Doctor insights on:
For some yes: Estroven is an over the counter herbal supplement to improve hormonal imbalance during perimenopause. It can help women who have mild symptoms and are good candidates for hormone use. (a poor candidate are women with heart disease, diabetes, cancers, blood clots). If you have severe symptoms, this will not help and you can consider bio identical hormone replacement. ...Read more
Options: Black cohosh is an herb which may be beneficial for hot flashes, but which should be avoided if there is liver illness. The lignans in flaxseed and flaxseed oil may help night sweats/ to obtain the most benefit from flaxseed oil, it should be cold grinded. The plant Estrogens in red clover may be helpful with mild menopausal symptoms but may be contraindicated in a woman with either breast >>. ...Read moreSee 1 more doctor answer
Not very good: In natural or surgical menopause (removal of both ovaries) the problem is lack of estrogen. Giving estrogen to women who have not had their uterus removed (hysterectomy) increases the risk of uterine cancer, so we give Progesterone or synthetic progestins to protect the uterus. Progesterone as skin cream is not enough to protect the uterus, but can reduce hot flashes and does not prevent bone loss. ...Read more
By the follicle: An amazing dance of hormones coordinates the reproductive system. One of the thousands of egg sacs that are in the ovary matures each month during the reproductive years. During the first two weeks of the menstrual cycle, the follicle releases estradiol, a potent estrogen. After releasing its egg, the follicle becomes a corpus luteum and makes Progesterone instead. ...Read moreSee 1 more doctor answer
No: Premarin (conjugated estrogens), (conjugated estrogens) a synthetic estrogen, is prescribed for menopausal symptoms such as hot flashes, vaginal dryness, anxiety etc. It can actually increase vaginal bleeding. Progesterone is prescribed to counter dysfunctional uterine bleeding. It is also prescribed to woman put on Premarin (conjugated estrogens) that still have a uterus to counter the effect that estrogenic Premarin (conjugated estrogens) has on uterus. ...Read more
Hot flashes yes: Studies indicate that the active ingredient in remifemin - black cohosh- can reduce hot flashes by up to 50%. Remifemin is actually one of the best studied commercially available black cohosh remedies. This herbal med is safe for women who want or need to avoid estrogen- such as women who have had an estrogen dependent cancer. ...Read more
Perimenopause: is the months before the cessation of menses. Many women have adequate estrogen during these months. Most women do not ovulate or ovulate sporadically during this transition so they do not produce progesterone. A blood test can determine your need. ...Read moreSee 1 more doctor answer
Black cohosh or bio-identical estrogen/progesterone cream to help balance hormones in perimenopause?
No data.: Bio-identical hormones is a topic vastly argued in our field. As it stands now, you should be cautious using bio-identical hormones because there is no control over how they are mixed and produced, and there is no data about what is a safe and efficacious formulation and dosage. Speak with your doctor about this for a more in depth conversation and to determine if it is actually needed for you. ...Read more
Usually no: During the time a woman is perimenopausal hormonal manipulation can cause some spotting or bleeding depending on how the hormones are dosed. Once a woman is truly menopausal hrt does not usually cause menstruation. Vaginal bleeding in the post-menopausal woman is considered abnormal & worthy of investigation. ...Read moreSee 1 more doctor answer
Yes & no . . .: Depends upon what you're asking. While "bio-identical" is not a scientifically recognized phrase, concept makes sense: take things that are identical to what body produces. However, there are many commonly used medications that are not "bio-identical" so that really shouldn't be your guiding principle. Instead, ask about alternatives & what you hope to achieve. Re T, shots, patches & creams r good ...Read more
34 y/o female w/hormone imbalance, endo, Hashi's. Symptoms poss. early menopause. Seeking low-risk and natural hormone replacement therapy. Advice?
OBGYN says blood hormone levels normal only elevated estrogen, not perimenopausal. Isn't estrogen dominance a sign of progesterone drop=perimenopause?
NOT: with one random test!! Hope this helps! Dr Z ...Read more