It was the 2. Having tried multiple preparations on my patients in the past 20 years as an integrative endocrinologist, I find these to be more reliable and rapidly effective.
The oral route seems to be more helpful for cognitive complaints. Integrative Endocrinology with Dr. First I try to modify behaviors or factors that can affect breast cancer risk: Both estrogen and progesterone can and do promote cancer growth in breast cancers that have receptors for estrogen or progesterone.
Timing Makes A Difference. The original conclusions of the Women's Health Initiative study have been questioned as a result of the availability of age-stratified data.
Natural progesterone does not cause breast cells to proliferate. Holistic, mind-body approach to Endocrinology. I always start with bio-identical FDA approved preparations first. For more than a decade now, few women with menopausal symptoms are evaluated and treated with hormones, including by their gynecologists.
Additional benefits include decrease hip fracture risk oral estrogens, WHIdecrease colon cancer risk oral estrogens, WHI. Abstract The original conclusions of the Women's Health Initiative study have been questioned as a result of the availability of age-stratified data. Unlike some progestogens, progesterone is also not associated with an increased risk of VTE, or with an increased risk of breast cancer.
I can measure levels more reliably in regular laboratories, and I know the bone mass is protected.
Understanding the data on hormone replacement, when to give hormone replacement, who to give it to and why, and how to use hormone replacement correctly can make a huge difference for the quality of life and healthy ageing of all women.
Increase intake of dark leafy and cruciferous vegetable, and fruits in the diet. Doses of the estradiol patch of 0. Even with all my experience I feel significant uncertainty when using compounded preparations.
So how do we select which estrogen preparation is best? Testing the menopausal hormone therapy timing hypothesis: It showed that unlike giving hormones to older women, HRT in younger women was beneficial.
In contrast there is not protective effect of estrogen if it is initiated 10 years after menopause. The original conclusions of the Women's Health Initiative study have been questioned as a result of the availability of age-stratified data. Women with established or active coronary artery disease also need to avoid estrogen.
Later on it was understood that it was the synthetic progesterone Proveraunlike the natural progesterone, that was increasing the breast cancer risk. Wentzensen N, Trabert B. Additionally, patients often pay for these compounded hormones out of pocket, since they are not covered by insurance.