7/23/07 #6 - Decreasing HRT to treat Migraines?

Ask the Clinician Health Pro
  • Full Question:
    I went to see a neurologist per referral of my family practice Doctor. The first thing that he wants to do is decrease my HRT from 0.625mg or Ortho-Est to some other med with progesterone. I had a hysterectomy at age 30, I no longer have a uterus, and my family Dr. and I are wondering why he wants to do this to treat migraines? The Pharmacist assures me that this is a low dose HRT. The women in my family usually don't go menopausal until age 55-60. I am only 48 and bipolar. I really don't want to do anything to contribute to my moodiness as I am in a new marriage and like the way my HRT is the way it is. Thank you very much for you time.

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    There really isn't a question here that can be answered in this format. In this case, much has to do with preference. You're also bound be be concerned and confused by the latest studies about HRT.


    This is a situation in which it's time for your doctors to act as a team. They need to be consulting with each other instead of leaving you in the difficult position of having doctors who disagree. For some women, hormone levels and HRT can make a difference in their Migraine patterns. For others, they make no difference at all. I would suggest asking your family doctor, who is probably your primary care physician, to contact your neurologist. The best solution would be for your primary to consult with your neurologist via speaker phone at a time when you can be present and part of the conversation. If, for some strange reason, your doctors won't do this, I'd suggest finding new doctors who will.


    Good luck,
    John Claude Krusz and Teri Robert


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    Dr. Krusz is a recognized expert in the fields of headache and Migraine treatment and pain treatment. Each week, he and Lead Expert Teri Robert, team up to answer your questions about headaches and Migraines. You can read more about Dr. Krusz or more about Teri Robert. If you have a question for this section of our site, please click HERE. Accepted questions will be answered by publishing the answers here. No questions will be answered privately.


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Published On: July 23, 2007