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There is so much conflicting information out there that makes it difficult, IMO, to know what the *safest option is. Peri/meno IS a natural process, I would think nature has a way of taking care of it without need for meds, at least passed a little support to smooth the transition.
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I agree with you. The more I read about HRT, the more I get confised. I have started with Dr.Lee's books, and immediately decided I am ED and need P-cream. The I read Dr.Vliet books, which were eye opener for me, but contradicted Dr.Lee's P-obsession. The I have read
Natural Hormone Balance for Women: Look Younger, Feel Stronger, and Live Life with Exuberance (Paperback) by
Uzzi Reiss,
Martin Zucker, and this one seems to be the most comprehensive and informative book.
http://www.amazon.com/Natural-Hormo...ie=UTF8&s=books
Then I have read
The Schwarzbein Principle II: The "Transition" - A Regeneration Program to Prevent and Reverse Accelerated Aging (Paperback)
by
Diana Schwarzbein,
Marilyn Brown, abnd her hormonal protocol contradicts Dr.Reiss's.
In addition to this, I am reading Dr.Erika Schwartz and Dr. Larrian Gillespie websites, so my head was spinning from all this contradictory information.
So, I have made the following conclusion so far (taliing BIH only):
1. There is no rigid protocol for hormone balancing, some drs prefer continuous therapy, others- cyclical protocol, depending what are their thoughts on female
Contunuous: Pros - get symptoms under control, easy to manage, constant low dose, no ups and downs, no PMS and withdrawal bleeding, even moods, etc. Cons- higher risk of endometrial/uterine cancer, breat cancer, blood clots, stroke, etc. due to continuous flow of E and P.
Cyclical:
Pros - safer and more natural pattern, monthly bleeding assure no endometrial build-up, no P-build-up, and overall lesser risk of cancer and stroke, etc.
Cons- monsthly cycles, dealing twith wthdrawal bleeding, etc. Still some risk of cancers and blod clots, in this case E-dose must be high enough to enduce endometrial lining growth, and higher level of E - ..., you know, Mary go around.
2. While BIH are identical (formula wise) to what our body makes, they can be also aromatized into other hormones (testosterone and progesterone) , and this is what makes balancing challenging, especially during perimenopause. Also, the dose must be tweaked from time to time, what worked yesterday may not work next month, etc. Since the dose changes, they can't be compunded into one pill/cream/jel/patch. If you start componded, it will be cost effective, I have ended up more than $200 for a months supply of E/P/T/DHEA, and pregnenolone. This is out of pocket, not to ocunt blood tests and drs visits. Not an end of the world now, but may be down the road.
3) The delivery system makes huge difference, and the judgment is still out there, which one is the best. Again, depending on the dr's preferences, your body tolerance, convinience, ease of application, cost, etc.
4) Not every women needs replacement, some start hormones just because they believe it is going to make them look younger (partially truth), combat weight gain (true for some), reduce risk of osteoporosis and CHD, dryness, etc. and simply because they are being told that finally, there is a safe and natural alternative to syntetic hormones!!! Overall, BIH success rate is not that high, I think about 35% or so: helps some, can't be tolerated by others, and do not make difference for the rest.
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Enviromental factors come into play too tho, which, IMO, can affect this natural process. I've found stress to be a terrible factor to really throw my hormones off during this sensitive time for my body, and at a stage in my life where stress is harder to avoid.
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I think STRESS is by far the most contributing factor at thios point, but unfortunately, this time of our lives is the most stressfull. healthy (not stressed) adrenals take over the ovarian load, and carry it; but stress messes up everything. Unfortunately, hormonal changes create stress on it's own, so we are volnurable and frigle at this point, and that little things that did not bother much before, now create a big problem, LOL. I would say that perimenopause is stress self-inflicting period, hopedully, it will pass too. I hjust try to do my best on keeping the stress under control: relaxation, less stressfull exercise, more "Me" time, going early to bed, etc.
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Not sure I completely agree with you on this....if certain things weren't available OTC, many could be denied any support at all, especially during a time where medical insurance premiums are high and people can't afford to go to the doctor when in need.
