Menopause Matters Forum

Menopause Discussion => All things menopause => Topic started by: moonbeam121167 on July 12, 2013, 06:08:17 PM

Title: HRT
Post by: moonbeam121167 on July 12, 2013, 06:08:17 PM
Hi everyone again, I am off to the GP on Monday about changing my HRT, people has been saying the patches are better if you have issues with your stomach as I do, was on Estraderm MX50mg but they were not strong enough and GP (young one) said they dont do it any stronger and also said Oral hrt will not have any effect on my stomach but you ladies say otherwise, not sure which is best to try any help, sorry I seem a broken record but I need help and advice  :)
Title: Re: HRT
Post by: honeybun on July 12, 2013, 06:41:35 PM
I have had stomach problems for nearly 20 years although it is well controlled now. I would not even consider HRT pills and asked my GP for patches.
I have used up to now Evoril Sequi and Conti.
I am now starting a new regime using Evoril patches and a separate progesterone pessary.

If you take pills then your liver has to deal with them,with patches there is no digestive process involved.
I did feel a little sick when I first started and it lasted about three days and nothing since.
I stick on my patch and then forget about it.

To be honest your GP is talking rubbish.

Honeyb
X
Title: Re: HRT
Post by: moonbeam121167 on July 12, 2013, 07:31:40 PM
Hi  thanks for your help, will ask if I can try a different patch, as I am on Climival 2mg what dose patch do you think I should use, as I said before tried Estraderm MX 50mg and it wasnt strong enough by the 2 day it was running out  and they dont do a stronger one any help or advice on a different one, I have had a Total Hysterectomy  if that helps  :) :) :) :)
Title: Re: HRT
Post by: honeybun on July 12, 2013, 08:02:53 PM
You could try the gel form. It's easier to twiddle with the dose. It's rubbed in every day.

I have never used it but I am sure someone who has can advise.

Honeyb
X
Title: Re: HRT
Post by: Hurdity on July 12, 2013, 08:16:21 PM
Hi moonbeam - I agree with honeybun - your GP is talking rubbish re the strength of Estraderm. if you look on the menu on the left under HRT preparations and then look at oestrogens it gives all the patches and pills and the different strengths:

http://www.menopausematters.co.uk/treatafter.php

You will see that Estraderm goes up to 100 mcg (I presume you meant 50 mcg rather than 50 mg?) so you could have twice the dose if you wanted. Also as hineybun says you can go even stronger with the gel by giving extra pumps - but I am sure you would feel the benefit from 100 mcg patch.

I haven't used Estraderm but I use Estradot - (have done for 6 years ish) which are very small and stick well

If I had stomach problems I wouldn't dream of taking oral HRT. As it is I use patches because it avoids the liver and the estradiol goes straight into the system without having to be metabolised first.

Go for the patches. Eat a very good healthy balanced diet with foods prepared from fresh ingredients and you can't go wrong - if you have no underlying medical problem. Forget all these extra pills unless you have been shwon to be deficient. Concentrate on dealing with the meno symptoms (provided nothing else is amiss) and then if necessary tweak it later with the odd vit tab or something eg iron tonic - but give your stomach a rest!!!

Hurdity x
Title: Re: HRT
Post by: moonbeam121167 on July 12, 2013, 08:21:33 PM
Hi Hurdity, I will go for the patches it seem like you all say the same, I am seeing a different GP on Monday and hopefully she will be better, also going to ask her about Vaginal Atrophy x
Title: Re: HRT
Post by: moonbeam121167 on July 13, 2013, 10:08:48 AM
Hi everyone again, this morning I felt awful again, had a small adrenaline surge, it seems as if my hrt pill are not working as well, feel real sick,  bad headache, could it be cause I have stomach problems, inflamed stomach, and I have been having toilet problems this last week , going about 4 times in morning and was wondering if the pills were absorbing properly, I have been told by after women on here to go on the patches, I am tired of feeling horrible just want to curl up and die, I have not confidence in the Gp, going on Monday and I have written everything down, I wish I can take one magical pill to make thing right , so sorry to go on  :'( :'( :'( :'( :'(
Title: Re: HRT
Post by: Taz2 on July 13, 2013, 10:18:22 AM
Hi moonbeam - if you have an inflamed stomach then you should go back to your GP to get this sorted out. I know you said in another post that the medication didn't work but the problem wont go away on it's own so surely you could ask for something else to help?

Wasn't it the magnesium which was upsetting your bowels?

