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BIHRTFrom: obgyndoc (obgyndoc@swbell.net)Sun May 9 17:27:04 2004
Statement from NAMS on bioidentical HRT Gordon M. Goldman, M.D., FACOG Private Practice, St. Louis, Missouri Bioidentical Hormones "Bioidentical hormones" is a term that means different things to different people. To scientists and healthcare providers, it means hormones identical to those produced by the human ovary. For estrogen, it's 17-beta-estradiol. For progestogen (needed for women with a uterus who use estrogen to protect the uterus), it's progesterone. There are several FDA-approved products containing these two hormones. However, the public (and a few healthcare providers) typically use the term to mean custom-compounded hormones - drugs that are made by a compounding pharmacist from a physician's prescription. These compounded products have not undergone rigorous clinical trials and must be recognized as experimental therapies, not tested for effectiveness or safety. Insurance programs typically do not reimburse for these experimental therapies. NAMS maintains a referral list on its Web site (http://www.menopause.org, under Consumers). All those healthcare providers listed should be familiar with ALL therapeutic options. Women are also encouraged to read the NAMS Menopause Guidebook (also on the Web site) or, for women experiencing menopause earlier than the typical age (either naturally or through medical means), read the Early Menopause Guidebook.
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