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Hello, two months ago I was on a visit to the gynecologist to talk about the menopause, or, if necessary, about replacement therapy. I had my last menstruation in August 2016, after doing the appropriate tests, I received the SYSTEN-SEGUI hormone therapy (system 50 patches and systen conti). I present the results of my research FSH (L65) -16.06 PROGESTERON-0.21 PROLAACTIN-13.20 ESTRADIOL- 155.50. My question is: is this therapy really necessary? I put the patches on for the third week, every four days for a few days I wake up at night with a burning sensation and I can't fall asleep, besides I am irritable, I feel anxious, I have three more to the end of one series. What should I do?

Dear Madam, if you feel any discomfort or side effects with the above mentioned hormone therapy, please make an appointment with a gynecologist who will choose a different solution. Replacement therapy is not necessary, but it greatly facilitates the functioning and transition to the menopause.

Remember that our expert's answer is informative and will not replace a visit to the doctor.

Dr. Michał Barwijuk

Assistant at the Department of Obstetrics, Women's Diseases and Oncological Gynecology at the MSW Hospital in Warsaw. Member of the Polish Gynecological Society (PTGP), member and founder of the Polish Society of Plastic Gynecology (PTGP) and the Polish Society of Aesthetic and Reconstructive Gynecology (PTGEiR).

Co-organizer of trainings and lecturer for doctors in the field of plastic, aesthetic and reconstructive gynecology. Organizer of trainings and lecturer in laser techniques in aesthetic gynecology. He completed prestigious training at the Institute of Aesthetic and Reconstructive Gynecology in Florida (USA).

On a daily basis, she operates and assists in the most complex plastic and reconstructive gynecology procedures, and also performs minimally invasive aesthetic gynecology procedures, restoring the functionality and aesthetics of intimate zones. He trains doctors in laser techniques, carboxytherapy, platelet-rich plasma and hyaluronic acid in plastic and aesthetic gynecology and in surgical techniques in plastic gynecology. Since 2016, he has been conducting the first in Poland course in plastic gynecology on non-fixed preparations as part of practical classes inCEMED medical education center.

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