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Why do drs recommend 4-5 yrs of HRT after surgical menopause? Why do drs recommend 4-5 yrs of HRT after surgical menopause?

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  #1  
Unread 10-01-2012, 07:53 AM
Why do drs recommend 4-5 yrs of HRT after surgical menopause?

I'm scheduled for a LSH w/ BSO in January. I'm only 44, so my doctor has recommended I start HRT immediately after surgery and continue for 4-5 years and then stop.

I guess I'm a little confused. I thought with surgical menopause you would be on HRT for the rest of your life. What's going to happen in 4-5 years to allow me to suddenly be able to stop the HRT?

I thought when a woman goes through natural menopause the body has time to adjust to the hormone changes and afterwards, the ovaries continue to produce hormones, just in very, very small amounts. With surgical menopause, there is no adjustment because there are no ovaries to produce the hormones anymore, right? Or am I completely wrong or missing something?

I'd love to think that the HRT is only a temporary measure but it just doesn't make sense to me.

Thanks!
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  #2  
Unread 10-01-2012, 02:34 PM
Re: Why do drs recommend 4-5 yrs of HRT after surgical menopause?

My understanding was that it depended upon your age. I'm curious to see what others respond. I'm 40 and my dr hasn't mentioned a cutoff date.
  #3  
Unread 10-01-2012, 03:13 PM
Re: Why do drs recommend 4-5 yrs of HRT after surgical menopause?

I was only 38 when I had mine. I have been on HRT for 20 years.
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  #4  
Unread 10-01-2012, 03:45 PM
Re: Why do drs recommend 4-5 yrs of HRT after surgical menopause?


My doctor is not one who believes in the 4-5 year theory. She says as long as I am doing well, get my annuals and all checks out okay, I can continue with the hrt as long as I want to.

I am 13 years post op and have been on hrt the entire time.
  #5  
Unread 10-01-2012, 07:47 PM
Re: Why do drs recommend 4-5 yrs of HRT after surgical menopause?

Because they don't understand the difference between surgical and natural menopause.
  #6  
Unread 10-01-2012, 08:06 PM
Re: Why do drs recommend 4-5 yrs of HRT after surgical menopause?

Good point! That's one thing I've seen in many places. The two are NOT the same. It's mind boggling to me that there is soooo much variation on things regarding hormones and surgery.
  #7  
Unread 10-01-2012, 08:47 PM
Re: Why do drs recommend 4-5 yrs of HRT after surgical menopause?

I'm 53 and went on villedot .1 about 3 months after a SAH and BOS because of hot flashes and emotional factors. I saw her last week and asked her how long she thought I would be on it as I must have been close to menopose anyway she told me thats not how it goes because of the surgury it really put my body in shock so she wants me to stay on this dose for a year and then start stepping down to smaller does a little at a time.
  #8  
Unread 10-01-2012, 09:50 PM
Re: Why do drs recommend 4-5 yrs of HRT after surgical menopause?

I'm 47 & have been on HRT (Estradot 50) for 2 years. Originally my gyno said stay on it for 3 years but I saw him again a few months back about prolapes issues & he now says I am to stay on it for the rest of my life. I'm happy with that as I have had no problems with menopause symptoms since oopherectomy surgery & would like to keep it that way as I've had plenty of other issues with rectal prolapse & rectocele twice. Like others I just have to make sure I get regular medical checkups.
  #9  
Unread 10-02-2012, 12:44 AM
Re: Why do drs recommend 4-5 yrs of HRT after surgical menopause?

I am 52.5 and just had a Divinci. I am on .05 viville or how ever you spell it! My doctor said 3-5 or see how I feel. I think I am on a pretty low dose and no flashes just not sleeping at all. I guess I must have been close or I would have more symptoms. I have had a couple days I wanted to kill someone :/

I was having regular periods, sometimes 2 weeks long so I am surprised. Also heavy. But I had endo and fibroids, tipped big ole uterus that was changing cell structor. Who knows! Guess I will see

Best to you
  #10  
Unread 10-06-2012, 06:55 PM
Re: Why do drs recommend 4-5 yrs of HRT after surgical menopause?

MorningLT: I'd guess that 4-5 years is to get you close to the onset of natural menopause and then taper off. With the recent studies on HRT (especially The Women's Health Initiative, etc ) and breast cancer, the recommendation is the lowest HRT dose for the shortest amount of time.

Best of luck to you!
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