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Re: naturalestrogenFrom: Joanne Bulley, MD (jbulley@cheshire.net)Thu Apr 27 22:09:54 2000
At Fri, 21 Apr 2000, james connerth wrote: > > Anyone have any factual,scientific knowledge of Promensil-an isoflavone >plant(red clover)source of estrogen?Anyone using or prescribing it? No. I tell my patients that ALL our pharmaceutical estrogens are "natural" - Mammalian (from horses) or Plant (from soy or yam) - and that these are quatified and studied. I tell the patient I don't have the knowledge of therapeutic response to the OTC 'herbal' remedies etc. I try to have a conversation with the patient on what her goals (and mine) in therapy are and plan a treatment based on those. MY goals are to keep her in the best shape for however long she has on this earth. For those that say "but menopause is natural" - I point out that Strep throat is natural as is gray hair, myopia, presbyopia and cataracts - and we make choices on whether to just live with those things. We happened to have modified our environment such that we women outlive our ovaries (and men live long enough that a high number get prostate cancer) - so we make choices in long term management. My goals are to keep the woman sharp and active until her final day and out of a nursing home (with ASCD, Stroke, fractures, Alzheimer's) and that the current data appears to support estrogen replacment with the pharmaceutical preparations (of natural estrogens) as the best way to reach those goals.
-- Joanne Bulley, MD Keene, NH, USA
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