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Recent Patch questions

I am menapausel 65 trying to stay on HRT - was on estradiol

I am menapausel 65 trying to stay on HRT - was on estradiol patch @ .6 per and 100 prometrium; then put on .06 with 100. Am still having breakthrough bleed after ultrasound showed thick lining. Help please?

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Dr. Norm S.

Doctoral Degree

12,030 satisfied customers
I am "spotting" due to a side effect of a birth control

I am "spotting" due to a side effect of a birth control patch and so far the duration has been 3 full days. How long does it actually last?JA: When was your last pap smear? Have you ever had an irregular pap?Customer: I've never had one done. Im 19 and have only seen a gyn onceJA: OK. To minimize me, please click the down arrow at the top right corner of this box.Customer: Is there an average time spotting usually lasts?JA: Anything else in your medical history you think the doctor should know?Customer: I am sexually active. with one male partner.

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Dr David

Radiation Oncology Attending Director

Post-Doctoral Degree

54,072 satisfied customers
51 year old healthy female. On hormone replacement therapy x

51 year old healthy female. On hormone replacement therapy x 3 years. .1 estradiol patch 2x week + progesterone 14 days month. Typical 5 day "period" light flow . Dark blood. This cycle started bleeding 3 days ago. Heavy. Bright red. Has not tapered Super + tampon every hour usually bleeding through. Help!

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31,410 satisfied customers
Thank you for your time. I do have a gyn appt this week, but

Hello Doctor,Thank you for your time.I do have a gyn appt this week, but am trying to understand what might be at play and what I should ask prior.50 yr old woman. Have been on mild HRT for about 3 years to correct a significant perimenopause hormone imbalance (literally bouncing from high post meno FSH numbers to premeno.).(Note- As I do have a breast cancer history, the HRT is carefully monitored and watched under doc's care- both Gyn and Onc. The risk is considered mitigated as I've had double mastectomies, cancer was ER/PR- and am 17 years out now).There is also some concern about maintaining est levels as I have a strong family history of severe osteoporosis.I have been on Estradiol patch .05mg 2x week; 300 mg Progesterone (Prometrium) /night. Continuous.The HRT did help the imbalance and helped greatly for a while, but as I continue to age and move toward menopause, I expect my natural, unaided levels are declining.I am writing as I have not had a period now for 6 months. As part of a physical, bloodwork including a hormonal panel was just done with the following results:FSH; 8.6Estradiol: 38Progesterone: 22.1Which- would indicate I am not in menopause.So- why no periods? I have not had hot flashes, though do experience some night sweats.Back in July of this year, after running similar bloodwork, my doctor felt the ratio btw Est/Prg was too great and that my Prog level was too high. At that time I was taking 400mg Progesterone. (Prog had been moved up from 200 to assist with continual spotting) I went down to 200 mg., but then started a period which lasted about 3 weeks and showed no signs of stopping. Not heavy—just spotting throughout the day. So I was instructed to move up to 300mg and the spotting stopped. But I have not had any bleeding since.My fear is that the lining may be getting very thick and- cause an endometrial issue? I have regular PAP smears, all normal and have had colposcopies to examine the lining – last one a year ago- which have been normal too.Could this be part of perimenopause irregularity? Should I be concerned and what should I ask?

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DocPhilMD

Internal Medicine Physician

Doctoral Degree

46,300 satisfied customers
I noticed I have a few small pimples on the inner labia,

Hello,I noticed I have a few white small pimples on the inner labia, under the pubic hair, right beside the clitoris. What could they be?They hurt a little and itch sometimes.Literally just got tested for all STDs, including herpes. Got the results today and all negative.I also have been treated for a yeast infection 2 weeks ago.With the pimples I also get small tears that come and go as well. I have stopped shaving and my pubic hair is coarse.If not an STD, what is this?Thanks for your help!

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TheGermDoctor

Physician

Post-Doctoral Degree

1,312 satisfied customers
I have a question regarding a hysterectomy I had 2 years ago

I have a question regarding a hysterectomy I had 2 years ago and still having discomfort.JA: Have you seen a doctor about this yet? What medications are you taking?Customer: No, I've just been dealing with it, but I started working out lately and now the pain that I felt when I was doing a certain movement is now constant and it's effecting my sleep.JA: How long have you had the pain? What seems to make the pain better or worse?Customer: Since my hysterectomy 2 years ago. I'm working out more and it's getting worse.JA: Anything else in your medical history you think the doctor should know?Customer: I've had 6 c sections, a tubal ligation, tubal reversal, and hysterectomy

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Dr. Arun Phophalia

Consultant Surgeon and Sports Medicine

Post-Doctoral Degree

24,766 satisfied customers
I noticed a really small red dot on my breast around a month

Hey! I noticed a really small red dot on my breast around a month and a half back which was accompanied by breast pains. I went and got this checked out by my gynaec who simply said the breast pain was because my period was around the corner, and the pain indeed did stop after my period. Now a month in, I notice the red has turned to a light yellow but isn't going. It's either not healing or healing very slowly. Do you think this could be cause for concern?JA: OK. To minimize me, please click the down arrow at the top right corner of this box.Customer: I spoke to my mom about it, who said she has the same kind of spot on her left breast (much bigger) but has never had an issue with it.JA: Are you in any pain? How regular are your periods?Customer: I'd say they're regular. I'm sexually active, needed to have a plan B last month so have light pains on my breast cause it's been only three and a half weeks, but no specific place I can point to. Pain is on both breasts.JA: Anything else in your medical history you think the doctor should know?Customer: I'm polycistic, but that's about it

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Dr Uzair

FCPS (R) General Surgery

M.B.,B.S. FCPS

9,986 satisfied customers
I'm anemic and have been on iron supplements for 1 month.

I'm anemic and have been on iron supplements for 1 month. 325 mg, 3x per day. It has been getting a little better but I am still getting bluish patches that come and go. Mainly, on hands. I just finished a PEP treatment 2 months ago. Tested negative every week until week 12 which is supposed to be conclusive. I am going up to higher elevation 9000 feet and possibly skiing at 12,000 feet. Im concerned that the elevation might effect me. What should I do to support me system. I do have access to oxygen. I've been told to drink beet juice. Please advise. Happy Holidays!

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Dr. Vakul Aren

Consultant Physician

Post graduation (Liverpool, U.K.)

3,414 satisfied customers
I am writing because I am concerned by a vaginal issue that

Hello, I am writing because I am concerned by a vaginal issue that 3 different Drs/Nurse practitioners have not been able to solve.Background:I'm June, I had an abdominal myomectimy to remove a 14cm fibroid. A few weeks after the procedure, I began to experience very strange discomfort on the labia minors and the vestibule. It is not painful, but I am often uncomfortable.I have received 3 STD screens- all have been negative. No screen found yeast infections.I have had 7 instances of this reoccurring weirdness. (In about 4 months). The discomfort usually lasts between 4-6 days. I can find no pattern in timing and am wearing cotton undies and using free and clear soap. One Doc prescribed me an antiviral (thinking it was herpes), another one suggested dabbing on cortisone, and the latest gave me some estrogen cream to try.The OTC cortisone probably worked best, ***** ***** estrogen cream is leaving me feeling more uncomfortable.From what I can see, I have redness and sometimes I can see white patches. I get no headaches or fevers or swollen lymph nodes. It is not painful to urinate, or not painful in general.Do you have any ideas on what is going on that I may bring to my doctor?I am 33, white, non-risky partners, I've been on low dose birth control for almost 15 years.

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Dr. Arun Phophalia

Consultant Surgeon and Sports Medicine

Post-Doctoral Degree

24,766 satisfied customers
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