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Doctor insights on: Estring Estrogen Based Agent

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Dr. Alvin Lin Dr. Lin
1 doctor agreed:
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Which synthetic estrogen is safest, Estradiol Valerate, Mestranol, or Ethinyl Estradiol?

Dr. Alvin Lin Dr. Lin
1 doctor agreed:
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

Dr. Walter Husar
4 doctors shared insights

Estradiol Vaginal Ring (Definition)

Estradiol is the shortened version of 17 beta estradiol, a naturally occurring sex hormone in the estrogen family. In fact, it is the most active and the most prevalent of the three main Estrogens in reproductive age women. In women, it decreases dramatically after menopause. Estradiol is also present in ...Read more


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What is Premarin (conjugated estrogens) vaginal cream used for?

What is Premarin (conjugated estrogens) vaginal cream used for?

FOR VAGINAL DRYNESS: It is used for vaginal dryness during menopause, especially if it also causes painful intercourse it is also sometime used in pediatric practice for labial adhesions. ...Read more

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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

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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

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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

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Which is better: crinone (progesterone gel) or standard progesterone suppositories?

Which is better: crinone (progesterone gel) or standard progesterone suppositories?

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

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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

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Does the nuvaring have lots of estrogen like premphase (conjugated estrogens and medroxyprogesterone)?

Does the nuvaring have lots of estrogen like premphase (conjugated estrogens and medroxyprogesterone)?

Much, much more: The nuva-ring is used for contraception and has estrogen levels that mimic the normal levels found in reproductive age women. Prempase is used for postmenopausal hormone replacement and contains a much, much lower dose of estrogen. ...Read more

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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

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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

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If I'm transsexual, will 1.25 mg of Premarin (conjugated estrogens) be effective?

If I'm transsexual, will 1.25 mg of Premarin (conjugated estrogens) be effective?

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

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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

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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

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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

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49yr f - alora patch (.05) & prometrium (micronized progesterone) (100mg) bleed& clots by 5 days on meds. Prob hormonal imbalance. How to balance? More estr or prometrium (micronized progesterone) ?

49yr f  -  alora  patch (.05) & prometrium (micronized progesterone) (100mg) bleed& clots by 5 days on meds. Prob hormonal imbalance. How to balance? More estr or prometrium (micronized progesterone) ?

Prob. less estrogen: Estrogen causes the lining of the uterus to thicken and later this causes the bleeding. You probably need less estrogen and possible more Progesterone depending on other symptoms. See your doctor to get adjusted. ...Read more

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Why would a doctor order a ROMA test based solely on high estrogen levels when no other diagnostic tests have been ran?

Why would a doctor order a ROMA test based solely on high estrogen levels when no other diagnostic tests have been ran?

ROMA test.: 44F of unknown medical Hx asks: Why would a doctor order a ROMA test based solely on high estrogen levels when no other diagnostic tests have been ran? ANS: Have no idea what a ROMA test is. Abbreviations are dangerous in Medicine. Best to ask the Dr who ordered test as knows you much better than we do from the information you gave. ...Read more

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Can you tell me if there are plant based estrogen? Estroven

Estrogen: Yes it is in plants but it is much more reliable when developed and made in a professional laboratory. ...Read more

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As a doctor, would u sugest an estrogen or progesterone based bc since I am highly prone to cysts, let alone have them.?

As a doctor, would u sugest an estrogen or progesterone based bc since I am highly prone to cysts, let alone have them.?

Estrogen/progestin: To avoid misunderstanding, all bc is basically progestational in action - that's how it works - regardless of whether it contains estrogen or not. There is no science to give a'rule' about which is more effective/less risky for functional ovarian cysts, it's based on trial and error. That said, i think most do better with a combination oc containing both, start with that. ...Read more

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Does flax increase estrogen?

Not enough: To make any difference. In fact, taking it doesn't really make any difference except to spend money. ...Read more

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What does estrogen do in males?

Protects bone.: Although estrogen levels are lower in men than in women estrogen is important in protecting against bone loss in men as in women. ...Read more

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How does estrogen affect males?

How does estrogen affect males?

It doesn't: Estrogen is overwhelmed by the effects of testosterone in males and has no impact whatsoever. ...Read more

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Are estrogen tablets safe to take?

Are estrogen tablets safe to take?

Depends: That is a very difficult question to answer because more information would be needed. It depends on why you are taking the estrogen, your age, other medical conditions, family risks, other medications, etc. You should discuss the risks and benefits with your provider before making that decision. Estrogen can be safe for many people, but not all. ...Read more

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What is a low estrogen level at 40?

Varies: Estrogen levels fall at menopause. This is a natural transition for all women between ages 40 and 55. The decline in estrogen can happen abruptly in younger women whose ovaries are removed. The "normal" level of Estrogens in premenopausal women depend on what part of the cycle they (typically estradiol) are measured as well as the different labs that are used. ...Read more

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What happens when men take estrogen?

What happens when men take estrogen?

At times: There are certain conditions that make estrogen actually a good thing to use for men. However, estrogen will undo/block testosterone activity in male cells/ tissues. Breast enlarge, testicles shrink, penis thins, and even mood changes. ...Read more

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How to lower estrogen level for men?

How to lower estrogen level for men?

Antioestrogen: I estrogen lowering compounds are not presently approved in genetic males however can be used under supervision of a physican who understands your medical history tamoxifen is a compound which blocks action at cell level compounds like anastrazole can stop from making oestrogens. ...Read more

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What will taking estrogen do to a man ?

What will taking estrogen do to a man ?

Grow breasts: Maybe suppress his libido / fertility. Some men who want breast development take estrogens to get the effect. There's no figuring guys out. Why do you ask? ...Read more

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What are symptoms of low estrogen in women?

Periods: Menopause is a time when the ovaries stopped producing estrogen. The symptoms of hot flashes, pain with intercourse, and droopy breasts. In women of reproductive age, the symptoms may be different. Very light periods, lack of periods, or shrinking breasts can be clues. You can determine low estrogen by a blood test (lh, fsh, estradiol) on day 2 or 3 of the menstrual cycle and a week before. ...Read more

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Does estrogen have any negative side affects?

Yes: Yes, definitely. However, the side effects are relatively uncommon and the benefits can be very great. The greatest risk of post-menopausal hormones and the pill is deep vein clots which can be very serious. Pregnancy (which has many risks) prevention reduces risks. Long-term benefits have been shown as well. Remember, ust because a risk is rare does not mean it cannot happen to anyone. ...Read more

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Can there be an accurate way to test estrogen?

Can there be an accurate way to test estrogen?

Yes: Blood testing is very accurate, but usually not necessary. Check w/your doctor. ...Read more

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Feel hot all the time. Using estrogen. Related?

Feel hot all the time. Using estrogen. Related?

It could be but: May i ask first how old are ? Are you still menstruating? Did menstruation stop? For how long? Estrogen has to be given in the right dose and duration for the right person who needs it. Too much estrogen can cause problems including feeling hot. Remember that hot flashes is part of estrogen deficiency. Hyperactive thyoid can cause you to feel hot. Test for tsh. See you dr. Thank you. ...Read more

Estrogen (Definition)

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


Dr. Sheila Smith
6 doctors shared insights

Estring (Definition)

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