Total hysterectomy due to fibroids

by Karen
(Milton Keynes, Buckinghamshire, UK)

Help! I am 51 and 9 years ago had a sub total hysterectomy due to fibroids. My ovaries were also removed as my mother had ovarian cancer at a similar age. At the post op 6 week check up I was told that they had discovered early stage endometrial cancer and subsequently I was put onto a combined HRT therapy of Oestrogen and Progesteron. However, for the last 3 years I have been on Oestrogen only.

Since this time my libido has dropped right off. It has now been around 2 years since my husband and I have had sex. I am also overweight and find it difficult to shed the extra lbs. I am in a loving relationship and wish things could be different between my husband and I. Incidentally, about 2 years ago I was referred to a Gynaecologist who gave me an internal exam and said I was deficient in Oestrogen. I was prescribed pessaries for this. The reason I mention this is that I was regularly getting urine infections (often after sex) which they said was due to a lack of oestrogen. Around this time sex with my husband was painful as I would actually tear a little.

I would be grateful if you could let me have your thoughts on the above please.

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Total hysterectomy due to fibroids

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Feb 03, 2010
 Endometrial cancer
by: Wray

Hi Karen I'm amazed they only discovered endometrial cancer 6 weeks after the op. If they had done a check it would have been shortly after the op, when they still had your uterus. Unless they are so snowed under they could only check 6 weeks later and kept your uterus under cold storage. It all sounds very strange to me.

And to put you on a combo oestrogen/progestin, and then oestrogen only, after they discovered cancer is remarkable. Oestrogen stimulates cells to grow, and is known to increase cancer risk. Please see this web page.

Fibroids are also stimulated by oestrogen, which indicates you had/have far too much in your system, please see this. It doesn't surprise me your libido has dropped with all that oestrogen. We have many using progesterone to increase it, including men. It stimulates the production of nitric oxide, which, like progesterone, is a potent vasodilator. In fact Viagra works on the same principle, but with risks involved.

Progesterone is an excellent anti-inflammatory, and can be very soothing if used in the vagina. The UTI's are best helped with the many natural antioxidants available. Your immune system is obviously suffering and could do with some help. Please consider taking 2000mg/day N-acetyl cysteine, 2000-5000mg/day taurine, and 5000-10000IU's vitamin D. It would be advisable to have a vitamin D test done too. Living in the UK the amount of sun getting through is often insufficient to make vitamin D, one of the most critically important nutrients. Take care, Wray

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