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Ovaries Removed Tomorrow-Need Advice Re: HRT Ovaries Removed Tomorrow-Need Advice Re: HRT

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  #1  
Unread 09-26-2011, 05:56 PM
Ovaries Removed Tomorrow-Need Advice Re: HRT

I am having both ovaries removed tomorrow due to chronic bilateral cysts. I had my uterus removed last December (endometriosis). I am 'keeping' (ha) my cervix. After lots of research I am still very conflicted about HRT. MY doc is planning on the patch (estrogen) immediately after surgery. It seems opinion is firmly and equally divided (do it or you'll suffer/don't do it or you'll get breast cancer). I am very worried and would appreciate advice from anyone who has had a hystorectomy at a (relatively) young age (I'll be 38 next month). Thanks!
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  #2  
Unread 09-26-2011, 07:19 PM
Re: Ovaries Removed Tomorrow-Need Advice Re: HRT

Hello!

There's plenty of conflicting information about hormone therapy, and it's more complicated since you are also dealing with endometriosis.

Hopefully your doctor has explained that having your ovaries removed isn't a cure for endometriosis--it's possible to continue to have problems with it even after surgery. Since endometriosis feeds on estrogen, any endometriosis that may remain after surgery can grow and cause problems. Some doctors will recommend not using any hormones at all for a period of time, some will prescribe estrogen only and some will prescribe estrogen along with progesterone, since progesterone can help counteract the effect of estrogen on endometriosis.

The scare about breast cancer comes from the study done with Prempro, which is a combination of conjugated estrogens and a synthetic progesterone--not with estrogen alone. If your doctor is prescribing an estradiol estrogen patch, it's bio-identical.

Definitely discuss your concerns with your doctor.

Best wishes for your surgery tomorrow!

  #3  
Unread 09-26-2011, 09:51 PM
Re: Ovaries Removed Tomorrow-Need Advice Re: HRT

That is very helpful, thanks. The cysts are not endometrial, i had both chronic (simple) cysts and endometriosis and removed only my uterus hoping the pain was only endo related. Nope. In fact, I think it is worse now. I struggled over losing my ovaries mainly bc of how i will react hormonally. My final reasoning is that the cysts seem to be affecting my hormones anyway. I have many of the menopausal symptoms, now and I can only assume it is due to the cysts. Again, I see mixed opinions about this. Do you think cysts can mess with your hormones?
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  #4  
Unread 09-27-2011, 12:21 PM
Re: Ovaries Removed Tomorrow-Need Advice Re: HRT

I am no expert but I think my cysts that were on my ovaries messed with my hormones TREMENDOUSLY! I feel so much better without them..so far at least. I am 3 weeks post-op and I am using the patch estradiol. No problems so far with it. I also had everything removed, including both ovaries. I still have a ton of questions myself. Good luck to you!!
  #5  
Unread 09-27-2011, 01:14 PM
Re: Ovaries Removed Tomorrow-Need Advice Re: HRT



Talk to your doctor, but it is actually the messed up hormones that can lead to cysts, not the other way around!

I would strongly suggest you talk to someone who is thoroughly knowledgeable regarding hormones and endometriosis to determine what is right for you. Estrogen can be critical for overall health but it is also the fuel for endometriosis. Thus, if ERT is right for you, you may need to consider progesterone to try to help keep any remaining endometriosis at bay.

I hope your surgery goes well today!

S
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