If you have a total hysterectomy & immediately start HRH, what happens when you go off HRH?

I was on premarin .625 for 17 years. I I finally weaned myself off and had terrible cramps and burning in my legs it was awful. I went back on the premarin and it took about 6 days for the symptoms to stop. I then tried a lower dose and the same symptoms came back. I couldn't sleep and it was unbearable. I went back up the higher dose and gave up. I then tried again this time weaning myself off the premarin and going on the bio identicals right away. My symptoms went away, however my Ob-gyn told me she would prefer me to stop them completely due to a history of breast cancer in the family. since that time which is around 2 years ago I still have the same pains in my legs, it is the same identical pain. Now I have had to revert to taking sleeping pills and anti anxiety drugs. I have decided now to try and natural estrogen formula like the phyto estrogens and see what happens.

I had my uterus removed at age 28, but kept both my ovaries. At age 45, I had my left ovary removed, and 6 months later, my right ovary, putting me into surgical menopause. I had wicked hot flashes from the night of the last surgery and my doctor started me on HRT. I took the pills for about 4 months, and then stopped because of constant migraines. To my delight, I've had very few symptoms of menopause since...the occasional hot flash, some vaginal dryness, some sleep disturbances, but nothing that I haven't been able to manage on my own.

I would suggest talking to your doctor about weaning off, to see how you manage. You may be able to stop HRT completely, and any lingering symptoms you do find might be managed with more natural solutions.

Good luck!

I've taken hormone replacement therapy twice and finally quit altogether about 10 years ago. I had my ovaries removed at the age of 40 because my mother died of ovarian cancer and I was already well into menopause. I have had hot flashes ever since I started menopause, the HRT didn't help at all. What has slowed them is the medicine I take for my blood pressure (atenolol). It has been used in Europe for hot flash control for years. It only slowed them, didn't get rid of them entirely so it may not work as well as HRT does for most people.

Anon, you're very welcome. Hormones and whether to replace them is such a complicated, multi-layered topic. It's almost like we each need to be a scientist for our own individual bodies.

I hate the fact that your doctor was paternalistic about your hormone prescription and I'm very glad you changed doctors when you felt you needed to. However, since hysterectomy (and taking out the ovaries) puts you into menopause immediately, many doctors start quickly with HRT. To not do so, for some women, risks a quick and deep depression because so many processes are linked to those hormones. From the Mayo Clinic:

"Also, hysterectomy with removal of the ovaries can lead to an abrupt onset of menopause with more severe symptoms, including mood changes and sometimes depression."

Here's a good primer on how to decide whether HRT is for you. Because you had a hysterectomy, a couple of them do not apply to you. But it's a good place to start in gathering information about yourself and in beginning to evaluate it.

http://womenshealth.about.com/cs/azhealthtopics/ht/hrtdecision.htm

Anon, in a word, probably. Did you also have your ovaries removed? Can you tell us what hormones you are taking?

One of my best friends had been on HRT since she had a hysterectomy (ovaries as well) about five years ago, and when she recently went off of it she had all the symptoms of menopause. Hot flashes, night sweats, the whole nine yards. However, the difference was that unlike natural menopause -- which goes rather slowly -- she transitioned really quickly, so she went through her symptoms much more quickly than I did, for instance, and then was pretty much done with them.

Have you talked with your doctor about perhaps easing off HRT, using just enough to control the symptoms you'll have? You may also want to discuss bioidentical hormones with her or him; bioidenticals have the same molecular structure as those your body made:

http://www.womentowomen.com/bioidentical-hrt/bioidenticalhormones.aspx

Yet here's another side of that:

http://www.menopause.org/bioidentical.aspx

You might also be interested in some natural methods of controlling symptoms:

http://www.menopauseatoz.com/Choosing_a_Natural_Menopause_Treatment.shtml