Doctor insights on:
Estrogen Hormone Replacement Therapy
Complex issues: Female hormones increase thromboembolism, deep venous thrombosis--progesteron is blamed, more than estrogen--because at menopause, there is changes in blood coagulation?Increase weight, arteriosclerosis, metabolic syndrome all of this increase risk of cardiovascular disease-- estrogen can be given at low dose for brief periods. ...Read moreSee 2 more doctor answers
Usually done to provide the hormones that would be deficient upon surgical removal or inactivity or malfunction of a hormone producing gland or organ. The endocrinologist is the medical specialist that specializes amongst other things , in doing just that. Insulin/glucagon-pancreas, thyroid hormone-thyroid, ovaries, testicles, hypothalamus, ...Read more
Invalid: There is no validity to following blood estrogen levels in order to adjust the dosage of hormone replacement. At age 32, I would not expect that you should need hormone replacement, unless you went through early menopause or had surgical removal of your ovaries. In postmenopausal women the dose is adjusted based on symptoms (hot flashes, sleep issues), not blood levels. ...Read more
I need to know what is the range for healthy blood level of estrogen when on hormone replacement therapy?
No range: There is no meaningful range to follow blood levels. That's not how its done. ...Read more
MTF: Does not make sense to me. I see MTF and FTM patients only after they have been evaluated and referred by a Psychologist and have yet to encounter this - not that I see that many, perhaps one or two a month. Something doesn't sound right so please have your doctor explain what is happening or have the doctor refer you to someone else. ...Read more
Hormone replacement therapy. Estrogen alone increases risk of uterine cancer. Adding progesterone increases risk of breast cancer, but reduces risk of uterine cancer. What's the right balance?
Individual: Yes, estrogen alone does increase the risk of uterine cancer over time. And yes the whi showed that the combination of a certain synthetic estrogen and a certain synthetic progestin increased the risk of breast cancer. But most specialists do not use those older types of synthetic hormones and with newer medications the risks are lower and different. So a balance can be achieved. ...Read more
It can: If not monitored. Estradiol and estriol levels are much higher in ovulating women & pregnant women, respectively. Birth control estrogen is 5x more potent than the estrogen used in hrt and carries risks of blood clots, heart attack etc. Estrone levels are high in overweight women who carry the same risks. Hrt that is not converted to estrone is the key, in my opinion. ...Read moreSee 2 more doctor answers
Please clarify: Hi. I'm not sure what you're referring to. We replace LOTS of hormones (thyroid, insulin, growth hormone, cortisol, aldosterone [given as fludrocortisone], estrogen, testosterone, progesterone, anti-diuretic hormone (given as DDAVP], etc, etc). I suspect you may be referring to archaic terminology for gonadal steroid replacement, but in that case, I have no idea what "therapy before starting" is ...Read more
SAFE for most women: Hrt (and its reputation and safety) constantly changes as new studies come out. Here is the best 2012 review: in patients with no increased risk of breast cancer, heart disease, or blood clots, trans-dermal hrt (patch, cream, gel) is relatively safe, and safe for just a few years, but as few as necessary. An even better review: talk to your own doctor. ...Read moreSee 2 more doctor answers
Bioidenticals: The women's health initiative study was terminated early for increase in breast cancer, heart attack ; stroke looked at only Premarin ; prempro which contain conjugated equine Estrogens ; progestin (synthetic; not progesterone). Studies show bioidentical hormones (hormones exactly like those you make) are safe for most people (men need HRT too). Progesterone ; estriol protect vs. Breast cancer. ...Read moreSee 1 more doctor answer
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
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