Taz
Title: Re: HRT
Post by: Rowan on July 13, 2013, 10:30:33 AM
Also moonbeam did you have a full Hysterectomy?
Title: Re: HRT
Post by: moonbeam121167 on July 13, 2013, 04:05:10 PM
Hi yes a total one on the 27th Dec 2012, had an endoscopy then in Feb, and all I was told that my stomach was inflamed, nothing in saying do this and do that to help just left to get on with it, I am on Climival 2mg, tried the Estraderm mx 50 patch but it only lasted 2 days then went on a big dive, GP said they are the strongest they go to and I should go back on the pill as they will not have any effect on my stomach but all the ladies on here say otherwise and to ask about a different brand , I am so scared cause the adrenaline surges and other stuff was so horrible I cant bear that again but the way I have been feeling this last couple of days I must do something, I have had a anti sickness pill to help but I think I need something like Omerazole again, is this all done to the menopause cause it all started around peri and still going on after my op, god this sucks xxx
Title: Re: HRT
Post by: Rowan on July 13, 2013, 04:42:49 PM
Moombeam it might be a good idea to have a look through this site, there is a forum and its UK based

http://www.hysterectomy-association.org.uk/

Having a total hysterectomy is a shock to the body and it take a long time for your body  to recover, hormone balance is vital, even a partial hyst keeping the ovaries can cause problems, but you have been flung into full surgical menopause. It can throw up all sorts of problems. Of cause there are some women who will say they  breezed through hysterectomy, but the truth is that many many women find they have swapped one set of problems for another especially after a total.

The after care for hysterectomy is not very good.

I am sure the ladies on the sites will be of help.

Another site is www.hystersisters.com which has an enormous amount of information and excellent forums.

Title: Re: HRT
Post by: Taz2 on July 13, 2013, 05:31:51 PM
Moonbeam - I thought that the doc prescribed omeprazole for your inflamed stomach. This is the standard treatment. Did you go back to him after you had finished the pills to let him know that the problem was still there?

Taz x
Title: Re: HRT
Post by: honeybun on July 13, 2013, 06:37:23 PM
There are many types of PPIs so if one does not work the chances are you will find one that will.
I am very surprised that you did not get a course of treatment for your stomach.
They normally prescribe and also do a follow up.
Did you go back when the pills were not working for you?


