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DR let's me choose own HRT! DR let's me choose own HRT!

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Unread 05-15-2002, 12:55 PM
DR let's me choose own HRT!

I am so confused. My wonderful DR is putting me on HRT one week following my TAH-BSO. My question is how do I find out which may be a good choice for me? I don't know where to begin to look. My Mom is taking cenestin. Any ideas? Thank you.
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Unread 05-15-2002, 01:04 PM
DR let's me choose own HRT!

Tracy my advice would be to read all the pulldown menu articles in the jungle www.hormonejungle.com concerning HRT. Go to the library or book store and buy some books on hormones and educate yourself. Two of my favorites are "What Your Doctor May Not Tell You About Menopause' by Dr. John Lee and Natural Hormone Replacement by Dr. Johnathan Wright.
Are you wanting to go the "natural" Bioidentical route or is that not of importance to you?
Cenestin is a plant based replica of premarin. Both are considered synthetic hormones(meaning not structurally identical to the ones your body makes) but some women do well on them. How is your mother doing on the Cenestin? Does she like it and is she having any negative effects from it? If not then if you dont mind the synthetic, Cenestin may be a way for you to go.

BTW, yea for having such a great doc. You are a lucky one my dear What part of Florida are you in Tracy?
Unread 05-15-2002, 01:10 PM

My Mom was given premarin when she had her hyst at 37. She switched to cenestin on my request a few years ago. I thought it would be better for her as it is plant based. I guess I wasn't as educated as I thought! She has done very well on both. I woulld prefer something more natural if that makes sense. Mom is now 53. No weight problem. High libido. Good sense of well-being. No problems that we are aware of. I just don't know what the right choice is for me. I DO know that I do not want to be on the hormonal rollercoaster some of these poor ladies. If it has to be synthetic to make me still be me, I guess I am OK with that. Thanks for the reply!
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Unread 05-16-2002, 07:10 AM
DR let's me choose own HRT!


You are one lucky to have a doc willing to work with you on this. My mom took premarin for almost 25 years and did just fine on it. I opted for a bioidentical estradiol (climera patch and then estrace pills).

How good of a "pill taker" are you? - I'm guessing you are pretty young - I wasn't THAT young when I had my hyst (43) but was no where near menopause, and when I switched from the patch to the pills, I could REALLY tell if I missed one. I think that has been the hardest thing for me, remembering to take my medication.

Unread 05-16-2002, 08:10 AM

I am great about taking pills as I have had high blood pressure for years. My body produces too much adrenalin so I have to take one in the morning and one at night. I only have trouble if the routine changes such as going out to dinner or having to leave the house very early. My hubby and DD are wonderful about reminding me or asking me if I remembered. I don't think the patch will work as well for me as we live in sunny Florida and spend alot of time in the salt water. I was concerned about the patch staying on and how the salt water might affect the delivery of the hormone. I am really leaning towards cenestin as my Mom does very well on that. Yes, I am young but not as young as some of our dear sisters here. I had a tubal at 21 during my C-section so having kids is not an issue with me. My Mom had precancerous cells on her cervix and two aunts have had cancer of the reproductive organs as well as a great grandma. It skipped my grandmother. I feel fortunate to have such a terrific DR, and am looking forward to a better quality of life!
Unread 05-16-2002, 09:10 AM
DR let's me choose own HRT!

Here's some interesting threads I thought you might like to read on hrt and high blood pressure:




Best wishes on your upcoming surgery.
Unread 05-16-2002, 10:29 AM
DR let's me choose own HRT!

