What Should I Do If I Forget A Dose
If you forget to apply a dose of estradiol gel but remember more than 12 hours before you are scheduled to apply your next dose, apply the missed dose right away. If you remember less than 12 hours before you are scheduled to apply your next dose, skip the missed dose and continue your regular dosing schedule the next day. Do not apply extra gel to make up for a missed dose.
If you forget to apply estradiol emulsion in the morning, apply it as soon as you remember. Do not apply extra emulsion to make up for a missed dose and do not apply estradiol emulsion more than once each day.
How Should I Use This Medication
A patient package insert for the product will be given with each prescription and refill. Read this sheet carefully each time. The sheet may change frequently.
Talk to your care team regarding the use of this medication in children. This medication is not approved for use in children.
Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
NOTE: This medicine is only for you. Do not share this medicine with others.
Bioidentical Hormone Replacement Creams: Everything You Need To Know
Hormones are chemical messengers that control basic functions and processes in your body and they help coordinate development, growth, metabolism, mood, cognitive function, and libido. When these hormones are out of balance, even just slightly, it can cause mild to severe symptoms.
As we age, our hormone levels naturally decline. As a result, this can lead to many common symptoms typically associated with aging, including weight gain, fatigue, low sex drive, anxiety, difficulty sleeping, hot flashes, lack of focus, and irritability. Furthermore, long-term, an untreated hormone imbalance may lead to certain diseases, including heart disease, breast cancer, prostate cancer, colon cancer, Alzheimers, dementia, osteoporosis, diabetes, and rheumatoid arthritis.
If you suffer from a hormone imbalance, it can be debilitating if not properly addressed. The good news? You dont have to suffer, since there are now options available to treat hormone imbalance, relieve symptoms, and get your life back on track.
The symptoms of hormone imbalance that you are feeling are not inevitable. There is relief available. One of the best options available is bioidentical hormone replacement therapy or BHRT.
Bio-identical hormones come in a range of hormonal products including, pellets, injections, and creams. This article will focus on BHRT creams, the benefits, and risks, to help you decide whether its the right option for you.
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How To Be Healthier
Women need to be their own best advocates while science and Western medicine catch up.
Get a doctor you can truly trust, Dr. Rebecca says. Weve gotten poorer at judging someones credentials and knowledge base and approach, so ask the important questions until youre confident this person knows what theyre talking about.
One good measure is to see if theyre certified by the North American Menopause Society for menopause care. All of Gennevs telemedicine ob/gyns are required to have this certification.
And do your own research. Read Estrogen Matters by Drs. Bluming and Tavris to have a more informed understanding of HRT and the WHI study. Browse NAMS resource library. And of course, check out the resources right here on Gennev.
If you have questions, a menopause specialist ob/gyn is probably your very best bet for answers. Youll find them in Gennevs telemedicine.
Are you considering HRT and not feeling confident about the options? Weâd love to continue the discussion. Please join us in our public forums, leave us a note on the , or join our community in Midlife & Menopause Solutions, our closed Facebook group.
Is Bhrt Right For You
Female testosterone levels begin to drop in your late 20s and are often severely depleted by your early 40s. Optimal levels of testosterone are essential for weight management, sex drive, mood, muscle tone, and overall well-being. Not only that, optimized hormones can help you keep your bones healthy, preserve cognitive health, enhance heart health, and manage pain levels.
BHRT gives you an all-natural solution to the side effects of hormone imbalance, and improvements can be seen within the first two weeks, but full effects will be reached by eight weeks. However, every treatment plan must be customized to you based on your unique hormone levels and how you feel. Furthermore, your dose will be determined based on your blood results.
Undoubtedly, its critical to have the right physicians on your side to help you build a safe, effective, holistic plan.
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What Estrogen Does In Your 40s
Night sweats, mood swings, and crazy heavy periods. Is this menopause already? And youre only 42? No, menopause could still be a decade away. This is perimenopause or second puberty, which is the two to twelve years before your final period.
Perimenopause is different from menopause, which is the life phase that begins one year after your final period.
Perimenopausal symptoms are temporary and respond to simple treatments provided below.
The first step to feeling better in your forties is to understand whats happening with your body. Put simply, during perimenopause, estrogen goes on a roller coaster ride while progesterone quietly leaves the scene.
What If I Dont Want/cant Apply Hormone Cream To My Inner Thigh
I have had some women that have had laser hair removal on their thighs and are worried about the hair growing back from testosterone cream. I had one patient that went for her usual monthly bikini wax. Her waxer exclaimed, what happened! The testosterone cream caused her upper thighs and bikini areas to explode in dark hair. In these cases, you can apply testosterone cream to the back of the knee. The back of the knee has a nice fat pad but no hair follicles. If you do this, be careful of shorts and chairs and wearing shorts/skirts. That way you do not share your hormone cream with others.
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If You Dont Use The Right Amount Of Biological Hormones For Your Individual Symptoms You Could Experience:
- Breast tenderness
- Itching at the application site
It may be frustrating to continue to see the same kinds of symptoms for which youre seeking treatment, but as your testing continues and your hormone levels are adjusted, you will feel much better.
