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Post by FLA SummerBaby on May 19, 2021 14:36:36 GMT
I went to ER 3 weeks ago with pain that I thought was repeat of a kidney stone. Turned out they said that I had ovarian cyst/mass that looked concerning. I immediately was thrust into tons of dr. appts and tests. They decided it did not look like cancer but my ovary and the mass needed to come out. I had surgery last week and it turned out (to my gyn's surprise) that I had a terrible case of endometriosis that she had to remove. I am recently post-menopausal naturally (age 54) and the surgery took out both ovaries and fallopian tubes and the endometrial growth.
Looking to hear about others' experiences with endo and post-menopausal life. Did you opt for HRT?
Thanks in advance for all guidance!
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Post by crimsoncat05 on May 19, 2021 15:55:20 GMT
I didn't have endometriosis, but I had a total hysterectomy and my ovaries removed because of an ovarian mass that turned out to be cancer... when I was about 41. (next year will be my 10th anniversary of being cancer-free-- yay!)
But anyway, I couldn't do HRT because I had previously had a stroke, so hormones were contra-indicated for me. My gyn oncologist recommended Estroven, which is an herbal supplement (I buy mine at Costco) that contains black cohosh, which is supposed to help with preventing hot flashes. I think I had maybe, two or three hot flashes in the first few weeks, and then no more after that. Maybe I was extremely lucky, but I do think the Estroven helps.
I hope you get some good information, and that you have an easy time with your menopause symptoms!!
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Post by mom on May 19, 2021 16:15:16 GMT
No endometriosis for me, but I did have a total hysterectomy and ovaries removed 17 years ago (I was 24). I have a genetic blood condition that makes blood clots more likely so initially I was told to take Estroven to help with menopause side effects. That worked for a little while, but after about 5 years, it quit. I then tried other OTC remedies for a few years and got no relief and meanwhile, my mental health and quality of life went down considerably. I ended up going on BioT Pellets. Yes, I am taking a huge risk of blood clots again but for me, the risk is 1000% worth it. My Dr left the call to me and I have gotten pellets for 5 years now. My Dr does only insert the lowest dose of estrogen with the pellet though. I have not regrets and will continue to do so.
I am really sorry you were thrown into this so quickly. Hopefully you will find a good path re: hormones for you.
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Post by nlwilkins on May 19, 2021 16:21:05 GMT
Not, endometriosis, but had to to have a partial hysterectomy in my late 20's (I'm 70 now). I was put on premarin. Even so menopause happened early. Have been on premarin ever since. The few times I tried getting off of it have been miserable.
Now they know that the idea that hormones cause breast cancer is false as the testing was flawed. After discussing it with my gynecologist, I am now on a low dose of premarin. It helps keep my bones as healthy as they could be at my age. I got the impression that I was "allowed" to continue on premarin only because I have been on it for so long.
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Post by birukitty on May 19, 2021 19:52:59 GMT
I had endometriosis when I was younger and had very painful periods throughout my childbearing years. It wasn't diagnosed until I was 35 and by then it was so bad that I couldn't have any more children (I only had one by then) unless I had surgery to repair my ovaries. I had that surgery and the painful periods got much better. DH and I decided at that point that one child was enough.
I began menopause about 10-12 years ago. I decided to forgo traditional HRT because I was worried about the cancer risks. Nowadays there is something called bio-identical HRT which doesn't cause cancer. I tried it a few years later but it made my migraines (which I've had since I was 20 much worse) so I stopped using it. To prevent hot flashes I've been very successful using Evening Primrose Oil. There's a brand I buy online called Jarrow Formulas. If I take it regularly my hot flashes stay away.
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momto4kiddos
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Post by momto4kiddos on May 19, 2021 20:35:06 GMT
I don't think HRT is recommended for the most part anymore, am I correct?
I was told by my gyn that we'd discuss a short term plan IF necessary after I had a total hysterectomy w/removal of ovaries. Thankfully I never had any issues.
