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menopause and bio identical hormone replacement therapy

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 Posted 7/7/2011 1:02:47 PM
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After not having period for l year, I am "offically" in menopause.  The hot flashes and night sweats are keeping me up at night.  I had breast cancer (estrogen receptor positive) in 2002. Had double mastectomy, no chemo or radiation but did have 6 months of Lupron injections which stopped my periods for about 10 months.  I will be 58 in September.  I have been on progesterone cream for serveral years and recently tried a jar of Estrogen cream but didn't get much relief from either one.  I have medical insurance but finding a Dr. that prescribes bio identical hormones may be a challenge.  What do you suggest to get me started in finding relief?  I live in San Diego, CA and love all the wonderful information your magazine provides. 

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 Posted 7/7/2011 1:09:34 PM
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Welcome to the Forums.  Life Extension maintains a list of innovative physicians at http://www.lef.org/Health-Wellness/InnovativeDoctors/  For bioidentical hormone replacement therapy in San Diego, try one of BodyLogicMD's locations:

www.bodylogicmd.com/physicians/dr-melinda-silva

or

www.bodylogicmd.com/physicians/dr-stephen-center
D Dye
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 Posted 7/24/2011 6:56:51 PM
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Have you tried any herbal medicines ?
Maca??
maybe will help or acupuncture ???
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 Posted 7/25/2011 4:28:56 AM
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Vitamin E, flax seed and soy have helped some women who have hot flashes. 

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 Posted 7/26/2011 6:48:41 PM
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I have had  great success with Menocet that I bought at the LEF store for most perimenopause problems.
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 Posted 7/29/2011 12:41:00 PM
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I surmise that the reason why soy tamps down on hot flashes is that it lowers thyroid function.  So you might be trading one problem for another--hypothyroidism.  After getting off of all products containing soy (whether food or supplements), I feel much, much better.  I've also discovered that coconut oil and juice help with thyroid function, but I don't know whether they would help with hot flashes.
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 Posted 2/2/2012 4:22:30 AM
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I had a hysterectomy at the age of 40.  I am now 56.  I am now on the lowest dose of Premarin, and still get night sweats and have issues with dryness.  My dr. will not do bio-identicals, only will do the low dose of Premarin (.033) so I will be looking at getting blood work through LE and finding a recommended dr. from LE's lists.  I also use an over the counter progesterone cream daily, Fem Gest.  I also take a low dose of DHEA.

My question is this: How hard is it to go off of Premarin after this many years and will bio identicals work due to taking Premarin so long?  I tried briefly by weaning off Premarim, but only over 4weeks and it was horrible.  I could not sleep and it was constant hot flashes and night sweats.  I was told it was because of the surgical menopause, with ovaries removed, and that I had been on Premarin for so many years.   Is there a way to slowly convert? 
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 Posted 2/2/2012 4:32:09 AM
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Welcome to the Forums, annadenise.

Am not aware of any reason why they wouldn't work as long as your dose of estradiol is similar.  If you discontinue Premarin and immediately start with something like Vivelle you will avoid the drop in estrogen that causes flashes.

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 Posted 4/15/2013 3:37:58 PM
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I too had a total hysterectomy at age 40 and am now 55 and can tell you from 15 years of experience that nothing out there in the world beats "Bio-Identical Hormone Replacement Therapy".  There are many books out there on the subject with one of the best being "The Hormone Solution" but you can also check out the Actress Suzanne Somers who is a huge advocate of anti-aging and bio-identical hormone therapy and at age 66 which I think is what she now is she looks like a woman in her early 40's.  I will never ever again be subject to taking prescription HRT (hormone replacement therapy) which is what I was subject too the first few years after having my total hysterectomy done and had no idea that what I was being subjected to was a product being sold to women that was made by pregnant horses urine.  When I found this out I immediately went on a search to find a suitable replacement so I could get off synthetically made products such as this.  The term Bio-Identical comes from the product being exactly identical to what our bodies once produced prior to a hysterectomy therefore it is completely safe.  I personally use mine as a cream that I put on every single night before going to sleep and I never experience hot flashes, night sweats or anything remotely related to menopause or menopause symptoms.  Bio-Identical hormones can only be gotten from a Compound Pharmacy and not your regular pharmacy like Walmart, Walgreens or CVS as they don't do Compounding or Compound Prescriptions.  You also have to get your Bio-Identical Hormone prescribed to you by a doctor which will first want you to be tested to see where your hormone levels are at.  Be sure get a little Testosterone put in your compound mix along with your estrogen and progesterin (if wanted), etc...  Also since compound formulas are not FDA regulated be sure and check out your Compound Pharmacist to know that they insure they take all safety measures possible in keeping, preparing and putting together your HRT Compound.  I went so far as to personally call my Compound Pharmacist and asked all kinds of questions before trusting the Pharmacist I utimately chose which has so far been excellent.  Good Luck!
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 Posted 4/15/2013 4:31:36 PM
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Welcome to the Forums, Lady Lisa.

BTW Vivelle, which is bioidentical estradiol, can be obtained by prescription at any pharmacy, although it may need to be ordered.  And progesterone cream can be obtained from Life Extension and elsewhere. 

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