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Author Topic: HRT--good or bad?  (Read 431806 times)

Dancinggirl

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Re: HRT--good or bad?
« Reply #945 on: July 09, 2018, 04:09:11 PM »

Hi and welcome to mm

What negative effects have you heard about in connection to oestrogen?
Oestrogen reduces hot flushes, protects the heart and bones for the long term, treats and prevents urogenital atrophy and has even has a small preventative effect against bowel cancer.
Progesterone can be more problematic for some women but there are many hrt options so most women can find an HRT that suits them.

Supplements and alternative remedies rarely help with flushes and many other meno symptoms but HRT is the natural way to supplement your hormones to help give you quality of life.

Most hrts have bio identical oestrogen, so this is the same as your body would produce.

I would suggest you read up all the factual info on this site, print off stuff to show the GP and perhaps ask to try Femoston 1/10 or the combined patches to see if things improve. You have everything to gain and nothing to loose.
Do bare in mind that 5 years of hrt in your 50s will protect your heart and bones for the long term.

Look under TREATMENTS to see your options and also ask for Vagifem local oestrogen to treat your atrophy. The repeated UTIs will be because of urogenital atrophy and your GP should have known this and offered you appropriate treatment.
Keep posting - weíre here to support you. DG x

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JaneW

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Re: HRT--good or bad?
« Reply #946 on: July 09, 2018, 06:21:46 PM »

......thank you so much - that's really helpful. I have read quite a bit about oestrogen causing cell mutations by a couple of different pathways and as a result increasing the risk of a number of cancers, especially if it's present in higher quantities. I know my natural oestrogen is lower than it was but I don't appear to be able to find out what my actual oestrogen level is to know if any of the HRT treatments will raise it too high. I do tend to 'overthink' things massively and I think with my increased anxiety I don't want to opt for HRT only then to spend my time worrying about the side effects !! it doesn't help that my GP doesn't seem to be overly willing to chat to me about my concerns and is really difficult to see. From what I have read the combined patch does seem the 'safest' option but again I have concerns if I was refused the combined pill would I be able to have the combined patch? I haven't discussed this with my GP yet as I have been fighting against the thought of HRT in the past, although am so fed up of all the symptoms but now have to wait another two weeks before I can get an appointment !! I will have a read through the site to see whether there is anything that may help me with this. Thank you.
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sofasurfer

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Re: HRT--good or bad?
« Reply #947 on: July 09, 2018, 10:21:02 PM »

Hi - I have just 'found' Menopause Matters and am so glad as I am struggling! I have all of the symptoms of the menopause, hot flushes, no confidence - I doubt myself all of the time, anxiety, no energy, I have instantly developed a 'spare tyre' after never having one, frequent UTIs and no libido - everything is dry and now my hair is coming out in droves !! My GP is NO HELP whatsoever - I can't find any menopause clinics and have no-one that I can talk to about this. I haven't had a period for around 14 months and prior to this was on the progesterone only pill - I couldn't have the combined pill as I have really bad migraines. I feel apprehensive about taking HRT as am concerned about filling my system with oestrogen - I am 53 - and have read about the negative effects that oestrogen can have on your body so ideally would love to address some of the symptoms naturally or with alternative methods. I am taking Menopause, Ginseng and cod liver oil but not much has changed. I would really love my 'old self' back and would love to feel human again. Has anyone any advice ??? xxx
You and me in the same boat.
janetw,
I've written something about hair. It might not be too late.
Caffeine shampoo will save your hair to fall out. the oil will promote new growth.
https://www.menopausematters.co.uk/forum/index.php/topic,36339.msg638412.html#msg638412

May be I should source pills online and treat myself that way.
I think this website doesn't require prescription.
https://www.doctorfox.co.uk/contraceptive-pill/
I'll do a yearly uterus scan and that will be it. Keep my fingers crossed.

PS, I don't understand the whole thing and imo, it's much easier to ask for contraceptive pill as I have been on one years ago.
« Last Edit: July 09, 2018, 11:54:57 PM by sofasurfer »
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Dancinggirl

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Re: HRT--good or bad?
« Reply #948 on: July 10, 2018, 10:57:56 AM »

JaneW - If you have been without a period for 14 months then your oestrogen levels will probably be bottoming out soon - so you level will be low.  A low dose HRT will be prescribed at first anyway - until you reach 60 the risks of cancer while taking HRt are extremely low but without HRT your risk of heart disease and osteoporosis go up!   Go to the next appointment with everything written out - your symptoms, questions and the treatment you want.  You should be allowed the patches as these are standard treatment especially if you suffer with headaches.
Many women overthink things when it comes to HRT. There are many drugs like anti depressants that are prescribed freely by GPs which have some very nasty side effects and give bad withdrawal symptoms but nobody seems to worry about these??!!
Do try to look at the positives - HRT might just give you your life back.