Once your hormones have reached an ideal balance, you are likely to see a drastic reduction or complete absence of these adverse effects. The adjustment period may take several visits, but it is well worth the results.
Where Should I Keep My Medication
Keep out of the reach of children and pets.
Store at room temperature between 15 and 30 degrees C . Protect from temperatures above 40 degrees C . Do not freeze. Throw away any unused medication after the expiration date.
NOTE: This sheet is a summary. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider.
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Premarin Vaginal Side Effects
Get emergency medical help if you have signs of an allergic reaction to Premarin Vaginal: hives difficult breathing swelling of your face, lips, tongue, or throat.
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heart attack symptoms chest pain or pressure, pain spreading to your jaw or shoulder, nausea, sweating
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signs of a stroke sudden numbness or weakness , sudden severe headache, slurred speech, problems with vision or balance
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signs of a blood clot sudden vision loss, stabbing chest pain, feeling short of breath, coughing up blood, pain or warmth in one or both legs
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swelling or tenderness in your stomach
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unusual vaginal bleeding, pelvic pain
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a lump in your breast or
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high levels of calcium in your blood nausea, vomiting, constipation, increased thirst or urination, muscle weakness, bone pain, lack of energy.
Common Premarin Vaginal side effects may include:
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breast pain or
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vaginal itching or discharge, changes in your menstrual periods, breakthrough bleeding.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Q: How Do Doctors Select Their Clients Dose
A: Through meticulous and thorough observations, doctors adjust doses based on their patients symptoms and particular needs. They keep the dose to its minimum requirement in achieving the best desired outcome. Doctors may make dose adjustments based on relative hormone needs and may use routine blood, saliva, or urine tests in checking hormone levels. However, the FDA does not recommend using hormone level checking as a dosing guide for women because of the fluctuation in normal day-to-day levels and varies per patient.
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Could Other Factors Influence Estrogen’s Effectiveness For Skin
Timing might be a factor. In one study, using Premarin cream, researchers observed a trend, although not statistically significant, of improvement in the skin of women who were less than 24 months postmenopausal. Two other studies concluded that the use of topical estrogens, such as Premarin cream or topical estradiol gel, could decrease fine wrinkling, improve roughness of the skin and stimulate collagen synthesis. Yet another found local that estriol, when applied to abdominal skin for three weeks, thickened fibers in the papillary dermis of patients.
How To Use Vaginal Estrogen Cream
If youre going through menopause and experiencing some of the discomforts of a hormonal imbalance, estrogen cream can help alleviate some of those symptoms.
To use vaginal estrogen cream, you need to be able to insert it into your vaginal canal. Follow these steps to get your applicator filled with the correct dosage:
- Wash your hands thoroughly with soap and warm water.
- Remove the cap from the tube of vaginal cream.
- Screw the nozzle part of the applicator onto the open end of the tube.
- Find the correct dosage. The applicator has markings on it that indicate how much cream will be inserted. Your doctor will give you the dosage amount they want you to use.
- Gently squeeze the tube so the cream fills the applicator to the required dosage mark.
- Unscrew the applicator from the tube, replace the cap on the tube, and set the tube aside.
How to insert the applicator:
- Lie on your back.
- Pull your knees up toward your chest.
- Press the plunger to release the dosage of estrogen cream.
You need to clean your applicator after each use. Simply pull the plunger to remove it from the applicator barrel. Use mild soap and warm water to clean the applicator barrel and plunger. Dont use hot water or boil the applicator.
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Symptoms Of Low Progesterone
What kind of symptoms may be associated with low progesterone?
Luckily low progesterone is easy to identify through symptoms and can be confirmed through basic serum lab testing .
Symptoms of low progesterone include:
- Inability to fall asleep at night
- Water retention and bloating
- A known diagnosis of PMS or PMDD
- History of multiple miscarriages or issues with infertility
If you are experiencing 3+ of the symptoms listed above then your next step should be to consider assessing your serum levels of both progesterone and estradiol .
Some of these symptoms are also associated with other hormone imbalances and other medical conditions which is why itâs important to confirm the diagnosis through testing.
History And Facts About Bioidentical Hormone Replacement Therapy
The North American Menopause Society reports that about 1.4 million women now use BHRT treatments, which is around 40 percent of all prescriptions for hormone therapy in women who are menopausal or postmenopausal.
To date, no large, long-term study has been done to determine the adverse effects of bioidentical hormones, so safety concerns remain a serious issue. The Womens Health Initiative, one large, long-term study that tested the effects of FDA-approved hormone replacement drugs, determined that side effects are possible in some patients and that these drugs have not been proven to prevent any diseases. That being said, millions of women have reported improvements from using hormone replacement drugs.
As described above, one concern with the use of BHRT is using a custom-mixed solution that has not been FDA-tested. According to the FDA, other concerns can include disguising/leaving untreated symptoms that are really caused by another illness or potential side effects like raising the risk for blood clots, stroke, gallbladder disease, vision changes, skin changes, mood swings, and possibly heart disease or breast cancer. As of now, the FDA has also never approved any drug containing estriol, so keep in mind that benefits associated with products containing this hormone remain especially unknown.
