Hi, I had total hysterectomy in 2022 and was only prescribed Oestrogel, had to wait 10 days after surgery to start it. Am on the max dosage of 4 pumps per day as was getting joint pains . I feel amazing! No progesterone prescribed by my consultant but my GP that took over the prescribing questioned why not. Was told that progesterone was only if you had womb/ovaries remaining, so best to check this out.
For those with a history of endo the recommendation is continuous combined HRT as unopposed oestrogen is associated with endo recurrence and malignancy. What have your oestradiol levels been at your blood tests? I don't want to worry you but I had a huge mass grow under the effects of unopposed oestrogen HRT which was thought to be ovarian cancer on imaging. Fortunately it hadn't reached that point yet but was extremely aggressive post menopausal endo.
This is called sequential HRT and is not appropriate with endo. Endo is driven by unopposed oestrogen, meaning oestrogen not balanced by progesterone. The first half of the cycle (the follicular phase) is driven by unopposed oestrogen to enable the follicles to develop and to increase oestrogen levels so that ovulation can occur. Hormone meds that are given to those with endo such as the combined pill or progestins are aimed at balancing (opposing) the oestrogen in the follicular phase.
When it comes to HRT, only giving the progesterone in the latter half of the cycle means you are still on unopposed oestrogen during the first half. This is associated with recurrence or endo and sometimes malignancy. The recommendation is continuous combined HRT.
I have attached a screen shot the ESHRE 2022 guidance on this.
Yes utrogestan is recommended for all of the time without breaking as the progesterone component of combined HRT. I'm not sure what you are asking if you can't take it anyway.
Pass on to whothough? A gynaecologist who suggests sequential HRT for anyone with a history of endo and GnRH agonists for those without ovaries seems very ill informed. It would be very worrying if members on groups like these take such information as accurate and evidence based over the ESHRE guideline based on Cochrane evidence. Obviously individual members can ask questions and take responses how they wish, but there are many others who read these posts for guidance who can be harmed by such inaccurate information.
Hi I had a hysterectomy in 2022 I'm on tibolone HRT tablets I don't have anything else with it only this, works wonders for my hot flushes and psycho mood swings still get hot flushes only less frequent it helps to keep your bones stronger too I get a bone check every 4 years too with me been put into the menopause fast which is what everyone is supposed to have after a total hysterectomy so Im told.
Yes it's just a blood test, I also have a awful memory too with it all, I've seen a physio too, I've recently been diagnosed with fibromyalgia as well so can never remember which appointment is for what now haha ❤️ I know they have similar pains just extra with fibromyalgia in my case x
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