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Is this normal? Is this normal?

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Unread 07-26-2010, 11:27 AM
Is this normal?

Hi All. I'm a little concerned about a hormone therapy issue, and wanted to know what you all thought.

I had a TVH, kept right ovary, in April of this year. I didn't really want to do hormone replacement if I didn't have to. I don't have any medical contradictions that would put me at special risk if I did HRT, just didn't really want to. My gyno wanted me to take the summer to let me hormones even out, and see if righty was going to take up the slack or throw in the towel. Apparently she has decided to give up. The last 6 weeks or so the hot flashes have become nasty, the night sweats even worse. Not sleeping, no energy, and have gained 6-8 pounds since surgery despite working out at the gym 4-6 times a week doing cardio and weights.

I have researched HRT options, and found that for my situation (no uterus, don't want to take pills because they seem to up the risk of problems) the estriadol patches like Climara or Vivelle might be my best option.

Here's what's kind of creeping me out. I called my gyno's office today for an appointment to get the ball rolling. They told me I didn't need to come in, they would call in the Climara patch without even seeing me! No bloodwork to check my hormone levels, nothing! Is that weird to anyone else? Or is this just such a normally used patch that it is their go-to for everyone? On the one hand, it is what I determined from my research to be what they would probably put me on anyway. But it still bothers me that they don't even need to see me to prescribe hormones that could negatively affect my body.

Thoughts? Thanks bunches!
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Unread 07-26-2010, 11:52 AM
Re: Is this normal?

I don't think they normally check hormone levels because they don't necessarily correlate with how you feel--my understanding anyway. Since you had been seen relatively recently and there was already a tentative plan in mind, I'm thinking that is why no new visit. You already had screening done. I discussed it at a couple visits and got it taken care of then so I don't know how far out I could have waited to call them if I hadn't decided. Seems like you should have a follow up visit at some point but mine are every 4 mos for other reasons so I don't know what the norm is.
Unread 07-26-2010, 07:23 PM
Re: Is this normal?

Thanks for the reply. I have heard that blood tests for hormone levels are pretty inconclusive, as "normal" is a pretty large range. I guess I was expecting a sit down with my doc for some more discussion, but given my age (49) and what we had already discussed I guess this is ok. Didn't hear anything today, as he was in surgery all day. Should hear from his office tomorrow. Thanks again for the help!

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