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Estrogen when endo was left behind? Estrogen when endo was left behind?

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Unread 05-09-2005, 12:20 PM
Estrogen when endo was left behind?

I'm 36, and 4 weeks post-op from TAH/BSO. My DR was not able to remove all my endo because it was so widespread. He said he could have scraped all day and still not gotten it all. Has anyone out there known that they still had endo and used estrogen? How long did your DR have you wait after surgery before starting the estrogen? What type and dosage? Did you have any problems? I see DR for my first post-op appt tomorrow, and I have so many questions. Thanks for all the feedback. I really want to be prepared!

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Unread 05-09-2005, 01:38 PM
Estrogen when endo was left behind?


I had my hysterectomy for endo and I had a waiting period of 3 months before I was allowed Estrogen. I have read the usual waiting period is between 3 -6 months.

My doctor was fairly sure he removed all that he could see, but he said it can hide in places and that was why I needed to wait the 3 months.

If your doctor has already said that he was not able to get all the endo, it may be a good idea to ride it out as long as possible without estrogen. The endo needs proper time to starve off and dry up. When you do decide to start using some form of estrogen, it may also be a good idea to use the lowest dose possible to control your symptoms. If all the endo was not removed and you start estrogen therapy, in my opinion there is a likely chance that it will continue to cause you problems.

You may also want to ask your doctor about using progesterone with the estrogen. Estrogen stimulates endo and progesterone inhibits it. Here are a couple of articles that may be helpful about progesterone.

My current doctor recommends that I use progesterone with my estrogen and many doctors will also prescribe this for women with endo.

Best Wishes

Unread 05-19-2005, 08:39 PM

I never knew you were suppose to wait...?

I had a total hysterectomy at age 27 due to endo, and I woke up in the recovery room with an estrogen patch on, and all the endo was left intact. Dr. told me it would just dye off with the hyster, but now I'm confused??
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Unread 05-21-2005, 07:09 AM
Estrogen when endo was left behind?


Not all doctors make women wait before starting estrogen. Some doctors do start women with endo on estrogen immediately after their hysterectomy. Some doctors make women wait since Estrogen feeds endo and if any endo is left behind, then it can be stimulated by using estrogen.

The current "thinking" is that if you starve the body of estrogen for a period of time ( remove the ovaries and no estrogen therapy) then the endo will dry up and then it will be ok to use estrogen.

I see you had your hysterectomy almost 15 years ago. If you have not had any symptoms of your endo causing you problems then I would not worry about using estrogen.

Since you were only 27 at the time of your surgery and you were put in surgical menopause, I would imagine that your doctor was trying to avoid all the symptoms of menopause at such a young age and started you on estrogen immediately.


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