During perimenopause the years leading up to menopause , estrogen levels change at an irregular rate. Sometimes there is even more estrogen present in the body than during the childbearing years. This constant ebb and flow of estrogen can cause several uncomfortable symptoms, such as vaginal dryness, hot flashes, night sweats, low libido, and low energy. The body is no longer producing estrogen through the ovaries and therefore many women may experience problems such as:.
These three forms of estrogen work in tandem in the body to regulate and control reproductive health in both men and women. Estradiol also stimulates cell growth and proliferation in the uterus building the uterine wall for childbearing.
Estrone is a form of estrogen and the only type found in women after menopause. Small amounts of estrone are present in most tissues of the body, mainly fat and muscle. The body can convert estrone to estradiol and estradiol to estrone. Many studies have emerged about why the Estriol E3 form of estrogen is the preferred choice for bioidentical hormone replacement therapy. This is now stressing me out.
Probably time to find a new doctor. Has anyone had this happen? My doctor is very supportive of me using HRT as long as I need to. I would definitely look for another doctor if you want to continue taking them. Hi, I am 47, and have just had a blood test declaring me as post-menopausal. I have had very little in the way of symptoms, other than not having menstruated for a year now and a slight thinning of hair. Do I still need to take any hormones for other reasons?
Or do I just let it be? I am 72 years old and have been taking BHRT for 20 years. Originally, because my menopausal symptoms were fierce and no alternative treatments helped. Gratefully, my gynecologist prescribed them and they worked then, and now. By returning to the original treatment, my bone levels again stabilized. If anyone can recommend, please let me know. Northrup, I have been prescribed bioidentical hormones for about 5 years, used progesterone creams for about 10 years.
As of Feb of this year, I had a full mastectomy for breast cancer; afterwards, ct and bone scans showed that no metastasis of the cancer. I am just now, 8 months later, starting to have night sweats and hot flashes. Is there some research I can go to, of when or how I can have estriol after having cancer?
Both my docs understand bioidentical hormones and I would like to take the research to them. I am a Breast Caner Survivor also. I have been taking Vagifem 10 mcg, it is a tiny tablet suppository that repairs the vaginal tissue and does not increase estrodial in the body because it is not systemic.
It is only absorbed vaginally. The protocol is 1 tablet insert a day for 14 days — then twice a week for the rest of your life. That helped me tremendously with dryness and pain. I was also on Testosterone Cypionate injections. Unfortunately, I was off of it due to insurance issues and the generic Yuvefem did not work on me and reversed my condition to worse than it was before.
I was taking injectable Testosterone Cypionate at the time as well. I have not had intercourse in 4 years. It is driving me crazy and my husband also. I have been combing the web for Testosterone Cypionate. There is an article in the Journal of Endocrinology that did a clinical trial for Women with Breast Cancer on AI Inhibitors Tamoxifen with Testosterone Suppositories — ml — once a day for 14 days like the Vagifem and then 3 times a week for life. It worked — all the women on the leg of the trial that received the Testosterone Suppository had a complete reversal of symptoms and were able to resume normal sexual function.
It is so unfair. Question: Can you use unopposed estriol cream without complications of endometrial hyperplasia?
I used bio identical hormone therapy from 52 to 62 years and it was a lifesaver in terms of health, energy and stamina during and just after menopause.
Thank you for sending. I think humanity is just starting to wake up to the loss of liberty that seems to be staring us all in the face. I started Bioidentical back in Be happy with taken my hormones this way and I do believe it is a safe way. Feeling very upset as FDA wants to tell me what my body needs. No we have to fight this.
If this any thing we can do please post. I will talk to my Doctor this week and see what she says about this and see what can be done. Thanks for your help in this effort. I cannot imagine life without it!! I had the surgery and all was removed with great margins. I am 75 years old, and this is my first cancer. I need to find some credible printed material showing the safe effects of the HRT in reference to Breast Cancer. Compounded creams, trans dermal.
Also, I gave one of your books to my 50 year old daughter, she is a scientist and she is now using the Bioidenticals. Can you direct me please. I am fighting this info battle alone over here!! Ann D. I am 72 and have been taking bio identical hormones for over 20 years. I have no health problems, am a normal weight, I sleep well, and my bone scans show only slight bone loss, not qualifying as osteopenia.
