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[June]

I had a hysterectomy when I was 32 my ovaries remained I had to have one removed ten years later. I am now 58 I have been on estradot patches for 2 years my go took me off to see how I would be. I have been off the patches for 3 months I am getting flushes and my head feels a bit foggy if this makes sense I’m also on fluoxetine and have been for a year. I had a copolsuspension bladder repair 26 years ago which for the last year has started to fail I saw a specialist who basically said he can’t do anything because of my earlier operation and said there is a possibility of taking medication to stop me from emptying my bladder but because I struggled with urine infections he doesn’t think it’s the best way forward. Since stopping the patches it’s got worse my bladder control is getting worse I ment to add i also had 4 children. I do pelvic floor exercises but there’s no sensation when I do them any advice would be great thankyou

[Flossieteacake]

Hello June and welcome to the forum. If the patches make you feel better then can you take them again? As the hot flushes and brain fog came back it indicates to me that you would benefit from carrying on with them.

[Taz2]

Hi June. I agree with Flossieteacake that it sounds as if patches were beneficial to you. I would say it is definitely worth asking for them again in order to help with your bladder problem for a start. My GP took me off mine at the age of 60 (I'm 68 now) and six months later I had to have a hysterectomy due to prolapse. My gynae consultant requested that I be put back on the patches to keep my pelvic floor as healthy as possible and thankfully I'm still on it. You mention pelvic floor exercises and I wonder if you have been referred to a pelvic floor specialist team for an assessment and tailored exercise programme. This has been invaluable for me.

NICE guidelines are that women should be allowed to use HRT indefinitely as long as there are no health conditions precluding this.

For the bladder infections are you using a topical oestrogen such as vagifem as vaginal atrophy is one of the causes of repeated UTI's? I use full HRT plus vagifem.

Taz x