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23 and HRT. Recipe for disaster? 23 and HRT. Recipe for disaster?

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Unread 10-14-2010, 04:48 PM
23 and HRT. Recipe for disaster?

Because I am having severe mood swings, vaginal dryness and night sweats, my doctor, who is really lovely, is putting me on HRT. However, I am only 23. Will I have to be on this for the rest of my life? He said with my age the side effects will be minimal, but what will they be at my age?

Because I am bipolar and mood swings can be catastrophic for me, I am following his orders. But if I am headed for disaster, someone please warn me!

Thanks for your love.

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Unread 10-15-2010, 05:46 AM
Re: 23 and HRT. Recipe for disaster?

You are young to go through all this! Just my two cents-- I would try the hrt. when you don't take it , you can get osteoporosis quickly, your bone density drops more rapidly than you think. It will also protect your heart. I hate to see you go all those years without as those problems can creep up on you. You are young, you would need alot of estrogen at age 23. I am 47 and still need alot of estrogen to function. You have a store of estrogen in your body and you may feel fine. I was like that for 2 1/2 yrs after surgery. I had high estrogen levels prior to surgery. My stored estrogen ran out and it wasn't good at all. I even kept ovaries and my levels went down rapidly after surgery. I felt fine until then and it slowly crept up on me.
if you have time read " Screaming to be heard" by Dr. Elizabeth Vliet. There is alot of answers in that book about hormones. Good luck. keep me posted on what you decide to do.
ps. I would also ask him about checking all your hormmones to be as balanced as possible , esp the progesterone levels. Progesterone keeps me calmer and more relaxed. but some ladies do better without it. I have to take it.
Unread 11-05-2010, 09:38 AM
Re: 23 and HRT. Recipe for disaster?

Wow, you are very young! Hang in there - I am 41, and 8 week post op. I can't imagine being without my hormones! (no one wants to be near me if I don't have my hormones) At 23, you are supposed to have hormones for many years to function - that's how we humans were designed. I also heard from my Dr. what your Dr. said - that the risks are much less when you are in surgical menopause very young. Go for it! I hope you find your moods stabilize. Be patient though - it takes a while to find the right dosage. Keep your doctor informed and don't be afraid to ask for changes if you don't feel right. You know your body best.
Best Wishes!
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Unread 11-05-2010, 01:57 PM
Re: 23 and HRT. Recipe for disaster?

I was 28 when I had my hyster and started on HRT within 6 months. Prior to the HRT I used birth control to keep things "quiet". (I was undergoing radiation and chemo, we were hoping the bc would save my ovaries - it didn't)

There are pros and cons to taking medication, but to me, the pros far outweighed the cons. Plus, I think it saved a lot of lives.
Unread 11-09-2010, 07:24 AM
Re: 23 and HRT. Recipe for disaster?

Dear MainbytheSea,
I too am bipolar and have struggled with mood swings since my teens. I am now 50 and STILL struggle with them on a daily basis. I do have to say I am in treatment for it.

I am the type of person who doesn't like to be on medications and fought for many years in all possible ways to avoid taking them. Why? I don't know... I was told by a doctor that it goes along with the illness.

