Top
20
Doctor insights on: Climara Estrogen Based Agent

Share
1

1
Which synthetic estrogen is safest, Estradiol Valerate, Mestranol, or Ethinyl Estradiol?

Which synthetic estrogen is safest, Estradiol Valerate, Mestranol, or Ethinyl Estradiol?

Synthetic meds: 1st no such thing as free lunch ie there's always some potential risk or side effect. 2nd FDA only approves meds which they deem benefit greater than risk (tho obviously not w/o disagreement & controversy). 3rd no studies demonstrate benefit of any oral estrogen over another tho some studies suggest topical safe than oral. 4th Natural isn't safe than synthetic ie tobacco is natural but isn't safe! ...Read more

Estradiol Transdermal System (Definition)

The Estradiol transdermal system, is designed to release Estradiol continuously upon ...Read more


2

2
Which among drospirenone containing ocp or cyproterone acetate is more effective in lowering male hormones?

Which among drospirenone containing ocp or cyproterone acetate is more effective in lowering male hormones?

Drospirinone : Drospirinone has more anti-testosterone effects than other types of progesterone. All progesterones will lower circulating testosterone. This particular Progesterone also competes with testosterone at the receptor level. This gives it a dual effect. ...Read more

3

3
Which costs less: conjugated estrogens (premarin) or the bio-identical estrogen patch?

Which costs less: conjugated estrogens (premarin) or the bio-identical estrogen patch?

Varies: The prices for either can vary widely between different pharmacies. The least expensive form of estrogen replacement therapy is usually generic ethynil Estradiol which is available for as little as $4 for a one month supply at some pharmacies. ...Read more

4

4
Outside of compounded estrogens, is estrasorb the only topical estrogen for hormone regulation, not vaginal issues. ?

Outside of compounded estrogens, is estrasorb the only topical estrogen for hormone regulation, not vaginal issues. ?

No: There are various patches. Vivelle (estradiol) is the most commonly used. I like vivelle (estradiol) because it comes in various doses that allows for very selective titration of dose. ...Read more

6

6
When adding estrogen to prometrium (micronized progesterone) for perimenopausal relief how is amt. Determined?

When adding estrogen to prometrium (micronized progesterone) for perimenopausal relief how is amt. Determined?

Starting dose: Most people will use 1-2 mg which are the lowest doses for effectiveness, sometime we go higher if symptoms are persistant. ...Read more

7

7
Hormone replacement- is the dose and duration of prometrium (micronized progesterone) used in menopause dependent on the dose of estrogen being used by the patient.?

Hormone replacement-  is the dose and duration of prometrium (micronized progesterone) used in menopause dependent on the dose of estrogen being used by the patient.?

Not necessarily: If you still have a uterus, then you need a combination of estrogen and progesterone. The Progesterone can by taken continuously or in a cyclic fashion. Remember, you are only using the minimum dose of hormones to treat the symptoms that are bothering you. Discuss these doses with your doctor. ...Read more

8

8
Is estratest (esterified estrogens and methylestosterone) a biochemical hormone?

Is estratest (esterified estrogens and methylestosterone) a biochemical hormone?

Yes...: ...But perhaps you mean bioidentical. All hormones are biochemicals. Estratest (esterified estrogens and methylestosterone) is a combination of methyltestosteone, which is synthetic and not the same as your own testosterone, and mixed estrogen hormones which are excreted by pregnant mares in their urine. These hormones are similar to, but not identical to, natural human hormones. ...Read more

See 1 more doctor answer
10

10
What is the standard starting dose of progesterone bioidentical hormone cream?

What is the standard starting dose of progesterone bioidentical hormone cream?

See below: Knowing your present level help direct treatment...Saliva testing can help tell you what is out of balance. This tells you how much free hormone is available, and then with the help of some one experienced in natural hormone therapy many corrections can be corrected. ...Read more

11

11
What is better to treat low estrogen in 30 yr old female (6 p/mg), Premarin (conjugated estrogens) , estradiol or birth control?

What is better to treat low estrogen in 30 yr old female (6 p/mg), Premarin (conjugated estrogens) , estradiol or birth control?

