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Day#7 Post Op & HRT. What kind??? Day#7 Post Op & HRT. What kind???

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  #1  
Unread 07-27-2011, 04:50 PM
Day#7 Post Op & HRT. What kind???

I'm having hot flashes from the tummy down (pre-op they were only at night and full body sweats!) and am on this crazy emotional rollercoaster that has started since my DvH last week. Crying when your happy seems like postpartum depression to me! I have spent this afternoon researching HRT since I know my OB/GYN is going to put me on a low dose of something next week when I have my recheck.

It's obvious my left ovary is not doing it's job right now so whether it's a "temporary shock from the surgery" due to removal of all the scar tissue that was on it or what's left of this ovary isn't ever going to work again, I want to know my options and be prepared when I walk in there next week. I just don't think I will be able to deal with all things that goes along with not having them and will need to be on something. Plus, I read that if you are under 45, which I am by less than a year, then it's probably better to get some estrogen replaced anyway. Is anyone else that just had a hysterectomy researching this too or have you started on an HRT? There are so many options out there!!!! I'm making a list of questions/concerns to take with me. Anyone with suggestions/comments would be greatly appreciated. This was my ONLY reason for NOT wanting to have a hysterectomy. Scared to death of HRT and trying to get it to be close to where you were pre-op. I know my OB/GYN said she puts her patients on half a dose to start with which indicates to me that it's a pill but her nurse told me yesterday that she personally uses a cream.

Is there anyone out there that is happy on the HRT they are on now and feel just like they did or even better than before their pre-op days?
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  #2  
Unread 07-27-2011, 05:21 PM
Re: Day#7 Post Op & HRT. What kind???

I have been on two different types of estrogen. The first one was a patch which is called Vivelle Dot. I thought it wasn't working because sometimes it wasn't stuck on just perfect so I then switched to divigel which is a gel you rub on your upper thigh. I felt so bad on the gel that I finally just went back on the patch. I feel a lot better now. I don't have anymore hot flashes but I don't have a desire for intimacy at all. I was also on testosterone a compounded gel and it worked great for about three weeks or so then it just stopped working. I have a docs. appt. on the 1st of august to go over what else I can do and to finally have my hormones checked. My doc. has never checked them. Have you had your hormone levels checked? If not I would ask to have them checked and go from there. I really don't know much about HRT because my doc. just doesn't communicate with me about it very well. I may need to find a new doc. I feel clueless but still felt I would reply to your post to give you a little advice. There are other ladies on here that know a lot about HRT and can give you much more advice. I hope you find something that works for you soon. It just seems to be a roller coaster ride and it takes a lot of patience to find something that will make you feel you again. Take care and let us know how things are going.

Angel
  #3  
Unread 07-27-2011, 05:23 PM
Re: Day#7 Post Op & HRT. What kind???

Jan,
You are still VERY early post op. During a hyst the blood supply to the ovary(s) can be cut off. It can take some time for the ovary(s) to wake back up. Symptoms of menopause during this time, such as hot flashes, is not that unusual. I would give it some time before starting ert.

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  #4  
Unread 07-27-2011, 05:24 PM
Re: Day#7 Post Op & HRT. What kind???

  Quote:
Originally Posted by angel0713 View Post
I have been on two different types of estrogen. The first one was a patch which is called Vivelle Dot. I thought it wasn't working because sometimes it wasn't stuck on just perfect so I then switched to divigel which is a gel you rub on your upper thigh. I felt so bad on the gel that I finally just went back on the patch. I feel a lot better now. I don't have anymore hot flashes but I don't have a desire for intimacy at all. I was also on testosterone a compounded gel and it worked great for about three weeks or so then it just stopped working. I have a docs. appt. on the 1st of august to go over what else I can do and to finally have my hormones checked. My doc. has never checked them. Have you had your hormone levels checked? If not I would ask to have them checked and go from there. I really don't know much about HRT because my doc. just doesn't communicate with me about it very well. I may need to find a new doc. I feel clueless but still felt I would reply to your post to give you a little advice. There are other ladies on here that know a lot about HRT and can give you much more advice. I hope you find something that works for you soon. It just seems to be a roller coaster ride and it takes a lot of patience to find something that will make you feel you again. Take care and let us know how things are going.

Angel
Keep in mind this member still has one ovary and is only a week post op.
  #5  
Unread 07-27-2011, 05:30 PM
Re: Day#7 Post Op & HRT. What kind???

I was just trying to give some advice. I am not a doctor. It just sometimes people need a little support. I am just trying to help. I come here for advice and help not to be told I am doing something wrong.
  #6  
Unread 07-27-2011, 05:36 PM
Re: Day#7 Post Op & HRT. What kind???

