Bioidentical Hormones

What is the difference between natural and synthetic hormones?

The term "natural" has come to designate hormones that are chemically the same as those in the human body. Sometimes they are also called "biologically-identical" or "human iso-molecular." "Synthetic" hormones refer to those that are manufactured with a chemical configuration that is not possible in the human body but mimics some of the native hormonal activity. These definitions do not reflect the dictionary meaning of these terms but refers to the general use of them.

If the hormones are "natural," why is a presription required?

Compounding or formulating a customized dosage for an individual is a function pharmacists may legally perform if a practitioner requests it. the individual ingredients may or may not be restricted to prescription items. In short, anything that is compounded must be prescribed.

Who prescribes natural hormones or how do I get my practitioner to write a prescription for natural hormones?

The pharmacy maintains a referral list of practitioners that you can request for the area in which you live. Please interview the particular prescriber to ensure that he or she meets your needs. Your doctor may also request an information packet from the pharmacy. They have prepared a resource guide especially for practitioners. Pharmacists are always available to discuss particular problems.

What are the possible side-effects of my medication?

Ideally, there should be no side effects if the hormones are given with the intention of restoring to normal human levels and using only those hormones that are deficient. Side effects may occur if one type of hormone becomes predominant and is out of balance with the others. When trying a natural hormone regimen, if you are not experiencing significant improvement with few or no side effects, please call one of the physicians to discuss what might be done. There can be a period of adjustment so please be patient and realize our physicians and pharmacists are here to help you.

What is the difference between natural and synthetic progesterone?

Progesterone was first crystallized in 1934, and today is available from plant sources. Natural micronized progesterone is an exact chemical duplicate of the progesterone that is normally produced by the ovary. Synthetic progesterone, called progestin, mimics the action of the progesterone, but the body does not respond in the same way. Studies have shown that progestin actually reduces the level of progesterone in the blood stream.

Are there side effects with natural progesterone?

Natural progesterone combines with progesterone receptor sites, and elicits biological effects without many of the undesirable side effects that are seen with the synthetic forms. A small number of women may experience transient lightheadedness or drowsiness.

How does oral natural progesterone work?

The oral route of progesterone administration has long been considered impractical because of poor absorption and short biological half life. Contrary to traditional techniques, reports confirm that significant serum progesterone levels can be achieved with new modification in the preparation of progesterone for oral administration, including micronization and dissolution in oils consisting principally of long-chain fatty acids. Perhaps the only disadvantage to natural progesterone is that it is short-acting and to maintain adequate blood levels it may need to be taken more frequently.

Do I need progesterone if I have had my uterus removed?

If the intent of using progesterone is merely to slough off endometrial tissue, then progesterone would not be necessary. But perhaps it should be considered. A recent study presented by Mayo Clinic researchers, determined that there were impressive improvements in quality of life issues such as hot flashes, menstrual problems, sexual functioning, physical complaints, anxiety and depression with natural progesterone. These are important issues for women with and without a uterus.

What are bioidentical hormones?

Bioidentical hormones are exactly the same hormones, molecule per molecule that your body produces. They are made in a lab but are still considered natural to your body because they are identical.

Synthetic hormones are also made in a lab, but most importantly are not identical to your body. Bioidentical hormones are far superior to the type of synthetic hormones commonly prescribed.

Why does a woman need hormones during and after menopause?

No matter what your age, if your female hormones (estrogen, progesterone, and testosterone) are unbalanced, you may suffer ill effects such as hot flashes, night sweats, depression, vaginal dryness, fatigue, and weight gain. In the long term, bioidentical hormone therapy protects a woman from heart disease, osteoporosis, and memory loss.

What are the side effects associated with bioidentical hormones?

Because bioidentical hormones are just like the ones made in your body, there are relatively few side effects. Side effects occur mainly when the dosage of hormone is too high for the individual.

How long until I see results using bioidentical hormones

While it varies with each person, and depends on which hormone therapy you are using, generally you can expect to see results within three to six weeks.

What is the best age to consider bioidentical hormone therapy?

We believe that most people should have their hormones checked by the age of 40 or earlier if they have symptoms of hormonal loss. The way to prevent illness and to optimize one's health is to take an active role in addressing healthcare risks before they become a problem.

Do I need to take these hormones forever?

No. If you decide to stop, your body will simply return to where it was before starting hormone therapy.

Will this treatment interfere with my currently prescribed medications?

Generally not. Some medications may actually be reduced or no longer needed.

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