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I am 62 and female. I have a full hysterectomy when I was 37…

I am 62 and...

I am 62 and female. I have a full hysterectomy when I was 37 with my ovaries taken out. I was taking estrogen pills for many years and now I have been using Premarin gel now for the last 5 years. I notice my hair is balding on top over the last couple of years. Please help.

Doctor's Assistant: How much estrogen do you use, and how long have you been using it?

I have been using Premarin for about 5 years and 1 mg every 4 days inserted.

Doctor's Assistant: When was your last pap test or pelvic exam? Any irregular results from past exams?

I have never had a pap since my hysterectomy at 37 years old. Both ovaries were taken out then. Doctors said it was not necessary.

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

Only that I am now taking biotin and collegan supplements to try help with my hair loss. I have quit using Premarin completely over the last 2 weeks.

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Answered in 14 minutes by:
7/11/2018
Dr. Nina Lim
Dr. Nina Lim, Board Certified OB/GYN
Category: OB GYN
Satisfied Customers: 875
Experience: Internal Medicine Physician
Verified

Hello, my name is***** board certified MD and women's health physician.

I am sorry that you are having this health concern.

Have you had a comprehensive set of labs done through your primary doctor to rule out other causes of hair loss- check thyroid, vitamin D levels etc?

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Customer reply replied 10 days ago
I am living in Mexico right now so I think my vitamin D should be good from the amount of sun each day. However, I have never had my thyroid checked. I have read many articles and some experts do suggest that estrogen too much or too little can cause hair loss and weight gain. Currently I do not have a doctor living in the Yucatan Mexico but there is one available in the small town I am living in so maybe I will make an appointment. If you have any other suggestions that would help please let me know. Thank you.
Scheduling an appointment with a doctor that can do baseline labs to include the thyroid, testosterone level and vitamin levels would be good. An elevated testosterone level can actually cause male pattern hair loss so this is important to check. In the meantime, I have had success with treating my patients with Rogaine because it is effective and cheap, and has no side effects. The main thing with Rogaine is that you have to consistently use it for it to be effective. The hair will thin out again when you stop using it. Let me know if I can assist you with anything else. If you were satisfied with the service I provided, please consider giving me a 5 star rating as we work for stars. Thank you so much and good luck with everything!
Dr. Nina Lim
Dr. Nina Lim, Board Certified OB/GYN
Category: OB GYN
Satisfied Customers: 875
Experience: Internal Medicine Physician
Verified
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