30/07/2025
Here’s the rest of ChatGPT’s answer -
🧠 Why It’s Happening
1. Hormone Levels Are Still Stabilizing
• After your ovaries are removed, your body goes into a sudden “surgical menopause.”
• It takes time for hormone therapy to reach steady levels in your system (can take 2–6 weeks).
2. Dosage Might Not Be Right Yet
• You may not be getting enough estrogen, or the type/delivery method might need tweaking.
3. Stress, Pain, and Healing
• Post-surgical stress, inflammation, or even certain meds (like opioids) can temporarily worsen symptoms.
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✅ What You Can Do
• Track Your Symptoms
Keep a daily log of hot flashes, night sweats, mood, and sleep—your doctor may adjust your dose based on this.
• Talk to Your Doctor
If things don’t start improving after 2–3 weeks, your hormone therapy might need to be:
• Increased in dose
• Changed in form (pill, patch, gel, etc.)
• Adjusted in ratio (sometimes less progesterone is needed post-hysterectomy)
• Supportive Tools
• Sleep with a fan or cooling pillow
• Try layered pajamas and cool showers
• Avoid alcohol or spicy food before bed
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📝 Quick Note on Progesterone:
Since your uterus was removed, progesterone isn’t always necessary unless you were already on it or using it for mood, sleep, or balancing estrogen. Too much can sometimes make symptoms worse.
