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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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70 Years. Continuous Sweating. History Of Uterus Removal. Suggested Hormone Replacement Therapy Without Any Lab Tests. Opinion?

My sister has a problem with continual sweating. She is 70 and had her uterus removed at the age of 35 but still has her ovaries. Should she see an endocrinologist. She has seen her RA doctor, her gynecologist, and one endocrinologist who wanted to put her on hormone replacement therapy without even requesting any lab tests. She is hesitant about starting hrt at her age.
Thu, 19 Sep 2013
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General & Family Physician,  's  Response
Hi and thank you so much for this query.

I am so sorry to hear about what your sister has been experiencing.

To me, it seems concerning why anyone would want to resort to hormone replacement therapy at first without any solid evidence o back this up in a 70years old lady. Doing some basic test to at least rule out common causes of excessive sweating like hyperthyroidism should be strongly considered. If nothing should show up on these preliminary findings, then trial of hormones may make sense but not before then.

My suggestion is that you get investigated at least with a basic metabolic panel and TSH screen for hyperthyroidism. Depending on the results, various options and the way forward would be established.

I hope this answers your query fully. feel free t return to us and request for more information if need be. I wish her well in the pursuit of answers and solutions to this continuous sweating.
Thanks for the query once more.
Dr. Ditah, MD
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70 Years. Continuous Sweating. History Of Uterus Removal. Suggested Hormone Replacement Therapy Without Any Lab Tests. Opinion?

Hi and thank you so much for this query. I am so sorry to hear about what your sister has been experiencing. To me, it seems concerning why anyone would want to resort to hormone replacement therapy at first without any solid evidence o back this up in a 70years old lady. Doing some basic test to at least rule out common causes of excessive sweating like hyperthyroidism should be strongly considered. If nothing should show up on these preliminary findings, then trial of hormones may make sense but not before then. My suggestion is that you get investigated at least with a basic metabolic panel and TSH screen for hyperthyroidism. Depending on the results, various options and the way forward would be established. I hope this answers your query fully. feel free t return to us and request for more information if need be. I wish her well in the pursuit of answers and solutions to this continuous sweating. Thanks for the query once more. Dr. Ditah, MD