Honeyb
X
Title: Re: HRT
Post by: moonbeam121167 on July 13, 2013, 07:30:57 PM
Hi no I tried Omperazole but they never seemed to help so I stopped them, was hoping was once settled on the HRT it would ease up, as I think it only started once I was peri, the GP never did say I was peri they only detected a very large fibroid and i need a Hysterectomy but looking back on the other symptoms I am convinced I was starting down the menopausal route which in turn somehow affected my stomach, although the GP have never said that but reading other ladies comments on here I am to believe it to be true , I was also told by other ladies that the oral HRT isnt helping my stomach issues and I should try the patches again , did try Estraderm MX 50 but they were not strong enough and would start to wear off at about the 2 day and GP said that they dont do a higher dose and also said that the oral ones will not have any effect on your stomach so I went back on the pills :-\, I think cause I have been taking Magnesium for headaches they may have not help with my stomach problem, cause I also have been going to the toliet at leats 5 times a day,so I have an GP appointment on Monday for Vaginal dryness so I am going to ask her about a change of HRT and some other PPi, thanks for your reply  :)
Title: Re: HRT
Post by: kerrieann on July 13, 2013, 08:41:13 PM
I have been on ppi for around 20 years, on and off, you have to take them on an empty stomach in the morning, and they do take a week or so to take a full effect and then you have to take them for 6 to 8 weeks for your stomach to heal.
My gp tells me that omeprazole is one of the strongest but there are several in that group.
Title: Re: HRT
Post by: moonbeam121167 on July 13, 2013, 08:46:12 PM
Hi again I  think its time to try them again isnt it, I will ask docter on Monday thanks xxxxxxxxxxxxxxxxx :) :) :) :) :) :)
Title: Re: HRT
Post by: kerrieann on July 13, 2013, 08:59:18 PM
hi, yea give them a try, if your anything like me i try things for a couple of days and if i cant see results i give up, :) i always want to feel better now not in a week but sadly alot of things dont work that way.
Good luck.  kerrie
Title: Re: HRT
Post by: moonbeam121167 on July 13, 2013, 09:00:45 PM
Thanks xxxxxxxxxxxxxxxxx
Title: Re: HRT
Post by: moonbeam121167 on July 15, 2013, 10:37:52 AM
Hi all, well my GP cancelled cause she was ill , so another GP rung me and said it isnt the HRT thats causing all the problems, dont think my estrogens levels are dropping, pee in a sample bottle to see if I have any infection and make another appointment to see lady GP to exam to see if I have signs of Vaginal attrophy, the nausea could be down to a bug  :( >:( >:( >:( >:( , well cheesed off I am , just dont know what to do, I thought Docters were suppose to help  :'( :'( :'(
Title: Re: HRT
Post by: kerrieann on July 15, 2013, 03:31:36 PM
How horrible for you, you were waiting for this appointment to try and get something sorted :(  its easy to say nausea is caused by a bug but how long have you had it now ?
Don't give up make another appointment soon as, don't let them fob you off, how is the nausea now? are you feeling any better?  kerrie
Title: Re: HRT
Post by: moonbeam121167 on July 15, 2013, 03:59:06 PM
Hi i have to wait till 8 am tomorrow to make another appointment, the Gp said to give a urine sample to see if I have an infection but I know its not that, its either my stomach playing up again and or the HRT, the nausea is worse in the morning and the Domperidone helps, he also said the oral hrt I am on is an good one and it will not cause any problems and my estrogen isnt falling and  he said I will have to have an internal then to see if I have Vaginal attrophy, god I wish I could have a break, I really want to feel good again, it has been over a year since this all started and I am feeling worned out, I am thinking where to change GP's,  I do appreciate your concern thanks  :)
Title: Re: HRT
Post by: kerrieann on July 15, 2013, 04:25:08 PM
These doctors do make me laugh at times, the amount of times i have been given tablets and been told they are "good" ones or as my doctor says these are "clean" by which he means they don't have side effects and i have side effects from everything  :( and nausea isn't a side effect i could tolerate.
Everyone is different, my other half can pop any pills he may need and never gets side effects, i can't even take multi vitamins without stomach pain  :(.  Hope you get an appointment quickly.  kerrie
Title: Re: HRT
Post by: moonbeam121167 on July 15, 2013, 06:48:08 PM
Hi well I will be ringing tomorrow at 8 am and please pray to god I will get some joy, thanks for your reply very much appreciated xx
Title: Re: HRT
Post by: moonbeam121167 on July 16, 2013, 06:32:51 PM
Hi I have an appointment for Mon 22nd July, but can I ask anyone some advice please, I have some Estraderm MX 50 left from my first attempt shall I put one on instead of taking a pill tonight, I am tired of this off and on nausea and bad heads, not really sure if it is my oral Hrt thats causing the problems, I do have an inflamed stomach and get bad acid which could cause the nausea, I did take a Omperazole this morning but tonight just about 10mins after eating my tea  I feel sick, headache and a horrible tingly feeling on my skin, not sure why, any ideas ladies, low estrogen or to high or the pills effecting my stomach please help  :)
Title: Re: HRT
Post by: honeybun on July 16, 2013, 06:45:33 PM
As some of us have said, perhaps you are just messing too much. Stop every thing except essential medication. A few days without HRT will do you no harm. Take your stomach medication and stop throwing other things into the mix.
You have tried so much you can't possibly know what is working and what I not.
With HRT the general rule is to try for three months.

I understand you are keen to feel better but your body will be so mixed up.
Wait till you see your GP before you try yet something else.

Honeyb
X
Title: Re: HRT
Post by: moonbeam121167 on July 16, 2013, 06:59:19 PM
Sorry I am throwing  other things in the mix but I am 46 with a young family and feel like a 86 yr old, its been just over 7 months since my op and was hoping I would feel good again thats all  :'( :'(
Title: Re: HRT
Post by: honeybun on July 16, 2013, 07:07:52 PM
I am sure you will feel good again with your GPS help. Make a list of all the questions you need to ask but until you see your GP stop taking anymore medicine and that includes the left over HRT.

I hope I don't sound unsympathetic but looking at things from a distance the rest of us can see how desperate you are to be better now and it just does not work that way. You need to approach things more slowly and try one thing at a time and fix one thing at a time.

