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Do I need to increase my dose? Do I need to increase my dose?

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Unread 09-28-2008, 09:37 AM
Do I need to increase my dose?

I am 36 and had TAH/BSO in March. I started on the Vivelle Dot .075 right away and for awhile felt pretty good. Lately I have had daily headaches, joint pain especially in my neck and lower back, irritability, and fatigue and insomnia. Does it sound like I need to increase my dose?
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Unread 09-28-2008, 09:47 AM
Do I need to increase my dose?

what do you think the cause of the headaches are? Low estrogen or too much?? I'm getting more headaches lately and I used to never get them.
Unread 09-28-2008, 02:50 PM
Do I need to increase my dose?

I personally think you may need to increase your dose. I'm 46 and started out on .05 and have worked my way to .1 and feel a lot better! It has helped with sleep and a variety of other issues. Have you checked out the too much and too little article? If you do a search you will find it!

Good luck,

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Unread 09-30-2008, 07:38 AM
Do I need to increase my dose?

Those are classic low estrogen symptoms. At your age, you may very well need quite a bit more.

It's not uncommon to feel "pretty good" at first - that's because your body has hormones "stored" in your tissues. Once those are totally depleted - which can take months, you may not feel as good and that's the time to start experimenting with your hormone replacement to find your optimal dosing.

But yes, you sound low in estrogen.
Unread 09-30-2008, 10:29 AM
estrogen too little?

i too am learning about HRT. i waited 4 weeks to start .05 vivelle dot after my surgery. (at least a week too long). i was craaaaazzyy. after 2 weeks on it, i was having headaches, which she treated with immetrex for migraines. great, by the way. i also was not sleeping and irraitable. as soon as i discussed these symptoms with her she said i needed to increase the hormone to .75. this will be the 2nd week on that. i am sleeping better, not great, but better. the hot falshes are much less often, only a few a day and no headaches. i guess once the body gets used to something, it wants something else. i don't know yet. it's all new to me. good luck.[
Unread 09-30-2008, 10:40 AM
Do I need to increase my dose?

JDancer60, It does take time to figure out the proper dose I hope the .075 works well for you. Would you mind telling me what MMK is? I see it in your signature line. Thanks.

Tap 72, how are you doing? Did you decide to increase your patch dose? I really hesitated to do that but am glad that I did!

Unread 09-30-2008, 11:08 AM
Do I need to increase my dose?

Marshall Marchetti Krantz (MMK) is a variation of the 'burch' surgery to repair and re-locate the bladder. the difference is, i understand is that in MMK the bladder is stitched to the pubic bone and in burch the bladder and urethra ligaments are attached to other ligaments on the pubic bone and vagina. from what i have read, this procedure is not done so much anymore, but i have an older doc, so this is the way she learned...what are you going to do? i was not aware that the surgery was such a 'big' thing. it has increased my healing time by 2 weeks. info i would like all to know before you agree to this during hysterectomy. rather than 6 weeks, it is 8 weeks and the biggest problems i continue to have healing is the bladder! but, i guess and hope it saves me a trip back into surgery in a few years.

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