Endometriosis & HRT
Question:

I am 38 and have been diagnosed with severe endometriosis.  I had laser surgery 5 years ago and am considering a hysterectomy.  My question is this: In your opinion is taking oral or transdermal progesterone effective  in inhibiting growth of endometriosis in anyway?  Since endometriosis is fueled by estrogen, some feel that progesterone could counterbalance this overabundance of estrogen. What do you think?


Dr. Goldstein:
Answer: Progesterone is a 3rd place choice for control of endometriosis that I reserve for women who can not, will not or should not use Lupron or birth control pills.

Hysterectomy & HRT
Question:
I was wondering if you can take Loestrin if you have had your ovaries removed?  I'm having many hot flashes and feel terrible.

Dr. Goldstein:
Answer:In women under 50 I often use Loestrin (a low dose birth control pill) as HRT (Hormone Replacement Therapy) until about age 50. It is a slightly more effective estrogen dosage than standard HRT but often younger women (under 50) need a little more than older women.

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Taking Estrogen & Breast Cancer
Taking Prempro & HotFlashes
Endometriosis & HRT
Hysterectomy & HRT
Goldstein Interview 1
Goldstein Interview 2

newly revised for 2000!
Could It Be...Perimenopause?
by Steven R. Goldstein, Laurie Ashner

see the interview with Dr Goldstein
In clear, supportive prose, Goldstein offers no-baloney advice. "Today's perimenopausal women has neither the time nor the patience to go through four to fifteen years of symptoms without relief," he says. He fully delineates the roles of various hormones, how to determine if you're in perimenopause or not, as well as how to treat the various symptoms to gain control over your life.

The Estrogen Alternative:
What Every Woman Needs to Know About Hormone Replacement Therapy and Serms, the New Estrogen Substitutes
click here to find out more
by Steven R. Goldstein, Laurie Ashner
Most women know the benefits of estrogen replacement after menopause: It reduces the risk of osteoporosis, heart disease, even Alzheimer's disease. Many are still reluctant to take it, because it increases the incidence of breast and uterine cancer. Find out more.

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