Honeyb
X
Title: Re: HRT
Post by: kerrieann on July 16, 2013, 07:10:14 PM
I am sure you will feel good again, but like the other ladies are saying you need time for your body to adjust to a medicine before you  know if its gonna work and if you keep trying different things you won't know whats causing what side effects.
It is hard i know, i am very impatient and just want a pill to take today and then feel better tomorrow but it just doesn't work like that  :(.
It must be hard for you having a young family, i know how i have felt in the past, being low and having all sorts of aches and pains and i only have my other half and the dog to see to, i do sympathize with you.
Title: Re: HRT
Post by: kerrieann on July 16, 2013, 07:12:08 PM
honey bun,  our minds must work in a similar way your post is so similar to mine and i hadn't read yours when i posted  ;D ;D
Title: Re: HRT
Post by: moonbeam121167 on July 16, 2013, 07:16:24 PM
My husband always says I am like a bull in a china shop, I have stopped all the vitamins pill, just take my HRT at night and prozac during the day, but as my stomach has been bad and I have issues with my stomach before my op, which I do believe it is down to peri menopause, I would take a Omperazole today and a domperidone to see if it can heal as I said my GP says the hrt pill will not have any effect on the stomach but everyone says otherwise and I want to stop feeling yuck......... :( :( :(
Title: Re: HRT
Post by: kerrieann on July 16, 2013, 07:33:15 PM
you do need to take omperazole on an empty stomach when you get up in a morning for it to work  :)
Title: Re: HRT
Post by: moonbeam121167 on July 16, 2013, 08:12:53 PM
Hi when I used to take them before I would  just take as I wake and then wait a hour for breakfast, so thats what I did this morning, and I havent take a domperidone today and then this afternoon I took my prozac, do you think I should skip my HRT for tonight and should I take one tomorrow night or dont take them for a couple of days, really not sure what to do,  I am sorry to be such a pest   :) :) :)
Title: Re: HRT
Post by: kerrieann on July 16, 2013, 09:12:31 PM
hi, i can only say what i would do, as i have been in a situation where i was trying lots of different things and was feeling really awful, so in the end my other half talked me into stopping everything, BUT  i must add do not stop taking blood pressure meds if you need to take them, as it is dangerous, so that is what i did stopped everything for a couple of weeks and then what ever i had to take after that i added one thing at a time and gave myself chance to see how i felt.  kerrie
Title: Re: HRT
Post by: moonbeam121167 on July 16, 2013, 09:15:11 PM
Well I have not take my HRT tonight and go from their, thanks for you help x
Title: Re: HRT
Post by: Hurdity on July 16, 2013, 10:21:33 PM
Hi moonbeam

I can't remember all of your history but I think you have had a hysterectomoy - apologies if I'm wrong.

You really can't do any harm by returning to the patches you had before and your body needs the oestrogen. They are only a medium dose and they will not affect your stomach and you will then be at least removing one oral treatment that you have been taking. You don't want your oestrogen levels to drop. Any temporary side effects you get from changing the oestrogen mode of delivery (maybe tender breasts?) should settle but at least it will not give you stomach pains or upset your digestion - whatever the doctor says.

Estrogen in patch or gel form is not like medication - you are replacing a deficient hormone in the gentlest possible way.

Still write that list for the doc as honeybun says.

You can put the patch on in the morning if you decide to go ahead! Up to you of course!!

Hope this helps

Hurdity x
Title: Re: HRT
Post by: moonbeam121167 on July 17, 2013, 07:53:45 AM
Hi many thanks for all your advice, Yes I had a Total Hysterectomy, I am going to stick a patch on now ,it is only a Estraderm mx 50 which I think could be too low as I have been taking Climival 2mg but I can try and see by the time I see the GP Monday and see if I can try maybe a different brand or something but no more messing around  :) :) :) :) :) :)
Title: Re: HRT
Post by: moonbeam121167 on July 17, 2013, 10:28:28 AM
Patch on, today is going to be a start of no messing, hopefully things will get better :D :D :D :D :D :D
Title: Re: HRT
Post by: kerrieann on July 17, 2013, 12:58:55 PM
well done you, positive thinking can work wonders  :)
Title: Re: HRT
Post by: moonbeam121167 on July 18, 2013, 06:53:36 PM
Well I have the patch on for less than 2 days and I think its starting to wear off, just dunno what to do, terrible headaches, just think they are not going to last till I suppose to change it on Saturday,didnt think the Estraderm MX 50 was enough, do anyone think tomorrow it be ok to change it and put a 50g and a 25g on at the same time, sorry to nag again, just what to be right so I can start to feel good   :)
Title: Re: HRT
Post by: honeybun on July 18, 2013, 07:07:37 PM
What makes you think the patch is starting to wear off. It's meant to last for either a full week or to be changed twice a week depending on what you are using.
Is it because you are having headaches?

Sorry not sure what particular meno issues you are trying to sort.

