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Progesterone Cream and surgery preparation Progesterone Cream and surgery preparation

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Unread 02-25-2003, 05:34 PM
Progesterone Cream and surgery preparation

Here's an email correspondence I just received from a naturopath who works for the makers of Progest cream which I've used for the past several months. Hope it's helpful info for someone.

::>todays_concern=I have happily used Progest for my perimenopausal symptoms
for the pas 8-9 months. Thank you for a great product. However, I have
developed a rather large (baseball-sized) fibroid in my uterus, have
adenomyosis and am scheduled for a laparascopic supracervical hysterectomy
on 3/11. My question is this: do I continue using the Progest in the same
way as I do now (since I still -- usually! -- ovulate)? Or, is there a
different way to use it post hyster? Also, should my ovaries go into
surgical "shock" as they sometimes do, is there anything I can do to "wake
'em up"?

Thanks for your help as I prepare for this journey.

Dear Linda,

Thank you for visiting our website. For the past 2O years, Transitions For
Health has been committed to educating women and providing resources to
advance the health and lives of women. The goal of the Emerita Women's
Institute is to be an advocate, to empower and support women through life's

Although surgery is a stress to the body, if you are able to keep the
ovaries, there shouldn't be much problem with hormonal balance, if you
continue to ovulate. Post surgery use of the progesterone cream does not
have to change, but you can use it continuously if needed for a short time
(2-4 months).

There is some good information about a pre-surgery plan in the book, An
Encyclopedia of Natural Medicine. Michael T. Murray, N.D., Joseph E.
Pizzorno, N.D. Rocklin, CA: Prima Publishing, 1991. The following
information may also be of help.

Although most women experience relief of their major complaint after
hysterectomy, and some women feel very well, there is also the possibility
of unexpected changes. If a woman is pre-menopausal before the
hysterectomy, the onset of hot flashes may begin while she is still in the
hospital. (Hot flashes may occur in women who retain one or both of their
ovaries as well as those who have them removed, and women who are already
post-menopausal at the time of their hysterectomy may also experience them.)
Hot flashes may be followed by a number of other symptoms including sweats,
headaches, insomnia, nervousness, anxiety, depression, heart palpitations,
vaginal dryness, loss of libido, pain with sexual intercourse, urinary
incontinence, muscle and joint pain, fatigue, and changes in the skin, with
long-term consequences of bone loss and effects on the cardiovascular system
accelerating from this point.
{Hey gals -- isn't this just an "encouraging" laundry list of potential symptoms?!?!) Eek

For women who experience hysterectomy before menopause, replacement of
hormones, estrogen, progesterone, and testosterone should not be considered
an option, but physiologic replacement, in order to protect the bones and
heart, and replacement should begin immediately, lasting at least until the
age when menopause would occur naturally. When replacing hormones, consider using bio-identical forms. These hormones, which are an exact match to
those produced by the body, will perform in the same way as the hormones
produced within the body. Non-bio-identical hormones can produce some of
the same results as one's own hormones, but there are functions that they
cannot perform, as well as some unwanted side effects.
There are three forms of estrogen, which the body produces naturally:
estradiol, estrone, and estriol. Your practitioner may prescribe these
estrogens in various forms and combinations. A compounding pharmacist can help your practitioner with information regarding individualized prescriptions. Phytoestrogens are not a substitute for estrogen.

A woman makes both estrogens and progesterone during her reproductive years.
Progesterone is the natural balancer of estrogen in the body, but it is not
usually offered to women who have had a hysterectomy. Combination hormone
replacement is estrogen and synthetic progestin and is offered to women who
still have a uterus. Progesterone, however, is very important for many systems of the body, not just the uterus. Synthetic progestins do not provide the same signals to our body as natural progesterone. Progesterone is available in several forms also.

Testosterone production by the ovaries is lost with removal of the ovaries. Your practitioner can test the level in your body and prescribe replacement for you within the physiologic range if necessary.
The following books may offer further information:
Natural Hormone Replacement for Women 45 and Older. Jonathan Wright, MD,
John Morgenthaler. Petaluma, CA: Smart Publications, 1997.
Natural Woman, Natural Menopause. Marcus Laux, ND and Christine Conrad. New
York, NY: HarperCollins, 1997.
Women's Encyclopedia of Natural Medicine. Tori Hudson, ND. New Canaan, CT:
Keats Publishing, 1999.

I enjoyed responding to your e-mail query, and wish to remind you that our
interaction cannot take the place of seeing your professional health care
provider. Only a health care professional who knows and has examined you can
assist you in making decisions regarding your health. I recommend working
with a health care provider whom you trust so that you can maximize your success with our products and achieve your health care goals.

Yours in health,
Dr. S.B.
Naturopathic Physician
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