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Side effects of hormone replacement therapy - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Thyroid Problem and Hormonal Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2567 Questions
User :   hi, im female, 43 on HRT since age 28 following bi -lat oopherectomy and hysterectomy for endometriosis. for past 6 months i have been suffering from daily headaches, generally presenting with dull heavy pressure over whole head and occasional, non throbbing, gripping pain - moderate to severe. have swolleng gland behind ear constant and hard for one year - not painful. also noticed that when gripping pain severe have felt like there's a connection with the salivary glands on that side. really wearing me down now - any clues?
Doctor :   Hi,
Doctor :   DR xxx here
User :   hi
Doctor :   Please give me a couple of minutes to read your post
User :   ok
Doctor :   ok, May i know the HRT drugs you are on ?
User :   oestrdol valerate 2mg
Doctor :   Any other medications are you on ?
User :   ointment for psoriasis and thats all
Doctor :   ok, The head ache you have is one of the commonest sideeffect of HRT
Doctor :   Its with the defect in the peripheral conversion of oestrdol valerate into Oestrogen and progesteron
User :   why would it then appear so suddenly?
Doctor :   if the steady state concentration and required balance of the drugs in the blood is not maintained then you will have head ache
User :   and be a constant for the past 6 months, not generally a headache or migraine sufferer
User :   i'm on daily tablets and my routine has not changed
User :   and waht is the connection with the salivary glands
Doctor :   its due to abnormal vascular( veins ) functioning in the head , this is due to differences in the oestrogen conc in blood
Doctor :   being regular on dose do not determine the cause of headache, its with the peripheral conversion of the drug into functional hormones , many factors influence that
User :   such as?
Doctor :   Body weight, nutrition, environmental influences, effects of other drugs, Vital parameters in the body ,etc
Doctor :   Do you have Dental caries ?
User :   caries?
Doctor :   tooth decay ?
User :   no all fine
Doctor :   Is your oral hygiene well maintained ?
User :   very
User :   when first onset, became very off balance and nauseous
Doctor :   The swellings behind the ear are related and due to any type of infection or lack of hygiene in the mouth throat or ear
User :   still not great but manageable
Doctor :   yes, the headache sometimes also mimics migraine
User :   no colds or sore throats
User :   never throbbing headache
Doctor :   Get your ENT examined for any pathology , that can help to know the reason for the swellings
Doctor :   its a dull pain

Doctor :   thats typical
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Diseases and Conditions
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