, Volume 22, Issue 7, pp 1030-1034,
Open Access This content is freely available online to anyone, anywhere at any time.
Date: 07 Mar 2007

Bioidentical Hormones for Menopausal Hormone Therapy: Variation on a Theme

Abstract

BACKGROUND

Progesterone creams and natural or bioidentical compounded estrogen preparations are being promoted to consumers as safe alternatives to conventional menopausal hormone therapy and as health-promoting tonics. No reliable data support these claims.

SAFETY

Natural hormones, including estradiol, estriol, estrone, and progesterone, can be expected to have the same adverse event profile as conventional menopausal hormone regimens.

SALIVARY HORMONE TESTS

Salivary tests may be used to persuade asymptomatic consumers to use hormones (or symptomatic patients to use higher doses than those needed to mitigate symptoms), a practice that can be expected to result in adverse events.