Honeyb
X

Also meant to ask if you had the headaches before you started on HRT.
Title: Re: HRT
Post by: moonbeam121167 on July 18, 2013, 07:20:53 PM
Hi when I was due for a period I used to get bad headaches and thats how they are like now,  I feel tired miserable and achy and some nausea, just feel rubbish this evening, I was ok up untill about seven pm and then I started to feel horrible, also I have had trouble with the patch sticking, the last time I tried them I had no  issue with the sticking  but as it is now that were not strong enough and by the middle of the 2nd day I felt rough and its happening again I know it, shall I change them tomorrow and put 1 1/2 on and see how I go ??
Title: Re: HRT
Post by: Rose on July 20, 2013, 11:41:51 PM
Hope I'm not sticking my oar into this but from reading the posts, it looks like you have two separate problems. I also have inflamed stomach for which I take Nexium. Doc has told me it can't be 'fixed' so take the meds. Anyway, I have taken oral HRT and feel fine but as soon as I take extra oestrogen, vaginally, then comes nausea, headaches etc. I have found my pharmacist to be really helpful as to which meds to take. Have you tried Kilovance/Kilogest HRT orally? They worked for me. So what I'm saying is, take the meds for stomach and maybe try Oral HRT. Hope you feel better soon.
Title: Re: HRT
Post by: moonbeam121167 on July 21, 2013, 09:24:54 AM
Hi I have been on Omparazole for about 5 days again and still feel yuck, had the patches on for around the same time as well, not sure if I am the correct dose of Hrt as I was on 2mg oral and at moment I have got on 75mg patch, do you in your opinion think the patches will make any difference or should i have just stuck to the pills, seeing the GP on Monday tired of complaining, was going to ask to try Lansoprazole to see if that will help, just want to feel good again  :(
Title: Re: HRT
Post by: Hurdity on July 21, 2013, 07:18:15 PM
Hi again moonbeam

I'm not sure whose opinion you are asking but I will re-iterate mine which I have given before somewhere on your threads - that I feel you need to sort out the HRt separately from the stomach problem and that while you are sorting out the stomach problem it will be far better for you to be on transdermal HRT - I have quoted elsewhere what it says on this site in this regard (re stomach probs and oral HRT)

Both climaval 2 mg and Estraderm 50 mcg are classed as medium dose, but is difficult to compare how much oestrogen you get into your system from oral HRT compared to transdermal.  I would give your body a chance to acclimatise to the different mode of delivery (ie patch) and then if it's not dealing with the meno symptoms then think to increase it. The side effects may actually be due to more oestrogen getting through than with the climaval - and these should settle.

I can't remember how old you are and when you had your hyster?

If you've had your ovaries removed as well then your body will have had a hormonal shock and it can take a long while to recover and find the right dose of HRT - but there will be others on here with more direct experience of this.

Also I don't know if I've mentioned but maybe also your testosterone levels are low which can affect mood - some women are offered Testo replacement too after total hyster - there is info in this site but not sure if I've posted about this before?

I hope this helps are you are able eventually to settle onto a regime that makes you feel better for most of the time.

Hurdity x

Title: Re: HRT
Post by: moonbeam121167 on July 21, 2013, 08:42:53 PM
Hi again I took the patch off this afternoon couldn't cope with the headaches any more, not sure if it was the patch that was causing it but I feel a bit better , I can remember years ago when i first tried to give up smoking tryed  the patches but I couldnt tolerate them either , so I think I am going to give up on the patches thought I may try the gel, so if they is any ladies out there who use the gel with success please let me know :) :)
Title: Re: HRT
Post by: Taz2 on July 21, 2013, 10:27:48 PM
I think that even with the gel you would have to persevere. It is known that most types of HRT take around three months to settle down. How long had you been trying the patches for?

Taz
Title: Re: HRT
Post by: Rose on July 21, 2013, 11:05:01 PM
Hi Moonbeam, Hurdity is right in saying that you need to sort out stomach problem from Hrt. As I've said before, I have inflamed stomach but I also tolerate HRt orally. I already use patches for pain relief so don't need another one. Can't remember if you said that you'd tried tablet Hrt and if you did, what happened? I also seem to get every side effect under the sun but not on Kilogest.
Title: Re: HRT
Post by: moonbeam121167 on July 22, 2013, 08:02:43 AM
Hi do you think I should continue on with the oral HRT and leave be and just continue with the stomach pills and hope that things will get better which is all I want is to have a normal life again :)
Title: Re: HRT
Post by: Hurdity on July 22, 2013, 08:28:30 AM
Moonbeam - in common with the advice given on this site (as well as the forum) - stop the oral HRT if you have stomach problems.

