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Recently changed HRT Im 24 have lots of ?? Recently changed HRT Im 24 have lots of ??

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Unread 05-28-2002, 12:30 AM
Recently changed HRT Im 24 have lots of ??

Hello my name is Julie and Im 24 yrs old. A little over a year ago I had a partial Hysterectomy because of adenomyosis I was left with both ovaries. This March I had my left ovary removed because of pain which was found to be caused by a large cyst covered by adhesions connected to my bowels and also my colon was attached to the left ovary also contributing to the pain. After the surgury I was having hot flashes at night so my doctor put me on Vivelle patches .05mg well not being covered by my insurance I couldnt afford them. The doctor now has called me in premerin Im not sure the dose but it was somewhere in the middle. My question is what is the difference between the two hormones and if there is any reason for me to continue to take the HRT since I still have one ovary left and am no longer having hot flashes. I am having alot of mood swings because I have been out of hormones for about 2 weeks now I am kind of a basket case. But I would like to know why should I take them and could I really have a need for them? I would appriciate any input you can give me. Thank You!!!!!!!!
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Unread 05-28-2002, 06:07 AM
Recently changed HRT Im 24 have lots of ??

Hello Julie, and welcome

First a big You've been through an awful lot in the past year. Premarin and vivelle are not the same. Vivelle is bio-identical, meaning that on a bio-chemical level it is exactly the same as your body would use. Premarin is not biologically identical. Some women do great on premarin and some have loads of problems.

The hormone in vivelle (called estradiol B-17) comes in several forms, one of which may be covered by your insurance. Estrace is a pill, which does come as a generic. In addition to vivelle, there are other patches (climera and estraderm are two that may be covered by your insurace).

It is hard to say whether you need hormones or not. There are blood and saliva tests your doctor can order to see if your remaining ovary is working. If it is not working, it is very important that you discuss continuing or discontinuing HRT with your doctor. At your age, many docs would want you to be on some HRT. Mood swings can be a sign of hormone imbalance, and I can't tell from your post whether that is likely due to needing replacement hormones, or whether that remaining ovary is starting to cycle again.

I hope you feel better soon.

Unread 05-28-2002, 08:20 PM
Recently changed HRT Im 24 have lots of ??

To better understand how your ovaries are(or are not) functioning there is a simple technique designed to tell you when(if) you are ovulating. It has been used as a means of birth control and fertility planning, but suits our needs here in the jungle perfectly.
All you need is a glass basal body thermometer, the glass type is most accurate, and is divided into tenths so it is easier to read the minute differences. You can get this special thermometer from your pharmacist if you ask him/her for a glass basal body thermometer. Then you will need some paper to chart your temperatures on. Here is a website that allows you to download and print charts It is important to take your temperature when you first wake up in the morning, before you get up to go to the bathroom or have anything to eat or drink. The temperature differences you are looking for are subtle and these activities can affect the results.
To make sense of the data you collect from this, you should see a slight rise in temp at some point in the cycle. This indicates ovulation has occured. The temp should stay at this elevated level for 14days, and then drop and remain at that lower temp until you ovulate again. The total cycle length varies from woman to woman but should be approximatesly what it was before your hysterectomy.
Another good idea in addition to this charting is to keep a diary of how you are feeling and when. This chart can give you and your doctor valuable information when trying to determine if you are still ovulating It also can tell the doctor the optimal day to do lab work.
It is quite possible that you do not need estrogen and I agree that you should research whether or not you indeed need it. If you seem to be ovulating after charting, but continue to have symptoms I would first try using progesterone the second half of your cycle. You can read about progesterone at
best wishes to you
Becky in OHIO

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