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Menopause

Hysterectomy/ hot flushes, night sweats

07/05/2006

Question:

Prior to my hysterectomy I suffered hot flushes and night sweats, after my hysterectomy my ovaries remain 2 years ago. my condition hot flushes are worse than ever, I have tried alternative soya, wild yam, black cohosh. and others plus i have spent money on books, watch my diet, do not smoke, occasional drink I am at my wits end My G.P is reluctant to place me on HRT. I would rather have quality of life not quantity please help

Answer:

Since I do not have your complete history, I do not know why your G.P. is reluctant to prescribe hormone therapy.  If you have had blood clots in your legs or lungs, if you have high triglycerides, or if you have some other significant health problem, that would be reason not to use hormone therapy.

If you have none of the usual contraindications to using hormone therapy, a low dose would probably provide improvement in your symptoms.  Hormone therapy is the most effective treatment for hot flashes.  Risks associated with estrogen use include blood clots (just as with use of oral contraceptives), and a small increased risk of stroke.  Be sure your blood pressure is normal.  Your hot flushes may return to some degree when you stop the estrogen.

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Response by:

Margery   Gass, MD Margery Gass, MD
Formely, Professor, Clinical Obstetrics & Gynecology
College of Medicine
University of Cincinnati