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Menopause

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Medical menopause without HRT

8 replies

HarryVanderspeigle · 05/06/2025 18:35

For medical reasons it's bye bye overies time. I can have HRT, but am considering just getting to the other side as quickly as possible. Anyone know how long symptoms are possibly likely to take as it is a more sudden stopping of hormone?

I get monthly hormonal migraines, so hoping that menopause might help with more steady levels. Not sure about symptoms yet, definitely sudden face and neck warming in the evenings, so assuming that is likely to be a hot flush. Migraines of course, but I get them all the time, so no idea of related.

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JinglingSpringbells · 05/06/2025 19:12

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MaggieBsBoat · 05/06/2025 19:14

My friend was in a similar situation and had her ovaries out at 52. she had terrible symptoms for a couple of years and then decided she couldn’t stand it anymore. If you’ve got reasons to not take HRT then for sure do so, but realistically it could be a rocky road.

HarryVanderspeigle · 05/06/2025 19:20

@JinglingSpringbells it's pelvic radiotherapy, so although the ovaries were fine going into it, they said there is really no chance of them still working after. I can have HRT, just wondering if there is a silver lining in less hormone fluctuations meaning fewer migraines. I hardly got any when pregnant and breastfeed and hormones were more stable. I am mid 40's, so it is early menopause, but not by that far. I have seen oncology, but obligation they aren't in any way menopause specialists.

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JinglingSpringbells · 05/06/2025 19:47

HarryVanderspeigle · 05/06/2025 19:20

@JinglingSpringbells it's pelvic radiotherapy, so although the ovaries were fine going into it, they said there is really no chance of them still working after. I can have HRT, just wondering if there is a silver lining in less hormone fluctuations meaning fewer migraines. I hardly got any when pregnant and breastfeed and hormones were more stable. I am mid 40's, so it is early menopause, but not by that far. I have seen oncology, but obligation they aren't in any way menopause specialists.

Sorry I was trying to edit my reply and say I misread! Doh! But there was too long a gap between posting and trying to edit.

Ignore it- I guess I could ask for it to be deleted, but if you're reading this, you'll see I was wrong!

I think you'll be fine on HRT. The sort you could have gives a constant supply of both hormones daily so there is no up and down.

FWIW I had hormonal migraines all my life ( tending to start at the end of the cycle before a period) but on HRT I'm fine . Sometimes I still get one occasionally on the sort I'm on - sequential ( a cycle) - but nothing like before.

JinglingSpringbells · 05/06/2025 19:55

You will need HRT for your bone density. Medical thinking now is that mid 40s is early to lose all your estrogen and you should have HRT to at least 51-52.

HarryVanderspeigle · 05/06/2025 20:51

JinglingSpringbells · 05/06/2025 19:55

You will need HRT for your bone density. Medical thinking now is that mid 40s is early to lose all your estrogen and you should have HRT to at least 51-52.

Bone density would definitely be something interesting want to keep hold of! Thank you, all of your comments are really useful and informative. I had assumed that menopause was still a few years down the line based on when mum went through it, so it's all rather sooner than expected.

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UnaOfStormhold · 05/06/2025 21:03

The part of your cycle you get migraines in should be a clie to which hormones you're sensitive to, e.g. if iyou suffer pre period when everything is low then HRT might be just what you need! Overall being on continuous HRT should keep your hormones pretty stable so it's a question of getting the right dosage, form of hormone and delivery mechanism for you.

I definitely second the importance of HRT for bone health particularly for early medical menopause.

HarryVanderspeigle · 05/06/2025 21:24

UnaOfStormhold · 05/06/2025 21:03

The part of your cycle you get migraines in should be a clie to which hormones you're sensitive to, e.g. if iyou suffer pre period when everything is low then HRT might be just what you need! Overall being on continuous HRT should keep your hormones pretty stable so it's a question of getting the right dosage, form of hormone and delivery mechanism for you.

I definitely second the importance of HRT for bone health particularly for early medical menopause.

It used to be in got the migraine half way,between periods, so presume ovulating time. Now it is more the week before, so your suggestions that HRT might improve that is exciting.

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