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Skin Absorbency Of Bhrt Cream:
Some people will not absorb the cream as easily as others, which gives BHRT cream a bad name. I have had patients complain they do not want a hormone cream because it doesnt work. BHRT cream does work, but absorbency differs person to person. Some people have thicker skin than others.
Men typically have thicker skin and more hair, making it difficult for the hormone cream to be absorbed. For people that have thicker skin or a tough time absorbing the BHRT cream, I have the compounding pharmacy add in DMSO, which can penetrate through membranes easily. By having the compound pharmacy add in a small amount of DMSO to the BHRT cream, it allows for enhanced absorbability of the hormone cream.
I hope this blog on where to apply your BHRT cream was helpful. If you have any questions, please feel free to leave a comment below or send us an email at help@progressyourhealth.com
Get Help From The Experts
If youre considering BHRT cream as an option to rebalance your hormones and bring health back to your body, Nava Health is here to help. With Navas BHRT, you have the chance to rejuvenate your body and your outlook on aging.
Our goal is to help you live the best, healthiest life possible. With the help from our expert physicians, you will be on your way to feeling revitalized.
Schedule an appointment with one of our expert physicians today and start feeling tomorrow!
References:
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How To Apply Women’s Hormonal Creams
It is normal for women to experience a decline in hormones with aging Hormone Replacement Therapy is used in an attempt to get these hormone levels back to a normal level. HRT cream is a dosage form that includes hormones, typically progesterone and estrogen, in a cream formulation for absorption through the skin.
What It Looks Like
Ovestin Cream is a homogeneous, smooth, white to nearly white mass of creamy consistency. Ovestin cream is filled in a collapsible tube of 15 g. Each tube is packed together with a CE-marked applicator and a patient-instruction leaflet.
Do not use the product if the pack or cream is damaged or appears unusual.
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What Other Drugs Will Affect Premarin Vaginal Cream
Sometimes it is not safe to use certain medications at the same time. Some drugs can affect your blood levels of other drugs you take, which may increase side effects or make the medications less effective.
Many drugs can interact with conjugated estrogens. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide. Tell your doctor about all your current medicines and any medicine you start or stop using.
What Is The Best Hormone Cream
The best hormone cream for each individual varies depending on what hormonal imbalances they have. For women, progesterone and estrogen are the most commonly prescribed hormone creams. At a compounding pharmacy these can be combined together into one cream along with testosterone and DHEA. For men, a testosterone cream can be made in multiple strengths. A cream is the most frequently prescribed delivery method for hormone replacement because it is effective, safe, and easy-to-use.
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How To Use Premarin
Read the Patient Information Leaflet if available from your pharmacist before you start using this medication and each time you get a refill. If you have any questions, ask your doctor or pharmacist.
Take this medication by mouth with or without food as directed by your doctor. You may take it with food or right after a meal to prevent stomach upset.
If you are taking the extended-release tablets, do not crush, chew, or dissolve them. Doing so can release all of the drug at once, increasing the risk of side effects. Also, do not split extended-release tablets unless they have a score line and your doctor or pharmacist tells you to do so. Swallow the whole or split tablet without crushing or chewing.
The dosage is based on your medical condition and response to treatment.
Take this medication regularly to get the most benefit from it. To help you remember, take it at the same time each day as directed. Follow your dosing schedule carefully. Do not increase your dose or take this medication more often or for a longer time than directed.
Tell your doctor if your condition does not improve or if it worsens.
My Bioidentical Hormone Creams Are Killing Me
My Bioidentical Hormone Creams Are Killing Me !!!
With the publication of the NASEM report July, 2020, I was astonished to learn that for the past 20 years, compounded bioidentical hormones have been killing every one. If only we had used FDA approved hormone pills and patches manufactured by the Pharmaceutical Industry, everything could have been so much better.
This is All Nonsense
Of course, this is all nonsense, because over the past 20 years of prescribing compounded bio-identical hormones to thousands of patients, I can attest to good outcomes in patients on compounded bioidentical hormones, with relief of menopausal symptoms and good quality of life . Of course, adverse side effects can occur, most commonly related to excess hormone dosage. These are easily managed by adjusting dosage under the supervision of a knowledgeable physician. .
Evidence Does Not Support Clinical Utility of Compounded Bioidentical Hormones
Here is the conclusion of the NASEM Report:
Evidence does not support the clinical utility of compounded bioidentical hormone therapies and their use should be limited to patients who cannot use products approved by the US Food and Drug Administration ,
Endocrine Nonsense Society ?
Compounded Bioidentical Hormones Are on the Chopping Block
Pharmaceutical Industry as Organized Crime Syndicate
Insidious New Campaign to Eliminate Compounded Hormones
The Old Gimmick Used by the Pharmaceutical Industry
The Only Acceptable Evidence
Links and references
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