HRT after a hysterectomy - what about progesterone?
I had a history of polycystic ovaries which was managed with the Pill. In my late forties my periods became excessive and fibroids were diagnosed. Symptoms worsened and in 2006 I had a hysterectomy (womb and ovaries retaining my cervix). HRT implants were inserted during surgery and I have continued with this form of HRT ever since (iliac fossa). Six years later, (I am now 56) 50mg of oestradiol and 25-50mg of testosterone are inserted every six months (dose depends on resultant hair growth) and blood tests show my hormone levels are normal.
I have felt fine with no menopausal symptoms although there has been a continual undercurrent of lethargy, procrastination, slow recall and lack of energy. At times I have felt quite low and overwhelmed but have put this down to a busy and demanding schedule.
The testosterone implants are no longer available and so for the past two weeks I have used a gel daily or every other day. I am noticing anxiety, palpitations, confusion and withdrawal. I crave sugar and feel quite weak when I need to eat. My blood pressure is always low and feels noticeably so.
I wonder where progesterone fits it to the equation as clearly this isn't part of the cocktail I take. Reading your advice and stories makes me realise I should consider coming off HRT but am fearful of the symptons of sweats, poor sleep, thickening waist and aging! I would like to regain my mojo.
Your thoughts, advice and guidance would be much appreciated. Thanks Jane (UK).