this post was submitted on 19 Jun 2023
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Menopause

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'Menopause isn't really that bad'...said no woman ever.

For those who are approaching or experiencing 'the change' (think reverse puberty), a time where hormone levels decline either through the aging process or by medical/surgical means.

Menopause and Perimenopause (the transitional time before Menopause) are unique to every person, and while there's no one-size fits all, we support each other on this roller coaster ride of wacked out hormones, absurd mood swings and random sweaty hot flashes.

Be kind. Be respectful. We are all in this together!


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I am almost 3 months out from a hysterectomy and it’s been great not dealing with the monthly pain I had been used to for 30+ years!

I am 5-ish years into Peri, by my & my Gyn’s best guess, and last year she Rx’ed me MHT— including Yuvafem (vaginal estrogen suppository) to help with the constant UTI’s I was getting.

I got the Ok to start using it again about 5 weeks ago following the surgery. After the first time I tried going back to it I ended up with the nastiest yeast infection I’ve ever had— it took two weeks and THREE fluconazole pills along with a Rx cream, to go away. Usually a yeast infection takes me 1-2 pills and I feel relief right away. Not then!

I waited a couple weeks to try the estrogen again, and then jumped to it when the UTI-like sensations started to come back.

By the end of week one back on the Yuvafem again, now I have another nasty yeast infection.

Does anyone have any insight? Or has anyone been through this, and if so how long until your body evened out and could take the vaginal estrogen again?

Prior to my surgery, by body handled the Yuvafem without issue… now, it seems like it’s rejecting it. I already also use hyaluronic acid, which can help with moisture as well— but I know that estrogen is what will ACTUALLY address the underlying cause with atrophy- lack of estrogen.

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[–] leftylibra 1 points 1 year ago* (last edited 1 year ago)

Yeah it does look like Yuvafem can cause yeast infections...it's listed as one of the side effects. Maybe your body is just responding differently now since your hysterectomy?

https://www.rxlist.com/yuvafem-drug.htm

So are you using vaginal estrogen specifically for atrophy? If so, then HA should definitely help, there's a study that shows that HA is just as effective as localized estrogen., but also there is vaginal DHEA which is a hormone converted to estradiol and testosterone in the vaginal tissues. It's supposed to work really well (and quickly). The downside reported with DHEA is that it's quite messy to use.

Otherwise, there's also Vagifem, but surprise! that too has yeast infections listed as a side effect...gaahhhh!