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So many choices for Hormone replacement So many choices for Hormone replacement

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Unread 11-02-2011, 08:38 AM
So many choices for Hormone replacement

I had a complete hystro 10-18-11 my doc gave me a estrogen shot the day I left the hospital and I have an apt today to get both hormones as a shot but I really need to decide if I'm going to continue with getting shots or use an alternative method.

My insurance will not pay for the male hormone so I am running into paying $60 a month to go to the doc office or $260 every 6 months for the capsules put under my skin. I was thinking pills but with my insurance not covering the male hormone I run into what's cheaper. My doc has said I have to take the male hormone from time to time to keep my sex drive and to prevent the endro from coming back.

Please give me some input and let me know what works best for you!!
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Unread 11-02-2011, 09:35 AM
Re: So many choices for Hormone replacement


There sure are a lot of choices and unfortunately, there's no way to know what one is best for you. What works really well for some of us may not work well for you. Sometimes it just takes trial and error to figure out what is best.

Just to clarify, because medical terms can be confusing, a partial hysterectomy removes the uterus, leaving the cervix in place. A total hysterectomy removes the uterus along with the cervix. If your recent surgery removed both of your ovaries and your fallopian tubes, it was a Bilateral Salpingo-Oophorectomy, or BSO. Here's a helpful link with definitions: Abbreviations.

Your situation is more complicated since you are dealing with an endometriosis diagnosis. Was your doctor an endometriosis specialist? Has it been explained to you that a hysterectomy and/or oophorectomy isn't a cure and that it's possible to have endometriosis even after surgery? Some doctors won't prescribe estrogen at all, or hold off for a period of time, before starting women on it. Or, they will prescribe it along with progesterone since that hormone can help negate the effect that estrogen has on endometriosis. (Endometriosis feeds on estrogen.) I've never heard of testosterone being used to control endometriosis.

You're still early in your recovery. Has your doctor tested your testosterone levels? You may not even need to use that hormone and it may be wise to take a wait and see approach before committing to an injection or implant. If you do find further into recovery that your libido is suffering, ask about using compounded testosterone cream. Many of us use it as a part of our hormone therapy. One of the good things about it is that the patient has control over its use. For example, when I first started on testosterone I used it daily until my levels built up, and then cut back to using it a few times a week, then a few times a month. I have a prescription for it from my last doctor appointment but I haven't had the prescription filled. At this point in time I'm doing well without it.

I think without insurance the testosterone cream is around $50 or so from my local compounding pharmacy. A jar of it lasted a long time once my levels were built up, so it was an economical choice for me.

For estrogen I use Vivelle Dot, which is a bio-identical transdermal patch changed twice a week. I've been using it for years and have been very happy with it.

I hope this helps!

Unread 11-02-2011, 02:26 PM
So many choices for Hormone replacement

I had a THL about 2 years ago due to prelaps (I believe its called) but they recently found a tumor on my right ovary and decided to go ahead and remove both ovaries. I honestly did not know I had endro until after surgery so no he is not an expert. I think I am going to have to find me a new doctor because even today when I went in he has yet to sit down with me and explain the whole hormone issue. He just tells me I need a shot and that's it. Today he gave me a two in one and said come back in four weeks for another one. I thought he would at least do some blood work to see my levels but he didn't and when I asked some questions he kind of made me feel stupid. I told him that I didn't know if I was having hot flashes or what was going on but I keep getting a feeling as if I was breaking a fever and his remark was did you take your temperature if not then I don't know.
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Unread 11-05-2011, 04:07 PM
Re: So many choices for Hormone replacement

I will be 7 months post op tomorrow. I Had a TAH and BSO. I started off with the Vivelle Dot. I was having alot of crying spells and night sweats and the patch just was not lasting for me. Now I take Enjuvia and I love it! I feel so much better. I also use a compounded Testosterone cream daily. My ob/gyn has been great with helping me find what I need. Sometimes it is alot of trial and error. For me right now, this is what is working the best. Blessings

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