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estrogen after surgery with endo estrogen after surgery with endo

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Unread 11-13-2006, 01:05 PM
estrogen after surgery with endo


Today at my preop my doctor said that I can't be on estrogen 3-6 months after surgery. She says that it is unlikely that endo will come back if I take this break.
I thought endo could always come back if I'm on estrogen.

She suggested Depo Provera for 6 months and I told her that I didn't want to take it. (I've heard some negative things about it and am concerned about bone loss.)

She said my options are to take progesterone and/or Effexor. Can anyone share their experiences with this after surgery with endo. Thanks.
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Unread 11-13-2006, 02:13 PM
estrogen after surgery with endo

I kept my ovaries so my situation is not the same as yours. But here is what I have learned regarding endo and hormones.

Some doctors do offer Depo or Lupron or some time of progesterone after a hyst so that any remaining endo will hopefully die off with these treatment options. Then hopefully you can eventually take estrogen which your body needs for your overall health. Lack of estrogen can affect your cardiovasuclar system, bones, libido, skin, the list goes on and on.

Often when a doctor does prescribes estrogen for a woman who has endo, progesterone is also given to help counter balance the estrogen -- allowing your body to get what it needs but hopefully not enough to feed any endo that still exists.

Some women do fine after a hyst and waiting a time before using estrogen, others do not. There is no way to really know into which group you fall and what your prognosis will look like a few years down the road. It is very important to know all you can about endo, find a doctor who is very knowledgeable about endo and HRT (maybe an endometriosis specialist), and decide what is best for you, knowing that are no guarantees and neither a hyst nor a BSO cures endo. You also need to be aware of how hormones are benefitial to your body and the risks involved with not having any.

I wish you the very best for your upcoming surgery!
Unread 11-13-2006, 02:25 PM
estrogen after surgery with endo

My doc kept me off any estrogen for six weeks, since then I'm on a small dose orally (we worked out that was the best for me for other reasons, nothing to do with endo). So far so good is all I can say.

In the six weeks i waited, I had only very little menopause symptoms, I was lucky. The dr suggested taking small dose of estrogen for benefits to general health for a few years until i was nearer to natural menopause age. I decided to take that advice.

Good luck. it's not an easy decision. I felt that I would take my dr advice as i have been with her for a while and have built up a trust.
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Unread 11-13-2006, 04:26 PM
estrogen after surgery with endo

I have had endo for over 25 years, and was put on estrogen 2 & 1/2 weeks after my surgery. I think my Dr feels that the benefits of the small dose (1mg) outway the possibility of the endo coming back (hopefully he removed it all ).
Unread 11-13-2006, 05:51 PM
estrogen after surgery with endo

hi jayhee.i had a tah on sept 22 was put on a estrogen patch estradiol and i had severe endo.i was on the patch for about 5 wks ,i had an allergic reaction to the patch but good news is patch was plant based now i am applying an estrogen gel and because of my leg cramps headache and insomnia i have started a progestrne cream bio identical hormones i must tell you i feel much better make sure your doc is well studied in hrt,i would stick to the natural oned better for your body,rest well after surgery make sure someone is taking care of you.leela
Unread 11-13-2006, 06:09 PM
estrogen after surgery with endo

Thanks for all your replies. PattyAnne, we sound very similar...same age, endo, adeno and fibroids. Was your uterus enlarged? I'm hoping they can still do the LSH with my enlarged uterus!
Unread 11-13-2006, 06:56 PM
estrogen after surgery with endo


I had a tah/bso for endo in March of this year. I'm 36 though. I had taken depo provera prior to my surgery to help with the bleeding and pain.

I had talked with my doctor prior to my surgery and discussed not using hrt. I used the hot flash cocktail on the hormone jungle tab. I used that for a little over 11 weeks. I then started hrt. I tried a few different kinds.(patches and pills) I couldn't find what worked best for me. I am now using natural progesterone cream and natural estrogen cream. (I read ,what your doctor may not tell you about menopause by Dr John Lee.) I also take vitamins, oils, and herbs. I worked with my doctor to find what was best for me.

It may take some trial and error to find what will work the best for you. But, it is best to work with your doctor.

Best of luck to you,

Unread 11-13-2006, 07:03 PM
estrogen after surgery with endo

jahee - my uterus was the size of a 16 week pregnancy . I also had 5 fibroid tumors (the largest around 6cm). LOTS of scar tissue and adhesions. The first hour of my surgery was spent removing scar tissue before he could even start the LSH. Both surgeries lasted over 7 hours. My doctor was amazing!
Unread 11-13-2006, 07:08 PM
estrogen after surgery with endo

I am 45 and had severe endo, adeno and 8 fibroids. I am 11 days out from surgery and not on any hormones right now. My doctor plans to discuss with me next Tuedasy. I am uncertain of what to do--I have Blood Pressure issues and then the endo thing. So I am right there with you. But I will tell you I feel like a new person with all the pain gone!! It is amazing and I think I can take on whatever is needed with or without the hormones --it is just determinig what is best based on the individual situation. I don't know what I will do yet but will let you know.
Unread 11-14-2006, 04:03 AM
estrogen after surgery with endo

Patty Anne,

That is amazing! My doctor said that she is more worried about all my scar tissue rather than the size of the uterus. So we'll see.

Thanks for all your posts. I don't think I'm going to take the Effexor, so I might just find some alternative ways of dealing with the symptoms for 3 -6 months.

But, I'm trying to trust my doctor, but I'm not convinced that endo won't come back when I resume the estrogen.

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