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Ask a Consultant Gynaecologist | Dr Giada Frontino

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  • Holly1234Holly1234 Posts: 1

    What vaginal lubricant /moisturiser as a professional do you recommend? I am post menopausal and also suffer with flare ups of Lichen Sclerosis. I currently am not in a relationship

  • luyin05luyin05 Posts: 1

    I have started to use HRT patches just 6 weeks ago. My GP prescribed me the patches because they reduce the risk of blood clots. My dad died many years ago from a Trombosis so she explained the patches present lower risk of blood clotting and she put me I. The lower dose. It is still early stages to see if these dose of patches are doing their job but they recommended me to use the lower dose as well as a start. I read every woman needs to have her HRT dose individually adjusted to her circumstances depending on what she suffers from the most. I have not particularly had many sweats from the beginning of my menopause (2 years ago was my last period). I suffer more from poor sleep and Infeel exhausted all the time. Extremely tired. I also have experienced since a year ago the feeling that something is happening in my hands joints as I feel them tender and at times slightly painful if I press down with my fingers. I have a very good diet based on fruit, veggies, nuts and little protein and reinforce it with regular homemade collagen, and golden milk (a mixture of milk, ginger, Cúrcuma and cinnamon). My question is, if I am on the lowest dose, How can I know if this is the right dose for me and which dose should I be on to make the my HRT treatment really work?

    Many thanks.

    isabel A.

  • Maggie11Maggie11 Posts: 5

    Hi and welcome to Livebetterwith .

    I am.on estrogel x2 ,pumps daily and half a pump at night . I take bisoprolol.1.25mg at night .

    However, I can still hear and feel my heart beating .

    I would be very grateful for any help with managing the palpitations .

  • Joyjoy67Joyjoy67 Posts: 3

    I have suffered with severe insomnia ever since my hysterectomy due to intravascular leiomytosis. I have no trouble falling asleep but will wake after a few hours no matter how tired I am and then drift in and out of sleep after that. My sleep is not helped by my hot flushes although these are starting to lessen. I’m not allowed to take HRT after the growth recurred but did notice a significant improvement in my sleep when I was taking it. What can be done to improve sleep?

  • Annick Annick Posts: 1
    edited October 2020

    Hi, Have no stop bleeding at all since April 2020. Also other symptons are tiredness, foggy mind and short breathing. Blood test results show everything ok. 8 years ago got a fibroma extracted from my uterus. No kids- 46 years old and otherwise healthy individual. Waiting on appointment to do some tests and see the gyn. I would love to make an appointment with you! how can I do so living in Dublin?

  • SansweetsSansweets Posts: 1

    Hi I am 51 years old and have had the minera coil inserted 4 years ago. I am keen to have this removed but have heard it should be retained until age 55 years old. I dont have any irregular bleeding and feel fairly well apart from bad bloating. What advice can you give. Thank you

  • Leonie98Leonie98 Posts: 1

    Hi

    I’m 46 and have been on HRT now for the past 4-5 months

    I hadn’t had a period in over 18 months until I started taking Estrogel and Utrogestan.

    My periods then started again and where mainly regular for the first few months .In the last two months I have started to bleed every two weeks ,would you know why this is ?

    Do I need to review my medication or should this Settle ?

    kind Regards

    Gemma

  • Giada FrontinoGiada Frontino Posts: 73 Consultant Gynaecologist

    Dear @Jj19

    With regards to the UTIs, have you had a urine culture tested on your first-morning urine?

    Menstrual bleeding should never last more than 7 days. Please do speak to your GP to have this investigated firstly through bloodwork testing your thyroid function, glucose levels, full blood count and ferritin.

    GMC Full Specialist Registration # 7468911 

    Website: https://www.doctify.com/uk/specialist/dr_giada_frontino 

  • Jj19Jj19 Posts: 2

    I have and an infection does not always show up .. I know I Have one because of the cloudy strong pee and the urgency to go us pain in my side .. I will get my bloods checked if only I could get to see a dr they don’t seem this an worth an appointment. Thank you for your help

  • Giada FrontinoGiada Frontino Posts: 73 Consultant Gynaecologist
    edited October 2020

    @Jj19

    Given your symptoms, I would strongly advise on undergoing a very specific and extremely accurate urine test which is called PCR test for Ureaplasma, Mycoplasma, Gardnerella and Trichomonas. This should be done collecting your first-morning urine.

