Dr N:
I had a "total" hysterectomy
in January. My ovaries and all were removed. My OBGYN put me on the
Climara patch. (I tried Premarin, but had hot flashes and mood swings)
After a "dip" in my sex drive that I couldn't stand, I got
him to give me a shot of testosterone. Boy, did it ever help, and I
am sure pleased with it's results! The only problem I am having now
is that the patch will not stay put for more than 3-4 days. It starts
wrinkling and crawling, and gets real annoying. I know my "no-where-near
perfect" body, with its folds and all, doesn't make an ideal sticking
place, especially on the weeks I wear it in front. Yet, I have just
as much trouble keeping it in place when it is on my upper hip. Any
suggestions?
Reply:
Hi,
Actually, you have
a number of options. If you like the way things are going with the Climera
and the testosterone shot, you can probably stay on this program, but
remember that the injections only last about a month and usually need
to be repeated approximately every 4 weeks. One way is to insist that
you be given extra patches to replace the ones that fall off. If you
can afford it or your insurance company is willing to pay for it, there
is no reason that you can't put on a new patch every day.
Another option is
to use estrogen gel which can be made for you by a compounding pharmacy.
This is basically the patch without the stickum and you just rub it
on once a day. Alternatively, you can use hormone implants of estrogen
and testosterone, which usually work great and then you wouldn't have
to do anything for the 4-6 months that they usually last.
If you read the
Methods of HRT section of the web site, it will provide additional insight.
Dr N