I had a hysterectomy 23 years ago. My doctors told me my body would just adjust to it. But I suffered hot flashes, vaginal pain and dryness, headaches, night sweats, for two years before I realized I needed hormone replacement and was able to find a doctor who would help me. When I began replacing estrogen, progesterone, and testosterone, the symptoms disappeared. At some point I read about taking hormones on a cyclical routine, mimicking the natural ebb and flow of progesterone and estrogen levels throughout each month, and that seemed to wrk even better.
Thank you Suzanne Sommers for your books on health and longevity and especially on hormone replacement. I feel sad and angry for those women who have to struggle for good information on this topic and also for my mother who had a hysterectomy when I was 10 years old.
I believe her depression and eventual death from cancer may have been related to what was probably an unnecessary radical surgery.
I ended up having a hysterectomy saving my ovaries. Did Vivelle dot for a short time afterwards and then nothing.
Fast forward 14 years. I finally make enough to try BHRT from the fancy places. What a great choice! By the second night I had no more hot flashes on Progesterone mg. Started Testosterone on day 3. Really great stuff! Lots of benefits! Started Estrogen a week later and felt ok for a week then felt awful and gained weight.
Went off the estrogen and felt better. Next month tried a smaller dose of estrogen and still felt like crap. I had nill estrogen, progesterone, testosterone. Now with only minimal estrogen I have in estrogen. My guess is the testosterone converted to estrogen. So now on only progesterone and testosterone. I feel great! Ate like a pig last weekend and am losing some weight even so. Normally just looking at a fry would make me gain 3 pounds. BP is now normal, I sleep great, sex is great, hair is getting softer.
Loving it all so far! Thanks for your books! I am 62, and have been happily on hormones for 10 years. I am presently using the generic of Vivelle Dot. That is mainly the only time I get a somewhat decent night sleep I also gain weight , the Dr.
A friend sent me to your website, and said to see about bio-identical progesterone. Any information would be of help. I have been taking bio-identical creams for over 10 yrs. However, I have noticed if I lay off the creams. Looks like I should continue with the creams. Any advice is welcome. I had a tiny estrogen positive, HER negative breast cancer this year, which was surgically removed.
If my primary doctor will give me a script for bioidentical hormones, what do I ask her for? Is the formula you suggest for everyone, or does she have to do bloodwork? The only thing I have taken is estriol cream. How do I find a doctor to help me? I love being on bioidentical hormones. In other words, money is tight as this is out-of-pocket.
What to do? Should I stop cold turkey? Do you answer these comments? Can it be taken 21 days instead of 14? I want it BACK!!! Also any tips for breast tenderness on it? I take progesterone every day, but if you still have a period I think they do it this way.
I have been on BHT, for about a year. I am 69, and suffered with severe vaginal atrophy. I am a miracle, that can firmly attest to that. I do not want to go on birth control or low dose anti depressants. I second this question. Very interested in estrogen therapy for PMDD continued with low dose progesterone for protection of of endometrial lining.
They do hormone pellets as well as have obstetricians and gynecologists. I use one squirt under my tongue daily. I found out that my hormones had flat lined when I went to the clinic to get a blood test to check out my female hormones.
For DHEA I use a cream that I rub one pump on my underarms, inside of thighs and stomach every day for 25 days and then 5 days off. I get it on Amazon. I only get pellets for estradiol estrogen , testosterone. I have heard a doctor say that you can ONLY start hormones up to 10 years after your last period otherwise it is too risky. Do you agree? My doctor just started me 2 months ago on Estrogen and Progesterone bioidentical and my last period was 11 years ago.
Should I get off of them? No you can stay on them for several years. The 10 year is for when you actually start. But stop after. Your answer is confusing. Are you saying that you can start taking the hormones within 10 years of your last period.
And that if you do, you can keep taking them for another 10 yrs? Or you can start taking with 10 years but must stop at the end of that same 10 years following your last period? I have been using estrogen, progesterone and testosterone cream for 20 years now and I am fine. Charlotte Callens, Ph. Licensed Psychologist practicing by Skype at this time. I tried the bio identical pellets 2 years ago because of my osteoporosis. After 2 months I started to get a period which I havent had one in 10 years.
We found out that I have endometrium, curettage. Went back to the other doctor and decided to wait 6 months before trying anything else. I would love to find something that would work for me to help with libido and osteoporosis.
