Hi 38notout
![welcomemm :welcomemm:](https://www.menopausematters.co.uk/forum/Smileys/extended/welcomemm.gif)
from me too.
Just to say that sometimes in cases like yours if you have too much oestrogen you get what's known as supraphysiological oestrogen levels and then something occurs called Tachyphylaxis when the oestrogen ceases to have an effect.
There is some information on it here on Prof Studd;s site:
http://www.studd.co.uk/implants.phpAre your levels in p mol/l or pg/mol? His are in pmol/l for direct comparison if yours are too.
The problem is can be that in natural menstruation the levels cycle between very high and much much lower whereas when oestrogen is replaced following hysterectomy the levels are consistently very high, which doesn't happen in nature. I don't know what the answer is but sounds like you are under specialist care so hopefully having good advice and treatment?
From what I have read there is a "sweet spot" which gives you just the right amount to keep the flushes etc at bay and to make you feel good too, and not too high to have the reverse effect - the knack is trying to find it!
Has anyone suggested testing for testosterone as this may be low too following your operation?
There is some information on this site here
http://www.menopausematters.co.uk/testosterone.phpand here:
http://www.menopausematters.co.uk/aftermeno.php (scroll down)
Role of testosterone after hysterectomy
If the ovaries are removed at the time of hysterectomy, as well as the estrogen level falling, there is also a 50% decrease in testosterone production. Some doctors recommend testosterone replacement along with estrogen replacement; testosterone helping energy levels, mood and libido. However testosterone replacement does not seem to be required by all and the ideal route and dose of testosterone for women is still being researched. It is therefore not routinely recommended following removal of the ovaries but can be considered for some women who do not fully benefit from estrogen replacement alone.as well as on Prof Studd's site I linked to above.
Hope this helps
Hurdity x