Doctor insights on:
Bioidentical Hormone Replacement
Please tell me, could a woman taking bioidentical hormone replacement have a finding of assymetric density in a mammogram?
A hormone (from greek ὁρμή, "impetus") is a chemical released by a cell or a gland in one part of the body that sends out messages that affect cells in other parts of the organism. Only a little amount of hormone is required to alter cell metabolism. In essence, it is a chemical messenger that transports a signal from ...Read more
I've heard that hormone replacement therapy can help with hot flashes. Everyone's talking about bioidentical hormones. What exactly are they and are they safe to use?
Unnecessary: "bio-identical" is a marketing term which generally refers to compounded preparations which may be of variable quality and strengths and are poorly regulated. Natural hormones are commercially available in standardized doses if that is what is preferred. ...Read moreSee 1 more doctor answer
Possibly appropriate: "bio-identical" is a marketing term which generally refers to compounded preparations which may be of variable quality and strengths and are poorly regulated. Natural hormones are commercially available in standardized doses if that is what is preferred. ...Read more
In using bio identical hormone replacement therapy, for a 57y/o, what is the target values to make me feel young and sexy in my blood work.
No magic: Bioidentical is a great marketing phrase, but has no medical substantiation. It's just another hype to sell product. Blood work values don't make you feel young and sexy. That all a state of mind and mental attitude. ...Read more
Hormone: Therapy (except for thyroid) doesn't help with weight loss. "bioidentical" is a lay term with no legal meaning, but generally "very expensive without any benefit". Most, if not all, of the commercially available hormones are manufactured to be identical to naturally secreted hormones, have been inspected and approved by multiple agencies, and are manufactured to exacting and reproducible standards. ...Read more
Yes: Absolutely one could use bioequivalent ie natural hormone replacement for menopause. I especially recommend it to patients whos are very sensitive to synthetic hormone replacement therapy. There are quite a few compounding pharmacies that can help one obtain these types of hormones for treatment. ...Read moreSee 1 more doctor answer
Individualized Care: An endocrinologist working w/u would tailor hormone treatments 2 u, specifically. But in general, 4 someone ur age the endo would likely consider 2 classes of agents: (1) agents that block production of andogens -"male" sex hormones like testosterone. One commonly used is the drug spironolactone. (2) "female" hormones -typically some mix of estrogen & progesterone. Specifics: http://bit.Ly/17gtqra. ...Read moreSee 2 more doctor answers
Which of: the thousands of hormones in your body are you asking about, Most so-called "natural" hormones are not standardized or regulated, potentially impure, and should be avoided like the plague. Check w/your doctor. Don't get your medical information from friends, tv or internet scams. ...Read more
Depends on hormone: Which hormone needs replacing? Thyroid hormone and Hydrocortisone can be taken as pills. Estrogen may also be taken as patches or creams. Testosterone can be given as injections or through the skin (patches, gels). Insulin has to be injected (syringe, pump). ...Read moreSee 1 more doctor answer
As long as necessary: But as short as possible. It also depends upon which hormone you are referring. Type 1 diabetes is associated w/pancreatic failure which means no Insulin is produced. In this case, Insulin replacement is lifelong. Hypothyroidism is inadequate production of levothyroxine, so again, replacement is lifelong. Estrogen is trickier. Current thinking is only if you have symptoms, so for as short as possi. ...Read more
Not if it is working: You should not need to consider whether to go on hormone replacement if you have at least one functioning ovary. If due to surgery, chemotherapy or other reasons that ovary is not functioning, you should have a discussion about the pros and cons of hrt with your doctor. ...Read more
Some women: Symptomatic menopausal women (hot flashes, difficulty concentrating, sleeplessness) can benefit from hormone replacement therapy if fully aware of the risks and complications attendant to the treatment. It is a subject that your gyn md should discuss the "yeahs and nays" with you at an appoinmtent including the whi research panel data that estrogen only use decreases the risk of breast cancer. ...Read moreSee 1 more doctor answer
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