Question 39 - Failure of Premarin and Estroven to Relieve Menopausal Symptoms
(Posted April 18, 2000)

Dr N,


I had a total hysterectomy last June. I was put on premarin 1.25mg. I was having hot flashes and mood swings and my sex life was awful. I took it upon myself to try something different. I started taking an over the counter medicine called estroven. I have been taking this for 30 days and I still do not see a change. Can you suggest something for me?


Hi,

As you have already discovered, oral HRT, including Premarin, will not relieve symptoms in all menopausal women. In addition, I don't believe that the Estroven can help you. There is no evidence that I am aware of that Estroven can significantly reduce menopausal symptoms or provide protection from the long term negative health affects of hormone deprivation.

I think that the first thing to do is carefully read the sections of the web site,
Hysterectomy and Menopausal Symptoms, as they specifically address your problem and will provide you with some insight. In addition, the more of the web site you are able to read, the more prepared you will be to participate in the decision making process from an informed point of view. This would provide the potential benefit of enhancing your quality of life, health and longevity.

After you have done this, please get back to me with further questions and I will try and make more specific suggestions for you to discuss with your physician.


Dr N