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   help (High Cholesterol board)

14th March 2007
I had a hysterectomy many years ago, and use a bioidentical HRT patch, called the Vivelle Dot. It delivers a measured dose of Estrogen. Since it is worn on your skin as a patch, it bypasses your liver, giving you a dose closer to what your body would normally.

Since you do not have a uterus, you do NOT necessarily need Progesterone, as you do not need to bring on a bleed to clear your uterine lining. Progesterone is for menopausal women with a uterus.

Ask your Dr. about possibly prescribing one of the patch BHRTs. I find it surprising that a Dr. would even prescribe something like Premarin to a woman in this day and time! You may even feel better physically in other ways.
14th March 2007
Progesterone immediately stops with a hysterectomy. DHEA and testerone levels will only drop by half. Estrogen can still be absorbed through food and the invironment, and also other organs take over the production of estrogen. However this doesn't mean you have enough of it in your body. Taking only estrogen can cause estrogen dominance, which is not good. Women should also be tested for their testosterone level. A test that is best is a saliva test to check all hormones. They include DHEA and testosterone, progesterone and estrogen. Bioidenticals include natural progesterone cream (NPC) , and Estro-all (EST). A compounding pharmacist can make different combinations depending on you hormone status. The vivelle dot is not as well absorbed and consistently absorbed as a cream. You might read up on some of the information of Dr. John Lee on Natural Progesterone.
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