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HRT standard dose? HRT standard dose?

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Unread 09-15-2010, 03:33 PM
HRT standard dose?

I will be having a LSH/BSO on 9/24. I had my pre-op yesterday and picked up Climara patches. My doctor prescribed me 0.05mg, is that the standard starting dose? I'm 35 years old, don't know if that makes a difference. I'm gonna have that baby slapped on my behind as soon as my surgery is over! I'm so afraid of menopause, I am not a nice person when I'm sweating!
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Unread 09-15-2010, 04:02 PM
Re: HRT standard dose?

Hi Becky!

That's a reasonable starting dose--your doctor may have opted to start you out in the mid-range and then can move you up or down from there once you've fully healed from surgery.

After surgery, expect that you may experience menopause symptoms even though you're using hormone therapy. That's perfectly normal as your body heals, adapts to its new hormone source and depletes the hormones your ovaries made. It might be helpful to keep a journal throughout recovery. You can share it with your doctor who in turn can adjust your dose, if necessary, to help with symptoms. It's important to let each change have at least a few weeks to reach optimal levels, as changing doses can result in fluctuations. It can get tricky trying to figure out if it's too much or not enough estrogen.

Best wishes for your surgery and recovery!

Unread 09-15-2010, 04:59 PM
Re: HRT standard dose?

Thanks for the info! So if I'm understanding you right... some menopausal symptoms are normal, but at what point are they not? I definitely don't want to cry to my doctor after 1 week, if my patch is going to take time. My biggest fear is having to get the dose right. I hope it's good on the first try... I just don't want to be mean.
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Unread 09-15-2010, 05:13 PM
Re: HRT standard dose?

I hope the 0.05 is the right dose, too. No one wants to be mean.

How long it takes to deplete the hormones made by the ovaries varies from woman to woman, which is why keeping the journal can be so beneficial. If you start out feeling really good and then start noticing that your symptoms are increasing rather than decreasing, that's a good sign that your own hormone reserves are dwindling, which in turn would indicate that you need to have your dose increased. Be on the lookout for hot flashes, night sweats, mood changes, etc. Again, those things are all normal in the early weeks of recovery but they should decrease over time, assuming your estrogen dose is right. If your symptoms continue or get worse, don't hesitate to call your doctor.

Keep an open mind and don't be afraid about making necessary changes. It can require some experimenting and patience to get it right but we'll be here to help you on that journey.


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