Doctor insights on:
Climara Estrogen Based Agent
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
Which among drospirenone containing ocp or cyproterone acetate is more effective in lowering male hormones?
Outside of compounded estrogens, is estrasorb the only topical estrogen for hormone regulation, not vaginal issues. ?
Which brand of natural progesterone cream is advisable to use for treating pcos & estrogen dominance?
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
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
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 moreSee 1 more doctor answer
Yes: Typically, these are all metabolized the samer. ...Read more
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 moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
Is there a quality difference between vivelle (estradiol) brand estrogen patches and generic ones, e.G., estradot 17b?
Can natural progesterone cream offset the negative effects of synthetic progestin (legonorgestrel)?
no: No. They are both progestins. The cream will work locally but do the same thing. ...Read more
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
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