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Hrt for total hyst 18 years ago

I had a total hysterectomy at 29. I took hrt for about a year and stopped. I was having you take shots every 2 weeks to get my levels to what they were before. That's been 18 years ago and the horrible clinical insomnia (by far the worst symptom) is out of control and has been for years. I can't take much more. I've been on every drug there is to combat this and NOTHING works. My health is deteriorating. I think hrt is my only option. But.. I'm 47 and I smoke. Any help is appreciated. I'm literally sleeping a couple hours a night at best most of the time and it's been going on for years. I'm at my wit's end.
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Avatar universal
Insomnia is a common problem after hysterectomy. If you've only been on HRT for that year or so after surgery, you may have a hard time finding a doctor who will prescribe it. The fact that you smoke may also be an issue although a transdermal form (e.g., a patch) would be safer than oral (less risk of clots). Also, it can be hard to treat insomnia that has been going on this many years. But it may be worth a try. I hope you find something that works!
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134578 tn?1693250592
Talk it all over with the doctor.  It doesn't sound like you have a lot of choice, if taking hormones will help this.  They don't need to be shots, for heaven's sake.  

If you do go to HRT, it might even give you some incentive to quit smoking, which would be hella better for your health.
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