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Re: Bioidentical Hormone Replacement Therapy From: Karen Lee (karen@karenlee.org) Sun May 9 09:40:20 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Anita42@aol.com: "Re: OB-GYN-L digest 3147" Previous message: Anna Meenan, MD: "Re: Bioidentical Hormone Replacement Therapy" In reply to: Angela DeTie CNM: "Bioidentical Hormone Replacement Therapy" Next in thread: Larry Glazerman: "Re: Bioidentical Hormone Replacement Therapy" Reply: Larry Glazerman: "Re: Bioidentical Hormone Replacement Therapy" I recently gave a community talk on "Hormones..."The Fear Factor" where I explained the WHI findings in terms that made the absolute risk understadable (so the audience said) and I had the benefit that the Premarin arm of the study had been published showing the Premarin results:-) As part of that talk I explained the saliva testing that is being touted by a local compounding pharmacy and showed an over head re the menstrual cycle and the insanity that a saliva test will "tell me where I am in peri-menopause". Then I explained "natural", "synthetic" and "bio-identical" with emphasis on the fact that you can eat a bushel of soy or yams and it is not estrogen! Hence everything has to be synthesized, even the 'compounded bio-identical' hormones are synthesized. I then showed them the labels on Estradiol pills, patches, Prometrium, etc. Then explained the delivery systems and the fact that we have no useful study on the compounded creams that they are told to apply to various body parts, including the clitoris. In my practice I have narrowed that talk down to a few minutes, since most of my practice is women who have been with me a long time and already trust me. For the new ones I give them the audio and the handout notes from the 'fear 'factor' and make it homework and continue the talk in one week if necessary, often just over the phone as they usually make up their mind by then that anything I prescribe that I say is bio-identical will be ok with them. So, yes, even Premarin! But not Prempro. --- Angela DeTie CNM <Angcnm@aol.com> wrote: > Recently I have had numerous women inquiring > about Bioidentical Hormone > Replacement Therapy (BHRT). Since I'm working > and unable to watch > OPRAH, I seem to know less than my patients! > AND, they find it shameful > that as a midwife, I don't know about it! > Frankly, I've been selectively > tuning out anything that I hear of lately that > has to do with hormones! > Does anyone have any experience with BHRT, or > know of any "reliable" > literature? Has anyone had any difficulty with > compounding pharmacies. > Does this pose any different risk to us as > compared to prescribing > traditional HRT (obviously after thorough > counseling)? I tell you, we've > had several calls recently regarding the > lawsuits for taking HRT and it > makes me sick. I even hate reading the paper > anymore because I see the > ad everyday. It makes me want to remove this > component of care from my > pratice. But alas, I'm a midwife and we are > "With woman...For a > lifetime of care". Besides, it seems that as > everyone throws out their > PremPro, they'll be running to this soon and "I > don't know" doesn't seem > to b a suitable answer aymore. > Thanks for any info you can provide. > > Angela DeTie APN, CNM > "clueless in Vegas" > ===== -- Karen Lee, ARNP OB/GYN Nurse Practitioner Certified Menopause Practitioner Mount Vernon, WA "Courage is the opposite of the instinct to keep everything under control. It is against inertia and death, toward intensity and life. The little courages of life add up to big courage over time. Resist the offers of small safe quarters in your mind." *****HIPAA Confidentiality Notice*****   The documents inside this electronic transmission contain confidential information belonging to the sender that is legally privileged.   If you received this electronic transmission in error, please notify the sender immediately to arrange for return.   Next message: Anita42@aol.com: "Re: OB-GYN-L digest 3147" Previous message: Anna Meenan, MD: "Re: Bioidentical Hormone Replacement Therapy" In reply to: Angela DeTie CNM: "Bioidentical Hormone Replacement Therapy" Next in thread: Larry Glazerman: "Re: Bioidentical Hormone Replacement Therapy" Reply: Larry Glazerman: "Re: Bioidentical Hormone Replacement Therapy"

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