WOMEN’S HEALTH INSTITUTE OF TEXAS
MENOPAUSAL TREATMENT LECTURE
The following is a excerpt from a 2005 physicians symposium held in Houston, TX and is compiled from notes and information presented at that time.
It has been formatted and revised to fit into a web friendly document.
As natural healing physicians, we’ve made a bold and wise choice in helping our patients achieve lasting health and emotional well-being.
As you know, the three classical triad of menopausal symptoms most women suffer through are:
- Hot Flashes
- Night Sweats
- Vaginal Dryness
Each of these are stressful, unpleasant and distasteful. Together they can make your patient’s life absolutely miserable. That’s the bad news.
The good news? They don’t have to suffer through them another day longer.
Every one of these symptoms can be enormously mitigated or even vanished entirely once your patient’s human estrogens are replenished.
Please notice I say human hormones. I can’t emphasize this strongly enough:
ONLY human, bio-identical estrogen hormones should be used when treating menopausal symptoms.
Premarin and PremPro are not bio-identical – no matter what their official website implies. Their very chemical structure is different from the natural hormone. In fact, most prescription estrogen-based hormones are not bio-identical. Some (like Premarin) even start their life off as urine from a mare’s bladder!
Great for horses, not so good for humans.
I’m sure you’re all familiar with the widely publicized Women's Health Initiative study funded by the giant pharmaceutical company Wyeth. Well, when Wyeth saw this report was going to be a disaster, it was prematurely stopped in 2002.
Reported side effects such as heart disease, strokes, blood clots and decreased mental function do tend to make patients nervous.
The good thing about this PR debacle for Wyeth is that today most mainstream doctors outright refuse to prescribe PremPro - and are even hesitant to prescribe Premarin.
But that did leave a dilemma for many physicians – what to prescribe in place of PremPro and Premarin?
Prescription vs. Non-prescription
The FDA imposes some very stringent rules concerning hormone replacement or supplementation treatments. One of these regulations concerns oral estrogens, which are available by prescription only.
However, I’ve found another, equally effective method - without currently needing a prescription. It’s through the use of an estrogen-based topical cream.
Advantages of Bio-Identical Estrogen Cream For Your Patients:
- True human, bio-identical estrogens, formulated into a body moisturizing cream composed of bio-identical estriol and estradiol in an effective and safe 80% / 20% ratio
- No prescription is required
- No doctor visit is needed
However, there is only ONE MANUFACTURER on the planet that produces this product.
Special arrangements can be made to supply you and your patients with this product almost anywhere in the world, safely and quickly over the internet.
This is available in 50 countries, with daily shipping to the U.S., U.K., Canada, Australia and New Zealand.
The cost is also quite an attractive alternative for your patients as well. A month’s supply of bio-identical estrogen is available for under US 75 cents/day, no prescription is needed and it can be had directly from the internet.
Here’s how you and your patients can get this excellent product:
How To Recommend Using This Cream:
- Have your patient apply 2 pumps of bio-identical estrogen cream to the skin at bedtime. The cream comes in an airless pump dispenser.
- Two pumps are equivalent to ½ (one half) mg of Premarin.
- If needed, it is totally safe for your patient’s to use this cream twice daily and in larger amounts (see below).
- This cream can be applied directly to their vagina – this especially helps with alleviating vaginal dryness complaints.
Depending upon your patient’s particular body chemistry and how depleted their estrogen levels are, you may need to have them increase the dosage in order to completely eliminate all their symptoms.
If they find some of their symptoms still persist, simply have them increase the applications by 2 pumps every 4 – 7 days until the symptoms disappear entirely.
For example, using just 2 pumps at night may diminish hot flashes and night sweats by 50%. At that point, by simply adding a morning dose of 2 pumps those symptoms may be utterly eliminated.
If your patient’s body is very depleted of estrogen, and some symptoms continue to persist, then have them increase the application again - to two pumps, twice daily. This is the equivalent to a daily dose of 1.0 mg of Premarin a day.
Patients With Severely Depleted Estrogen
Some women are so estrogen-deficient that they require larger than expected amounts of estrogen. In this situation, a woman may require 3 or 4 pumps of the recommended cream.
The estrogen cream can be spread out to two times a day, particularly if daytime symptoms of hot flashes are significant. The cream should be applied at bedtime if symptoms are mainly night sweats.
If your patient has both severe hot flashes in the daytime AND night sweats, then you will most likely need to recommend applying the cream at bedtime and again in the morning. Start them at one pump at each time, adjusting any increases in pumps for the time of day or night with the most symptoms.
Rarely do women have to apply more than four pumps, two times a day, for a total of 8 pumps/day. Using 8 pumps would be the equivalent of Premarin 2.0 mg/day, which is a large dose.
Extreme Depletion / Deficiency Cases
There will be a tiny percentage of women who are so estrogen depleted, they may require careful supervision by a doctor skilled with bio-identical hormone management.
I truly believe every woman will experience at least some relief from their menopausal symptoms by using bio-identical hormones – but if a woman’s body has been running on “estrogen-empty” for years and years, it’s going to take some dedicated doctoring to set things right again.
IMPORTANT: DO NOT RECOMMEND ESTROGEN ALONE!
This “unopposed” medicating can cause hormonal imbalances. Estrogen should always be taken with its hormonal counterpart progesterone, just as nature designed and intended.
I would recommend a bio-identical progesterone product (PC30) to take along with Estro500.
We recommend applying two pumps of PC30 at bedtime in addition to the nighttime Estro500 dose. The progesterone dose remains constant at two pumps at night, even if your patient increases her estrogen dose.
It can be found HERE along with the Estro500.
As PC30 is also bio-identical – your patients can use it without the need for a prescription or doctor’s visit.
Thank you all for coming – it’s always a pleasure and honor to meet like-minded and forward thinking members of the medical community. If you want to keep abreast with the latest news, please subscribe to my newsletter.
When subscribing, you – and of course your patients as well - will have the opportunity to submit questions directly to me – and I promise to answer any concerns you both may have.
Of course, The FDA has not evaluated natural bio-identical hormones for alleviating menopausal symptoms, or the treatment claims made in this lecture. And, to be honest, I don’t think they’ll be jumping on it anytime soon.
(Laughter and clapping)
Here’s to vibrant health,
Andrew Jones, M.D.
4771 Sweetwater Blvd , Suite 155
Sugar Land, Texas 77479
P.S. Please always assure your patients that their information is always held in the strictest of confidence. Just like I do, don’t pass along any information about your patient or their order to any third party or regulating agency. Your patient’s health is a private matter – and it should always remain private.
P.P.S. If your patient is currently taking Premarin or PremPro for their menopausal symptoms, I would strongly consider recommending you advise stopping those specific medications before starting them on this course of action.
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