Life without HRT! NO!!!
Comments
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I can't seem to find a forum for this, so please forgive me if this is in the wrong place!
Recently dx with DCIS and told to stop my Estradiol (I understand why). I've been on Premarin and now Estradiol for 15 years due to a complete hysterectomy. My issue is that they tell you to stop taking it right away and that I can never take it again, but then everything stops. By the time I see my OB, I will have been HRT free for one month! Do they understand what it is like to stop that cold turkey??? I tried going off of the HRT's a couple of years ago and I suffered greatly with the withdrawal symptoms.
What can I expect going forward? Does anyone have any experience with what bio-identicals the doctor may suggest and what may work the best?
Thank you all again for your support......
Laurie
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I took HRT (estradiol only) due to surgical menopause from total hyst/ooph for 10 years prior to my diagnosis. Stopped cold turkey the day of diagnosis. I would be very surprised if any doctor would advise any hormonal support after diagnosis, including bioidenticals. There are some other meds that help with hot flashes such as anti-depressants, but I do not have any personal experience with them.
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Laurie, I can totally empathize! I also had to stop HRT (Prempro) cold turkey after being on it for 15 years. I believe it's one reason I absolutely couldn't tolerate an A/I. The double-whammy was just way too much for me. OTOH, I absolutely believe that HRT contributed to my bc.
I'm 5 years post-dx now and have pretty much adjusted to life without HRT, although I do miss it and hate the signs of aging beginning to creep in without it. Actually, my naturopathic doctor, who has RX'd other hormones for me, wants to put me on a bit of estrogen, but so far I've been reluctant to do it. But when I was first dx'd, no doctor would RX even the bio-identicals for me. (((Hugs))), and good luck figuring out what's best for you. Deanna
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dib -
I was only on the patch for homone replacement for about 4 years prior to my diagnosis of bc in 2010.
I finished radiation in May 2012 then started Arimidex. I have noticed only this past year is the rapid decline and aging of my skin.
I know that a lack of estrogen is a serious culprit but I also wonder if the chemo and especially the radiation caused some longer lasting damage on the cellular level that has caused this as well.
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Laurie, that was my first thought too! NOOOO! I loved my Premarin - I took it for twenty one years due to a hysterectomy. I did ask my oncologist if he thought the Premarin contributed to my DCIS and he said "a little bit". I do have to say that my "withdrawals" was not as bad as I thought it would be.
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Chatsworthgirl, I agree. Chemo & RT, and just the enormous stress of the whole bc experience, do damage our skin, but with lots of TLC, I think it can be revived. It just takes time. I've been treating myself to microderm abrasion txs in recent months (I've found some excellent deals with Groupon, etc.), as well as been on an absolute crusade to find products that have healed my skin. But it's still hard not to notice the changes that are surely due to no estrogen. Deanna
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Deanna,
I have also noticed that I don't heal quite as quickly as I used to. I read a few articles on studies using estrongen injection to repair subcutaneous damage and that it speeded things up. So maybe the lack of estrogen is making that harder too.
I am trying to be patient in regard to the whole healing process as I am sure it takes your body more than a year to recover from the onslaught of the damages caused by chemo and radiation. However what is most disconcerting is that my skin- most noticeably on my face because I see it every day in the mirror - is falling. I mean I am now seeing skin starting to droop at my jaw. Jeez!! This too???
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I was on HRT too for premature ovarian failure at a very young age. I had to go off the HRT as well and to manage the hot flashes use Effexor. That took about 6 weeks to kick in, but was a god send. The hotflashes for me were the worst part of not being on HRT and taking the AI's.
Good luck to you. Perhaps you could ask your doctor about Effexor.
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Just thought I'd jump in here, I know it isn't really what the thread is about, but just another experience.
I went through early menopause, started naturally at 38. I categorically refused to take HRT, my Mother had BC, and so I went through all the menopause symptoms you can imagine. It was pretty much over by the time I was 43. I only took supplements like evening primrose and vitamin C during that time. I didn't take any of the estrogenics, and refused the antidepressants.
I have always been very skin conscious, I knew I'd be up against the aging process because of the early menopause. I have always exfoliated and taken care of my skin. I also take lots of probiotics, and maxi greens and fruits, and water, heaps of water. I think it has helped, even though I was a sun worshiper, when we didn't know any better. I went grey really, really young, and stopped coloring in my 30's, it was futile.
Fast forward to now, I am nearly 60, was Dx with DCIS and had Mx at Christmas..... Go figure!
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Laurie, I second the opinion that you will probably have a difficult time getting a DR. to prescribe ANY HRT, including Bio-identicals. I was on Estradiol for 5 years before I went through Menopause at 48, and then for another 5 years after. I quit, due to BC concerns, and then went on Bio-identicals (which I foolishly thought would be harmless) I was on them (Estrogen, Progesteron, Testosterone, and DHEA) when I was diagnosed with DCIS/LCIS in my left breast. I quit cold turkey, and it was not pleasant.....I still miss them, as they are the only treatment that EVER controlled the Rosacea I have-especially in the eyes. However, I did not want to aggravate a situation that may have been caused by using them in the first place. Good luck!
Namaste and God Bless - Jackie
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I thank ALL of you ladies so very much. I appreciate all of you sharing your experiences with me. I will be so much more prepared after my MRI to talk to the doctor about my future because of all of your help.
I hope you all have a peaceful night.
