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Menopause

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HRT vs bio identical

11 replies

Botherfreedays · 27/11/2019 13:25

Help. Crashing fatigue doesn't even come close. I am a zombie. Bloods are normal. Periods regular but heavy. Just started Femeston and a week in I have a permanent migraine and awful acne. I'm still exhausted.
Is bio identical treatment better? Willing to sell a kidney to pay for it - more seriously, I'm so desperate I don't care how much it costs.

OP posts:
ShippingNews · 27/11/2019 13:36

Don't give up after a week ,and decide that the Femeston isn't working. It takes longer than a week to get good results from any medication, including HRT. Stick with it for at least a month, and treat your migraine and acne separately.

I'm not convinced about bio identical treatments anyway . They are no more "natural" than any other medication , and they are not tested like regular medications are . To my mind they are an over-priced "natural alternative" which panders to people who think they are going to get individually- formulated hormone treatment . Try them if you like but don't expect the wonderful results touted by the manufacturers.

Botherfreedays · 27/11/2019 14:07

Thank you Shipping. I will stick with it, but it's hard feeling even worse than before. I'm not particularly bothered or looking for anything 'natural' I just want the best possible improvement.

OP posts:
JinglingHellsBells · 27/11/2019 17:49

@Botherfreedays There is a lot of confusion over what bio identical means. Do some reading on it- Dr Louise Newsons website covers it.

Basically......almost ALL estrogen in HRT now is bio-identical (and yes that includes Femoston.)

Bio-identical is not the same as compounded HRT. I think you might be confusing the two. Compounded is unlicensed HRT made for just you in a private lab based on your blood tests. It's not approved here in the UK by specialists as it's not safe.

Body identical and bio identical means the hormones have exactly the same molecules as our own.

So the estrogen in Femoston is the same molecular structure as your own.

Most progestogen is synthetic (not body identical) but the one in Femoston is close to our own.

If you do want 'body - bio identical ' progestogen you need to swap to an estrogen patch or gel and micronised progesterone.

JinglingHellsBells · 27/11/2019 17:50

All available on the NHS by the way.

Botherfreedays · 27/11/2019 18:30

So will a patch give better results?

OP posts:
JinglingHellsBells · 27/11/2019 22:01

@Botherfreedays
fact sheet links below

www.menopausedoctor.co.uk/menopause/body-identical-hormones

www.menopausedoctor.co.uk/menopause/body-identical-hormones

JinglingHellsBells · 27/11/2019 22:03

www.menopausedoctor.co.uk/menopause/the-hormone-hoax-thousands-fall-for-1 For @Botherfreedays

nearlynermal · 27/11/2019 23:07

I'm on the estradot patches (on NHS) plus mirena coil plus testosterone cream, and they've saved my life. If you're in reach of London and ok to do a private consult, OP, there are some great hormone people to talk to.

Botherfreedays · 28/11/2019 00:02

Nearly, any recommendations? Thanks

OP posts:
nearlynermal · 28/11/2019 06:20

Botherfree, my v good NHS GP says Nick Panay is the hormone guru. He does an NHS clinic at Chelsea and Westminster with very good people like Claudine Domoney. His private practice is Hormone Health. A good person to see there is Annie Hawkins, who's not based in London but has consulting days.

JinglingHellsBells · 28/11/2019 07:39

@Botherfreedays I think N Panay has a 6 month waiting list for private appts BUT the thing is you really don't need a private appt for something so straightforward as an estrogen patch and the Mirena coil, or estrogen patch and Utrogestan (micronised body identical progesterone.) Your GP is able to prescribe these.

The C&W clinic is really for women who have complex meno problems, which can't be sorted by a GP .

In any case, you'd be advised to carry on with any new HRT for 3 months to see how it suits you. No one's going to switch you after a week. Keep going with it for at least a month and see how you feel.

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