Ask The Nurse

To personally discuss a medical issue or to make an appointment, call 216-444-4HER (216-444-4437). You can also make an appointment at Cleveland Clinic. For your security, please do not use this form to email personal, confidential health information. We cannot diagnose or treat by email. Our email policies are explained further in this disclaimer. You may also wish to review our privacy statement. Disclaimer | Privacy

Hormone Replacement Therapy Question Archive:

I had a supracervical hysterectomy two years ago at age 54 with bilateral oophorectomy. I am unable to take HRT because I have three blood clotting factors. I walk three miles daily (15 minutes per mile), weigh 108 pounds and eat healthy. I have had a HX of hypertension for the past 16 years. Since my hysterectomy, my HDL has decreased from 78 to 60. I also have right carotid bruit, senile osteoporosis. I have heard that doctors now like to retain ovaries until women are 65-years-old. Is this true and why? Does menopause contribute to my above symptoms? Thank you.

Read Answer.
February 14, 2012 at 2:58pm

I am 49 years old and had a total hysterectomy three years ago. I use EstroGel (one pump daily on one arm). Is this a safe treatment and how long should I continue it? I tried stopping several months ago and experienced some pretty extreme mood swings, so I started using it again. I would really appreciate some advice. Thank you.

Read Answer.
February 6, 2012 at 10:53pm

I have been on ERT via Vivelle-Dot since 1981. When I was 35-years-old I had a complete hysterectomy. I am still on Vivelle-Dot. What do studies show regarding this?

Read Answer.
February 6, 2012 at 10:06pm

I am 78 years old and very healthy and strong. I take no medication except HRT and an occasional Tylenol for knee pain. I have been taking HRT for many years, Estradiol 0.025 patch and Medroxypr 2.5 tab. Should I revisit my decision to continue with HRT?

Read Answer.
February 6, 2012 at 10:03pm

I am 82 and have been on compounded progesterone and triestrogen (a little testosterone) for more than 10 years. I have no health problems and am in good shape. I took prescribed estrogens (no premarin or progesterone) since I was 57-years-old and have been on and off since I was 42-years-old when my uterus was removed. My heart is good, though all of the women in my family died of heart failure in their 70's and had hot flashes into their old age.

What is the HRT recommendation for women who have had total hysterectomies, given that they have no ovaries to make estrogen? How much and how long for HRT and is there an agreed upon taper regime and at what age would you start the taper?

Read Answer.
February 6, 2012 at 9:58pm

I am confused. I had a hysterectomy in my 30's and took oral replacement therapy up until age 46 when I had coronary artery bypass. Since that time I have had numerous stents due to scar tissue build up. In place of synthetic, oral hormone therapy, I opted to try a natural bioidentical hormone replacement therapy (HRT) called sotte pelle. This is delivered in a pellet form under the skin. I receive it about every 4-5 months. I am now 51 and wondering what is safe and what is not?

Read Answer.
February 6, 2012 at 9:49pm

Question:

I have been on a low dose Premarin for a number of years. At a recent physical, my CC primary encouraged me to stop taking it. A recent study has shown it can lead to dementia. I am struggling with this decision. I had also talked with a women's health specialist at the clinic that said I can continue to take it without concern. Do you have any advice? Who do I believe? Are there any recent studies I can compare the two schools of thought. I am scared of making the wrong decision. Thank you very much.

Read Answer.
August 31, 2011 at 9:45am