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My plan....thoughts?.....LONG My plan....thoughts?.....LONG

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Unread 03-26-2011, 03:05 AM
My plan....thoughts?.....LONG

I am 37 and have Factor V Leiden. I am heterozygous, meaning I only have one gene for it. This puts me at higher risk for blood clots, but not the highest risk. I am exactly 4 weeks post-op today and have had no signs of clots. (knock on wood) However, this means that I can't take HRT pills. My doc did say that he would be comfortable giving me the Vivelle Dot if I want it.

For now, I'd like to try to go without. Not sure I want to risk the side effects, though they are slighter with the patch, as I understand it. So, I'd like to share my plan for your input. Before surgery I took no vitamins or anything of any sort. Now I'm taking:

Vitamin D
One A Day Menopause Formula
Baby Aspirin (for my Factor V Leiden situation)
Stool Softeners (for at least 3 months, per Doc)
Melatonin (at night, obviously)
I also use natural progesterone cream. Have been using twice/day, even though the directions say once daily for post-menopausal women. I figured my body needed the extra after the shock of losing the ovaries. The directions say 3 weeks on, 1 week off, and I just started my first week off. We shall see how that goes!

I have cut out most red meat and reduced the amount of meat at all. I'm adding more fish (salmon and halibut caught by my Hubby, mostly) and more whole grains and fruits. Struggling with veggies, really, but I'm having at least 1 salad per day with lots of dark greens in there. I've also reduced my sugar intake and have switched to soy milk. I have been cleared to walk 15 min per days, adding 5 min per day each week as I feel up to it. I can also add easy yoga for the same time period, choosing one of those per day. Have stuck with the walking so far, though.

I am obese, if that matters. Prior to surgery, I was doing the Couch to 5K program and a yoga DVD. Was trying to be active and eat healthy, though not as committed to it as I should have been, I suppose.

So far I've had very mild symptoms. My "hot flashes" are more "warm spells". I've had very few of the OMG I'M GOING TO SPONTANEOUSLY COMBUST! intense nuclear meltdowns. Mostly I'm just warmer than other people and it happens rather suddenly. Then I'm cold. My poor hair goes up in a bun then back down again a millions time a day! I've taken to wearing twinsets or cardigans. Which I hate. But I have to be able to strip down and pile back on as needed.

I did have some palpitations and anxiety, but that seems to have stopped. (I hope....its been almost 2 weeks since I had any...) I am also dealing with some mood swings. I haven't cried yet, though I've been very tempted a few times. Mostly I just get cranky. As my mom likes to quote the Dyson guy "I just think things should work properly!" I find that I have very little patience. I don't like that aspect and am trying to control it a bit. Last Sunday was a huge emotional day for me, but I've been somewhat better since.

My doctor is supportive of however I want to handle this. He doesn't think the natural progesterone cream or any herbs or vitamins will be very effective, but as long as I'm not miserable, he's ok with that. Just let him know if I get ready to try the patch. He doesn't want to give it to me until I need it. So far so good.

Thoughts? Opinions?
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Unread 03-26-2011, 11:32 AM
Re: My plan....thoughts?.....LONG

I wish you all the best with your plan. I am not the right one to ask if it is a good plan or not as I am still testing things myself since I came off ert six or seven months ago. I did want to point out one thing, however. Please read the back of the One-A-Day vitamins. I was on the Menopause formula until I started reading the back of the bottle. I liked the daily percentages of the Women Over 50 better. There was not a major difference, but I did not find that the menopause formula offered enough of some vitamins. As I no longer have a bottle of each here, I cannot tell you for certain what the differences are. Just be careful and read the backs. Best of luck to you.
Unread 03-26-2011, 12:48 PM
Re: My plan....thoughts?.....LONG

I'm no expert but I have some thoughts on the progesterone. When you had ovaries, you made estrogen, and the progest was in some balance with that. Now you don't have that estrogen source so even less progest could be too much, and I'm not sure what you were treating with it or whether you need it at all---esp by itself. I'm not saying not to take it, just bringing up a point to look into and discuss with your Dr. Also, without ovaries you shouldn't need to cycle any hormones you do take. I don't know anything about your clotting disorder + patch, but I know estrogen is what treats hot flashes so if that's an issue you might consider it. I know my hot flashes and insomnia certainly resolved quickly with a patch. It does seem to be trial and error as to what works. I do know it's best to regulate estrogen before adding in progesterone so do keep that in mind, too. Good luck finding the right balance point for you, it can take a while.

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