depleted the natural estrogen that my body had in reserve and was having incredible hot flashes and some night sweats...this was also accompanied by some emotional turmoil that was less than pleasant! He put me on Climara .05 estradiol patches and things have been great. Keep in mind that each of us is different and that you need to work with your doctor to figure out what is best for you. I wish you all the best and hope this helped.

Unread 10-28-2000, 06:28 AM

HI I had my TAH on Oct12,00. My doc put me on premarin 2 days after my hyst, I was nervous and confused about all this and everyone is different. I have been doing great the surgery was a breeze and the emotions are in control for now. I asked my doc how he knew what to put me on and he said it what he put everyone on after hyst. I may end up with something else in the future but for now it is working for me.
Good Luck, you can contact me anytime you want I am in a learning process also!
Unread 10-28-2000, 09:51 AM

I too had endo. and had heard that you should wait to go on
HRT to make sure endo is gone, however my Dr. told me that he was doing a abdominal Hysterectomy to make sure he got all of it. I hope so because I had a TAH/BSO on 9-27 and was
put on Vivelle Dot 0.1 which is a patch the same day as surgery. I questioned the nurse before surgery at the hospital and she said I was too young not to be put on HRT and that I would burn up. I'm 41. So far I can not tell a difference, I have no symptoms. I can't tell you if going on HRT right away is a good thing or not because it's only been a month. I also had cyst and fibroids. Sorry I couldn't really answer your question. I guess only time will tell.
Unread 10-28-2000, 10:14 AM

I had TAH/BSO on 8/16/00 for severe endo, fibroids, ovarian cysts and was started on Premarin.625 the day after surgery. I have had no problems. I am 43 years old. I think what generally happens after surgery without HRT is instant menopause which, from what I have read, seems to be pretty uncomfortable especially with all the other stuff your dealing with post op. Some women are able to tolerate this for several months. I chose to go ahead with the HRT based on my doctors advice that the risk of return of endo is so small it would not be worth the risk of not taking HRT. I am researching other alternatives to Premarin but for now it is working fine for me. Hope this helps.
Best Regards,
Unread 10-28-2000, 12:08 PM

I had an LAVH-BSO on 9/12/00 for severe endo and Polycystic Ovary Syndrome (5 golf ball size blood filled cysts on RO). My doctor started me on the Climara Patch for 4 weeks immediately following surgery. She then put me on 1.25 Premarin and Estratest. I had severe hot flashes and night sweats and was unable to function or sleep at night. She upped the Premarin to 1 pill one day and 2 alternating days. Her theory being that having PCOS and Endo increased my hormone production when I HAD all my parts. She felt that it would be a huge shock to my system if I "all of a sudden" had no hormones. She said if the endo came back, we could do Depo-Provera shots to "dry it up", but we would cross that bridge when we came to it.

Like the other sisters, my doctor felt the good outweighed the bad. And I am glad that she made that decision, I would hate to have worse hot flashes and night sweats than I already have.

Unread 10-28-2000, 03:24 PM
Endo and Estrogen

Yes, I had endo too. The day after surgery they but a patch on. Only it fell off and nobody noticed. I experienced migrane headaches and hot flashes. I asked after a couple days if the patch was bad? She put me on Premarin (because the hospital did not administer Estrace) I am on Estrace once a day now. No more headaches - they left the first day of estrogen. As for the Endo? My gyn said if it comes back we deal with it. The menopause symptoms where too much to ignore. And she said since there was no more uterus to encourage grownth, and I had a TAH so she could get every bit of endo (which she did - 3 hours worth!) She said I should be fine. I am going to believe her.
Unread 10-28-2000, 03:59 PM

Hi....I had stage IV endo and was advised to wait awhile before starting HRT, so i waited 6 weeks, expecting to be miserable. Have seen where other drs want to wait longer, anywhere from 3-6 months. The doctor had told me that i would probably have my first hot flash within 24 hrs of surgery. I never had one! He couldn't believe that i didn't have any when i went back for my 4 week check up. So at 6 weeks, i began .5 mg. of estrace which is a very low dose, and seemed to be fine. Then I developed the bowel obstruction in early Oct and was on nothing again the week I was in the hospital. Then i came home and started the Estrace again....now i'm having hot flashes!! Anyway, every one is different, and drs often recommend different things depending what they find during surgery.
Good luck.....

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