To HRT or Not to HRT?
March 6, 2008 - 9:39am
837 reads
15 comments
It's one of the most controversial topics in medicine today, -- whether to use Hormone Replacement Therapy. About five years ago, the decision was apparently an easy one, but with studies revealing all of the possible risk factors, more women are deciding against. Are you using HRT? What influenced your decision?
Add A New Comment Report Abuse
Conditions:
Add A New Comment15 Comments
I used Bioidentical Hormone Pellets. These are tiny pellets of estrogen and testosterone implanted under the skin in my hip every 3-4 months. It's a simple office procedure.
I was taking synthetic hormones prior to 2004. I tried to get off and couldn't because of the severity of hot flashes and night sweats. For 16 years I had almost zero libido.
After discussing the pellets with my doctor, who also has them, I decided to take the plunge. It was and is the best gift I've even given myself. My menopause symptoms are well in control. My libido sky-rocketed. I will never go without them again.
NJWhite
This topic is very confusing. I was on HRT for over 20 years and recently stopped b/c I am 62 (GYN's recommendation no HRT after 65.) But, I am having a hard time (and having a hotflash as we speak!!!) So my question is what about bioidentical estrogen? I know it is safer but would it be safe for me to use -- or are all forms of estrogen to be eliminated at my age?
And, what about the pellets? I read that is supposed to provide only a very low dose and is an on-demand delivery system releasing only what the body needs to be "in balance" (along w/ progesterone, testosterone, etc. if prescribed.)
I was also told by a pharmacist that two anti-depressants help w/ hotflashes and sweats, but I have not read about this at all online.
Let me know what you have learned regarding any of the above! I am trying to figure out what to do and who to see!
Thanks! Katharine in Phoenix
Hi Katherine,
I posted a response but can't find it so am not sure it went through because I had to log in after I posted. So I'm trying again. I hope it's not duplicated.
Pellets do deliver a consistent dosage of hormones. My doctor said it's not for sure that the body only takes what it needs. They asume it does.
But we don't have the highs and lows associated with other types.
I am also from Phoenix (Scottsdale). My doctor is Deborah Wilson, obgyn. Her office is at Shea and 90th. There is also a Deborah Wilson that is a urologist, so the two shouldn't be confused. Actually, I see Dr. Simone at the practice. They do thousands of women with pellets. I think they will talk to you about them. She has a website with information.
I have a big problem with doctors prescribing AD's like candy to women with depression. Depression is a symptom of low estrogen and testosterone. Proper balance of hormones can help with that. We are not mental, we're in menopause!
If you'd like more info, please do not hesitate to email me:
nj-white@cox.net.
Regards,
Nancy
because I have too many other issues. So, hot flashes and senior moments are a part of life for me.
Your doctor should be your first resource; and don't be afraid to ask for more information on what the pharmacist mentioned.
A couple of articles on HRT research that may be of help:
http://empowher.com/content/making-sense-it-all-a-scientific-review-hrt-...
http://www.webmd.com/menopause/features/hrt-revisiting-the-hormone-decision
I just came back from an appt with a new dr. I told him that I had recently stopped taking Premarin. My old dr. said it was fine to take it and the studies were not that reliable. I was down to a small dose of 3.25. I have my ovaries, but have had a hysterectomy. The new dr. said I should not be taking the hormones but did not offer anything else. I have never heard of those pellets. I am 61. I have tried to quit the hormones several times before, but always caved in. This time I have to do it. I have some hot flashes, but also am very cold sometimes. The slightest stress, makes it worse. I guess I have no question, except is there anything else I can do for the hot flashes? I have no other problems except dry skin. My mind seems fine, but what was I talking about? oh, HRT.
I guess it does not matter how old you are, if you have been on HRT when you stop you will have symptoms. How long do they usually last?