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Doctor insights on: Ortho Est Estrogen Based Agent

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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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Estrogen (Definition)

Estrogen is a hormone that is secreted by the ovaries and affects ovulation, ...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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Which birth control is low cost without insurance? health dept wont give me a choice, ortho tri cyclen (ethinyl estradiol and norgestimate) is too strong

Which birth control is low cost without insurance? health dept wont give me a choice, ortho tri cyclen (ethinyl estradiol and norgestimate) is too strong

Call your pharmacy: Call around to your local pharmacies and ask them what the least expensive generic birth control pill that they have in stock. Prices can vary between pharmacies, so check several. ...Read more

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Best 2mg estradiol/100mg progestrn dosing regime to trigger period in 27yr old w/ 2yr amenorrhea? All tests normal (@fertility clinic), estrogen low.

Best 2mg estradiol/100mg progestrn dosing regime to trigger period in 27yr old w/ 2yr amenorrhea? All tests normal (@fertility clinic), estrogen low.

What are goals? : The treatment depends on the goals. You mention a fertility clinic. If you are trying to get treatment would be modified to help stimulate ovulation. If you're simply trying to regulate the menstrual cycles birth control pills would be the most common option. If you're experiencing premature ovarian failure then other considerations are necessary to manage this problem ...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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What is a cheaper option of bc that is highly comparable to ortho tri cyclin lo?

What is a cheaper option of bc that is highly comparable to ortho tri cyclin lo?

Many options...: Ortho tri cyclen (ethinyl estradiol and norgestimate) lo is a triphasic birth control regimen that cycles between ethinyl estradiol, norgestimate, and inert pills - has lowest hormone dosing of the triphasics. Depending on how you are tolerating this cycling, you can try a different regimen with low hormone levels such as loestrin (which has a set level of hormones for each pill of the month). ...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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Ls -dx biopsy 2x protopic-no help estrace (estradiol) for thinning tissue freq flares on clob/estrace (estradiol). Peer rev studies lack of testosterone receptors ls opinio?

Ls -dx biopsy 2x protopic-no help estrace (estradiol) for thinning tissue  freq flares on clob/estrace (estradiol).  Peer rev studies lack of testosterone receptors ls opinio?

Potent Steroid Best: The evidence of topical testosterone being useful in the treatment of lichen sclerosis is weak. Most studies demonstrate better control with the potent corticosteroid clobetasol dipropionate (0.05%). The benefit of using Protopic is mixed. I would recommend seeing a board certified dermatologist for this condition. Good luck. ...Read more

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Which dose is stronger...10mcg or 0.1mg? I am comparing vagifem and estrace (estradiol) cream

Which dose is stronger...10mcg or 0.1mg? I am comparing vagifem and estrace (estradiol) cream

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

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I'm 39 yr old female testosterone level is a 7, estradiol is <5.1, estrogen is 79, LH 4.9 & FSH 5.6 TSH 1.950. Need 2nd opinion r numbers to low/high?

I'm 39 yr old female testosterone level is a 7, estradiol is <5.1, estrogen is 79, LH 4.9 & FSH 5.6 TSH 1.950. Need 2nd opinion r numbers to low/high?

It depends somewhat: On when the blood was drawn, which exact tests were done, and by what lab, but generally the numbers look totally normal. Your pituitary gland seems to think the levels are appropriate. If you have questions, check w/your doctor. ...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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With isolated adrenal insufficiency likely due to LH and crest with digital ischemia, is estrogen/progesterone supplement needed to protect bones (estradiol < 20) given daily cortisol supp of 20-30mg?

With isolated adrenal insufficiency likely due to LH and crest with digital ischemia, is estrogen/progesterone supplement needed to protect bones (estradiol < 20) given daily cortisol supp of 20-30mg?

See below: If you are corticosteriods for a long period of time, you do need to be medications to protect your bones. Besides hormones, you could go a class of drugs known as bisphosphonates. Talk to your doctor about your options. ...Read more

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Endometrial lining thickened so had D & C. Why would lining thicken if I'm using progesterone & estrogen? Hormone level is in therapeutic range.

Endometrial lining thickened so had D & C. Why would lining thicken if I'm using progesterone & estrogen? Hormone level is in therapeutic range.

More info: it depends on the reason for which you are taking the hormones and the doses. You may never know the reason why it is thickened, but because it is, you need to investigate as you did. ...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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Took estratest HS for years with good results. Now on Premarin (conjugated estrogens) .625. Don't like it. Which is the closest HRT to estratest HS with no weight gain?

Took estratest HS for years with good results. Now on Premarin (conjugated estrogens) .625. Don't like it. Which is the closest HRT to estratest HS with no weight gain?

Testosterone: Estratest (esterified estrogens and methylestosterone) had a hefty dose of testosterone for women, which is why you liked it -- but it isn't the healthiest drug for women to take because of the testosterone. It's no longer available on the us market. The estrogen you're taking is one half of the dose that was in estratest, (esterified estrogens and methylestosterone) again probably having something to do with you're not liking it. Talk with your gyn. There is disagrement re estrogen tx. ...Read more

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Is there an alternative to ortho tri cyclen (ethinyl estradiol and norgestimate) that wont enhance depression?

Is there an alternative to ortho tri cyclen (ethinyl estradiol and norgestimate) that wont enhance depression?

Perhaps: For most people on a low estrogen formulation of the oral contraceptive, it is the Progesterone component of the pill that is most associated with depression. There are many different progestoerones and a different one from the one in orthotricyclin may have less of a mood effect. Norgestimate (in your pill) is usually well tolerated but some feel drospirenone (in Yaz, (drospirenone and ethinyl estradiol) and others) may be better. ...Read more