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Post by Scrapper100 on May 19, 2021 21:43:47 GMT
My dr thought that I had endo and turned out it was just more and larger fibroids and adenomysis (sp?) anyway I was told if it was endo that I couldn't have HRT. I also had my ovaries out and haven't been on HRT. Surgery was June 2020. I am 54 and hadn't reached menopause. I have had night sweats and hot flashes but honestly they aren't nearly as bad as before surgery. I am taking evening primrose and it has helped me a lot. I was told that endo feds on estrogen and that even even without ovaries endo could create its own estrogen
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Post by bearmom on May 20, 2021 11:54:54 GMT
I have endo and had hysterectomy and right ovary removed at age 30. I started having menopause symptoms at 43 and opted for HRT when my hot flashes reached 10-15 per night. My doctor prescribed an estrogen only (because of the hysterectomy). I started with the lowest dose and then went up to the next dose and got good relief. I recently dropped down to the lower dose and am still getting good symptom management.
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Post by elaine on May 20, 2021 12:02:24 GMT
Not, endometriosis, but had to to have a partial hysterectomy in my late 20's (I'm 70 now). I was put on premarin. Even so menopause happened early. Have been on premarin ever since. The few times I tried getting off of it have been miserable. Now they know that the idea that hormones cause breast cancer is false as the testing was flawed. After discussing it with my gynecologist, I am now on a low dose of premarin. It helps keep my bones as healthy as they could be at my age. I got the impression that I was "allowed" to continue on premarin only because I have been on it for so long. This is simply not true. www.cancer.gov/about-cancer/causes-prevention/risk/hormonesThere is a very good reason that all women with Estrogen+ breast cancer (most common type of breast cancer) are put on estrogen blockers for 5-10 years post cancer treatment - the science showing the connection between estrogen and breast cancer. In fact, women who have Estrogen+/Progesterone+ breast cancer are put into synthetic menopause via an estrogen blocker for 5-10 years. That said, it is a balancing act and for some people the benefits of taking hormone therapy outweigh the increased risk of cancers. So, I wouldn’t judge anyone for choosing hormone therapy to combat the negative side-effects of menopause, but to say that hormone therapy isn’t related to a higher risk of breast cancer just isn’t true.
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Post by iamkristinl16 on May 20, 2021 12:47:10 GMT
I was diagnosed with endometriosis when I was 23. I had always had very painful periods and intense pain when I needed to have a bowel movement. I starting having pain during intercourse and sometimes when urinating. I had surgery and was told that my "treatment" options were to start on meds (I think Lupron) that would "essentially put me in menopause and make me hairy, gain weight, and have acne" (according to the doctor) or get pregnant. DH and I got married shortly after and decided to just go off birth control. I didn't get pregnant so the dr said I would probably need IVF. TTC for four years then looked into other options with a new doctor. Found out that DH had a varicocele so he had surgery. I got pregnant with oldest DS about 10 months later.
All four of my kids were born via C-section and they "cleaned up" the endometriosis afterwards. For sure after my youngest, but I think after the 3rd as well, they used a mesh to try to keep adhesions from forming, but there was already some tissue that they couldn't remove that was on my bladder and other organs. Dr said a hysterectomy could be very difficult. I have not had much pain since that time (and I hope it stays that way!).
I am not sure how HRT comes into play, but I do remember reading years ago that having a hysterectomy doesn't always help with endometriosis. Let us know what you find out!
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Post by FLA SummerBaby on May 20, 2021 13:46:13 GMT
Thanks for all the replies. I was so surprised -- literally in 3 weeks have gone from not being aware I had problem to having a fairly more involved surgery than expected. Always have had horrible periods and pain -- but nobody ever suggested endo. My dr. was apologetic that I have clearly suffered for years and years. My main confusion now seems to be over a few issues 1) whether the endo can continue to occur. My dr told me now that I have reached menopause and that she cleared it out, I should not continue to have a problem anymore. However a brief search online indicates that you can continue to have a problem with endo in post-menopause! 2) I struggle with the HRT decision because there seems to be so much conflicting information. I feel like I need it for bone health since my mom is considered to have osteoporosis.