Thank you, Angel.

No, I haven't had my hormones checked. I only went in yesterday to have my staples removed from my surgery last week and to find out the results of the mass they removed. While there I mentioned these strange hot flashes and just while explaining to her how emotional I was getting over silly things I started to cry. Felt like an idiot. lol She was so nice and said all of this is so normal but that when she sees me next week she will probably put me on a low dose of something for a month to see if that helps get me by for awhile until my left ovary starts kicking in. I think I was just so embarrassed about crying in front of her and nervous about having my staples out that it didn't even occur to me to ask what she was going to give me.

My biggest concern before my hysterectomy was having my ovary removed and having to be on hormones. Have to admit that my main concern for that was not only my own health but because of the lack of sex drive I heard comes along with this. My DH is wonderful about all of this and says he doesn't care as long as I get to feeling better but it is a huge concern for me. We've been married almost 28 yrs and I don't want my health issues to change anything. My DH and I even talked to my OB/GYN about the HRT a little bit before my surgery and she said that she has been on HRT since she was in her 30's due to a hysterectomy (think she's 50ish now) and she has never had a problem. Plus, she said she always starts her patients on half a dose and they usually do fine with that. I totally trust her (she delivered all 3 of my kids, did my tubal 23 yrs ago and now my hysterectomy) so I will definitely take what she has to say into consideration but I also want to see what's out there that I feel comfortable with too.

I wish you the best of luck on Aug 1st. Would love to hear back from you and see what you got worked out.

Thanks again for your post!
  #7  
Unread 07-27-2011, 05:44 PM
Re: Day#7 Post Op & HRT. What kind???

[quote=Kim M;3535297] Jan,
You are still VERY early post op. During a hyst the blood supply to the ovary(s) can be cut off. It can take some time for the ovary(s) to wake back up. Symptoms of menopause during this time, such as hot flashes, is not that unusual. I would give it some time before starting ert.

Thank you, Kim.

My understanding from my appt yesterday was that this is only a short term thing because she did say that my left ovary might be in shock right now and not functioning for the time being. The other thing I wondered was is she doing this because I was already pre-menapausal before my surgery and suffering from horrible nightly hot flashes. I will definitely talk to her about the timing of starting this though.

One other thing I should probably mention is that they removed alot of scar tissue from my bowels and left ovary plus there was a cyst on my left ovary. From what I can remember her saying she said she only left it because she knew how concerned I was about not having my ovaries and this left one was just barely able to be saved due to the work she did on it. Do you think she's not expecting it to start working again? My right ovary was removed because of cyst and scaring.
  #8  
Unread 07-27-2011, 05:48 PM
Re: Day#7 Post Op & HRT. What kind???

  Quote:
Originally Posted by angel0713 View Post
I was just trying to give some advice. I am not a doctor. It just sometimes people need a little support. I am just trying to help. I come here for advice and help not to be told I am doing something wrong.
No problem here, Angel. I do appreciate that you took the time to respond as much as I appreciate Kim's advice. At this point every bit of advice, concern, or information is greatly appreciated from any of the sisters that have experienced this.

Thanks to both of you!
  #9  
Unread 07-27-2011, 06:07 PM
Re: Day#7 Post Op & HRT. What kind???

I know my post wasn't much help but I do try to support others who are feeling the same way as me. I know I don't know much but at least I try to help. I really wish you the best and hope everything works out good for you. This is the hardest thing I have ever had to go through and the more support the better. Take care of yourself your still healing and you need to focus on getting yourself better. Please post back when you can to let us know how your doing.

Angel
  #10  
Unread 07-28-2011, 04:20 PM
Re: Day#7 Post Op & HRT. What kind???

Dear Angel,
So sorry if I offended you. I did not mean to imply that you were not being supportive. I just wanted to point out how early post op Jan was and that she kept an ovary, while you and I did not. Again, my sincerest apologies if you were offended and thought you were not being supportive. Of course you were being supportive.

  Quote:
One other thing I should probably mention is that they removed alot of scar tissue from my bowels and left ovary plus there was a cyst on my left ovary. From what I can remember her saying she said she only left it because she knew how concerned I was about not having my ovaries and this left one was just barely able to be saved due to the work she did on it. Do you think she's not expecting it to start working again? My right ovary was removed because of cyst and scaring.
Jan,
It sounds to me like your doctor was trying to adhere to your wishes and is trying to preserve that remaining ovary. Only time will tell. I think it's great that your doctor is trying to preserve the ovary. If it starts working again, that's great. If it does not, you know that you and your doctor tried. No regrets.

Do keep us posted on how things are going for you.

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