I am 61 years. Any suggestions would be greatly appreciated. Look up the Wiley protocol and cycle hormones to induce a period. Leave out the estrogen and try just the progesterone and testosterone, and DHEA.
You may be really sensitive to estrogen like me. She uses it for sleep. The woman who is 79 uses the over-the-counter progesterone cream by Emerita called Progest. I use this one myself. I have being using the Estradiol patch now for 10 years. I just found out I have an allergy to Soy which is what it is made from. Are you aware of any other bio-identicals not made from soy?
I bought Dr. Northrups book in when it was on the best sellers list. My reason was to prevent genetic osteoporosis. In I was diagnosed with advanced osteopenia and some osteoporosis. I started using bio-identical hormone cream. The last Dexiscan I had showed there were no signs of bone loss. E2 is a combination of Estriol and Estradiol together. It took about six years to restore my bones.
I will never take bisphosphonates! Thank you!. Are you using Combi-Patch? I ask because it worked great for me and then I developed an allergy in which I break out in hives. The doctor said I have an allergy to the glue. I was doing the pellets and now my dr not seeing anyone due to covid so I need to know where or who I can see to get biodentical hormone cream in south NJ. Used Bellatude for 6 days. It was a nightmare. My dr says it has to cycle out.
How long will this take? Please help me if you can. Anxiety, depression, chest tightness, headache and fatigue. I am 67 and stopped using my premarin.. Big mistake. I started having severe hot flashes, could not sleep at all, had of anger, bad anxiety and slight depression. I started having really bad headaches in the back of my neck and stopped the extrogen..
My doctor has kept me on a low dose of progesterone but it does not seem to help I am anxious all the time and have anxiety or panic atacks every day, I take 5 mg ativan every day and I feel it is my hormones that are causes all my problems.
I am still cycling in the middle of the month and at the end of month feel like I am going crazy. I am a long time follower of yours. I have had many problems and spent a huge amount of this time in bed. I am looking for someone that I can pay for a consultation. I am very concerned about those years and any problems for the future. So appreciate any help. Thank you so much! I would pay for a consult with menopause Taylor look her up on google and watch her YouTube videos they are so great..
I was put on. I quickly had to increase dosage to. My Dr. I notice the oil back in my skin, my hair has gotten better, but still having many hot flashes and serious weight gain. I am scared to death of the risks of this. I want to get off and try something more herbal. Can you provide any advice? Please help! I am on BioTe pellets and progesterone pills mg every night but ever since I started I have been spotting every month for about 5 days.
When it happens my vagina feels raw and a burning sensation. It is very uncomfortable. I am seriously considering not doing the treatment any more. Anyone else has experienced the same. I am 55 years old and I have been menopausal for over 5 years. Another thing that concerns me is that the linning on my uterus has gone from 4 mm to 2 mm in just 4 months from the bleeding. Anyone has been thru the same????
I really need to hear about other people cause I am very frustrated!!! I just started the bioTE on Monday. I have not had hot flashes in years and I sleep really well. Painful intercourse and vaginal dryness were main reasons for trying this…getting nervous!
Hi there — did they address you taking DIM as well? It took me a few weeks for my body to balance out and for everything to kick in — by the second pellet everything was in full swing again. Hope you had luck!! My wife just reached menopause.
Hormone therapy is a medical intervention which is especially aimed towards women navigating the transition to menopause. In the last 60 years, it has become the most important therapy in treating menopausal symptoms like hot flashes and vaginal dryness. Moreover, estrogen was found to slow down bone loss in postmenopausal women in the s.
This discovery was reason enough for the FDA to approve it for the treatment of osteoporosis. I am 64 an have been on BHRT for 9 years. Do you know of any studies regarding long term use of BHRT? A few times a wek I also take estradiol vaginal cream — just a dab. I hear a lot of people on here taking hormones only on some days. I take mine everyday. When I even miss a few hours I feel awful. Thanks for explaining that bioidentical hormones have the same structure as those found in our bodies.
You helped me see that bioidentical hormones would be the best option for me. Will you please offer your advice? Very early on in our marriage year I had a desire for sex, but ever since then I would say my sex drive is zero.
