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Re: 1st time visit for HRT

From: Webmidwife (anonymous@obgyn.net)
Mon, 29 May 2000 05:36:27 -0700


Ogen is has a low dose available. Another good brand is estrace and estratest. Estratest has a small amount of testosterone, and sometimes that is something women need. There are many excellent options, including creams, pills, patches and the Estring. The Estring does provide local estrogen to the vagina. In my readings, the natrual estrogens go to the receptor sites first, and bind in a complementary way while synthetic estogens have a different effect. Hard to say how the two would work together in your body. Interestingly enough an article was recently published on Medscape about Black Cohosh that might be of interest to you: <http://womenshealth.medscape.com/CPG/ClinReviews/2000/v10.n04/c1004.04.pett /pnt-c1004.04.pett.html>

Pat Sonnenstuhl, ARNP, CNM, MS

-----Original Message----- From: anonymous@obgyn.net [mailto:anonymous@obgyn.net Behalf Of Suzanne Aveihle Sent: Monday, May 29, 2000 12:42 AM To: Multiple recipients of list WOMENS-HEALTH Subject: 1st time visit for HRT

I am a 53 y/o female who will be going to an OBGYN tomorrow for HRT. I have been using Black Cohosh/Licorice Root supplements for over 10 years and realize it is not enough replacement due to the onslaught of 'flashes' I now experience. My questions are: can I begin HRT with the mildest product/dose, say Ogen (referred to me) and increase as I find necessary or must I be an 'experiment', take what they give me (the thought of Premarin abhors me)and deal with the side effects? I sense I will be a sensitive canidate. It is possible to use the natural HRT along with synthetic as a support system or will the natural estrogen be 'canceled out' by the other? I am told another application is the "Estring" for direct support to loss of libido and lurication. What are the side effects, if any with this product? Thank you all in advance for help on these topics.

--
Suzanne Aveihle



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