Doctor insights on:
Vegetarian Alternative To Hrt
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
25 male. Testosterone deficiency. Any alternative except HRT?Report says Testosterone 2.09 ng /dl(Normal 3.0 to 12.0)
Double check: testosterone levels fluctuate normally, so to confirm a testosterone deficiency it is very important to test twice, and the test should be done as early in the morning as possible to maximize accuracy. If a repeat test, properly done, confirms a T deficiency then hormone replacement may indeed make you feel better, and there is no alternate way to correct a true testosterone deficiency. ...Read more
Oral prednisone as part of HRT gives me acid reflux. What are alternatives to *oral* prednisone that might not cause this?
31 y/o. Had bilateral salpingo oopherectomy at 25. Hrt nor recom. Very active, lots of joint pain. What are alternatives to hrt?
Not many: First find out why hrt is not recommended. Is there a contraindication like blood clot or severe endometriosis. If not it actually is recommend for women in of premenopausal age, < 50 who don't smoke to protect the bones and general well-being. As for alternatives, other meds have been tried for treating hot flashes but not for other sx and they do not work very well. ...Read more
Breast cancer patien: Hrt has been implicated in the induction of breast cancer. If you have had this condition you should stop this especially if your tumor was estrogen positive. There is an increased risk of breast cancer in the post menopausal who take hrt to prevent menopausal symptoms so it is a personal choice of symptoms v. Risk. Discuss this with your ob0gyn. ...Read more
I agree, it depends: Some women go through the "change" late or early. The current studies show that the safest time to start hrt is around menopause... After that there is some risk of stimulating growth of breast ca in the first few years... After that it appears that it is ok to continue for as long as you continue to feel is provides some improvements in your life... ...Read moreSee 1 more doctor answer
Potentially: That is a good question. It really depends on the reason for the medicine and the symptoms. And it really depends on the type of medicine (bioidentical versus synthetic) (oral versus transdermal). Certainly only a reproductive endocrinologist would be comfortable addressing that issue with you. ...Read more
Why?: The indications for hormone replacement therapy are quite limitted in the oldest old. In fact, i can not think of one approved recomendation for estrogen replacement in a 90yo woman. Newer studies show there is some room for use of hrt early in post menopausal women. Old studies were disproven for use of ert in the elderly with dementia as being helpful for management of agitation. ...Read more