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HRT And multiple sclerosis

Started by Joann, August 07, 2012, 01:04:43 PM

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Joann

Anyone know of anyone who's MS symptoms changed when they went on hrt?
Research shows that estoril and progesterone ( like in pregnancy) cause almost complete remission of MS Symptoms. On the other hand, E may be responsible for worsening of some aspects of MS..
Another reason i should consider HRT ? I have MS. :(
♪♫ You dont look different but you have changed...
I'm looking through you,. Your not the same ♪♫ :)
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KristinaM

Bumping another old thread here again, but it was the only search hit I found for Multiple Sclerosis.

I too was diagnosed with MS about a year ago now.  I've had about 7 relapses over the last 14 months, some were compounded on each other, but generally they've been about 2-3 months apart each time.  Usually problems with sensation in my arms, legs and torso (including problems walking), but I had two or three vision related relapses and some balance issues as well thrown in there, yay!

Anyways, I just switched to a new MS drug about a week ago and I'm on steroids this week to try and beat off this current relapse, which is what sparked the medication change since the other stuff I was taking apparently wasn't cutting it in controlling the frequency of my relapses.

So, with all that said, I too have concerns about MS, HRT, and MS drug interactions.  I haven't spoken to my doctor about it yet, but will do so at my next regularly scheduled appointment a couple months from now.  If nobody else can contribute anything to this thread, at least maybe I'll be able to do so.  That way the next person who comes looking will find what little I can provide.  :)
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KristinaM

I've got an appointment with my neurologist on June 5th. Maybe I'll get some useful answers. May have to wait to talk to my endocrinologist though. That appointment isn't until the end of November though. :(
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Mariah

Tristan, Good luck and I hope the appointment goes well. Anytime we are on HRT it's important to keep all doctors that deal with our health in the loop as different things can be affected. Please keep us posted. Hugs
Mariah
Quote from: Tristan on May 24, 2015, 03:43:18 PM
I've got an appointment with my neurologist on June 5th. Maybe I'll get some useful answers. May have to wait to talk to my endocrinologist though. That appointment isn't until the end of November though. :(
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KristinaM

Well, I had a good checkup with the Neurologist last week.  I've recovered about 85% I'd say from my last relapse, no trouble walking/jogging thankfully, but still some sensation loss in my left leg and left side, and I still have some lingering balance issues.  I'm just learning to live with it all again.  Still on the new MS meds, it's been about 2 months now.  No more new symptoms or noticeable relapses, but I was averaging about 3 months between each relapse on the old meds so I've still got a couple months to go before I can venture a guess at how these are performing.  So that's my general MS and Me checkin.  :)

As for HRT and MS though, my Neurologist is unaware of how one may affect the other, but has asked me to notify him of any drugs I'm prescribed so he can research it.  My Endocrinologist appointment is still scheduled for the end of November, and my therapist hasn't written me a referral letter yet, so I went to Planned Parenthood.  They don't need letters, just for me to sign an Informed Consent document.  I spoke to the doctor there about it all for a while and she said she there were no drug interaction issues between Estradiol, Spiro, and my MS drug, Aubagio.  I also asked if she had treated others who had MS and I believe she said that she hadn't.  I had my blood drawn today and am waiting for her to get the results so she can call in my E and Spiro prescriptions later this week!

So with that all in mind, I'm still keeping my Endocrinologist appointment for a second opinion, but I'm going to be starting HRT before then.  I can't wait to get started, it's like waiting for Christmas.  :)

I'll post more as I learn more.  The doc at PP only talked about sublingual E and Spiro pills, not any other form of delivery or any other drug options.  I'm hoping that after being on it for a while leading up to my Endo appointment we'll be able to talk about possible alternatives if needed, like progesterone since you mention it being helpful with potentially eliminating MS symptoms.
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KristinaM

Just a general update here on my health, nothing major or useful to report.

Been on HRT for five weeks now!  No adverse side-effects yet, but it's a really low dosage and I haven't had any bloodwork done or anything since I started.

They changed up my MS meds nearly 3 months ago and I haven't had anymore relapse symptoms since.  My hair is "shedding" as they call it, but I call it, "OMG MY HAIR IS FALLING OUT".  It's not noticeable yet, but at this rate it's only a matter of time.  If it doesn't slow down I'm going to ask the doctor to try a different MS drug.  It's difficult to decide between walking and having hair...
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KristinaM

Well, another month gone by; I've been on low dose HRT for about 2.5 months now.

With the new MS drug I've been on, Aubagio, my hair is still shedding.  Shedding an alarming amount I might add, but I think I see new growth coming in.  Supposedly your hair follicles just have to kinda "reset" under the influence of this medication, then they start growing like "normal" again.  It'll be another couple of months before I know for sure it sounds like.  And, I'm still relapse free, hooray!

No unusual interactions with HRT so far it would seem.  I thought my boobs ached a month ago, boy was I wrong!  I can't even carry an empty pasteboard box leaning against my chest without agony!  Not exactly MS related, but I hadn't posted that anywhere else yet and this is as good a place as any.  :P

Next time I visit my neurologist I'll bring up the progesterone studies that were being done for shielding the body against MS attacks.  I think I see him in November.  Hopefully he can take the time to look into it.  I was able to find some basic info, but I probably don't have access to all the resources he does.
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KristinaM

I think I'm having another relapse...  I'll be calling my neurologist in the morning to try and schedule an appointment.
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KristinaM

Quote from: KristinaM on September 07, 2015, 07:26:33 PM
I think I'm having another relapse...  I'll be calling my neurologist in the morning to try and schedule an appointment.

