Talk About Marriage banner
Status
Not open for further replies.
1 - 2 of 2 Posts

·
Registered
Joined
·
184 Posts
No, don't give up. The price isn't out of range if you research your options. I had the same operation as your wife. I take lozenges with testosterone and estrogen from a compounded pharmacy and it costs $40 per month. I could easily pay for that completely out of pocket, but my insurance covers some of it.

Every big city has a compounding pharmacy and if you live in a small town, there are reputable mail order compounding pharmacies.

She will need both estradiol (estrogen) and testosterone if her ovaries have been removed. I highly recommend the once-a-day sublingual lozenges instead of the creams or gels (which are messy, I hated them). The lozenges helped me regain my libido after I lost my ovaries. I was always high drive, and now I'm more like medium drive (I want sex only once per day or maybe every other day instead of multiple times!). Before I added the testosterone, though, I was low drive, it was no fun.

Your doctor probably wanted to put her on patches or pills or something expensive because they are pushed by drug company sales reps (who give the doctors brochures etc.). A good compounding pharmacy can make and sell you the lozenges for 40 US dollars per month, and it is the same exact ingredient (pure estradiol and testosterone). Don't buy 'libido enhancers' from health food stores or the internet (I wouldn't trust what is in there) - go to a compounding pharmacy with a good reputation.

As far as a person to prescribe them, go to a nurse practitioner. Nurse practitioners are much less expensive than an M.D. but can prescribe medications. They often monitor hormone replacement (both my OB/Gyn and primary doctor referred me to nurse practitioners for my hormones anyway since it is too trivial for them to want to spend time on). Look in the phone book for nurse practitioners and call their office to see if they do hormone therapy (many do).

If your wife has had her ovaries out, she probably should be on hormone therapy (unless she has had estrogen-associated cancer or is diabetic or high risk of stroke). It is much more severe than regular menopause, because in this case your estrogen and testosterone go down to about zero. Your wife is at higher risk for dementia, Parkinson's, and osteoporosis without estrogen.

It took me months of adjusting the dosage to get it right for me, so I advise finding a nurse that will adjust dosage based on how your wife feels (just enough to eliminate hot flashes and have a sex drive). Her blood levels of estradiol and testosterone need to be tested often until the dosage is stabilized (a good libido and blood levels in the right range). After the dosage is stable, she probably wouldn't need any more blood tests unless she started having hot flashes or low libido.

Too much testosterone can give a woman acne or new body hair as a first sign, so I keep an eye out for those signs. I've found my perfect dosage - I have just tiny bit more oily skin and hair, and a just little more hair 'down there' than I used to but nowhere else.

If your wife had only her uterus removed but still has her ovaries, her dosage would be a lot lower.
 

·
Registered
Joined
·
184 Posts
One more thing - she probably needs to do a lot of Kegel exercises. I never needed to do Kegels before I lost my ovaries. But afterwards, I found my orgasms to be really weak and over in about 1 second. Doing regular Kegels makes all the difference in whether my orgasms are good. Not sure why having my ovaries out made me lose muscle tone down there, but it absolutely did.
 
1 - 2 of 2 Posts
Status
Not open for further replies.
Top