Doctor insights on:
Bioidentical Estrogen Therapy
Age 80: I am not sure I understand your question but at your age (if I read it correctly) you may be having side effects from your own testosterone - such as an enlarged prostate. In that case you must see a Urologist. I cannot think of any reason to consider an estrogen inhibitor for you. ...Read more
Turners syndrome: Estrogen therapy can be supra physiological like in oral contraceptives or physiological like after menopause you should have estrogen which is in physiological doses to be cycled with Progesterone to help develop normal somatic features and bmd also may need growth hormone esp to early life and get good height. ...Read more
Go see your doctor: The good news is that your doc checked. Before you look for more drugs eg aromatase inhibitor, in a domino fashion, ask yourself if you've noticed any side effects from excess estrogen. If not, you can take a wait & see approach. Or take less testosterone more frequently (that way you won't waste excess testosterone). Or change your method of therapy. But all this must be discussed w/your doc. ...Read moreSee 1 more doctor answer
0.025mg/day: The lowest transdermal patch is 0.025 mg/day. There are also several topical gels and a spray in this range. ...Read more
I recently started androgel,Should I be concerned about an increase in estrogen? And is it okay to take an anti estrogen with trt therapy?
Good question: testosterone can & does convert to estrogen (estradiol), so increasing testosterone can result in increasing estrogen. Testosterone can compete with estrogen, but a surplus will make it more likely to increase the enzyme aromatase, which converts T to E. Additionally, testosterone from an external source will generally shut your own production down significantly after about 3-5 weeks ...Read more
Depends on age: Early estrogen replacement rx (hrt) is of major value in women with either surgical menopause or early menopause in diminishing the likelihood of heart disease. It diminishes the chance for osteoporosis and colon cancer. It makes a females sexual-life longer. However, in older females with metabolic syndrome, or who have been off or never on hormones, a serm like Evista (raloxifene) may be better option. ...Read more
Not typically: Estrogen therapy is no longer the treatment of choice for post menopausal osteoporosis, due to an increased risk for cardiovascular events. Estrogen-like medications called serms can be used. The major class of medication for osteoporosis are bisphosphonates such as fosamax, actonel, boniva (ibandronate). However, short term estrogen treatment can be consider for severe postmenopausal symptoms. ...Read more
Hello. Im 50 years of age and interested in how can I maintain healthy estrogen level without hormonal replacement therapy?
Clarify: Hi. Once you go through menopause, your estrogen levels will plummet, but not go to zero. That is biologically natural, so by definition, the "healthy estrogen level". So eat healthily, exercise regularly, and stay healthy! You DO NOT need to take estrogen (+/- progestin, depending on presence or absence of uterus) for that! Many docs feel that hormone replacement risks outweigh benefits. ...Read moreSee 1 more doctor answer
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