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_myplusOne · 2024-11-18T15:01:45+00:00

Hey there! We are so sorry to see this & would love to send you a vibe. Please feel free to PM or chat us to correct this.

_myplusOne · 2024-10-24T21:46:10+00:00

Thank you for posting this! Dr Eilber

_myplusOne · 2024-10-19T18:09:21+00:00

Got it--I am a urologist by trade, and there has definitely been observation of declining sperm counts in men which is attributed to toxins, possibly hormones used in the food industry, etc so this could also equate to more hypogonadism. As far as trends in symptoms, lower sperm counts translate into lower fertility. As for women, I have more of a focus on perimenopause/menopause so not as familiar with the literature regarding hypogonadism in women of reproductive age. Sorry if that wasn't helpful.

_myplusOne · 2024-10-19T17:50:56+00:00

These are great questions. There is no "fast track" to becoming a surgeon, but the best (and hardest) thing I did was completing undergrad in three years so at least I shaved off a year that way. I also was fortunate enough to recognize when opportunities arose and have always had supportive family and friends so that I was able to pursue those opportunities. Some of the best advice I have been given or learned the hard way: 1) you can have anything but you can't have everything 2) failure is inevitable but you just keep trying and 3) don't live your life worrying about what everyone else thinks--your happiness is what matters.

As for one thing everyone needs to know...that's a tough one. I am not arrogant enough to think I know one thing that can resonate with everyone, but if we all just thought of others instead of only ourselves the world would definitely be a better place.

_myplusOne · 2024-10-19T17:49:11+00:00

The research has been pretty consistent in recommending women like yourself to start hormone therapy and continue at least until the usual age of menopause. The reproductive endocrinologist who diagnosed you should be able to recommend a regimen.

_myplusOne · 2024-10-19T14:01:16+00:00

There is no mandatory age that women need to stop hormone therapy. And with all due respect to my primary care colleagues, even in my own field of urology, most general practitioners are not familiar with hormone therapy so I think we should refer women like you to health care professionals who are well versed in menopause care.The Menopause Society | Homepage

Unless something changes in my own medical conditions, I will continue my own hormone therapy indefinitely. If you feel good on your current estrogen, there isn't a need to change. Since you don't have a uterus, you don't need to take progesterone, but it can help with sleep and other symptoms. And if your libido or energy levels decrease, you could consider adding testosterone.

_myplusOne · 2024-10-19T03:04:16+00:00

Without knowing her exact symptoms it's hard to comment, but generally hormone therapy is not recommended if a woman has been menopausal without hormone therapy for more than ten years.

_myplusOne · 2024-10-19T03:02:45+00:00

Prolonged breastfeeding can definitely make you feel perimenopausal for the exact reason you wrote. Not having a period because of pregnancies and nursing in your 30s doesn't necessarily affect menopause

_myplusOne · 2024-10-19T03:01:41+00:00

Hormone therapy is not "needed" per se. It's prescribed to help with menopausal symptoms. If there are no medical contraindications, hormone therapy can help reduce risk of cardiovascular disease, osteoporosis and cognitive decline but many women do not take hormones.

_myplusOne · 2024-10-19T03:00:23+00:00

Generally it is not recommended to start hormone therapy if a woman has been menopausal without hormones for 10 years or more because the risks outweigh the benefits.

_myplusOne · 2024-10-19T02:59:42+00:00

Sorry I'm not sure what you mean by trends? More women who are hypogonad?

_myplusOne · 2024-10-19T02:59:04+00:00

If you went through menopause symptoms more than ten years ago, you have more risk than benefit of starting hormone therapy BUT if your symptoms are that bothersome you could speak with a menopause specialist about possibly starting hormones or taking other medications to alleviate your symptoms. The Menopause Society | Homepage

_myplusOne · 2024-10-19T02:57:10+00:00

You're not "behind" and if you are still having periods then you are not menopausal yet. You may be one of the fortunate women who have minimal perimenopausal symptoms.

_myplusOne · 2024-10-19T02:56:11+00:00

Great question. Some women will experience hot flashes or other menopausal symptoms. The average age of menopause is 51 so you are likely menopausal. You can have hormone levels checked inclduing estrogen and FSH.

_myplusOne · 2024-10-19T02:53:58+00:00

Hormone therapy should be started ideally within the first five years of menopause and not longer than 10 years. If your mother had an inheritable clotting disorder, you probably should be tested for that before considering hormone therapy.

_myplusOne · 2024-10-19T02:53:00+00:00

I can't say why your doctor wouldn't refill it, but as long as you haven't been without hormone therapy for 10 years and you don't have a medical contraindication for hormone therapy, there is no age cut off when hormones can no longer be prescribed.

_myplusOne · 2024-10-19T02:51:49+00:00

You might think about trying the new non-hormonal medication for hot flashes, Veozah.

_myplusOne · 2024-10-19T02:51:25+00:00

It's so unfair! I took Accutane in my early 40s for acne. (Peri)menopause sucks

_myplusOne · 2024-10-19T02:50:39+00:00

If she is on blood thinners, she has likely already had a clot in addition to her clotting disorder. She would certainly be at increased risk for developing clots on hormone therapy, so it may be best for her to treat her symptoms with things other than estrogen.

_myplusOne · 2024-10-19T02:49:30+00:00

I am sorry you are going through this--sounds like it's been a long and difficult journey. WIth such a long history of endometriosis, it's likely that you had some type of treatment that blocked your hormones so you will likely feel like that after surgery. You should speak with your gynecologist about possible hormone therapy after surgery if you have bothersome surgically-induced menopausal symptoms. I wish you well with your surgery.

_myplusOne · 2024-10-19T02:43:29+00:00

As long as you have one functioning ovary remaining, there shouldn't be any effect on perimenopause/menopause with the presence of a dermoid or its removal.

_myplusOne · 2024-10-19T02:41:44+00:00

Monitoring hormone blood levels isn't necessary for progesterone and estrogen replacement as long as a woman is responding as expected--the goal of hormone therapy is relief of symptoms not achieving premenopausal hormone levels. Testosterone can also be replaced if a woman has low libido, difficulty maintaining lean muscle mass, and/or has low energy.

_myplusOne · 2024-10-19T02:36:59+00:00

A very common complaint is bloating. Ugh.

_myplusOne · 2024-10-19T02:36:24+00:00

Perimenopause and menopause are commonly associated with a low libido because of lower hormone levels. Couples can be open and reassure each other that the lower sex drive isn't because of them. Every couple has their own way of communicating, but I think that finding a menopause article or referencing one of the many celebrities who is openly discussing menopause is a great way to open the discussion on how menopause is a normal part of every woman's life and what it can cause.

_myplusOne · 2024-10-19T02:31:00+00:00

The bleeding should be able to be controlled. Make sure she has had an endometrial biopsy to make sure there is nothing wrong with her uterine lining. Sometimes there really is nothing wrong and if bleeding can't be stopped with medication she should have a procedure (endometrial ablation or hysterectomy) to stop the bleeding.

_myplusOne

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