I am wondering if it may be a hormonal problem, because when I was pregnant and only in the third trimester with each child, I had a very strong desire for sex pretty much every day, but outside of those times I never have any desire at all. What are your thoughts on this? I could really use some advice. I am 54 yrs old and I had my ovaries, uterus, cervix and tubes removed 5 years ago this year.
I have not had any menopause symptoms possibly due to my age of the hysterectomy of 49 or just damn lucky. Do you think I should take bio-identical, which would be my choice, and for how long? Good evening, I began using bioidentical hormones in I would have a withdrawal bleed, very much like a period would normally occur. I decided to go with her direction and take estradiol my favorite was the minivelle patch and progesterone continuously. Up until I stopped cycling progesterone, my body, even in my mids, was till very much like it had been before menopause, with perky, although small, breasts and body muscle and fat that kept my body curvier.
I think the bioidentical hormones were a godsend for me, but I also think I want to go back to using them in a bioequivalent fashion and see if it helps with the depressing body changes I have only now begun to experience. Rosie, you can find Dr. Thank you for sharing! Thank you both…I am fit and just in menopause but it hit fast and it was like being run over by a truck.
BHRT has been a godsend but I am working towards optimal. I have been considering cycling as intuitively I think it makes sense to mimic the body. Thank you for sharing, I feel hopeful. Hi Rosie is love to talk to you more about what you were doing to keep cycling re dosages etc.?
I hope you get this message. I have not been taking it for the past three nights and I did sleep well. I am also doing the Keto diet no sugar at all. I have gained about 13 pds and I want it off.
Can this extra weight be caused from Progesterone. I have taken a bit of Estrogen for a year when I started but never felt great on it always bloated. So I stopped. My Mom had breast cancer and estrogen always scared me. But I know its about your hormones being in balance. I did have a few sweats last night is it from not taking the drug or is it my body. How do you know when to stop or do you! To find comparable doses, further studies are needed.
This successfully conducted randomized controlled study attests to the feasibility of using a similar design in the setting of a larger clinical trial. Trial registration: ClinicalTrials. All rights reserved. Is this ok? Like the article above. Estradiol patch plus mg of progesterone. My dose of estradiol has been increased to. I just got a period today. Is it ok to be on continuous HRT if I just had a period? Is this normal? Best to check with yours. Is there great risk to not taking hormones at age 48 after a total hysterectomy which occurred at age 43?
I took compounded cream hormones for a couple of years, but then stopped. I took progesterone mg on the last two weeks of my cycle due to heavy periods and bloating. I saw a huge difference, I was retaining liquids, and with the progesterone I felt lighter and my heavy period was lighter too.
I thought it was a tooth I was having problems, but I think it might be cesation of progesterone intake. Could that be possible? Should I try mg instead of mg I;m 40 years old? What time of day should Ashwaghanda be taken if on HRT? Can they be taken together? Is it ok to supplement with Ashwagandha while on HRT estradiol patch and prometrium capsules as you recommend?
I see you recommended taking a few days break about once a month. Can you please elaborate on that? Dr Briden, Thank you for your work and for writing your book. I have a few questions: Can a 66 year old balance her hormones if she has never done so in her life time? But just recently am experiencing many itchy hives on my upper arms and upper back.
In addition see more dark spots on my face, and arms and am very tired. I am wondering if Synthroid and Cytomel thyroid medications are not enough and a small dose of iodine might correct my problem? I have just learned of estrogen excess from your book and also realized my histamine issue has escalated recently. I am allergic to aspirin and have a touch of asthma. Are these symptoms related to estrogen excess and histamine sensitivity? My weight is the highest its ever been and I am always depressed.
Can you explain what you think I might be dealing with, without an official diagnosis? I understand the limitations through this comment format. Thank you, Confused Briden, despite the hormones they gave me a few months ago not being bio identical, would you consider them equally safe? I do eat well over g of carbohydrates and have no vitamin or mineral deficiencies according to my blood tests, yet my estrogen is still drastically low. Large doses of phytoestrogens do not help hypothalamic amenorrhea and in fact, have an anti-estrogen, ovulation-suppressing effect.
And in answer to your question, the safest protocol for short-term hormone replacement for HA is body-identical hormones. I was prescribed topical estrogen gel and a progesterone tab just 8 months ago when i discovered I had osteoporosis to preserve my bone density until I get my period back. I have been suffering with HA since 15, and I am 26 now. I broke my hip 10 months ago which is how we found out about the osteoporosis.
