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A 38-year-old female asked:

My estrogen, progesterone & testosterone levels are extremely low- as is my dhea & vitamins d & b considering pellet therapy. is this best? i'm 38.

3 doctor answers10 doctors weighed in
Dr. David Geffner
Endocrinology 54 years experience
NO cures: First see an endocrinologist to find out the cause of the low levels, if they are really low in a reputable lab. Bring your labs with you. Pellets, popular in australia, are used by too many ill trained people in the us. There are many other options to explore if you really are deficient.
Dr. Johanna Figueroa
Urology 24 years experience
A urologist that specializes in sexual health can also be of service
Sep 21, 2012
Dr. Johanna Figueroa
Urology 24 years experience
Pellets are used once appropriate dosing has been established. It's safe and efficacious.
Sep 21, 2012
Dr. Gurney Pearsall
Anti-Aging Medicine 29 years experience
Treatment Options: There are many treatment options for female hormone imbalances: *the on-label options include synthetic estrogen/progesterone pharmaceutical pharmacy rx *the off-label options include bioidentical estrogen/progesterone/testosterone compounding pharmacy rx . All pellet implants fall into this category. The advantage of pellets include a long-last therapeutic drug level {3-6mo}.
Dr. Gurney Pearsall
Anti-Aging Medicine 29 years experience
Provided original answer
Here is a link to an excellent overview of the currently available forms of Testosterone: http://www.nature.com/ijir/journal/v19/n1/full/3901366a.html
Mar 23, 2013
Dr. Wendy Askew
Obstetrics and Gynecology 24 years experience
It varies: Just wanted to say: my belief is that transdermal route of administration is best for estrogen and testosterone; and oral is best for dhea and Progesterone if you have problems with sleep dysfunction (the p4 gets conv'd to metabolite w/gaba activity that helps w/relaxation).But best therapy is what helps u feel best.Remember: blood testing has very limited accuracy if using topical products.

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Last updated Aug 28, 2017

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