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Ask the Nurse Archive

Estrogen Therapy

February 13, 2019 at 3:24pm

I am 75 and very healthy. I was prescribed oral conjugated estrogens 0.625 after a complete hysterectomy in 1983 and have taken it without problem ever since. I'm now getting push-back from my Medicare plan and they want to do a pre-authorization before allowing a prescription renewal. I have no other health problems, take no other medications, sleep well, eat a primarily vegan diet, exercise and am a healthy weight. If I'm forced to go off the estrogen I'll suffer bone loss, sleeplessness, hot flashes, which I can't imagine.

I have no breast cancer in the family and no diabetes. My mother died at age 95 from congestive heart failure and had severe osteoporosis, and my father died at age 91 from congestive heart failure. My mom did not take HRT.

What do I do to convince my doctor to allow me to remain on oral estrogen. Would reducing my dosage to 0.3 make a significant difference in how I feel or lessen the benefits to my bones, sleep patterns, etc?

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​Is there a connection between Myasthenia Gravis and menopause?

January 22, 2019 at 10:42am

Is there a relationship between Myasthenia Gravis (MG) and menopause? Since I have MG should I take menopausal hormone therapy as suggested by my physician?

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What Is A Good Postmenopausal Treatment?

January 16, 2019 at 10:32am

I am a postmenopausal woman, weaning myself off of systemic topical estrogen. My gynecologist recommended Osphena®, but said I should wait one month before using, and the package said it could be months before I notice a difference! Also, there are all kinds of warnings regarding blood clots. Really? Wouldn't an estrogen cream be safer, effective and faster?

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Is it safe to have sex while using Intrarosa®?

January 15, 2019 at 11:46am

My OB/GYN prescribed me vaginal Prasterone/DHEA/Intrarosa® for premenopausal vaginal PH issues causing me discomfort and infections. My husband and I engage in sex before I put the Intrarosa in, however my questions are:

  1. Is it safe to have oral sex since I used the medication the night before?
  2. Is it already absorbed and gone?
  3. Will it harm my husband?

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Am I in menopause if I'm still getting a period?

December 11, 2018 at 11:22am

When menopause starts, isn’t the period supposed to lessen? I turned 47 and I’m getting my period every 2 weeks like clockwork. (It has been 14 weeks now.) Could something be wrong with me?

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I Thought I Was In Menopause, Why Am I Bleeding?

November 18, 2018 at 10:00pm

I am age 50. I had experienced all the symptoms of menopause and was finally diagnosed as being in active menopause. After coming to grips with the reality that I can no longer have children and not having a period for nearly a year, I suddenly started having periods again. They were extreme with heavy bleeding and pain. Why would this happen?

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What can I do About Hot Flashes and Insomnia?

August 28, 2018 at 9:37am

I am just getting 1 or 2 hours of sleep a night as my hot flashes keep me awake all night. I have the air conditioning on as cold as I can without freezing others. After the hot flash I get cold, so all night I am pulling the covers off, then putting them back on. I can't have my husband lay close to me at all.

I am a Minister and when I speak to the congregation as soon as I start to move around or get excited the hot flash will start, and I am not able to give the best sermon or concentrate like I should. I can’t take black cohosh because it hurts my stomach. My forgetfulness is horrible and it is hard to remember what I just said or what I was talking about. It is hard to function at work and I am not giving my family the attention they deserve. My baby girl is getting married and I am doing everything I can to muster up the energy to remember and give my daughter the support from her mother. Please help!

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Is my ovary working?

May 22, 2018 at 10:27am

I recently had a hysterectomy leaving one ovary. I was started on oral conjugated estrogens daily as I had a high FSH test at 8 weeks. Would an estradiol test show a reading on Premarin, as my estradiol showed 197 last week? Could my ovary be working again?

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Are Testosterone Pellets Safe?

May 3, 2018 at 3:38pm

What is the latest information and safety profile for testosterone pellets?

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No Sexual Desire and Vaginal Dryness

May 1, 2018 at 3:08pm

I had a hysterectomy in 2005, 13 years later I have no sexual drive and severe vaginal dryness. I am on antidepressants and have had back surgery. I still have my ovaries, but I have gone through menopause. My husband is 14 years younger and is still very interested in sex as where I have NO desire. What is your advice?

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