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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Hysterectomy Done, Had Endometriosis, High Blood Pressure, Depression, High Cholesterol

hi! i had my hysterectomy about 12 years ago at the age of 40 a full hysterctomy .had endometrioses.. took hormones for about 2 years and decided to stop because of my highblood pressure it seemed to worsen since then i'v gained alot of weight no sex drive at all. suffer from deppression, high colestral fatigue i thought about looking into natural hormones the HWC of texas but i don't know if that 's the solution.. if not what else can i do
Wed, 25 Sep 2013
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OBGYN,  's  Response
Hi and thanks for your question. A full hysterectomy includes removal of the uterus, cervix, tubes and ovaries generating the onset of surgical menopause. The usual onset of natural menopause occurs around age 51 so your surgical menopause entered you into hormone deficiency a decade early.
My approach to hormone balance looks at levels of adrenal, thyroid and sex hormones. We approach all three of these to address issues such as fatigue, hot flashes, irritability, mood swings, vaginal dryness and loss of sex drive. It is common for women, even prior to the onset of menopause, to have these issues. Weight gain with no explanation usually occurs as well.
Addressing all of these issues with appropriate blood tests for adrenal, thyroid and sex hormone levels is important for management. After review of these levels and your history, appropriate supplementation and replacement can be provided using plant based medications.
I usually follow up these blood tests 2-3 times per year and adjust hormone medications as needed with follow up consultation. Addressing weight is an important component for this delicate balance. It is important to realize that estrone is made in peripheral body fat and is considered the estrogen that may increase the risk of estrogen dependent cancers. This type of weight gain is usually inflammatory in nature and may increase a woman's risk of heart disease. Your cholesterol level will decline as well as weight reduction is medically managed.
The blood levels I test are : TSH, free & total T4, free & total T3, the adrenal hormone dehydroepiandrosterone sulfate (DHEA-S), estradiol, progesterone, liver functions, fasting insulin, fasting lipids, and free & total testosterone. With these markers, an individualized plan of hormone balance can be recommended. Weight reduction is addressed once hormone balance is established which usually takes 2-4 months.
You should see a doctor well versed in individualized hormone evaluation and treatment. Within 4 months, you will feel like you did when you were 30 years old.
I hope this answers your questions. I am available for follow up if you have others issues to address.
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OBGYN,  Dr. Bryan J Treacy MD's  Response
Hysterectomy causes a radical shift to menopause without the typical slow onset of hormone changes that occur in most women whose ovaries are not removed. Hormone therapy has several advantages other than reduction in the typical symptoms of menopause including hot flashes, night sweats & insomnia. The ovaries also protect the heart and women who do not use hormone replacement after hysterectomy have an increased risk of heart disease. Several hormones are lost or reduced with removal of the ovaries including reductions in progesterone and testosterone levels as well as absence of estradiol. After removal of the ovaries, the only source of estrogen is production of estrone in peripheral body fat. Depressive symptoms are common but may be related to hormone deficiency rather than true depression. Reduction in testosterone frequently leads to loss of libido.
I am a proponent of natural plant based hormones. Measurement of estrogen, progesterone, testosterone as well as adrenal and thyroid hormone levels guide the treatment back to well balanced hormones for menopausal and perimenopausal women. Correction of these imbalances restores the quality of life women had prior to perimenopause and corrects the symptoms that you describe. Monitoring of these levels for future adjustments to hormone requirements maintain the feeling of well being that hormone replacement therapy with plant based medication can provide. See a physician that is well versed in the management of perimenopause and menopause.
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Hysterectomy Done, Had Endometriosis, High Blood Pressure, Depression, High Cholesterol

Hi and thanks for your question. A full hysterectomy includes removal of the uterus, cervix, tubes and ovaries generating the onset of surgical menopause. The usual onset of natural menopause occurs around age 51 so your surgical menopause entered you into hormone deficiency a decade early. My approach to hormone balance looks at levels of adrenal, thyroid and sex hormones. We approach all three of these to address issues such as fatigue, hot flashes, irritability, mood swings, vaginal dryness and loss of sex drive. It is common for women, even prior to the onset of menopause, to have these issues. Weight gain with no explanation usually occurs as well. Addressing all of these issues with appropriate blood tests for adrenal, thyroid and sex hormone levels is important for management. After review of these levels and your history, appropriate supplementation and replacement can be provided using plant based medications. I usually follow up these blood tests 2-3 times per year and adjust hormone medications as needed with follow up consultation. Addressing weight is an important component for this delicate balance. It is important to realize that estrone is made in peripheral body fat and is considered the estrogen that may increase the risk of estrogen dependent cancers. This type of weight gain is usually inflammatory in nature and may increase a woman s risk of heart disease. Your cholesterol level will decline as well as weight reduction is medically managed. The blood levels I test are : TSH, free & total T4, free & total T3, the adrenal hormone dehydroepiandrosterone sulfate (DHEA-S), estradiol, progesterone, liver functions, fasting insulin, fasting lipids, and free & total testosterone. With these markers, an individualized plan of hormone balance can be recommended. Weight reduction is addressed once hormone balance is established which usually takes 2-4 months. You should see a doctor well versed in individualized hormone evaluation and treatment. Within 4 months, you will feel like you did when you were 30 years old. I hope this answers your questions. I am available for follow up if you have others issues to address.