Sofasurfer - I really wouldnít self prescribe - really not a good idea. The contraceptive pill isnít the same as HRT and might not relieve meno symptoms.   
DG x
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Shadyglade

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Re: HRT--good or bad?
« Reply #949 on: July 10, 2018, 11:22:33 AM »

Here is a link re HRT and heart disease.  I don't think you have to worry about that at 53 but only if you have an early meno.

https://www.bhf.org.uk/heart-health/living-with-a-heart-condition/women-with-a-heart-condition/menopause-and-heart-disease

and this from this website:-

https://www.menopausematters.co.uk/cvdhrt.php


Shadyglade
« Last Edit: July 10, 2018, 11:34:40 AM by Shadyglade »
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JaneW

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Re: HRT--good or bad?
« Reply #950 on: July 10, 2018, 06:45:45 PM »

......thank you so much - obviously the cancer risks have been the thing that have been making me the most anxious about the thought of HRT but as you rightly point out without HRT there are concerns about heart health and I am at the stage where quality of life is getting me down. I am so disappointed though that I am not able to discuss such a 'major' decision in my opinion, with a 'menopause specialist' ! I have had appointments with both female GPs at my practice, both mid thirties, and when I asked at the reception who I could speak to for advice on the menopause was just told , "one of the female GPs". One of the GPs was actually looking things up on the internet whilst I was there so my confidence isn't high. Considering this is something that 50% of the population experience I really thought that there would be more places that I could turn to for advice.
I really appreciate your feedback, it does make me feel as though there is someone out there that I can discuss concerns with and be listened to.x
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sofasurfer

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Re: HRT--good or bad?
« Reply #951 on: July 11, 2018, 01:05:24 PM »

Sofasurfer - I really wouldnít self prescribe - really not a good idea. The contraceptive pill isnít the same as HRT and might not relieve meno symptoms.   
DG x
Really? The content is the same except it's much higher.

We needed oestrogen and progesterone for our immune system as well as many things to maintain our body. Sex hormones aren't just for fertility. When that is no longer there, of course we are going to fall ill. I think doctors are wrong by giving you guys much much smaller dosage because you guys are still suffering even when on HRT. Who decided that 1mcg of oestrogen is the right amount when you had 600-800 when you had your period? Something isn't right Dancinggirl.
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Roseneath

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Re: HRT--good or bad?
« Reply #952 on: July 22, 2018, 07:03:23 PM »

Just to echo who Jane W was saying. I have had 6 different GP opinions on peri menopause treatment from 6 different local GPs. (All under 40 I would say).  Non of them asked me about any symptoms (or lack of them) other than the main two I have had (sporadic anxiety surges, mid cycle gunk). I have been told I need ADs for sure to beat the health anxiety, given two HRT types that was looked up in a book and was a major disaster anxiety wise. I also have hypertension but this was never discussed or checked. I was given propranonol daily for anxiety then told 4 months later I should not be taking it daily at all.    I have been told my estragen may be too high rather than low (which is why the HRT made things worse) but with no blood tests to back this up.  Three years on with a pretty low quality of life at times and I am no further forward what / if /I need to improve things. I live 3 hours from the nearest city so a private clinic is out. We don't even get sent so much as a leaflet on these things on our 40th birthdays.  My hubbie seems to get loads on testicles and bowels!
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Jari

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Re: HRT--good or bad?
« Reply #953 on: July 27, 2018, 09:40:11 AM »

Hello, Iím new on here and hoping to find some answers or similar experiences. I have a family history of breast cancer, but am really struggling with terrible night sweats and day sweats. Regular sweating around neck area and back. Dreadful!! Itís avoiding going out to meet friends as itís just too embarrassing and irritating. Work is also a problem to deal with it. I visited my GP ( female in late 30ís), hoping she would prescribe me there and then hrt. She said she didnít want to because of my breast cancer history, but said she didnít know much about it so wanted to write to the local breast clinic to find out more. This was a couple of months ago. Everything seems to be taking so long. The breast clinic have now contacted me and Iíve had a phone appointment. She said she doesnít want to say what I should do as there are no guarantees that hrt will not cause me to get breast cancer. She also said if I get breast cancer that itís not necessarily the hrt. Sheís now writing to my gp to say she doesnít want to suggest what I should do. She says she will also write to another breast clinic so if I can wait another couple of months. Meanwhile I am struggling with little sleep and these awful sweats every day. Iím quite disappointed that GPís donít know more about this. Iíve made an appointment to see a gynaecologist to see if she can prescribe me hrt. Does anyone else have hrt with family breast cancer history? Many thanks. Jari.
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Jck

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Re: HRT--good or bad?
« Reply #954 on: July 29, 2018, 06:36:50 AM »

I tried elleste continue duet which got rid of all the nasty symptoms of the menapause but made me bleed...and it was very heavy. I went back to the doc who has changed me to tibilone...after a week the bleeding had almost stopped, I have just had the odd old blood discharge which I can cope with.
Iím hoping that tibilone will suit me better.

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