{"id":655745,"date":"2014-11-25T00:00:00","date_gmt":"2014-11-25T00:00:00","guid":{"rendered":"https:\/\/stg-hemmetsjournal-stage.kinsta.cloud\/hemmetsjournal\/artiklar\/experterna\/20141124\/kan-en-annan-behandling-ge-mig-battre-odds\/"},"modified":"2016-05-15T19:08:51","modified_gmt":"2016-05-15T19:08:51","slug":"kan-en-annan-behandling-ge-mig-battre-odds","status":"publish","type":"post","link":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/artiklar\/experterna\/20141125\/kan-en-annan-behandling-ge-mig-battre-odds\/","title":{"rendered":"Kan en annan behandling ge mig b\u00e4ttre odds?"},"content":{"rendered":"<div>\n<div>\n<p>Jag \u00e4r en kvinna p\u00e5 36 \u00e5r. F\u00f6r tv\u00e5 \u00e5r sedan konstaterades att jag har &#8220;f\u00f6r tidigt klimakterium&#8221; p\u00e5 grund av cellgiftsbehandling f\u00f6r en reumatisk autoimmun sjukdom. Jag fick diagnosen d\u00e5 jag slutade ta mina p-piller eftersom jag och min man ville f\u00f6rs\u00f6ka skaffa barn. Min gynekolog sa att jag <em>m\u00e5ste<\/em> ta \u00f6strogen eftersom min kropp normalt sett g\u00f6ra det och att jag skulle ta det fram till 50-\u00e5rs\u00e5ldern.<\/p>\n<p>Med risk att f\u00e5 livmoder-, \u00e4ggstocks- och br\u00f6stcancer s\u00e5 valde jag att inte ta \u00f6strogen. Men eftersom jag m\u00e5dde d\u00e5ligt, fick sv\u00e5ra v\u00e4rmevallningar, \u00e5ngest och oro, k\u00e4nde mig tr\u00f6tt och allm\u00e4nt i d\u00e5ligt skick, s\u00e5 s\u00e5g jag ingen annan utv\u00e4g \u00e4n att f\u00f6lja hennes uppmaning efter ett tag.<\/p>\n<p>Besv\u00e4ren har f\u00f6rsvunnit. Men jag kan inte sl\u00e4ppa tanken p\u00e5 att ta detta \u00f6strogen i s\u00e5 m\u00e5nga \u00e5r m\u00e5ste vara till skada f\u00f6r min kropp. D\u00e4rf\u00f6r skulle jag vilja ha en annan gynekologs \u00e5sikt i detta.<\/p>\n<p>Har du n\u00e5gon erfarenhet av f\u00f6r tidigt klimakterium och hur b\u00f6r man behandla det? Anser du att jag m\u00e5ste ta \u00f6strogen (Activelle har jag nu). Eller finns andra alternativ?<\/p>\n<p>Min mormor fick livmodercancer och de tog bort b\u00e5de livmoder och \u00e4ggstockar. Mamma har diagnostiserats med livmoderhalscancer. K\u00e4nns som att \u00e4rftlighet och min \u00f6strogenbehandling inte ger mig s\u00e5 bra odds.<\/p>\n<\/p><\/div>\n<\/div>\n<div><strong>Gynekolog Kristina Billberg svarar:<\/strong><\/p>\n<div>\n<p>Den dos \u00f6strogen du nu tar med Activelle \u00e4r ungef\u00e4r en tiondel av det \u00f6strogen du normalt skulle ha cirkulerande i kroppen om dina \u00e4ggstockar hade varit aktiva och du inte kommit i f\u00f6r tidigt klimakterium. Fr\u00e5gan \u00e4r varf\u00f6r du \u00e4r r\u00e4dd f\u00f6r att denna lilla dos skulle skada dig? Hade dina \u00e4ggstockar fungerat hade du haft en mycket h\u00f6gre \u00f6strogenniv\u00e5.<\/p>\n<p>Det \u00e4r ju tv\u00e4rtom s\u00e5 att du \u00e4ven med Activelle har en l\u00e4gre risk att drabbas av \u00f6strogenberoende cancer, som br\u00f6stcancer eller livmodercancer, j\u00e4mf\u00f6rt med andra kvinnor i din \u00e5lder som normalt har mycket h\u00f6gre hormonniv\u00e5er. Livmoderhalscancer \u00e4r inte alls hormonberoende s\u00e5 risken att f\u00e5 den typen av cancer f\u00f6r\u00e4ndras inte av h\u00f6ga eller l\u00e5ga niv\u00e5er av hormoner.<\/p>\n<p>Att komma in i f\u00f6r tidigt klimakterium kan ha andra orsaker \u00e4n cellgiftsbehandling som i ditt fall, exempelvis att ha f\u00e5tt b\u00e5da \u00e4ggstockarna bortopererade i unga \u00e5r. Om man drabbas ligger man s\u00e5 l\u00e5gt i sina \u00f6strogener att detta i sig inneb\u00e4r en \u00f6kad risk b\u00e5de f\u00f6r hj\u00e4rt-k\u00e4rl-sjukdomar men ocks\u00e5 f\u00f6r att f\u00e5 sv\u00e5r bensk\u00f6rhet.<\/p>\n<p>Ofta f\u00e5r kvinnor med ett f\u00f6r tidigt klimakterium ocks\u00e5 mer dramatiska symptom j\u00e4mf\u00f6rt med kvinnor som kommer i klimakteriet vid 50 \u00e5rs \u00e5lder. D\u00e4rf\u00f6r h\u00e5ller jag helt med din gynekolog. Jag skulle ocks\u00e5 r\u00e5da dig till att ta en liten dos \u00f6strogen fram till 50 \u00e5rs \u00e5lder f\u00f6r att m\u00e5 bra och f\u00f6r att minska risken f\u00f6r hj\u00e4rt-k\u00e4rl-sjukdomar och bensk\u00f6rhet.<\/p>\n<p>Du som i dig sj\u00e4lv har mycket l\u00e5ga \u00f6strogenniv\u00e5er uts\u00e4tter dig inte f\u00f6r n\u00e5gra risker genom att ta en liten dos \u00f6strogen. Activelle \u00e4r ett av m\u00e5nga bra alternativ som man kan anv\u00e4nda sig av.<\/p>\n<\/p><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Jag \u00e4r en kvinna p\u00e5 36 \u00e5r. F\u00f6r tv\u00e5 \u00e5r sedan konstaterades att jag har &#8220;f\u00f6r tidigt klimakterium&#8221; p\u00e5 grund av cellgiftsbehandling f\u00f6r en reumatisk&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ep_exclude_from_search":false,"_FSMCFIC_featured_image_caption":"","_FSMCFIC_featured_image_nocaption":"","_FSMCFIC_featured_image_hide":"","footnotes":""},"categories":[136],"tags":[142],"class_list":["post-655745","post","type-post","status-publish","format-standard","hentry","category-experterna","tag-gynekologen"],"acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-04-14 04:07:40","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/posts\/655745","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/comments?post=655745"}],"version-history":[{"count":0,"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/posts\/655745\/revisions"}],"wp:attachment":[{"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/media?parent=655745"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/categories?post=655745"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/stage.hemtrevligt.se\/hemmetsjournal\/wp-json\/wp\/v2\/tags?post=655745"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}