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Doctor insights on: Sotto Pelle Hormone Implants

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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

Dr. Ira Friedlander
1 doctor shared a insight

Hormone (Definition)

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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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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The menstrual cycle did not come for 3 month. Estradiol is 822.2, FSH 8.47, LH 17.2, progesterone 1.22, prolactin 315.56.. Not pregnant..Please help?

The menstrual cycle did not come for 3 month.  Estradiol is 822.2, FSH 8.47, LH 17.2, progesterone 1.22, prolactin 315.56.. Not pregnant..Please help?

Unclear: You did not say what "units" the above levels are. A prolactin of 315 mcg/l would be very high, but if it is miu/l then it would be normal. The same is true for the estradiol, 822 pmol/l would be normal. The lh is somewhat high. If this was done mid-cycle, that would be consistent with ovulation. If your periods have been irregular, one could consider polycystic ovarian syndrome as a possibility. ...Read more

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Any thoughts on bhrt using the biote pellet procedure for my hormone replacement after my hysterectomy?

Any thoughts on bhrt using the biote pellet  procedure for my hormone replacement after my  hysterectomy?

Balance is Key: If the surgical procedure included the removal of both ovaries, then one will experiece a sudden decrease of progesterone, testosterone and estrogen. Compounded pellet implants for women come in the forms of Estradiol and testosterone. Progesterone is rx as a topical, inj or oral. The advantage of the pellet implant tx is the steady-state delivery over 3-6 months. ...Read more

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Can a zoladex (goserelin) 3.6mg implant induce artificial menopause?

Can a zoladex (goserelin) 3.6mg implant induce artificial menopause?

Chemical menopause: Zoladex (goserelin) 3.6 mg implanted every 28 days will put a woman chemically into menopause and make her menstrual periods stop. In fact, about 2 weeks after the first implant there will be a hormone withdrawal bleeding, after the next implant there will be no bleeding, if the medication works perfectly. ...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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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

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40yr old, uterine polyp endo lining thick, estrogen high. No menopause yet. Will amberen work for me to balance hormones?

40yr old, uterine polyp endo lining thick, estrogen high. No menopause yet. Will amberen work for me to balance hormones?

No: I've checked the ingredient list for amberen and do not see anything listed that would be either helpful or harmful in this situation. With a thick lining, high estrogen and a polyp, a cancer or precancer must be ruled-out and treatment with natural Progesterone the best option in many situations. ...Read more

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Is synthetic testosterone one of the bioidentical hormones?

Is synthetic testosterone one of the bioidentical hormones?

Yes but who cares?: This idea of taking "bio-identical" hormones is getting out of hand. While the concept is cute, it's not a recognized term. There are many good medications that are not bio-identical. Are there safer vs more harmful forms of T? Absolutely! Avoid oral T like the plague b/c liver risk. But whether you use cream, gel, patch or shot is up to you & your doc. Be sure to get labs monitored regularly. ...Read more

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Can hormonal swings get worse as the HRT pellets dissolve?

Yes for all Tx modes: Yes, but this is true for any form of hrt you undergo {oral, topical, injection, pellet implant}. Compounded pellet implants for women come in the form of Estradiol and testosterone. The pellets usually last between 3-6 months and are monitored by your subjective response {how you feel} and objective date {labs}. Your hrt balance is probably off, but this may be corrected by various tx methods. ...Read more

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My estrogen, progesterone & testosterone levels are extremely low- as is my dhea & vitamins d & b considering pellet therapy. Is this best? I'm 38.

My estrogen, progesterone & testosterone levels are extremely low- as is my dhea & vitamins d & b considering pellet therapy. Is this best? I'm 38.

NO cures: First see an endocrinologist to find out the cause of the low levels, if they are really low in a reputable lab. Bring your labs with you. Pellets, popular in australia, are used by too many ill trained people in the us. There are many other options to explore if you really are deficient. ...Read more

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Are bio identical testosterone pellets safe?

Are  bio identical testosterone pellets safe?

Yes!: It enhances the quality of life for both men and women by decreasing the diseases of aging. Cells that require estrogen use testosterone to manufacture estrogen inside the cell by a chemical conversion that uses an enzyme called aromatase.T is present ; extremely important in both women ; men pellet therapy is the only method that allows the body to control the release of hormones raising leve. ...Read more

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Dr. Louis Gallia
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Implant (Definition)

An implant is a medical device manufactured to replace a missing biological structure, support a damaged biological structure, or enhance an existing biological structure. Medical implants are man-made devices, in contrast to a transplant, which is ...Read more