fellwalker

Just a few lines to update on the efficacy of your recommended treatment. Concurrent therapy - oestrogen and progesterone every day. After 16 days. I notice more smiles, body and face more relaxed, less reaction to stressful situations. She’s back to normal. Very surprised on the speed of response. She say’s, feels different, less anxious and generally happier. The sun shines more! Thanks from us both.

You are correct, complete hysterectomy due to Intramural fibroids at 49 years, no bits left in. We will go for the simplest regime. 1. Concurrent therapy - oestrogen and progesterone every day. If there no improvement will do a bit of system 4. Utrogestan 100 is in the cabinet and treatment started, she did notice the sleepiness. Regards

Hi One last consultation. The text below is from a new Zealand data sheet. Which of the regimes do you suggest? The usual dose is 100 mg/day at bedtime at least 12 to 14 days per month, i.e. on days 15 to 26 of each cycle or in the last 2 weeks of each treatment sequence of oestrogen therapy followed by approximately one week without any replacement therapy and during which withdrawal bleeding may occur. Alternatively 100 mg can be given at bedtime, from days 1 to 25 of each cycle, withdrawal bleeding being less with this treatment schedule. Regards

Hi I am up to speed, just need to source and that's not beyond me. Thanks for all the advice. I hope it helped other folk. Regards 👍👩‍⚕️ Took a while to find a lady health worker Emoji

Sheryl I much appreciate you ongoing involvement. New data is coming to light. Language differences have been identified as a problem and have been reconciled. My wife used to have the “night sweats”, she described as being “hot”. These were resolved with Progynova. Recently she has experienced what she calls “inside hot” which we have expanded to mean “agitated, tense, or nervous”. I now appreciate the problems Doctors must have when dealing with language differences. So it looks like it’s the side effects of the currently administered Progynova are at issue. Your observation that post hysterectomy, her situation, progesterone may be taken as well as oestrogen suggest that this might alleviate the ”inside hot” symptoms. There is no necessity for such an alternative drug to be “natural” a standard pharmacological product is acceptable to be taken by mouth. Can you suggest one?

Hi Sheryl If it’s good enough for you then my better half will be in good company. Can you say where it might be sourced, perhaps on line? Not sure pharmacies will have it out here in the sticks. Regards

We currently use Progynova 2 mg (Estradiol valerate) for HRT, it seems to be less effective than it used to be. Does anyone have a similar product Viz, oestrogen-only form of HRT its source and cost? Regards

Thanks a lot looks like the solution.

I am to visit, VFS (Thailand) Ltd. The Shoppes at Belle Grand Rama 9, 131/1,141/1, Unit BS003 – BS003/1, 1st Floor, Rama 9, Huay Kwang, Bangkok 10310 To get a new UK passport. Any ideas as to car parking. Maybe park in near by multi story and get a taxi. Or better on site. Regards

OK. You can apply at a new Amphur to see if you can get an earlier date. I cant advise on a location but a rural, area away from centers of population seems worth a try.

If you are referring to the validation of the Embassy stamp by the Ministry of Foreign Affairs, this does not have to be done in Bangkok. There is a sub section in Chiang Mai Mai. I did mine there using an agent based in CM. All done by phone, E-mail and post. They were outstanding and fees reasonable. Contact: Kanyarath Vutthinantapong (Paeng) Customer service officer +66 (0) 97 957 3343 --------------------------------------------------- Web: www.bangkok-translation.com FB: Bangkok Translation Service LINE ID: bkktranslate | WeChat ID: bkktranslate --------------------------------------------------- Bangkok Translation & Interpretation Service Siam Three Sixty Co., Ltd. | TAX ID: 0505562004378 --------------------------------------------------- Working Hours: (Bangkok | GMT+7) | Mon - Fri: 08.30 - 17.30 | Sat: 08.30 - 13:00 | Sun: Closed.

Sheryl I have followed your posts in the past and value you opinion. Thanks for the information. Apologies the computer had a fit and not sure if the reply was sent.

Just been diagnosed with transverse colon cancer at my local hospital. Did a CT scan so it’s pretty certain. I do not have a great deal of confidence in the general surgeon offered, I would prefer a colorectal surgeon that has some experience. Does anyone have advice on a decent hospital and surgeon that specialises in this condition that will not break the bank. I expect it will be in Bangkok.

Just been diagnosed with large colon cancer at my local hospital. Did a CT scan so it’s pretty certain. I do not have a great deal of confidence inn the general surgeon offered I would prefer a colorectal surgeon that has some experience. Does any one have advice of on a decent hospital that specialises in this condition that will not break the bank.

Reservation worked but then confirmation rejected as I had Pfizer- Pfizer. If you conform to the list of Jabs 1 then 2 on the web site you should be ok