Bioidentical hormones: Help or hype?

Bioidentical hormones are promoted as being safer than FDA-approved postmenopausal hormones, but their production is not regulated and their claims of effectiveness have not yet been substantiated by long-term clinical trials. there’s been growing interest in “bioidentical” hormones, which are promoted as safer and more effective than FDA-approved hormones. The interest is driven in no small part by claims made in entertainer Suzanne Somers’  book, Ageless: The Naked Truth About Bioidentical Hormones (and her appearance on the Oprah Winfrey Show). More »

FDA-approved bioidentical hormones for menopausal symptoms

FDA-approved bioidentical hormones for menopausal symptoms Type/source Brand name(s) Preparations Bioidentical? Estrogens Estradiol Estrace, Gynodiol, Innofem Pill Yes*   Estrace Vaginal cream+ Yes   Alora, Climara, Esclim, Estraderm, FemPatch, Menostar, Vivelle, generic Transdermal patch Yes   Estrogel, Elestrin, Divigel Topical gel Yes   Evamist Topical spray Yes   Estring Vaginal ring+ Yes Estradiol acetate Femring Vaginal ring Yes++ Estradiol hemihydrate Vagifem Vaginal tablet+ Yes   Estrasorb Topical lotion Yes Progesterone Progesterone Prometrium Pill Yes Crinone 4% Vaginal gel Yes Combined hormones Estradiol and norethindrone acetate Combipatch Patch The estradiol is bioidentical but not the progestin. Estradiol and norgestimate Prefest Pill The estradiol is bioidentical but not the progestin. Estradiol and levonorgestrel Climara Pro Patch The estradiol is bioidentical but not the progestin. * Bioidentical estradiol until ingested and converted in the liver to estrone.+ For vaginal symptoms only.++ Converts to bioidentical estradiol in the bloodstream. (Locked) More »

Tinnitus: Ringing in the ears and what to do about it

Tinnitus is sound in the head with no external source. For many, it’s a ringing sound, while for others, it’s whistling, buzzing, chirping, hissing, humming, roaring, or even shrieking.  The sound may seem to come from one ear or both, from inside the head, or from a distance. It may be constant or intermittent, steady or pulsating. Tinnitus is bothersome but rarely indicative of a more serious health issue. There are ways to manage the condition or minimize its impact. More »