    You can try requesting your GP to be referred to a private laboratory that offers this specific test, as this is not a test that the NHS uses yet.

    GMC Full Specialist Registration # 7468911 

    Website: https://www.doctify.com/uk/specialist/dr_giada_frontino 

  • WebbyWebby Posts: 1

    Hi, I am experiencing flushes now for over 16 years and have tried everything available but nothing makes any difference. I can’t take HRT due to a DCIS I had 4 years ago. Can you recommend anything? I’m at my wits end!

  • Giada FrontinoGiada Frontino Posts: 73 Consultant Gynaecologist

    Dear @Holly1234

    I can suggest Hyalo Gyn to be applied thrice weekly at bedtime or in the morning.

    I would also very much recommend taking Natures Aid Sea Buckthorn Oil 500mg taking three capsules with food daily for at least 8 months.

    GMC Full Specialist Registration # 7468911 

    Website: https://www.doctify.com/uk/specialist/dr_giada_frontino 

  • Giada FrontinoGiada Frontino Posts: 73 Consultant Gynaecologist

    Dear @luyin05

    Given your family history you should not be increasing the HRT dosage at all.

    The symptoms (fatigue, joint pain) you mention seem to be likely linked to deficiency in vitamin D3.

    Have you had that tested on your bloodwork?

    GMC Full Specialist Registration # 7468911 

    Website: https://www.doctify.com/uk/specialist/dr_giada_frontino 

  • Giada FrontinoGiada Frontino Posts: 73 Consultant Gynaecologist

    Dear @Maggie11

    Are you taking progesterone to balance out the oestrogen?

    Is your blood pressure in the norm when you feel the palpitations?

    GMC Full Specialist Registration # 7468911 

    Website: https://www.doctify.com/uk/specialist/dr_giada_frontino 

  • Giada FrontinoGiada Frontino Posts: 73 Consultant Gynaecologist

    Dear @Leonie98

    I would suggest reviewing this with your GP, as twice monthly bleeds are not normal.

    GMC Full Specialist Registration # 7468911 

    Website: https://www.doctify.com/uk/specialist/dr_giada_frontino 

  • Giada FrontinoGiada Frontino Posts: 73 Consultant Gynaecologist

    Dear @Annick

    Have the blood tests tested for anemia, thyroid function and glucose levels?

    Please have a pelvic gynaecological ultrasound done to assess further.

    With longlasting bleeding such as in your case there is often iron loss and therefore anemia. I would recommend taking Iron tablets daily until the abnormal bleeding is investigated and treated

    I also do phone consultations and see patients on Saturdays, if that can help.

    GMC Full Specialist Registration # 7468911 

    Website: https://www.doctify.com/uk/specialist/dr_giada_frontino 

  • Giada FrontinoGiada Frontino Posts: 73 Consultant Gynaecologist

    Dear @Sansweets

    Mirena covers contraception until menopause is reached fully. Mirena also protects the womb lining from forming polyps.

    If you feel like you do not wish to keep it further it is fine so then I would definitely suggest telling your GP.

    With regards to the bloating, I can recommend Optibac ExtraStrength one capsule before breakfast for 90 consecutive days, then subsequently taking it 15 days per month.

    GMC Full Specialist Registration # 7468911 

    Website: https://www.doctify.com/uk/specialist/dr_giada_frontino 

  • Giada FrontinoGiada Frontino Posts: 73 Consultant Gynaecologist

    Dear @Joyjoy67

    I would recommend starting Femal (bee pollen and pistil extract) daily for at least 3 months. It will start working gradually, but is very effective at improving sleep quality as well as got flashes.

    GMC Full Specialist Registration # 7468911 

    Website: https://www.doctify.com/uk/specialist/dr_giada_frontino 

  • VickyAVickyA Posts: 4

    Hi,

    I had an early menopause that started in my late twenties, diagnosed when I was mid-thirties. HRT for 18 months then breat cancer. Now 10 years clear - whoop! I obviously cannot take HRT anymore and I was wondering if there is a new medication that would have the same benefits of HRT but without the cancer risk. (My tumour was 8/8 eostrogen positive).

