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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Experiencing Hot Flushes, Decreased Libido. Hysterectomy Done. Should Take Livial Or Premarin?

hi which is better Livial or premarin, ive been on Premarin for about 18 months, Im 51, had a hysterectomy when 36. Severe hot flushees night sweats etc but now decreased libido etc doc has put me on Livial, Im not sure whie is best, seem to be having night sweats again. only on them 2 weeks na dnot sure wheterh to give it longer or go back to Premarin thanks
posted on Mon, 19 Aug 2013
Twitter Mon, 19 Aug 2013 Answered on
Twitter Mon, 19 Aug 2013 Last reviewed on
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OBGYN,  's  Response
Hi,
Since any HRT is associated with side effects and long term monitoring, you may give the prescribed drug a trial of at least a month before you switch over to another preparation after discussing with your doctor. Since the basic drug in the two preparations is different, you could be experiencing the change. Use of Premarin for a prolonged period is associated with several complications and as such, it may be withheld for a while. Please try to use natural remedial measures like use of loose-fitting cotton clothing, keeping your surroundings cool, practicing breathing exercises everyday at specific intervals, avoidance of stress, alcohol, smoking and beverages like coffee. Hope this helps.
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Experiencing Hot Flushes, Decreased Libido. Hysterectomy Done. Should Take Livial Or Premarin?

Hi, Since any HRT is associated with side effects and long term monitoring, you may give the prescribed drug a trial of at least a month before you switch over to another preparation after discussing with your doctor. Since the basic drug in the two preparations is different, you could be experiencing the change. Use of Premarin for a prolonged period is associated with several complications and as such, it may be withheld for a while. Please try to use natural remedial measures like use of loose-fitting cotton clothing, keeping your surroundings cool, practicing breathing exercises everyday at specific intervals, avoidance of stress, alcohol, smoking and beverages like coffee. Hope this helps.