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Menopause (Expert Forum)
Complete hysterectomy question/hormone treatment
Answered by
Machelle Seibel, MD - Women's Health, menopause, ReproductiveMedicine
University of Massachusetts Medical School
MA
Questions in the Menopause forum are answered by Dr. Machelle Seibel. Topics covered include menopause issues, depression, hormone replacement therapy , hot flashes, joint or muscle problems, memory problems, mood swings, osteoporosis , sexual problems, skin changes, sleeping problems, vaginal problems, and weight problems.
Complete hysterectomy question/hormone treatment
by MBT, Feb 16, 2006 12:00AM
In 1991, at which time I lived in Scandinavia, I had a complete hysterectomy, which included the removal of my fallopian tubes and ovaries and the cervix.
The reason for the hysterectomy was a large (9x8x7cm)cyst on my left ovary, which was also found to be attached to my sigmoid colon (translating here)and other parts; because they could not work the cyst free they removed just about everything, leaving only a piece of ovary on the sigmoid colon.(There were problems and they had to do a vaginal hysterectomy first.)
Over the years since then, I have taken estradiol 2mg/estriol 1mg which was prescribed for me soon after by my PCP, which caused no problems. I did have another cyst removed from my colon three years ago, which was in exactly the same site.
My question are about estradiol/estriol: is there any reason to stop taking this combination that worked for me for so many years. If there are reasons for stopping, what these might be and how they might manifest themselves. And is there any literature on this. Thank you.
The reason for the hysterectomy was a large (9x8x7cm)cyst on my left ovary, which was also found to be attached to my sigmoid colon (translating here)and other parts; because they could not work the cyst free they removed just about everything, leaving only a piece of ovary on the sigmoid colon.(There were problems and they had to do a vaginal hysterectomy first.)
Over the years since then, I have taken estradiol 2mg/estriol 1mg which was prescribed for me soon after by my PCP, which caused no problems. I did have another cyst removed from my colon three years ago, which was in exactly the same site.
My question are about estradiol/estriol: is there any reason to stop taking this combination that worked for me for so many years. If there are reasons for stopping, what these might be and how they might manifest themselves. And is there any literature on this. Thank you.
Doctor's Answer
by Machelle Seibel, MD, Feb 27, 2006 12:00AM
, Feb 27, 2006 12:00AM
A. From what you are saying from your history, it is unlikely that the combination and dosage of estrogen you are taking is causing any problem at all with your ovaries or the formation of a cyst. The only risks are those that are true for estrogen in general. Since women who take only estrogen and not progesterone appear not to appear to have an increased risk of breast cancer, and since you have taken your estrogen since your hysterectomy and have not waited 10 years to begin it, there should be no increased risk of heart attack. So it seems you should be able to continue the estrogen.
Machelle M. Seibel, MD
Machelle M. Seibel, MD
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