To take, or not to take HRT!
Posted , 2 users are following.
I'm 50 years old and haven't had a period for 22 months. I began getting hot flushes soon after my periods stopped but they came and went, usually only lasting for a few weeks and then going for months. They came back last October and haven't left this time. They are disturbing my sleep and I'm dreading hot weather. I tried HRT in January but the GP gave me the wrong type and it made me have a period so I stopped taking it (I do not want periods again). I went back and was given Kliofem, which also made me start to 'spot' so I came off immediately and had a full blown period. Having read information the effects of HRT I'm pretty terrified about taking it - I meet women who tell me that they've taken it for years and it's wonderful, and others that say they wouldn't touch it - including my Mum and Aunt. Am I being paranoid and suffering needlessly? My GP said there are lots of others to try but I don't want to be worried in case I start an unexpected period all the time or that I will develop womb or breast cancer. Also, I have a history of heart disease in my family. Arrrgh! Going round in circles!
0 likes, 11 replies
TeresaJS mrpip64
Posted
I've posted extensively on Bioidentical HRT here so I won't repeat everything all over again.
If you engage in any form of "HRT" you have these 3 options:
- Plant based: for progesterone Vitex + Yams for oestrogen Black Cohosh , soy Isofavones, etc
- BHRT - bioidentical HRT - phaumaceutical that haver the same molecules as the ones you have in your hormones: Progesterone - Utrogestan; oestrogen_ estradiol patches or gels;
- HRT - standard - this is the one that's cobnsidered the most dangerous and it's the one that was assessed negatively by the WHI 2002.
My suggestion: never ever take "progestins" - only natural progesterone and never ever take oral estradiol - just transdermal. You should be fine.
However to combine natural progesterone and estradiol most doctors will suggest you to take them on a cyclic bais that mimes your owna natural 28 cycle. Bottom line: you most likely have periods. This is the safest option...
Ifg however you insist on not having period: you can do a 21-22 day/month continuous use of low dose natural progesterone (Utrogestan) + transdermal estradiol, then stop for a week and restart. Withthis option you should be able to be menstruation free.
There's a lot toread about it. I suggest you to go to CEMCOR's website and read through.
Take care. Teresa.
TeresaJS mrpip64
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mrpip64 TeresaJS
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Thanks for replying in such detail. I will look into what you are saying - it sounds quite complicated. Can I buy natural progesterone or ask for it from my GP? You suggest that taking HRT that forces a period is the safest option, is that correct? Finally, by transdermal do you mean patches?
Warm regards,
Trish
TeresaJS mrpip64
Posted
I' m guessing you're in the UK... if you're in the US you have a few more options. So, If you're in the UK, or EU:
- natural progesterone, also named Oral Micronized Progesterone (OMP) is prescription whose name is Utrogestan; the GP should be able to prescribe it; if you go for cyclic ( most likely implying having periods) you'll take it for 12 days each moth before "period".
- Then you complement ths with estradiol (oestrogen) for 3 weeks; they overlap for some of this time; transdermal means the product's intake is through the skin - it can be patches or rub on gel.
What's safest is a matter for discussion with your Gyno (I would advise you to ask for a referral) based on your health history. It may even be that they consider the continuous system ( 3 weeks of both hormones + 1 week stop) is perfect for you and then you'll be period free. The cyclic system is to mime the female body's way of homones output - so considered more safe - but as I said subject to assessment.
I would (I don't know if you're alredy using this) use some estriol (extra mild form of oestrogen) cream in the vulvar/vaginal area as it sustains local health and is virtually risk free even for cancer patients. The brand name is Ovestin and for this you'll also need a prescription.
If you have more doubts feel free to post them here. Take care. Teresa.
TeresaJS
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mrpip64 TeresaJS
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TeresaJS mrpip64
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dianna20043 mrpip64
Posted
Firstly my suggestion is get a Blood test, this will tell you if you are peri meno or full menopause. Its unfortunate , but you will get a period no matter what you are prescribed. I have posted before and my story what repost I am sure you will find it. Dont be a saint coz when it interrupt sleep its time to act. HRT over a long say 7-10 years can be harmful, but if you keep a check on it ...as you are the only one that knows your body I think you will find your answers.
dianna20043 mrpip64
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mrpip64
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dianna20043 mrpip64
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You are the only one that can make a decision on what to try witht the guidance of your GP. Whatever you take you are going to be a guinea pig like all of us.
Take care
Dianna