I heard you mention bio identical estrogen on the radio. I have heard so many conflicting opinions an am totally confused as what is the correct way to go.
I have just turned 50, had a hysterectomy 3 years ago( still have my ovaries). I have been using Solal bio identical estrogen cream for 4 years as well as their progesterone cream. ( My gynae prescribed Femgel 4 years ago --but I heard the Solal was better?? long term effects of HRT etc)
My cholesterol has gone up now as well, 5.1LDL 1.8 HDL, I follow a healthy low fat diet,normal weight and exercise. My Dr wants me to go onto a statin (Lipitor) He said no supplement will bring it down.
Clearly I have read about the pros and cons of Statins.
I would really appreciate your 2nd opinion on the above.
Dr. Eve Answers:
I state a disclaimer as I answer you: I am pro hormone therapy and opposed to “natural” or “bio identical “ supplements. The reason is simple: there is no clinical, scientific evidence to prove safety or effectiveness of these over-the-counter products. Thus you have no idea of what you are really putting into your body and no recourse to anyone if anything goes horribly wrong. Prescribed hormone therapy that your doctor can script for you has been through the rigors of clinical trials in order to pass through medicine controls councils. Which allows your doctor, with confidence, to tell you the risks and benefits of any hormone therapy he /she may recommend for you.
Due to sensational media reporting many women, like you, are confused and afraid to take hormone therapy. There was a big scientific scare with evidence from the Womens Health Initiative in 2002. Since then there has been new evidence which suggests there were problems with that research. New guidelines have been established which guide your doctor’s assessment of whether or not you will be a good candidate for hormone therapy.
Menopause, which is where you are at, affects all major metabolic systems of the body. Symptoms include depression, anxiety, hot flashes, joint pains, sleeplessness, spreading waistline and of course sexual symptoms, such as a dry vagina, low desire and diminished orgasmic sensation. Hormone therapy treats all these symptoms increasing a woman’s quality of life and sexual satisfaction. And adds cardio vascular protection as well as warding off osteoparosis.
I urge you to seek a consultation with your gynecologist who will guide you through this process of assessment and then provide you with substantial information so you can make an informed decision.
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