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.

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