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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Hot Flashes, Fatigue, Nipples Pain. Had Hysterectomy. On Estrogen Patch. Is That Sufficient?

I had a hysterectomy over 8 years ago. I was on the estrogen patch and was getting hot flashes like crazy. I took it off for a week and noticed I felt better.. It's now been three weeks without the estrogen patch and I have had no hot flashes. But for the past two days, My breast/nipples are literally killing me. Like when I had my children.. they hurt really bad and I am extremely achy.. please help. I have also been fatigue Please help
Mon, 7 Oct 2013
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OBGYN,  's  Response
Hi,
Thanks for consulting us.
This is quite unusual to feel better after stopping estrogens as far as hot flashes are concerned & your breast symptoms are also unexpected.
I strongly recommend you to have a serum prolactin level checked ( to find out the cause of your breast symptoms) & also have one trans-vaginal ultrasound to rule out any hormone producing tumor in that area. In addition also check your Thyroid levels ( serum TSH).
Please visit a physician as soon as possible to have a thorough systemic review.
Best wishes.
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Have Hot Flashes, Fatigue, Nipples Pain. Had Hysterectomy. On Estrogen Patch. Is That Sufficient?

Hi, Thanks for consulting us. This is quite unusual to feel better after stopping estrogens as far as hot flashes are concerned & your breast symptoms are also unexpected. I strongly recommend you to have a serum prolactin level checked ( to find out the cause of your breast symptoms) & also have one trans-vaginal ultrasound to rule out any hormone producing tumor in that area. In addition also check your Thyroid levels ( serum TSH). Please visit a physician as soon as possible to have a thorough systemic review. Best wishes.