Doctor insights on:
Estrace Estrogen Based Agent
Outside of compounded estrogens, is estrasorb the only topical estrogen for hormone regulation, not vaginal issues. ?
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
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
Crinone (progesterone gel).: Crinone (progesterone gel) is a more absorbable formulation of vaginal Progesterone and approved to prevent preterm birth in women with very short cervix (<15-20 mm) by transvaginal prenatal ultrasound. Suppositories are not approved for that indication! use Crinone (progesterone gel) 8% (90 mg per 1.125g) nightly until 37 weeks if your physician agrees. ...Read more
Yes: Typically, these are all metabolized the samer. ...Read more
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
1000 : 1000 mcg make up 1 mg so 100 mcg = 0.1 mg 10 mcg = 0.01 mg 1 mcg = 0.001 so, the 0.1 mg dose is 10 times stronger than the 10 mcg dose. I hope this helps!. ...Read more
Which brand of natural progesterone cream is advisable to use for treating pcos & estrogen dominance?
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
Very standard: Dose.Get a more detailed 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
Sorry that your: question has not been addressed yet. I'm not expert in the area you want addressed but encourage you to speak with a doctor who is. That will give you the best answer. Peace and good health. ...Read more
When prometrium (micronized progesterone) stimulates instead of sedates a perimenopausal woman what should be taken? Estrogen in combo with prometrium (micronized progesterone)?
Go see your doctor: While our impression of estrogen for perimenopausal women has changed dramatically over the last decade, it still should be used for right reason, and sedation is not one of them. So go see your prescribing doctor & tell her/him about your side effects so that s/he can offer you some alternatives (rather than just throw more medications at you). ...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
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
Bladder prolapse: Although Estrace cream can assist in keeping the epithelium of the vagina distensible, post menopausal bladder prolapse is more function of the lack of bladder ligament support or prior vaginal childbirth trauma. Patient's who have had multiple vaginal deliveries are more likely to see a more rapid bladder prolapse then not. ...Read more
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