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