Re the dip - you are more likely to get daily fluctuations and a dip with oral HRT than patches.

Patches are designed so that after sticking them on, the hormone levels rise to a peak in about 12 hours and then very gradually decline. The instruction to change twice a week takes all this into account and is given to maximise the dosage. It does not suddenly dip after 3 days - unless the patch comes unstuck. I've looked this up in the scientific papers.

With gel you may well get a daily fluctuation because it is given daily although I understand there is some hormone build up under the skins which helps to minimise this.

If the dose is too low then you may need to increase it.

I understand headaches are more likely on oral HRT than patches but you will need to discuss this with a specialist (not the GP who says pills are OK with a bad stomach). How long did you keep on with the patches after you recently re-started them. Side effects such as headache and nausea from oestrogen should subside.

Ask for a referral to a specialist meno clinic.

What is your diet like - is there anything else you are taking (meds) or eating that could affect your stomach?

Hurdity x
Title: Re: HRT
Post by: moonbeam121167 on July 22, 2013, 09:19:24 AM
Hi I took the patch off yesterday afternoon and havent had a very bad headache since, I couldnt tolerate cigarette patches I had to take them off and when i tried the patches (5omg)   first time around by the 3 day my symptoms were coming back and my GP said they dont come in higher dose, and said the pills wouldnt affect my stomach, thats why I went back on the pills ,really dont know what to do, whether to try a different patch or the gel, :-\ :-\ :-\ :-\ :-\ :-\ :-\
Title: Re: HRT
Post by: moonbeam121167 on July 22, 2013, 03:36:56 PM
Hi just an update, went to GP this afternoon and she has given me Lansopazole,  taken a swob thinks I have thrush :o :o :o :o and gave me cream and stuff, once the tests from the swob is back we can go from their regarding Vaginal Attrophy, got to have bloods done and said she also believes that the oral HRT will have NO effect on the stomach but I have to wait to see about the bloods about changing the HRT ??? ??? ??? ??? ???
Title: Re: HRT
Post by: moonbeam121167 on July 23, 2013, 08:49:27 AM
Please can anyone help, went back to GP yesterday she said I will have to continue with the oral HRT untill we sort my stomach issues out, so last night I took a pill and GOD this morning I have a horrible bad head , it feels like it is going to explode and dont know what to do ............
Title: Re: HRT
Post by: Cazikins on July 23, 2013, 09:17:12 AM
I think it has all been said already moonbeam.

Some times you have to ride these things out, do as the doctor suggests then try the next thing the doc offers.
If it is any help there are many of us on here who have been through exactly the same as you, it isn't an easy ride that's for sure.
Title: Re: HRT
Post by: moonbeam121167 on July 23, 2013, 09:31:40 AM
Hi I am but the headache it horrible, not sure if it is the weather as we are due for a cracking storm as it is so muggy here, I used to get bad headaches like this around the time of my period but I thought now I have had it all out it wouldn't happen, I hate complaining all the time  :(
Title: Re: HRT
Post by: Hurdity on July 23, 2013, 09:44:29 AM
moonbeam - I am sorry to say that I think your GP is not a specialist when it comes to HRT.

You do not have to take the oral HRT.

You don't have to do what the GP says.

It is your body.

I don't know why do you continue to do so when you have stomach problems? As Cazikins says it has already been said many times on here by lots of us.

I appreciate it will come as a shock that you cannot put your faith in your GP and they are not infallible but this has happened many times to women on here - GP's are generalists, not specialists and they are sometimes wrong when it comes to menopause.

You have come on here asking for advice but then disregarding it.

Even if you are not convinced that the oral HRT is causing problems - the fact that it recommends on here by Dr Currie, and elsewhere that transdermal (patch or gel) HRT is better for anyone with stomach problems should convince you that it's not worth the risk.

The headaches you are getting are a different issue. It sounds like the sudden increase in oestrogen is causing you side effects. This is a common problem and again transdermal HRT is recommended for anyone with migraine type headaches. If they continue you need to get them checked out.

Someone else on here had problems with oestrogen and maybe headaches and started off with a very low dose and gradually increased until she could tolerate a higher dose quite happily. Maybe you could try this. Cut the 50 mcg patches in half and try half a patch (or even less) for a week or two and then gradually increase. The woman on here used to even cut a bit off the half patch and increase ever so slightly.

