after hysterectomy and oopherectomy how long estrogen,calcium,iron medication needed?
Question:
Answers:
The estrogen and calcium may be needed indefinitely, since the ovaries are normally the main producers of estrogen. When you have an oophorectomy, the ovaries are removed and as a result, not much estrogen is produced in the body.
Hence, the missing estrogen is replaced through medication. Since estrogen is also responsible for maintaining the bones, you face a risk of the bone-thinning disease "osteoporosis" when you get an oophorectomy. Since your bones are primarily made up of calcium, your doctor prescribes calcium to reduce your risk of osteoporosis.
For these reasons, it's likely that you will need to be on estrogen and calcium therapy for a long duration, perhaps indefinitely.
Iron is generally given for the prevention and treatment of iron-deficiency anemia. Your doctor may continue to prescribe you iron until he/she believes the risk of anemia has passed.
Other Answers:
calcuim is a good idea to keep on taking it
and a good calcuim you can find @ http://www.shaklee.net/thehealthyway
its called osteomatrix
As the Uterus and Ovaries are no longer producing beneficial hormones, then a substitute alternative therapeutic regime must be utilized for the rest of your life.
nana4141
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Viewer Question
Can you still retain symptoms of Polycystic Ovarian Disease (acne, obesity, etc.) after hysterectomy, which confirmed multiple ovarian cysts on both ovaries? I cannot find information about treatment of symptoms for post hysterectomy.
Signed, PJ
Doctor's Answer
Hysterectomy is removal of the uterus. I believe you mean that the ovaries were removed (oopherectomy) in addition to the hysterectomy. Therefore, I think your question is whether oopherectomy can cure the symptoms from PCO (Polycystic Ovarian Disease)--a good question.
Although all of the factors involved in PCO are still being defined, it is clear that the ovaries are not the only cause of the symptoms from PCO. (You might think the name PCO is misleading if the ovaries are not the only malfunctioning organ). For example, changes in adrenal gland function are involved in PCO as well. Therefore, removal of the ovaries does not really cure the problem.
The treatment of symptoms of PCO after oopherectomy is similar to treatment before oopherectomy, meaning acne medications, exercise, consultation with a qualified dietician, and most importantly consultation with a physician on a regular basis regarding reducing heart disease risk association with PCO.
Thank you for your question.
Carolyn Janet Crandall, M.D.
Editor: William Shiel, MD, FACP, FACR
Last Editorial Review: 7/8/2004
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i had a hysterectomy with oopherectomy when i was 26 (now 50). i took premarin 625 mg daily until i was 40. started taking calcium after that, but always had a good intake of calcium (milk, cheese, etc.) now days the data is different. talk to your physician. use of estrogen should depend on your symptoms, family history of breast cancer, age, etc. adequate calcium intake is important to prevent osteoporosis. iron should only be necessary if your lab work is low following your surgery. you didn't indicate how old you are. additionally, there are some over the counter medications that may help with hot flashes.
With the removal of your ovaries, your body went into menopause. The length of time you are on hormone replacement therapy (HRT) will be determined by your own body, age and the reason for your surgery. The calcium may very likely be something you will take for the rest of your life since you will be in menopause. Once women enter menopause, we experience calcium loss. The amount may change over the years, but it will be become a constant companion. You can get some of your calcium through food, but most women do not get enough to meet the daily requirement. Here again your doctor will let you know how much you will need to take daily. You do need take Vitamin D to help in the absorption of the calcium into your system. The iron should only be for a short time. Was your iron level low or is the chemo/radiation lowering your levels (if you are receiving those treatments)? If the level was low, you will continue until the next blood test, the treatments are over, or the doctor says to stop.
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