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Medical Advisor
Originally Posted by anna
Hi doc redmond I just finished reading your book and I wanted to know if I can use transdermal estrogen and progesterone. I am 40 and really do not want to go on the birth control pill. My estrogen fluctuations might be the reason for my hairloss and my monthly periods have been very light for the last 7 months, I usually have a 2 day light bleed. I do not have oily skin or acne. Will vivelle dot or menostar help me? My estrogen has been as low as 40 and as high as 250. thank you for helping, anna
Birth control pills contain modified forms of estrogen and progesterone as does the combination of an estrogen patch and oral Prometrium. However the later are designed for women who are no longer menstruating, generally women in menopause. If taken by a woman who is cycling, they tend to cause frequent irregular bleeding and so are not an appropriate treatment. There is also the problem of extra estrogen affecting the lining of the uterus so using estrogen replacement or progesterone while still having periods is not usually a good idea. There are exceptions but only in special situations that need to be assessed by specialist.
The birth control patch, OrthoEvra has been linked to an increased risk of clots and so is not a good choice in any circumstances.
During a normal cycle, estradiol levels vary from about 30, sometimes even less, to about 400 later in the cycle. So measurements of estradiol in normally cyclic women vary greatly and do not usually give helpful information.
Birth control pills are considered acceptable for non-smoking women until about age 50, but input from an experienced physician is necessary for an individual women to decide if this is a good option for her.
Best regards
Geoffrey Redmond, MD
The Hormone Help Center of New York http://www.hormonehelpny.com/
Author, It's Your Hormones
It is not appropriate to make medical diagnoses or treatment recommendations over the internet. Replies to questions intended as general information and not as medical advice for any individual. An appropriate health care provider should be consulted for specific advice.
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