Yep, another relapse...  Couldn't get an appointment on such short notice with my normal neurologist, so I saw someone else instead, got my MRI, and got my steroids, now I just wait and see.

I'll bring up the progesterone or other hormone therapy as a treatment option at my follow up appointment in October.  If I can remember....
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KristinaM

So, still working through this latest relapse, but I had an appointment with my neurologist on Monday.  He will be contacting my endocrinologist to talk about alternative hormone treatment options that may help with the MS!  Not sure when I'll hear back from anyone, but my next endo appointment is the end of November, and my next neuro appointment isn't until January 8th.  I'll update what I can, when I can!
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KristinaM

So, while still no real updates on using hormones to treat MS, I thought I'd let you all know that after about 5-5.5 months of being on Aubagio, my hair has stopped shedding profusely!  It's now only slighty shedding, as would be normal for anybody.  I'm thankful that it was pretty thick to begin with, so nobody ever noticed any thinning.  In fact, the thinning may have benefitted me since growing out my hair causes it to get very bushy since it's so thick and curly...

My neurologist has so far been unsuccessful in getting up with my endocrinologist, but he's consulted with his other neurologist peers and they seem to be all over the place with their opinions.  None of them have any concrete evidence or proof of their theories, but some of them say that the hormones are probably exacerbating the condition, while others say there shouldn't be any concerns, lol.  It's really kinda crazy.

He's still trying to get in touch with my endo though, so I continue to wait.

Meanwhile, I go back in two weeks, probably to discuss the use of Lemtrada, which may render this all moot.  Look it up and you'll see why I say that.  It's basically an extremely aggressive treatment that lasts for up to about 5 years!  We're gonna talk about it because the Aubagio hasn't really shown signs of being very effective in controlling my relapses.  In fact, I've had about 3 relapses in the last 6 weeks.
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KristinaM

Time for an update!  Past time probably, but here it goes anyways.

OK, so at the end of October or beginning of November, one or the other, I basically went blind in my left eye.  Turns out it was Optic Neuritis related to the MS, of course...  Another relapse.  And while I think they took far too long to treat it, resulting in only a ~50% recovery, what's done is done.  And I'm talking by only like a week or two here.

So, steroids, more steroids, and even more steroids later, I finally wound up being hospitalized for a week for plasmapheresis right before Thanksgiving.  That basically stopped the MS in its tracks and started the slow and tedious vision recovery process.  Like I said, I still only have ~50% vision back, but my brain has largely adapted to the change and is compensating well enough, unless I close the good eye and then it's like, "Oh yeah, damn..."  LOL.  This makes it quite difficult to put on eye shadow and eyeliner!

With the terrible cascading relapses I had through September and October, the doctors pushed for me to get approved for Lemtrada.  The Tecfidera and Aubagio just weren't cutting it obviously.  I received my Lemtrada treatment in the middle of January, and that combined with the plasmapheresis has left me relapse free since around the beginning of November.  So, about 4 months.  That's not a significantly long time by any means and I missed about 3 weeks of work for treatments and hospitalizations in there, but it's the longest stretch I've had in 2 years without symptoms.

And that's the state of my MS.

Now for the HRT side of things.  I went to see my endocrinologist partway through my plasmapheresis treatment.  They discharged me for the last couple days and I just had to come back and be treated outpatient, to save a tiny bit of money on hospital fees.  Anyways, when I went to see her I had these tubes hanging out of my neck, it's kinda gnarly, I've got a pic somewhere I'll try to get up.

Here it is in my Gallery:



So, my endo gets my blood test results from a couple weeks prior and she's like, "I did some research and discovered that testosterone has properties that have been shown to possibly protect the myelin sheath from damage caused by MS."  And my heart sinks...  "I don't want to increase your estrogen dose because it may push your T levels down even further, and with your recent string of relapses, I think that's dangerous."  My T was at like 200!  Sigh...

She did however agree to add progesterone, which I've been on now for 3 months.  I go back to see my endo in a week.  I saw my neurologist a couple weeks ago and he said that so long as I was relapse free by the middle of March, he'd tell my endo that he would approve an estrogen dosage increase.  So while I may not get an increase next week, hopefully I will a couple weeks later.

In the end.  Nobody knows anything, and now that I've had Lemtrada it could render any real future evidence irrelevant.  Lemtrada is pretty intense in what it does to your body, so who knows.  I just know that I've been on HRT for 8 months now, with ONE dosage increase 6 months ago, and I'm getting kinda antsy.  I like the progress I've made, but there are times when I can tell my body chemistry is off and that things aren't like I want them to be.  I still have pretty intense leg hair for instance even after 8 months on estrogen and spiro!  So I'm hopeful.  Keep your fingers crossed for me will ya?  I just need to be relapse free for another couple of weeks, lol.  And I hope my blood test results come back in favor of increasing the dosage as well.
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KristinaM

Argh!

Still no new MS symptoms, but my latest blood work put my T still at ~250+, and my E at ~500+!!?? Goddess I'm hoping that was an error. They took another sample a couple days ago and I'm just waiting now... She said if it's still high she's going to cut my dosage back. But it seems impossible to have simultaneous E and T values that high, right!?!? If she cuts me back I'll be back at my starting dose from 9 months ago. [emoji22] [emoji26] [emoji27] [emoji34] [emoji33] [emoji36] [emoji30] [emoji24]

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LiliFee

Any updates yet?? Would be interested to learn more about MS and HRT effects!
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