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Re: "Natural" estrogens/progestinsFrom: Lawrence R. Singer (lsinger@bgsm.edu)Sun Aug 25 16:27:23 1996
At 01:31 PM 8/25/96 -0500, you wrote: >To the list: > >I have recently had a number of patients ask about natural hormones. It seems >they are reluctant to take premarin due to animal rights issues, and do not >want synthetic estrogens. Some mention wild yam cream, sublingual yam drops >(!), micronized progesterone, estrogen pellets, etc. > >I admit to being pretty clueless on this subject. I'm starting a lit search, >but in the meantime, anybody use this stuff? Thanks in advance, > >Ashley >D. Ashley Hill, M.D. >dahmd@gate.net > This question has come up recently in my practice. My only "scientific" evidence is a series of one!!! A very aware patient of mine received a cream made in Colorado Springs from a physician in Ashville, NC. The cream cost her $50.00 and she was to apply it twice daily. There was an 800 number on the bottle of the pharmacy in Colorado; I called them and they would not tell me what was in the cream just that "it was natural". I did an Estradiol level on my patient after she had used it for some time and the level was in the post-menopausal range (<14). She has had a TAH,BSO and was symptomatic. Micronized progesterone is not available around here and the estrogen pellets as far as I know are ethinyl estradiol (synthetic). I remember the fad for "natural" progesterone from sweet potatoes for PMS that pretty much has been shown to be inefective. Larry Singer Lawrence R. Singer, MD Winston-Salem, NC
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