so when I got my total hysterectomy back in 2005, I didn't go on the HRT patches right away. I wanted to see what I'd feel like naturally...
well was I in for trouble!
I was weeping all the time just by seeing commercials on t.v.,, or by hearing a sad song on the radio. My mood swings were up one moment and the next minute I'd be down. I was a walking basket case and thought I"d surely lose my mind and my man.
I thought he'd want to run away from me, because if I couldn't handle myself, how could I expect anyone else to?
so on the follow up visit to my dr., I mentioned to her what I was going through and she really didn't even have to hear any words come out of my mouth in order for her to see what I was going through because all she did was take one look at me in her office and she KNEW I was suffering.
I lost so much weight, I had circles under my eyes, I was a wreck.
she immediately went into converstation about HRT therapy and to this very day, I don't ever want to give it up.
there are multiple choices of HRT treatment, but my choice was the vivelle patch, being it's the closest to our own natural estrogen and is made from yams?? which is supposed to be healthier, I think?...
don't quote me exactly... but do some research on the different choices you have.
the vivelle dot patch is tiny and it really does stick and stay on your skin compared to the larger ones. I know, because I tried the larger ones.
I felt like a new woman once the patch took effect.
you're much too young to go without estrogen in your body.
there are many benefits to precious estrogen. It keeps our skin moist, our hair shiny and strong and not brittle. and the most important thing to ME is that it helps keep my emotions stabilized so I don't go around ripping peoples heads off if they look at me the wrong way... (just joking about the wanting to rip off someones head)
having bipolar is no joke and it's not an easy illness to live with, let alone having your estrogen taken from you no matter what age we're at.
when a woman goes through the natural process of losing it little by little, slowly in a matter of many years, it can still effect the woman.. but having it suddenly stopped by surgical method, can REALLY effect us.
there was no time to have it leave us slowly, so therefore, we are going to get hit hard and fast.
that's my experience with it.
I don't know what you've done since you last posted, but if you happen to get his message, it would be great to hear back from you to see how you're doing and if you made any choices.
Bless you....
Unread 11-09-2010, 03:58 PM
Re: 23 and HRT. Recipe for disaster?


Unfortunately I have found that the only thing HRT does for my emotions is make them literally ten times worse. Birth cotrol always caused me manic episodes and I'm afraid that HRT caused such cycling for me that it had to be stopped, even on a minute level. I'm going to have to live with the physical consequences. Mental health has to be my priority.
Unread 11-09-2010, 08:11 PM
Re: 23 and HRT. Recipe for disaster?


After a hyst, we don't have to go through the cycling. We do have an advantage and can keep our hormones at a steady level. I stay on an even keel on my hormone regime. Right after my hyst, when I didn't take estrogen for 4 months, I felt like I was 90 years old. I had major issues with my moods. HRT has been a life saver for me. I don't know much about mental health and HRT but if it is the cycling that would affect you, then you don't need to worry about that. Hugs!!
Unread 11-10-2010, 06:59 AM
Re: 23 and HRT. Recipe for disaster?

I agree Mainebythesea, that our mental health is extremely important and must come first in order to survive in our world. I had no idea that people who have bipolar can be effected by the HRT????
I do know about myself that when I take certain medications that it can set off a manic stage in me which happened just last month. I had no idea it was the medication and was not warned by my doctor who prescribed it to me. It was horrible.
I hope this works out for you.
and thank you Jennifer too for your reply as well.
I LOVE my HRT and haven't suffered at all thank God with my bipolar from taking it.
If anything, it's stablized my life so I CAN function on a daily basis.

So I feel pretty horrible for the woman who can't take HRT because of health reasons. There must be something out there on the market?
what about the natural products that's mentioned frequently?
Unread 11-12-2010, 02:33 PM
Re: 23 and HRT. Recipe for disaster?

I had my TAH in 01/2004 just 3 weeks after turning 32. I am also bipolar, so life was not pleasant for those around me anyway. After the TAH it got worse. The gyn I was seeing tried it all. I went off of everything for 6 months, but that was worse and made me more manic and I didnt think that was possible.
I was Estrace for 3 years and since I could not take the generic I was on the name brand. It was wonderful. My moods eased up and I was more "normal" feeling, most of the time!
When the expense of the name brand pills became to great, insurance will not cover them if a generic is available, and I couldnt afford $220 a month, they switched me. No blood work, no tests, just switched me. I am now on the Vivelle Dot .1 and it isn't close to what the Estrace pill did for me. I have scheduled an appointment with a "hormone specialist" my insurance compnay recommended for the end of this month.
After 3 months on the dot, I have gained 10 pounds and I cry. A LOT.
Not every person is the same, but the 3 Gyn's I have seen keep telling me I will have to be on Estrogen (HRT's) for a long time to come, because of my age.
All of the new studies out have me freaked out and if the doc I see at the end of the month cannot help me.....I am quitting the HRT's and going to go with nothing. I have many friends around me and close to my age who have had TAH and never been on HRT's. I dont know why I was "different" or if it was the doc I saw, but I am thinking natural is the way I need to go and to stay on my bipolar meds. And pray. A LOT!

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