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[Real case] Premature ovarian failure in the age of 39, has menopausal symptoms. Do you want to replace it with hormones?

2024-02-24 18:24:37

39 -year -old diagnosis of premature ovarian failure, with menopausal symptoms of hot and irritable.Irregular menstruation for 3 years.Doctors recommend hormone replacement and consult.

10 minutes real call records

Dr. Gong Xiaoming:

I probably took a look at your situation, how long have amenorrhea now?

Patients:

Amenorrhea for 1 year, and it has not been stopped since last year.

Dr. Gong Xiaoming:

Why eat You Siming before?

Patients:

I started irregular menstruation 3 years ago, once every 3 months, and then began to eat You Siming.

Dr. Gong Xiaoming:

You have no fertility requirements, right?

Patients:

Dr. Gong Xiaoming:

We just use medicine.

Because from the perspective of your current medical history and sex hormone level, it is basically the result of premature ovarian failure.Then premature ovarian aging may not be able to restore ovarian function, so the remaining problems now are how to maintain the normal hormone in the body.

Patients:

Dr. Gong Xiaoming:

This is relatively simple becauseThere are more ready -made medicines now, which can basically take it for a long time.You can use this medicine for a long time.

Patients:

Some doctors suggested that I eat Boolong, and some doctors suggest eating FinniHow to choose.

Dr. Gong Xiaoming:

I think you are nothing more than to maintain the estrogen level in the body.Do you use Folong or Fen Fen, or make up Jiale. I think you better try it all by all kinds of medicines.

Patients:

Choose one that suits me best?

Dr. Gong Xiaoming:

Bai, choose one that you feel that the response is relatively small, and then start long -term maintenance.If you eat for a long time, some people will choose a scheme that cannot come to menstruation.The scheme that does not come to menstruation, in addition to the Boolong, we have something else, the drugs can choose.But at this stage, I guess you still want to use some menstrual schemes, right?

Patients:

Does a doctor say that let me eat a Finnish.

Dr. Gong Xiaoming:

I personally use Fen Fen to pass more.There are two types of dosage forms, one is 2mg and the other is 1mg.For alternative therapy, you dont have to worry too much about hormone side reactions. This hormone is needed under normal circumstances, so you can eat it for a long time, and you can even eat it at the age of 60 or 70. As long as you know its pros and cons.

Patients:

Okay, that is, Teacher Gong also recommends Fen Tong.Do you eat Fen or menstruation, right?

Dr. Gong Xiaoming:

Patient:

Come?

Dr. Gong Xiaoming:

This is personal wishes.For example, some patients may have dysmenorrhea or a lot of menstruation, and she may not be willing to let the routine leave, and we can not use a scheme of menstruation.

Patients:

Then I basically know. If it is not suitable anyway, I can change it again.

Dr. Gong Xiaoming:

Hormone replace the basic principle, which is the minimum effective dose.Why is this the lowest and effective dose for you? You need to explore yourself, okay?

Patients:

If I eat 1 mg, the symptoms are relieved after eating, right?

Dr. Gong Xiaoming:

Yes, then you can use 1MG.

Patients:

Then I basically know, thank you Teacher Gong!

Consultation suggestion: 39 years old, premature ovarian failure, no fertility requirements, it is recommended for long -term hormone replacement.

If you also have issues related to premature ovarian failure, you can see the following articles:

About the premature ovary

If you want to know more, you can also watch the following videos

Gong Xiaoming Medical PhD

Wo Medical Faber Faber Invasive Treatment Center

Auxiliary Professor of Obstetrics and Gynecology at Beijing Union Hospital

Shanghai First Maternal and Infant Health Hospital Physician

WeChat public account number: Dr. Gong Xiaoming

Sina Weibo:@上海

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