Appreciate all the shared experiences and info you all provide!
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Post by ladyinpink1969 on May 20, 2021 15:47:57 GMT
I found out I had endometriosis when I was 20. I fought it off and on for almost 30 years until I had a full hysterectomy 2 years ago. I was always told endometriosis feeds off of estrogen. What I was told is that even if you a full hysterectomy (meaning removal of ovaries, Fallopian tubes and uterus), then supplement with any type of estrogen, that there is a chance it could come back. I also take Estroven which does help the nighttime sweating.
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Post by scrappert on May 20, 2021 18:00:31 GMT
I had endometriosis. Had minor cramps when I was younger, nothing bad. 5 years after I had my son, cramps came back with a vengeance. I had NEVER missed anything because of my period. I started to miss work, had to have a heating pad at all time. Could barely walk the first couple of days of my period. I had a great doctor that suggested endometriosis, but really the only way to diagnose it was by doing a laparoscopy surgery. After that was done, it was confirmed endo. Lots of it. I tried a few different things, found out that it would be virtually impossible to get pregnant again. Made the decision at 36 to get a hysterectomy. I was not going to deal with that until menopause!
I have one ovary left. It has been 12 years and I haven't had any endo pain that is unbearable. I "believe" I feel pain once a month on the side without the ovary, but nothing like before. I can't confirm that is what the pain is, but... I was/am under the impression that it will stop once you hit menopause.
As for HRT, I am not there yet so I can't give any advice on that.
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AmandaA
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Post by AmandaA on May 20, 2021 18:02:47 GMT
🙋🏻♀️ Have dealt with endo for many years. My first thought when I saw this thread was don’t go scour the internet for info about endo... specifically groups and message boards about it. I will just say that for me it was very disheartening because the people with success stories don’t spend all their time on the web telling people about treatments that worked and how great they feel 😉.
I don’t have your exact same situation, but can offer my own experiences. I had my first surgery in mid twenties. I am mid 40’s now with 5 more lap’s to treat it and s/p hysterectomy (plus 3 babies) over the past two decades. I was able to save one ovary and am not menopausal, but unfortunately have a new endometrioma setting up shop 😫 and other symptoms to indicate that it is also growing elsewhere even without the majority of my uterus. After my first surgery and diagnosis, I was on Lupron and full blown menopause (for the first 6 months of marriage... that was awesome 🙄). In less than a year, I was back in the OR with the reproductive endocrinologist my GYN had referred me to because the pain was back aaaand so was the endo. So my anecdotal evidence is that yes, it somehow can still return even in menopause. Not being in natural menopause, I cannot speak directly to HRT but did use add back therapy with the Lupron and for a short period of time after my hysterectomy as my body tried to adjust to just one ovary carrying the load so to speak. I didn’t have any issues and was not high risk.
My best advice is to continue to ask questions and be your own advocate so that you are comfortable with your plan. Don’t be afraid to seek out a second opinion if you are unsure. And listen to your body! If the pain comes back, it should be much easier to get it treated with the diagnosis now. Best of luck to you!
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Post by Layce on May 20, 2021 21:12:07 GMT
For further reading I recommend, The Doctor Will See You Now. Not having the medical gene, this was a difficult read for me but necessary if I was going to get involved with YDD's diagnosis and care. Long story.
Most people have no idea what these women go through and this book was an eye-opener.
Layce
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Post by FLA SummerBaby on May 21, 2021 2:08:23 GMT
thanks again for all the input. Seems like the more I learn, the more confused I feel. But definitely have learned through this entire process that I must advocate for myself. Just want to make the best, most informed decisions moving forward but also be able to tolerate all these new symptoms.