We know the doc was wrong because they said that there is not a higher dose but there is remember:
http://www.menopausematters.co.uk/treatafter.php

IT mustbe difficult in your position especially after your operation and I repeat - ask to be referred to a meno-specialists - look on the map here and see if there is one near you
http://www.menopausematters.co.uk/clinicfinder.php

It sounds like your doctor is not helping you.

I don't think I can help you any more as I've said everything I can think of with your problems and i hope you get them sorted out soon - but please listen to our advice if you are asking for it.

Hurdity x
Title: Re: HRT
Post by: moonbeam121167 on July 23, 2013, 09:52:38 AM
I did ask the DR for something other than the pills but she told me no lets do the blood test first continue with the stomach pills and in a month we will look at your HRT, I dont have a Meno clinic around here so I dont know who or what else to do, I am stuck, I am 46 yrs old and never been ill much until  now, I am not a moaner normally but I just cant deal with all this, just want to well again  >:(
Title: Re: HRT
Post by: Rowan on July 23, 2013, 10:22:59 AM
Not sure what else I can suggest moonbeam

Have you had a look at http://www.hysterectomy-association.org.uk/index.php/information/hormone-replacement-therapy-hrt-ert/

I know you have posted on hystersisters, but this one is UK based.
Title: Re: HRT
Post by: moonbeam121167 on July 23, 2013, 10:32:53 AM
Nor do I, if I just stop the HRT all that men symptoms are going to come back, stuck and GP are not helping, stuck between a rock and a hard place >:( >:( >:(
Title: Re: HRT
Post by: Rowan on July 23, 2013, 10:49:37 AM
Try cutting pill in half or cut patch in half moonbeam.
Title: Re: HRT
Post by: Hurdity on July 23, 2013, 10:50:47 AM
Can you go to a different GP in the practice? Most practices usually permit this. Try to find a time when your present GP is not there or even if she is just go to someone else.

Write down what you want and why before hand. Then insist. There is no medical reason for you to keep on with the oral HRT while you are waiting for your stomach problems to resolve with the stomach pills. Start with a low dose. It may take a while for your side effects to settle but maybe you won't get such bad headaches?

Maybe at the same time ask about the headaches to check there is nothing wrong?

It is your choice.

I did this. My GP told me to come off HRT because I had some unexplained bleeding but I had a consultation with Dr Currie who said I didn't have to (unfortunately this facility has been suspended for the mo' - I expect she's on holiday). I went back to a different GP and said I didn't want to stop but still wanted my problem investigated and so I am still on it.

I chickened out of going back to the same doc and saying I had had a second opinion.

Re the HRT - just to re-iterate - this is your choice, and changing from pills back to patches cannot do you any ill!

Hurdity x
Title: Re: HRT
Post by: kerrieann on July 23, 2013, 10:57:43 AM
Just a thought, i don't know how long you have been taking ppi's (omeprazole, lansoprazole etc.) but i have been taking them for about 20 years on and off and i can say for certain that they can give a horrendous head,  i dont mean a headache that a painkiller can shift i mean horrendous.
In our house it's a saying if you have a really bad head we say its a ppi headache.
I generally take omeprazole for a few weeks then keep off it for a few weeks and the headache doesn't seem to occur, i also know that they are not meant for long term use, although mine have been on repeat for years.
As i say just a thought medicines have different affects on different people.
Title: Re: HRT
Post by: moonbeam121167 on July 23, 2013, 11:01:26 AM
Hi yes I do thinking about it , I have been on them for about 5 days and thats when my headaches start, any advice, need the blasted things for my stomach but hate the headaches  >:(
Title: Re: HRT
Post by: kerrieann on July 23, 2013, 11:09:51 AM
I really can sympathize with you here, as i say I have been on ppi's for years they say i just produce too much acid, the ppi's stop that straight away and i can eat anything BUT those terrible headaches are too much for me to bear, so i have got used to taking them for short periods and in between i buy over the counter zantac, which is not as strong but it does the trick for a while, and sometimes i buy gavison double action, not just the normal gaviscon, the double action and that is also mild but will work for me for a while.
I suppose only you can decide, if you stick with the ppi's or have a go at something milder, but you really need to know if you have an ulcer or anything which needs treatment as i say my stomach has been like this for years and i have got used to coping.
Title: Re: HRT
Post by: honeybun on July 23, 2013, 12:44:31 PM
I was on PPIs for years and not only did I have the headaches I had the runs as well.
A consultant told me that if I carried on taking them they would have to become stronger and stronger to get the same effect. He could not offer any alternatives though.