My question is, is HRT safe? I stopped the HRT 4 months in, afraid, and am now taking red clover extract because I have found studies it helps with bone density in menopausal women, despite the fact I am not kn menopause. Do you have some insight? The current protocol is to give body-identical hormone replacement Estraderm patch plus Prometrium during the recovery phase of HA or RED-s.
But, of course, the more critical part of the plan is to recover your cycles by increasing your food intake at least calories per day plus grams carbohydrate. I am seeking information about progesterone use for a post menopausal woman I am Like so many people with adrenal fatigue issues, mine stemmed from a period of severe stress that I hope will be getting better.
I have been symptomatic for about three years now. Before that, I was in perfect health. What do you think about progesterone for a woman my age? What should I read to find out more about progesterone, DHEA, cortisol and testosterone for a woman my age? Love your work and I am so happy to find you. Wish we lived on the same side of the world!
Many thanks and please keep me on your mailing list. Especially since you say you were well three years ago at 73 and were obviously well past menopause then. I would instead consider looking at magnesium and B-vitamins and other ways to stabilise the HPA axis. I suffer from really bad headache when I get flushed. Can I do even if my period not regular anymore?
And which products can I find on line?? My hair is thinning so badly, and no one can figure it out. I have been treated by my primary, derm, endo, and I am at my limit of giving up and totally losing my self esteem.
Please help. Would love to speak with you. I work full-time in a high stress sedentary job. Should I take progesterone? I would be more tempted to look at something like magnesium to help your body cope with stress. Read 8 ways magnesium rescues hormones. The zinc, vitamin B6, and taurine from animal protein can be important for mood. I take Estrodial transdermal gel. Same thing?
Morning Laura, I am 50, allegedly at peri stage. However at the time I was vit D deficient, vegan, previously vege since aged 10 low weight thus I believe this can mimic menopausal traits? My sleep patterns are erratic, I am now taking magnesium mg. The lifestyle I lead is still vegan, exercise most nights, drink lites of water daily. Prior to that I was taking evorel which produced the most low to high moods since being a teen!!!
Is this the best way to go? Regards Lulu. I take mg progesterone and 2MG0. Now at age 59 I have been on this for 10 years. My saliva test was high in progesterone. How long do I continue on these prescriptions? Hi Lara, I am 44 and have all the symptoms of low estrogen, apart from sore breasts from around ovulation to day one or two of my cycle. I find this confusing, as painful breasts are a sign of high estrogen correct? Would I benefit from a progesterone cream?
After two days, very overly emotional, worse insomnia and irritability? My practitioner is open to suggestions. If you stopped estrogen cold turkey, then you could just be having symptoms of estrogen withdrawal. Thank you for pointing me in the right direction!
Is it possible to correct the imbalance through diet alone? Jane, I have histamine intolerance, and I have found that as I have gotten my histamine under control and possibly my gut is actually healing, I have had much calmer PMS which I used to think was PMDD, because mainly I only ever got dysphoria, brain fod and memory problems plus fatigue. So, definitely mood and cognitive symptoms. Rachel Rachel Ernst dot com. Hi Laura, in light of the recent warnings about HRT do you still stand firm in these protocols- i.
Thanks, so confused after all the press today. They do not provide any stats at all for Prometrium-only treatment or for specifically the combination of Prometrium plus low-dose transdermal estradiol.
Thank you for your work! I recently purchased your book and am looking forward to reading. Background: I am 48 years old with a diagnosis of AUB, no hyperplasia normal uterine biopsy and ultrasound—except for small fibroid—within the last 6 months.
For the past 6 — 12 months, I have begun having period flooding, long periods, and erratic cycles anywhere from 3 weeks to 9 weeks apart. My doctor prescribed Medroxyprogesterone a few months back, but I have not yet taken it due to concerns about serious and unpleasant side effects. I have a followup appointment this week and plan to discuss with her the possibility of taking Prometrium or other body-identical progesterone instead.
My question: I still have a concern about side effects of body-identical progesterone. Websites including iodine. Can you please comment. Despite growing evidence that progesterone is much safer than progestins, almost all sources list the side effects of progestins as the side effects of progesterone.
I have bought your book and looking forward to reading. I have another follow up appointment with her this week and plan to discuss your recommendation of body identical progesterone. My question: There seems to be a lot of contradictory information about possible side effects of Prometrium.