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Post by FLA SummerBaby on May 21, 2021 2:11:06 GMT
Another important detail I forgot to mention is that the day before my surgery I got negative results on my mammo *for the first time ever. So I am waiting until I do the follow up next week with all that before I can think about possibility of HRT.
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Post by elaine on May 21, 2021 2:31:17 GMT
Another important detail I forgot to mention is that the day before my surgery I got negative results on my mammo *for the first time ever. So I am waiting until I do the follow up next week with all that before I can think about possibility of HRT. (((Hugs))) please keep us updated on the results of your follow mammogram (and if they decide to do an ultrasound).
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Post by nlwilkins on May 21, 2021 6:20:26 GMT
Not, endometriosis, but had to to have a partial hysterectomy in my late 20's (I'm 70 now). I was put on premarin. Even so menopause happened early. Have been on premarin ever since. The few times I tried getting off of it have been miserable. Now they know that the idea that hormones cause breast cancer is false as the testing was flawed. After discussing it with my gynecologist, I am now on a low dose of premarin. It helps keep my bones as healthy as they could be at my age. I got the impression that I was "allowed" to continue on premarin only because I have been on it for so long. This is simply not true. www.cancer.gov/about-cancer/causes-prevention/risk/hormonesThere is a very good reason that all women with Estrogen+ breast cancer (most common type of breast cancer) are put on estrogen blockers for 5-10 years post cancer treatment - the science showing the connection between estrogen and breast cancer. In fact, women who have Estrogen+/Progesterone+ breast cancer are put into synthetic menopause via an estrogen blocker for 5-10 years. That said, it is a balancing act and for some people the benefits of taking hormone therapy outweigh the increased risk of cancers. So, I wouldn’t judge anyone for choosing hormone therapy to combat the negative side-effects of menopause, but to say that hormone therapy isn’t related to a higher risk of breast cancer just isn’t true.
Wow, my doctor sat right in front of me and lied!!!
He said it was proven that HRT does not cause breast cancer and was not something I should have to worry about. Looks like I will need to be doing some more research and possibly get off premarin.
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Post by elaine on May 21, 2021 10:45:40 GMT
This is simply not true. www.cancer.gov/about-cancer/causes-prevention/risk/hormonesThere is a very good reason that all women with Estrogen+ breast cancer (most common type of breast cancer) are put on estrogen blockers for 5-10 years post cancer treatment - the science showing the connection between estrogen and breast cancer. In fact, women who have Estrogen+/Progesterone+ breast cancer are put into synthetic menopause via an estrogen blocker for 5-10 years. That said, it is a balancing act and for some people the benefits of taking hormone therapy outweigh the increased risk of cancers. So, I wouldn’t judge anyone for choosing hormone therapy to combat the negative side-effects of menopause, but to say that hormone therapy isn’t related to a higher risk of breast cancer just isn’t true.
Wow, my doctor sat right in front of me and lied!!!
He said it was proven that HRT does not cause breast cancer and was not something I should have to worry about. Looks like I will need to be doing some more research and possibly get off premarin.
I’m not sure why he told you that. I think that some doctors push hormone replacement therapy because it does take care of a lot of complaints that go along with menopause. But there is a connection between estrogen replacement and breast cancer. I have huge issues with a variety of things due to the estrogen blockers I have to take, and my oncologist and I discuss what to do about them when I see him every 6 months (last time was just 2 weeks ago). He has given me the option to take very low dose estrogen vaginally for 6 months to see if that helps some issues, but with the warning that it would increase the risk of my cancer coming back. I’m just not willing to risk it, so am living with the negative impact that the estrogen blockers have on my sex life. As I said previously, it really is up to each woman to decide if the risk is worth it for her. HRT can strongly improve quality of life for someone, so I wouldn’t judge someone for going that route.
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