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Help? Which HRT for me? DR wants me to choose Help? Which HRT for me? DR wants me to choose

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Unread 12-19-2002, 07:57 PM
Help? Which HRT for me? DR wants me to choose

This is my first post so her it goes...
33 yrs. TVH/BSO on 12/9/02 due to CIS of cervix, dyplasia of endometrium,and enlarged ovaries. Any suggestions for HRT? I'll see DR on 12/30/02 for prescription. She gave me a depoprovera shot on day 2 in the castle, but I've still had hot flashes and nightsweats. Concerned about weigth gain, libido, disposition, etc. Patch not for me due to bad rash. Worried about vomiting with pill(always did with birth controll pill). A little concerned about breast cancer due to fibrocystic breasts and implants. Any advice? I have no one to talk to about this. Thanks...Angela
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Unread 12-22-2002, 12:35 AM
Help? Which HRT for me? DR wants me to choose

Hi Angela,
I just noticed this post. I hope you've read around and gotten some thoughts. In general, most cervical problems are from the HPV virus and the connection to hormones is there but distant. But it's still a lot of problems and you wonder about hrt. I had a rare kind of ovarian cancer and I'm edgy about hrt, but my reading keeps convincing me that for me, with my family history and my problems, it's the answer for me.

I think an answer for you might be working with a compounding pharmacist who can create a gel that's hypoallergenic. Going through the skin helps with the nausea some. Also ginger helps with the hormonal nausea, which supposedly eases up after a week or two (but ugh, I don't know if I could wait that out myself). There's also troches that dissolve in your mouth and are absorbed under your tongue or inside your cheek and gums.

Apparently if you take low dose estrogen, the risks are almost like no hrt in terms of breast cancer--but the researchers are still sorting this all out. Something that might help with fibrocystic breasts is evening primrose oil. There's some stuff about that at
Unread 12-22-2002, 08:20 AM
Trish is absolutely right about the compounding pharmacist

with your history of allergies, you could easily react to the inert ingredients in the factory made HRT drugs out there and using compounded hormones eliminates that risk.

The transdermal and sublingual method of administrations sound like they could be your best bet. Bypass that gastro tract entirely. Since you have a bit of time before your prescribing GYN appointment, talking to a compounding pharmacist in advance is something you will have time to do. If the pharmacist meets you, interviews you and gets some ideas of the obstacles you have, he or she can work closely with your Gyn to custom-blend your HRT medications. By doing the compounding pharmacist interview in advance of being prescribed, I saved myself having a script made for me using the wrong base already. Not every doc is up to date on using compounded hormones.

It does take about four days to get a compounded prescription filled, so a little footwork in advance is needed. You want to get to know your pharmacist before having a script filled. If you have to resort to doing this at a long-distance, the pharamcist is usually happy to conduct the interview over the phone and mail your prescriptions to you. Luckily, we have a good pharmacist about 25 miles away and I could speak to him in person.
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Unread 12-22-2002, 12:40 PM
Help? Which HRT for me? DR wants me to choose

You'll find a list of the various estrogens that are available to us here

I personally like the compounded bio-identical hormones. I've been using tri-est and progesterone in the compounded cream form for about 3 years now and have had great success.

Also the right compounding pharmacist can be of great help to you when trying to find your balance. They are usually very knowledgeable about hormones.

I've not heard of the 4 day thing that MeDhandadog speaks of. What you can do is locate a compounding pharmacist near you and give them a call and speak with the pharmacist. They may be able to guide you as to what the best option for you is.

This site has some more info on the compounded hormones and also has a pharmacy locator
Unread 12-22-2002, 01:04 PM
low staff at my compounding pharmacy

so I can't get same day service on fills. Rural area, gotta live with it. More urban pharmacies with more staff might move things thru faster. And if you are doing this thru the mail, have to allow time for the postal systems to get the meds to you.
Unread 12-22-2002, 03:44 PM
Help? Which HRT for me? DR wants me to choose

It only took a day for my compounds to be ready once they got the okay from my gyn, but they do ask for a five day call ahead for refills. They're busy!!!
Unread 12-24-2002, 12:20 PM
Help? Which HRT for me? DR wants me to choose

I appreciate all of the great advice about the compounded hormones. One more question... Does your insurance cover these types of prescriptions? Thanks, Angela :hiya:
Unread 12-24-2002, 05:08 PM
Express Scripts, little extra charge

but $1.25 for the custom work in addition to my usual $12 co-pay, well worth paying. Pharmacist is going to be your best resource on submitting claims, so lay it in their capable hands.
Unread 12-24-2002, 07:55 PM
Help? Which HRT for me? DR wants me to choose

Wow! That's not bad at all. I'll keep my fingers crossed that my pharmacist and insurance company can work it out.
One more question...Did you DR do a saliva or blood test prior to writing your scrip? Thanks again, I'm so excited I got all of your replies. Angela
Unread 12-24-2002, 08:32 PM
new doc did blood levels

but my surgeon did the prescribing and didn't put much value on the lab testing. The new doc does and I imagine we will be using the results to find the ideal hormone balance for me down the road.

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