Blessings and love,
Laurie
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When I read stories like Ariom and many others who have been so careful about hormones etc. and wind up with bc anyway, I always come back to the same thought - is it really hormones that cause the problem? It doesn't seem to matter whether you do them or not. I am torn every single day that I put that llittle Arimidex pill in my mouth. I mean really, at 71 there isn't that much estrogen left in my bod anyway. Besides, what is that little white pill doing to me? To my bones?To my brain? And is it worth it?
I have my own theory about the cause of cancer of all types. I can only say that I have recently read that science is starting to consider other causes such as hit and run viruses. After all, cervical and head and neck cancer are caused by the human papilloma virus for which there is now a vaccine.
the positive thing is that I believe within the next twenty years there will be a true understanding of the cause and quite likely a vaccine for bc and other types of cancer. I hope for all those who are young enough to see that day and be cured. God speed.
I'm not sure how much longer I am going to take the little pill. I have a really hard time convincing myself every day that it will really make a difference. Am I wrong? Who knows.
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Hi Chatsworthgirl! That was my point, it seems we're "damned if we do and damned if we don't". My Mother was another early menopause, she never took the HRT either, but she still got BC too.
I am so tired of seeing what some people put their body through with drugs and alcohol and generally tough living. I then see the 37 year old daughter of my girlfriend who has looked after herself, and a young child, on her own, gets the news this week that she has bowel cancer with mets all over her liver. She has been treated for reflux for the past two months, they found this purely by accident.
Again, not what this thread is about, but I can't answer your question Chatsworthgirl. We just have to do what we feel is right for us, and be guided by the professionals who work with and for us.
Take care!
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Laurie, as well as the great information and support you've already received, there is a section at the main Breastcancer.org site on Managing Menopausal Symptoms that includes info on Menopause and HRT (one of the articles down the left side of the first page).
• The Mods
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FWIW, Iwas in the midst of tapering off HRT when I was diagnosed. Iasked the surgeon if I should just stop immediately and he told me to continue the tapering off because the damage had already been done and I didn't need any more stress at that point at that point. I was completely off three weeks later when I had the surgery.
BTW the tumor was !00% ER+/PR+.
Just another datapoint.
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Thank you all again for the posts and info. I am gathering and it is helping!
Blessings and love!
Laurie -
Arion,
It breaks my heart when I hear of young women getting bc or other cancers. I hope that the beter treatments we have now will work for that 37 year old who needs to be here for her children.
Kathy
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I miss my HRT terribly. I was on bioidentical Sotto Pelle pellets. These little rice sized grains of estradiol and testosterone were implanted into my hip about 3-4 times per year. They were awesome and they made me feel awesome too. I think I felt better than I had in my entire life when I was using them. I had energy, slept well, had a sex drive, my skin glowed and my brain worked....now....not so much of any of the above. But, my DCIS is about 80% estrogen positive so I had to stop. My oncologist allows me to use Vagefem which helps with the vaginal dryness. She even let me try a compounded testosterone cream to help with the sex drive and sleep issues, but my blood tests showed too much of it was being converted to estrogen. I decided it was just not worth the risk.
I wish I had some advice or some magic elixir that we all could use safely to replace our hormones.
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Hi Kathy, Thank you! I sure hope so too!
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Laurie,
I started using bio-identical progesterone cream 6 months after I was diagnosed with DCIS after reading Dr. John Lee's What Your Doctor May Not Tell You About Breast Cancer and after a blood test showed I was very estrogen dominant.
If you can find a D.O. (like mine) or an MD who is knowledgeable re bio-identicals, they are likely to be ok with you taking bio-identical progesterone and maybe even estriol, as both do have some studies indicating that they may even be preventive when it comes to breast cancer. Both of these, unlike the HRTs given in the Women's Health Initiative study, are identical to what the body itself makes.
Wishing you all the best,
Sandie
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Sandie,
Thank you SO much for your reply. Progesterone cream would be ok even though you and I are both PR+ as well? Forgive me as I am a novice. May I ask what treament you decided to do for the DCIS?
Thank you from the bottom of my heart,
Laurie -
hi I am in the same situation. I most likely will soon start the estrogen suppression pill. Ari. I had to go off hrt cold turkey. I have been off hrt 3 weeks. The worst is ahead. I had a lumpectomy e/r marker. There doesn't seem it be any solutions for mr or you. I am a otherwise healthy 75 y. O.
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I am in the same situation as you. My small tumor was e and r positive. I am going off hrt cold turkey. If I can. Been off now 3 weeks. I feel so miserable. The worse is yet to come.
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hi thanks for your summary of your experience. I had a lumpectomy last week. It is nearly healed. I had stage one e and r positive. I have had a dysphasia In my other breast. I am contemplating bilateral masectomy. I am 75years old. In excellent health otherwise. I am in process of going off hrt cold turkey. Off of them for 3 weeks. The worst is ahead. Rather than doing radiation and the e and r suppression pill. It seems that bilateral masectomy would be a better choice for peace of mind. Difficult decision. I too was foolish about biodentical hormones. I was in them for 10 years. Also on prempro for 5 years.
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I was on Angelique (Angeliq in US - drospirenone/estradiol) for 7 years before dx and it took about 6 months to finally feel like I was completely over the withdrawls. I did cold turkey, no tapering and it was hell. I also went through a period of blaming my vanity for getting bc because in 2009, I had my 1st. core biopsy (negative) and asked my Dr. then if I should go off HRT and was told no, I'd be fine on it when my gut told me to get off it. Three years later, two small tumors including two large areas of dcis (only calcification in 09) resulting in left breast mx/reconstruction.
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