Can Women with Ovarian Surgery Safely Use Estrogen Products?

Is it safe to consume estrogen products?

Hello Doctor, in 2016, I had a 2-kilogram ovarian cyst, which was surgically removed and found to be benign.
One of my ovaries was also removed during the procedure.
Since then, I have undergone annual ultrasound examinations, and my most recent ultrasound on October 2023 showed no abnormalities.
Since I only have one ovary left, can I consume products that contain estrogen? Will taking them increase the risk of recurrence? The product ingredients include: Thai pueraria mirifica extract, sheep placenta powder, green papaya extract, royal jelly extract, Chinese yam extract, fermented soybean bran (phytoestrogens), lecithin, collagen, pomegranate extract, silk protein, patented Japanese strawberry extract, American GROW SNS-1 yeast powder, citrus extract (containing citrus flavonoids), pearl powder (patented process), and goji berry extract.
Thank you for your response, Doctor.

Xiao Xin, 20~29 year old female. Ask Date: 2023/11/16

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, it generally does not have an impact.
Wishing you good health.

Reply Date: 2023/11/16

More Info

When considering the use of estrogen products after ovarian surgery, particularly in the context of having had a benign ovarian cyst (or "water tumor") removed, there are several important factors to consider.
Firstly, it is essential to understand the nature of the ovarian surgery you underwent. In your case, the cyst was benign, and you had one ovary removed. This means that you still have one functioning ovary, which is capable of producing hormones, including estrogen. The remaining ovary can often compensate for the loss of the other, but the overall hormonal balance in your body may still be affected.

Estrogen is a crucial hormone for various bodily functions, including regulating the menstrual cycle, maintaining bone density, and supporting cardiovascular health. However, the introduction of external estrogen, especially after a history of ovarian issues, requires careful consideration.
The concern with using estrogen products, particularly in the context of a history of ovarian cysts, is the potential for stimulating the growth of any residual ovarian tissue or the development of new cysts. While benign cysts are not cancerous, they can still cause discomfort and complications. The ingredients you listed in the estrogen product, such as Thai pueraria mirifica extract, placenta powder, and soy isoflavones, are often marketed for their estrogen-like effects. However, the safety and efficacy of these products can vary widely, and they are not always subject to the same rigorous testing as pharmaceutical drugs.

Given your history of a benign ovarian cyst and the fact that you have only one ovary left, it is advisable to approach the use of estrogen products with caution. Consulting with a healthcare provider who specializes in gynecology or endocrinology is crucial. They can evaluate your specific health situation, consider any potential risks, and monitor your hormone levels and ovarian health through regular ultrasounds or other imaging techniques.

In general, if you are considering using estrogen products, it is essential to discuss this with your doctor. They may recommend alternative treatments or lifestyle changes that can help manage any symptoms you may be experiencing without the potential risks associated with estrogen supplementation.
In conclusion, while it is possible for women with a history of ovarian surgery to use estrogen products, it is crucial to do so under medical supervision. Regular monitoring and a thorough understanding of your individual health status will help ensure that any treatment you pursue is safe and effective. Always prioritize open communication with your healthcare provider to make informed decisions regarding your health.

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