Depends: If you have an intact uterus then I would use a birth control pill as it provides both the estrogen and progesterone you need to prevent pregnancy and endometrial hyperplasia. If you have had a hysterectomy than both premarin (conjugated estrogens) and estradiol (estrace) would be fine. The estrogen in birth control by the way is estradiol as well. Birth control also lowers ovarian cancer risk (combined pills only) ...Read more

See 1 more doctor answer
12

12
Tamoxifen is given to breast cancer patients to suppress estrogen or both estrogen & progesterone?

Tamoxifen is given to breast cancer patients to suppress estrogen or both estrogen & progesterone?

Estrogen: Tamoxifen is given to individuals with specific breast cancers that are driven to grow by the presence of estrogen receptors. Tamoxifen interferes with the activity of estrogen in the breast, preventing cancer growth. The role of Progesterone receptors is unclear, though Progesterone receptors in breast cancer are generally associated with estrogen receptors, making tamoxifen an effective therapy. ...Read more

See 2 more doctor answers
13

13
Side effect of hormone replacement like estratest (esterified estrogens and methylestosterone)?

Side effect of hormone replacement like estratest (esterified estrogens and methylestosterone)?

Several.: If you have metabolic syndrome (bad cholesterol/hdl, high bp, weight on the middle, not for you. If you are more pear shaped, no effects ecept improving libido. The principle adverse effects relate to the estrogen. ...Read more

14

14
Which among drospirenone and cyproterone acetate is more effective in lowering male hormones?

Cyproterone: Cyproterone is very good for blocking male androgens but it is normally used in men for different reasons like prostate cancer. Drospirenone is a hormone in birth control. It can help with hot flashes and abnormal periods but does not really block "male hormones". ...Read more

15

15
Does the hormone climara estradiol dransdermal system cause weight gain?

Does the hormone climara estradiol dransdermal system cause weight gain?

0.05mg/day 13%edema: In higher dose of 0.05mgm it causes edema13% of time and that will show on the scale as weight gain but it is not real weight gain. Inpost marketing reports it can cause weight gain or weight loss in some individuals. ...Read more

16

16
Is there a quality difference between vivelle (estradiol) brand estrogen patches and generic ones, e.G., estradot 17b?

Is there a quality difference between vivelle (estradiol) brand estrogen patches and generic ones, e.G., estradot 17b?

Yes.: There might be no difference in the chemical component (estradiol), however, vivelle dot provides a better matrix for a more dependable and reliable delivery of the medication. That in turn will lead to better absorption and more efficacy ...Read more

18

18
Is the prometrium (micronized progesterone) a bio identical hormone?

Is  the prometrium (micronized progesterone) a bio identical hormone?

Prometrium (micronized progesterone): Yes. Prometrium (micronized progesterone) is natural Progesterone and is a bio identical hormone to human progesterone. ...Read more

See 2 more doctor answers
19

19
Where is information on normal levels of progesterone, estradiol, estriol, testosterone & dhea?

Where is information on normal levels of progesterone, estradiol, estriol, testosterone & dhea?

Lab reference ranges: Levels of these hormones are only as reliable as their test kits. One lab may use a different method for detection than another. You may not be able to compare values between different labs. Labs also set their normal ranges based on multiple tests. You need to discuss these hormones with an endocrinologist as they're trained to understand the different testing methods. ...Read more

See 2 more doctor answers
20

20
Prempro (conjugated estrogens and medroxyprogesterone) works well but expensive. What is exact alternative?

Prempro (conjugated estrogens and medroxyprogesterone) works well but expensive. What is exact alternative?

Options: There are options. Prempro has different dosages of estrogen and Progesterone component. Estrogen (estradiol) comes in 0.3mg, 0.45mg, and 0.625mg. The Medroxyprogesterone acetate comes as 1.5mg 2.5mg and 5mg. As your dosage of estrogen goes up, so does progesterone. You can take estrogen as pill or patch. I like the patch. And then take Provera (medroxyprogesterone) for Progesterone (2.5 or 5.0mg). ...Read more

See 1 more doctor answer

Estrogen (Definition)

Estrogen is a hormone that is secreted by the ovaries and affects ovulation, ...Read more


Dr. Qamar Khan
12 doctors shared insights

Climara (Definition)

Climara is an estrogen-based agent which is a kind of women's ...Read more