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.
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.
John Claude Krusz and Teri Robert
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Published On: July 23, 2007