    Vicky

  • Joanne52Joanne52 Posts: 2

    Hello, 52 and last period was June 2017. Transvaginal ultrasound with saline shows a hemorrhagic cyst 1.8. cm and a couple of small polyps. Why? Is this normal at this stage ? My uterine biopsy came back negative but I haven’t had a D&C

  • Giada FrontinoGiada Frontino Posts: 73 Consultant Gynaecologist

    Dear @Webby

    With regards to the persistent hot flashes, has your thyroid function been tested?

    If it has and it is normal, you can start

    GMC Full Specialist Registration # 7468911 

    Website: https://www.doctify.com/uk/specialist/dr_giada_frontino 

  • Giada FrontinoGiada Frontino Posts: 73 Consultant Gynaecologist

    Dear @VickyA I am happy to help and as such it would be very helpful to have more information, for instance any symptoms you might have been experiencing, your diet, BMI, etc?

    GMC Full Specialist Registration # 7468911 

    Website: https://www.doctify.com/uk/specialist/dr_giada_frontino 

  • Giada FrontinoGiada Frontino Posts: 73 Consultant Gynaecologist

    Dear @Joanne52 Have you ever had any abnormal bleeding since 2017? A normal finding on the endometrial biopsy is reassuring and therefore no D&C was done. However, both the ovarian cyst and the polyps need to be checked with a pelvic transvaginal ultrasound scan every year.

    GMC Full Specialist Registration # 7468911 

    Website: https://www.doctify.com/uk/specialist/dr_giada_frontino 

  • Joanne52Joanne52 Posts: 2

    is it normal for a postmenpause woman to have a small hemorrhagic cyst?

  • Giada FrontinoGiada Frontino Posts: 73 Consultant Gynaecologist

    Dear @Joanne52 cysts are a very common finding in postmenopause. These should be followed-up with a repeat scan. If the cyst does not show changes in size or appearance over time, then it normally only requires repeat scans.

    GMC Full Specialist Registration # 7468911 

    Website: https://www.doctify.com/uk/specialist/dr_giada_frontino 

  • VickyAVickyA Posts: 4

    I have pretty much all the symptoms and have had for nearly 20 years - so hot flushes, trouble sleeping, muscle aches, no libido, dryness, weight gain around the middle (apple shape). I have got used to them all now, they are part of me but if there is anything new then I'd be interested in finding out more about it. Thank you!

  • Giada FrontinoGiada Frontino Posts: 73 Consultant Gynaecologist

    Dear @VickyA In your specific case I'd suggest starting Femal daily and let me know how you feel in a couple months time.

    With regards to muscle aches, do you mean joint/bony pain or rather cramps in the calves?

    GMC Full Specialist Registration # 7468911 

    Website: https://www.doctify.com/uk/specialist/dr_giada_frontino 

  • VickyAVickyA Posts: 4

    Joint pain - a lot in fingers and toes.

    Muscle pain for example if I walk up the stairs, my legs will be burning in the muscles and I flop on the bed!!


    Thank you Giada!

  • Hi there. I’m currently taking 1.5 sachets of sandrena 1.0mg gel per day and 1 x 100mg utrofestan capsule for 25 days followed by a 3 day break after coming off the higher dose femostan tablets (they stopped working), although I feel greatly improved on my current medication my libido has totally disappeared. I asked my Gp for testosterone as I had read about how helpful this can be and they refused me and referred me to an obs/gynae consultant who again refused me after saying it would not help me and that my testosterone bloods were only in the lower end of normal and discharged me. In addition my bones constantly hurt to the point where I struggle to get out of bed in the morning. Is this normal? I had a “normal” bleed on the femoston and a tiny bit of spotting on new HRT. Please can you advise me the best path to take now as my Gp surgery will not refer me to anyone else regarding this and I don’t want to just go ahead and purchase anything online. Many thanks. Nicki

  • Giada FrontinoGiada Frontino Posts: 73 Consultant Gynaecologist

    Dear @VickyA The muscle and joint pain might very well be due to vitamin D deficiency and sometimes other nutrient deficiencies. If you are not already taking vitamin supplements, please start with Vitamin D3 2000-2500 IU and Solgar Antioxidant Nutrients one tablet, both to be taken with breakfast daily for the next 3 months. Do let me know how you feel in about 30 days.

    GMC Full Specialist Registration # 7468911 

    Website: https://www.doctify.com/uk/specialist/dr_giada_frontino 

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