Tracy, please read the links that Kim provided. You will
see that Trish found a study where patches or transdermal
methods of estrogen do not ususally affect blood
pressure, but oral pills can raise it. However, Trish
also found another study that says most women have
alpha and beta receptors, and estrogen causes the
blood vessels to dilate. Thus, lower bp. However,
some women do not have the beta receptors, and
the estrogen can cause a contriction of blood vessels.
Thus, higher bp. This last study was done on mice.
You can find it by doing a search on Trish, estrogen
alpha beta. It is under Just the Facts Maam,
Estrogen and blood pressure, another piece of the
puzzle. Maybe Kim can provide a link here. Another
type of transdermal estrogen is compounded estrogen
cream or gel.
In other words, a patch or cream/gel may be preferable
if you have high blood pressure. However, you must
keep an eye on your bp since any type of estrogen
could possibly lead to higher bp depending upon your
body's ability to handle the estrogen.
I am battling high bp with meds. Please tell me
how you learned that your body makes too much
adrenaline. What test was used, and what medicaton
are you using that helps? Thanks for helping me.
Unread 05-16-2002, 10:46 AM
Thank you so much for all the links!

Thank you for the added info. I am on a new HBP med called cozaar which keeps your arteries from constricting. I do very well with it so far. No side effects. Hopefully this will not change after the hyst. Also, estrogen can deplete magnesium <so I've been told> which in turn makes your pressure go up. I'll try adding magnesium if HRT turns out to be a problem. Just a note,,,I really didn't see anyone showing the "balance" of positive things with HRT and BP so I thought I'd give my two cents. Mom has been on premarin then cenestin for 16 years. Her BP is normally about 100/60. She is working with a DR to see about raising it a bit as she gets very tired. Her cholesterol was high before the surgery and has to be treated with meds to keep it in a healthy range. She had open heart surgery two years ago <a very scary time. makes me face my surgery like it's nothing compared to hers!> but it had nothing to do with HRT. It was a genetic problem. I hope that women are not being too quick to blame HRT on all their health issues. Sometimes there may be other things at work. Who knows how the body responds to anesthesia or the trauma of ANY surgery. There could be so many other factors. I will cross my fingers and hope to be as blessed as my Mom has been with her HRT. Keep feeding me that info though 'cause if my BP gets out of control I will have an idea of what might be to blame. Thanks again!!!
PS. I believe my Mom is healthier than she has ever been. A good part of that is because she lives a very happy, low stress lifestyle.
Unread 05-16-2002, 10:53 AM
DR let's me choose own HRT!

Here's the thread that Locki was referring to https://www.hystersisters.com/vb2/sho...d+and+pressure

I'd also like to add that I've found that happy place called hormonal balance and I wouldn't give it up for the world. They'll have to pry my estrogen out of my scrawny little hands. Yes, I do have other health issues, but I do not think that any of it is estrogen related. Without my estrogen I think I'd be an even bigger mess.
Unread 05-16-2002, 10:57 AM

Have you heard of the flight or fight response in animals and humans? You have some kind of stress; doesn't matter if it is a horrible thing like watching someone get hit by a car, or someone cutting you off in traffic. Your body processes that response the same exact way. It floods your system with adrenalin. Pain also causes this response. An example would be migraines. Once you are "over" that rush, your body reabsorbs that adrenalin <btw adrenalin is also a hormone>. My body takes too long to reabsorb the adrenalin so my pressure and pulse stay high. My body doesn't know how to "switch" that response off. So it's almost like having a constant adrenalin rush. I WAS taking 50 mg of cozaar once a day and that kept me at about 120/80. When the surgery thing and all the testing <yucky bladder tests> came up, I had to increase it to twice a day. I hope this is temporary! LOL This med has no side effects for me and the only known one is dizziness in some people. I was diagnosed with this when I was 26. VERY YOUNG. For me they have found it is genetic. Testing included X rays, numerous blood tests. Monitoring my fight/flight response in a journal. I can actually feel my heart race with stress. Very bad for your body. Burning constant adrenalin exhausts your system. Also urinary testing and eye exam. Something about kidney function if I recall. I am also very caffeine sensitive so I am careful with that as it elevates my pressure. I have to say that with a little weight loss and exercise, I may be able to decrease the dose but with all the pain I have been in due to fibroids and cysts, I avoid anything that may make the pain worse. I hope this helps you. Feel free to ask me anything I may not have answered!

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