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This is JMO, I would never use OTC hormones, that are not made by pharmaceutical company.
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Even vitamins can be toxic if you don't know what you are doing -- I'd hate to need an Rx to obtain those!
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This is why I am amazed when ppl suggest taking mega-doses of any vitamin, even natural one.
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With hormonal issues being so sensitive, there is no guarantee that tests will determine what/how much you need, no guarantee that a doctor will even be able to help someone who is experiencing a myraid of symptoms due to levels coming back normal. As an added bonus, the biasness toward the use of synthetics are just now coming into play as more and more health risks are being discovered....I wouldn't want the medical establishment to be in control of all of my choices/options, especially when I prefer to keep my treatment as natural as I can.
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BHT warrants regular checkups and testing: mammograms, ovarian and uterine ultrasounds, PAP smears, blood tests, etc. as a preventive measure...and this is not possible without drs assitance. No dr will consult you on these issues, if you using OTC hormones and supplements, that he (she) did not Rx. it is your choice, I myself decided to abstain fom drs as long as I can with exception of annual checkups an as long as I am not suing hormones; for the past 4 years I have been visiting drs offices more than my entire life. But if I decide to try BIH, I will definetely do this onyl under medical supervision.
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While I don't think that supplementing hormones will make anyone ageless and young forever, in watching many women in my real life, you can tell the difference, in appearance, with those who are taking HRT and those who are not....my own mother looks considerably younger than her peers who have gone "natural". However, is this actually HRT ... or genetics, supplementation with E, C, healthy oils, etc., things that help rejuvenate the skin, or simply how one takes care of themselves overall?
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My mom looked at leas 10 years younger and I do too using just good diet and taking care of my skin with natural creams and oil; it is a combination of a good care and genetics. But I saw changes in my skin and hair while taking BI estradiol, it truly made my skin glow and moist. If only progesterone did not do the opposite, LOL.
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I have made the choice for myself to go through this as natural as possible, but still on the fence as far as my options. Based on the symptoms I've already experienced this early on, I know I DON'T want to feel like that, to me, it is unliveable and a low quality of life.
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Exactly my thoughts when I resorted to BIH: I am still young, my quality of life is suffering, I can't tolerate slightess stress, I have a demanding job and a family, ect. But the medicine was worse than cure for me, so I had to stop it all together.
Also, after my mom passed away last year from the uterine cancer (speaking of STRESS): a non-hormones related, rare type of cancer (less than 10%) that is similar to ovarian cancer; I must be very carefull with decision making considering my family history. She was not too young (85) but still there is a risk factor involved.
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My biggest challenge will be when the cream no longer works, or I experience complications from it -- I don't want to face the choice of prescription BI's, synthetics, or completely natural at this time. I'm still very much in the gathering of information stage, continually evaluating how I feel and getting to know this darn new peri body of mine, LOL.
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Have you tried Vitex? It is chasteberry that has progesterone like properties, but does not contain any actual hormone, it is known to help to regulate hormones naturally, works on pituitary level, not expensive and OTC
. May be switching from P-cream to Vites would be helpfull. But it takes up to six months for Vitex to start working.
There are also choices of gels, creams, patches that can be bought over the web from european and canadian pharmacies, so if the cream and like will stop working (it happens to many women), you may expore other options. I mean that while during perimenopause Progesterone is sufficient, once estrogen drops even lower, there may be other symptoms that require E supplementation.
There are also herbs that help: chinese, ayurvedic, herbal teas, but as far as I am concerned, nothing is 100% safe and side effects free. BIH are very hot topic now, and everyone is trying to make a profit, even big pharma is swtiching from syntetic to BIH to cater to bigger clientell.
I was watching lcoal 10 o'clock news on Friday, and they were talking BIH (every news station now is into this); they showed the local clinic and the doctor, that I used to go to, LOL. There was also a middle aged couple, who were very happy with BIH (both husband and wife) mainly because of returned libido, and as usual, other drs commenting on how BIH not much safer than syntetics, blah, blah.
Only time will tell if BIH are truly miracle drug, at this point I hope to make my transition to menopause as natural as possible.