That's when I decided to try the alternative route and have had great success.

Now I only need the occasional pill for normal heartburn. It was not a quick fix but it has been very effective.

Honeyb
X
Title: Re: HRT
Post by: moonbeam121167 on July 23, 2013, 12:53:49 PM
O great either headaches or stomach issues, deep joy , not sure what to do  :-\
Title: Re: HRT
Post by: honeybun on July 23, 2013, 12:58:26 PM
Look into treating your stomach issues and find alternatives for PPIs


Honeyb
X
Title: Re: HRT
Post by: kerrieann on July 23, 2013, 01:11:28 PM
what alternative do you use honeybun ?
Title: Re: HRT
Post by: honeybun on July 23, 2013, 01:25:30 PM
Well I started with Aloe Vera juice and also a herbal preparation called Centaurium. I now also take a very high strength pro biotic every day.

For the sicky feeling I take another herbal preparation called Iberogast.

It took a couple of months and it was very hard to start with and my diet was limited but I stuck with it and got better.

I went to a quite famous alternative practitioner called Jan de Vries. He does not charge for consultations just for the stuff he prescribes. If you Google him you will see he has a telephone help line that is staffed by very knowledgeable  women. They will recommend things and you can order direct from them or buy elsewhere online.

Hope this helps.

Honeyb
X
Title: Re: HRT
Post by: kerrieann on July 23, 2013, 02:50:41 PM
thanks honeybun, i have a bottle of Centaurium in my cupboard, i read about it somewhere but dont think i gave it a go, do you take pro biotics in capsule form ?
Title: Re: HRT
Post by: moonbeam121167 on July 23, 2013, 03:18:28 PM
Hi where did you get that Centaurium from and do you think its worth a try, thanks
Title: Re: HRT
Post by: honeybun on July 23, 2013, 04:52:29 PM
Yes I take the pro biotic in capsule form. Try and get one that has billions of good bacteria.

If you Google Centaurium then it's easily found. It's not that pleasant to be honest and has to be taken on an empty stomach 15 mins before meals. It has to be sipped and held in your mouth for a second or two before you swallow.
Aloe Vera juice can be bought from any health food shop or again on line.

This is not a quick fix and diet also plays a huge part to start with.
Everything I ate to start with was white. Rice, potatoes chicken pasta. Clear soups.
Then you start to add things in very slowly. Also porridge in the morning. It's trial and error to start with but it is possible to do.

Honeyb
X
Title: Re: HRT
Post by: kerrieann on July 23, 2013, 05:29:01 PM
thanks honeyb
Title: Re: HRT
Post by: moonbeam121167 on July 23, 2013, 05:49:06 PM
Hi just ordered that Centaurium and I am going to give it a whirl, thanks for all your help  :D :D :D :D
Title: Re: HRT
Post by: honeybun on July 23, 2013, 05:54:39 PM
Centaurium alone is not enough. You will have to carefully monitor your diet.

Good luck with it and remember the Iberogast for the nausea and also aloe Vera juice.

Honeyb
X
Title: Re: HRT
Post by: moonbeam121167 on July 23, 2013, 06:08:23 PM
Hi I already watch what I eat, which is boring as I was a hugh coke drinker, loved my salt so none of that, I will have a look at that Iberogast stuff and cross fingers it will help x  :) :) :) :) :)
Title: Re: HRT
Post by: moonbeam121167 on July 23, 2013, 06:14:36 PM
Hi sorry forgot to ask were you can get Iberogast from thanks again x
Title: Re: HRT
Post by: honeybun on July 23, 2013, 06:24:21 PM
You can get it on Amazon but if you have a google you will find a good few places sell it.

Honeyb
X
Title: Re: HRT
Post by: moonbeam121167 on July 23, 2013, 06:26:35 PM
Thanks much appreciated x ;D ;D ;D ;D ;D ;D
Title: Re: HRT
Post by: moonbeam121167 on August 03, 2013, 08:45:05 PM
Hi again

been on the lanszopazole for about 3 weeks now and god the headaches are horrible, every day all day, got some of that herbal stuff but at the moment I am on antibiotics for a urinary infection and I am not sure what do do, whether to not take my stomach med as from tomorrow, finish the antibiotics and then start on the herbal stuff or    not take the stomach med and start taking the herbal stuff tomorrow and the finish the antibiotics, between the Prozac, HRT  stomach meds and now antibiotics I feel like a right hypochondriac , so sorry to go on again............