Sites including Medscape, iodine. My periods are very light, and have been ever since they resumed post period. Could body identical progesterone help me, and if so what days would you recommend taking it? Thanks so very much!
Biodentical estrogen took away all my joint pain. Progesterone made it worse. I am 49 and in menopause, run long distance, lift weights, play like crazy with my four year old son, could not do it without my estrogen cream.
Fortunately, many women DO feel very well with progesterone. I would not enjoy the return of hot flashes etc however…. Loving this thread! Testosterone can usually be stopped any time with no problem. Estrogen is addictive, so it may need to be weaned down. In other words, stopping estrogen suddenly could cause hot flashes. Normally, progesterone on its own can help to some degree with hot flashes.
But may not be able to compensate completely for a sudden drop in estrogen. But check with your doctor, of course. Now 53, still having periods although in the last couple of months have been less regular used to be 28days. Obviously peri-menopausal now but symptoms such as hot flushes, sleep disruptions are minor but still around as I have overhauled diet and supplements. Having read your blog and website, I am wondering if I would benefit from taking progesterone.
What are your thoughts? I was just recently diagnosed having simple hyperplasia not atopic. I asked her about using a body identical progesterone instead and she there is no such thing. Body-identical progesterone Prometrium or Utrogestan capsules can be an option for some types of hyperplasia, but not all. My most intense symptoms are in the first half of my cycle anxiety, low mood, brain fog.
I do have some of these premenstrually too, and guess more progesterone could help then. Or if not, is it an option to take it continuously? Apparently still ovulating more often than not I take my temperature. I often feel hot, but not full-on flashes like many people describe.
The half-life of progesterone is 3 to 90 minutes, so it is eliminated fairly quickly. We make it every day for the luteal phase and then none until the next ovulation. In my early 30s I was diagnosed with PMDD and used symptom tracking to pinpoint my triggers- dropping estrogen after ovulation sends me into tailspins. With my PMDD, is progesterone really the best choice for me in perimenopause? Or am I going to need estrogen soon, too?
Thank you for your help! That is me exactly. The dip after ovulation is hardest. Now on compounded creams to give me more progesterone, but boost estrogen too. Hello Lara and thank you for your blog. Is it safe to try progesterone therapy for improving stress tolerance and sleep while still having ovulatory cycles and producing good amounts of progesterone according to blood test and a naturopathic doctor?
Thank you very much! Could you please write about sensitivity to progesterone? I was recently prescribed mg of body-identical progesterone capsules to treat anovulatory cycles. I am allergic to progesterone. To the point where my tongue and lips swell. Severe depression, joint pain, l cannot tolerate any biodentical progesterone or synthetic.
Biodentical estrogen has been my lifesaver. Why not try upping it to mg and see what happens? Thank you for this. Do you agree? I have been on this for 4 years since starting to be perimenopausal 4 years ago. I have refused the mirena coil plus oestrogen only as i do not want a coil inside me.
I wanted some testosterone as part of my repleacemnts as we also lose that but nothing is available apart from a gel, no controlled amount and possible side effects of permanent voice change… what are your thoughts on the inclusion.
But there is no logical way to mimic that. Start low and only go up if needed. I had Mirena implant a few years ago due to menorrhagia and endometrial hyperplasia.
Bled non-stop, terrible mood swings and acne from it, so out it came. Fast forward and I am now experiencing much heavier bleeding, irregular cycles, hot flashes, waking for the day at 2am, weight gain, low mood. I am 41 with endometriosis that has left me with part of one ovary.
Just asked dr to prescribe me prometrium and instead they will only prescribe progestin in oral, shot, or implant form, which obviously did not go well before. And why only progestin rx from dr? Could I not try it for a few months? It was day 21 or The ideal time for the test to be taken. No hot flashes or vaginal dryness. But I do spot pink before most periods for about a week in the mornings only. Also… thank you for your work!
It has helped me feel a sense of direction. I am 37 and I read your book. My periods are still regular but went from 28 day cycle to 23 day cycle and are fairly light.
Who should I be seeing to manage my care? I have no idea where to begin. Should I just ask my PCP to help with this? Just wanted to say thank you for all the research and information you have provided over the years.
You have helped me conquer the pain of endometriosis and subsequent flooding.
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