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Clueless! When is it or isn't it working? Clueless! When is it or isn't it working?

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  #1  
Unread 10-24-2008, 07:44 AM
Clueless! When is it or isn't it working?

1 week post op TAH/BSO and I think I just had my first night sweat. I am on the vivelle dot. I've been a bit depressed, but that is nothing new, and it may be situational as well as hormonal.
I had a horribly uninterested doctor who blew me off and did no testing 4 four years, then got in with someone good who diagnosed this mess within 2 weeks. In the pre op testing i was told that my menopause numbers were a "little high." and had had some hot flashes, and irregular periods, low libido. I'm 54. Can anybody shed some light on what any of this means and what may be helpful? I don't even know what questions to ask at the post-op appt monday.
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  #2  
Unread 10-24-2008, 08:44 AM
Clueless! When is it or isn't it working?

Hello!

This all can be confusing. I'm glad you found Hyster Sisters so you can connect with others who have the same concerns.

Very early in recovery it's not unusual to have menopause symptoms even when hormone therapy is being used. At this point, your body is depleting the hormones your ovaries made and recovering from the shock of surgery while adjusting to a new source of estrogen. Any one of those would be enough to upset your hormone balance. If your menopause numbers were a little high pre-op you were probably in perimenopause, but even women in full menopause have reported having menopause symptoms again after removal of the ovaries. After menopause, the ovaries do produce beneficial hormones--just at a lower amount.

For now it would be best to continue using your Vivelle Dot as prescribed. It takes a while for any hormone therapy to reach optimum levels and it takes time for our own hormones to deplete. How long it takes varies from woman to woman. You might find it helpful to keep a journal of the symptoms you are experiencing. You can then share the journal with your doctor who can determine what, if any, changes are needed with your hormone therapy. What you don't want to do is change doses of the Vivelle Dot or switch to another hormone therapy product too soon. Making frequent changes early on can result in causing more fluctuations--the very thing you're trying to avoid.

Once you are established on your estrogen and have good symptom control, you can reevaluate whatever symptoms remain and determine if any of them would be helped by the addition of progesterone and/or testosterone. It's better to add just one hormone at a time so you have a clear picture of how you react to each change. You may want to refer to this link when working to find your new balance: Too Much/Too Little.

You might want to start a list of questions as you think of them. It's easier to hand over a list to the doctor than it is to remember the questions while having a post-op exam. Have you found the Hysterectomy Checkpoints yet? There's a link for them at the top/left side of the page, just under the Hyster Sisters logo...or you can use this link: Hysterectomy Checkpoints. Plus, there's good information in this link, too: Post-Op Page.

There's a lot on this site to explore, plenty to read and many friends here to help you along the way.

s
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