Do women need to use progesterone for endometrial protection with an intact uterus when using even a small dose of transdermal estrogen (such as vivelle dot)?

I had two partial hysterectomies and three laparoscopic surgeries due to scar tissue and blocked tubes. The first surgery removed my left ovary, tubes and tissue growing on the outside of my uterus, tubes and ovaries. The second surgery removed my right ovary and uterus.

I am on hormone replacement. I am 49 years old, have been married for 29 years and I have 3 children in their 20s. My question is concerning lack of sensation to my vagina and clitoris. Direct and indirect stimulation doesn’t seem to matter and I do not have orgasms any more. I am on prescription medication for fibromyalgia. Is there anything I can do to help this problem?

I’ve just been perscribed HRT therapy: estradiol (vivelle-dot) 0.1mg and progesterone micronized 200 mg. But I have not started it, yet.

I also take 50,000 vitamin D weekly, which I started about 6 months ago.

What health risks are associated with the HRT outlined above? Will I gain weight from this HRT? Will my body composition change as a result of the HRT? How will my hair and skin change?

I feel like I continue to gain weight while on Hormone Replacement Therapy (HRT). I’ve exercised five to six times a week since I was 18 years old. I also do cardio five days a week.

I went on bio-identical HRT three years ago and my body composition has changed in an awful way. I have gained roughly 10 pounds. Is it the hormones or would it have happened anyway? I get so down about it that I feel like I don’t want to go to the gym anymore because it’s a waste of my time.

I am 49, in excellent health, watch what I eat, am a diligent runner (5 miles, 4 days a week) and workout with weights 3 days a week. I had a complete hysterectomy and have been on Estrace 2mg tablet daily since, and it has worked very well for me. I take Estrace the last weekend of each month and do not take it for 4 days, which was a suggested "break" by my doctor a couple of years ago and that worked fine. My only problem has been the beginnings of osteoporosis, which now I am on Fosomax weekly for that.

At my annual visit this year, my doctor (not a GYN) told me to read the pros and cons on HRT and decide whether I wanted to continue it or not. I have been confused over the years with the mixed reports and try to stay abreast of current information. So, I stopped taking my Estrace about a month ago and began using a natural Progessence Oil (by Living Well). I chose that route because my sister-in-law is an RN and suggested I might try it --- she is a huge believer in the oils.

However, I have hot flashes and hot flushes all through the day and they wake me up several times during the night. My moods are fine, but my weight gain is as if I can see the pounds go on each day. I am 5’2" and petite and have always been small, but I make sure I watch what I eat.

I have no family history of breast cancer, but my father did have a heart attack 20 years ago and has done great since and I personally have no health issues other than the beginnings of osteoporosis, which I chalk up to my body frame more so than anything. I would appreciate any input you could give to help me better understand and decide if I should begin the Estrace again. I do not like what is going on with the flashes and weight gain! Thank you.

I have a question about HRT and severe weight gain. I had a full hysterectomy one year ago. I am age 45 now and I have gained nearly 30 pounds. I am on the highest dose of the Vivelle dot patch.

I work out 5-6 days a week, running between 3-5 miles every day. I eat about 1600 calories a day. I have always been about 130-135 pounds and am 5’7", but now I am about 163 pounds.

My workouts are strenuous, and I run trails and do about 9-10 minute miles. Never before have I had trouble dropping fuve pounds by increasing my workouts and being diligent with eating healthy, small portions. I csannot drop one pound no matter how hard I work out. My diet needs to remain the same for I need the fuel for my workouts.

Have I gained weight because I have no ovaries? Or is the patch making me fat? My body has never been like this and I am so physically uncomfortable. I will make an appointment to see my doctor, but in the meantime, I need your help as today I gained another pound. Please help!

What is the best hormone therapy (HT)? I had a hysterectomy with bilateral oophorectomy when I had surgery for creation of an ileostomy. I still have issues with hot flashes, but I do not like taking pills. Is there another option?

Recently, I’ve been having a problem with my body overheating. I’m 71 years old and post-menopausal. It’s a very uncomfortable situation, and I would like to know if there is a natural way to balance my hormones without going on HRT.

I didn’t experience any problems going through menopause, it was a breeze for me. I keep a close eye on my blood pressure and it is steadily normal. Normal for me is on the low side, which is lucky for me.

I am getting ready to start Hormone Replacement Therapy (HRT) after a complete hysterectomy. Will the estrogen patch cause weight gain? I am prescribed 0.075 mg.

Are bioidentical hormone pellet implants safe and effective?