Hysterectomy & Alternatives

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checking in and have a few questions

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  8734.1
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  Nov-2 4:22 pm
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Hi everyone!! I have been MIA for a while. I had a total abdominal hysterectomy last December. For the most part I am doing well. I was put on the estrogen patch immediatly following surgery and stayed on it for about 5 months. But when I ran out one time I realized I felt better off of it than on it. I don't have a vaginal dryness issue, in fact I have had no change since surgery. the only thing I have really noticed is I am not as emotional as before. I don't know if it is just me, but sometimes I need a good cry. I can't seem to do it any more. I feel like I need that emotional release, but I can't do it. I used to be able to cry at the drop of a hat. I have occasional hot flashes, barely noticeable. Pretty much I am fine. But everyone (doctors) think I need to be on estrogen. I am not against it, but I was on the highest dose and I wasn't feeling good on it. So I am coming up on my one year check up, the dr. who did the surgery moved on to a new practice, so I am having to pick out a new dr. I am just not sure what to ask for. I was contemplating asking for testing to see what I should be on if anything. I am worried about osteoperosis because it does run in my family. I just don't know. Really having the hysterectomy wasn't a huge thing for me. I am happy to no longer have the icky periods and I do feel some what better all over, but I am kind of middle of the road I guess. It wasn't devestating for me but it also wasn't like life changingly wonderful either. So if anyone has any advice or good sites for information i would appreciate it. I haven't found anyone around my age (32) who has not had menopausal side effects from the hysterectomy.
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  8734.2 in response to 8734.1
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  Nov-3 5:57 pm
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It sounds to me as if you didn't need the highest dose.  For regular hormones it is a hit and miss, trial and error to get what works best for you.  Yes, at your age you do need to be on estrogen.  If you were closer to normal menopause maybe....  but I am not sure of that as well.  The biggest problem with not taking estrogen at your age is you will be at higher risk sooner for broken bones when you fall....  I am way beyond you and I had a t score done and the fact that for now, I am NOT on estrogen, was a big factor in putting me at high risk.  <sigh>  They told me I needed to push it!  The suggestion was to call the pharmacy, and talk to this young woman who does the saliva testing.  They can then figure out what I need.  I need to call and talk to her and then find out what my dr will do. 

I am going to suggest that you call around for gyn and ASK if the dr does or is willing to work with you on the saliva test and perhaps compounding. 

I don't know if the emotional is related to the surgery or the high dose of estrogen.  I haven't looked at it to know if it is there, but I am also going to suggest you go to the Menopause Oasis, there is a link in my siggy, and check out the list of symptoms for too much/ too little estrogen. 

I don't know if any of this makes sense to you or now.  I hope so.  Good luck and let me know if you find a dr who will work with you.  (the good thing about looking for a new dr...  you can be picky.  lol)

For more info on menopause and perimenopause visit:
cl-klrambo's Menopause Oasis

Remember....you are NOT alone!!!!!

 

hdfCLOTM1b.gif picture by cl-coldfingers

 

 

 

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  8734.3 in response to 8734.2
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  Nov-4 12:48 am
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I am thinking the highest dose was just too much also. I am really hoping that the doctor I find will be willing to listen and understand what I am saying. My regular PA gave me two suggestions, one is a dr. and one is a nurse practitioner, but they work together in the same practice. Living in a small town doesn't afford me a whole lot of options, and even with the options I have my insurance company takes some more away. I have looked at the menopause oasis before and I will go and look again. There is alot of useful information there. Your suggestions do make sense, and I appreciate your opinions and just hearing me out. Most people don't understand what I am talking about, having never had to deal with it.
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  8734.4 in response to 8734.3
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  Nov-4 1:29 pm
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Like you I live in a small town.  I went 50 miles to a gyn.  And when he moved his practice farther way from where I live, I went another 12 miles or so, one way.  My thinking on that was, unlike a fp, you don't see a gyn under normal condtions more than once a year.  Mine was kind, caring and knowledgable.  Worth the extra drive once or twice a year. 

For more info on menopause and perimenopause visit:
cl-klrambo's Menopause Oasis

Remember....you are NOT alone!!!!!

 

hdfCLOTM1b.gif picture by cl-coldfingers

 

 

 

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  8734.5 in response to 8734.4
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  Nov-4 3:36 pm
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Cheryl--I should mention I live in North Pole, Alaska, I go to Fairbanks for all my health care, but that is only 20 miles away. The next largest town is 360 miles away. I have had multiple doctors that I really like and they all end up leaving, either retiring or heading south. I have an awesome PA for general care and I am hoping that his suggestions will pan out. I am always wary of going to another new dr. You just never know if they are going to treat you like an idiot, or even listen. I am huge on advocating for myself and being very informed and some doctors don't appreciate that.
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