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Most estrogen pills need a prescription, but some over-the-counter (OTC) options are available. Estrogen is a hormone commonly known for its role in female sexual and reproductive health. It's also present in males. Estrogen also helps your bones, skin, heart, and cognitive health.
This medication is Gina 10 microgram vaginal tablets (Estradiol). All other HRT including other kinds of HRT tablets will still require a prescription, following a consultation with your doctor or specialist, due to its associated risks.
Estrogen Treatment: Pills
Oral medication is the most common form of ERT. Examples are conjugated Estrogens (Premarin), estradiol (Estrace), and Estratab. Follow your doctor's instructions for dosing. Most estrogen pills are taken once a day without food.
You take the medication to replace the estrogen that your body stops making during menopause. Hormone therapy is most often used to treat common menopausal symptoms, including hot flashes and vaginal discomfort. Hormone therapy has also been proved to prevent bone loss and reduce fracture in postmenopausal women.
Hormone replacement therapy (HT) is a common treatment for low estrogen, especially during menopause and postmenopause. With HT, you take synthetic forms of estrogen and/or the hormone progesterone to boost your levels.
Symptoms of low estrogen can include: Hot flashes, flushes, and night sweats are the most common symptoms of low estrogen. At times, blood rushes to your skin's surface. This can give you a feeling of warmth (hot flash).
Traditional natural hormone replacement therapies
phytoestrogens, which are dietary estrogens found in legumes, seeds, and whole grains. folate (vitamin B-9 or folic acid) St. John's wort.
Estradiol medications, including estradiol 2 mg tablets and ethinyl estradiol vaginal creams, are prescription medications in the United States. As such, one cannot just buy estradiol online or get estradiol OTC (over the counter) at a pharmacy. Instead, the first step is getting a prescription from a medical provider.
Treating menopausal symptoms with estrogen alone is known as estrogen therapy (ET). ET improves the symptoms of menopause, but it increases the risk of cancer of the uterus (endometrial cancer). Because of this, ET is only safe for women who don't have a uterus (such as those who have had a hysterectomy).
Lo Loestrin Fe is the only available low-dose birth control pill that provides effective pregnancy prevention with 10 micrograms of daily estrogen.
You can usually begin HRT as soon as you start experiencing menopausal symptoms and will not usually need to have any tests first. However, a blood test to measure your hormone levels may be carried out if you're aged 40 to 45.
The window of opportunity to start hormone therapy is at 9 to 10 years after the official start of menopause. In other words, after a woman's period stops she has a decade to consider hormone therapy. Starting HRT after this window comes with risks that outweigh the benefits for most women.
In postmenopausal women, estrogens, taken with or without a progestin, increase the risk of cancer of the breast/ovaries, stroke, dementia, and serious blood clots. When used along with a progestin, estrogens also increase the risk of heart disease (such as heart attacks).
Vitamins and minerals that play a role in hormonal balance and managing estrogen deficiency symptoms include B complex, vitamin C, vitamin D, calcium, magnesium, and boron. Herbs and dietary supplements, including dong quai, black cohosh, astragalus, and DHEA, may have a more direct effect on low estrogen levels.
Blood tests – At-home estrogen blood tests are quick and easy. You just need to prick your finger and collect a small blood sample in a vial. After that, you can send your sample to a lab for testing. Urine tests – Estrogen tests that use urine take a little longer to administer.
The first changes you will probably notice are that your skin will become a bit drier and thinner. Your pores will become smaller and there will be less oil production. You may become more prone to bruising or cuts and in the first few weeks you'll notice that the odors of your sweat and urine will change.
Genes associated with follicle growth were not significantly altered by vitamin D3. However, it increases expression of genes involved in the estrogen-biosynthesis. Further, estrogen concentrations in porcine granulosa cell-cultured media increased in response to vitamin D3.
Decreased estrogen can also cause your body to start storing more fat in your abdomen compared to other areas of your body – some people refer to this as the “menopause belly.” Together with decreasing muscle mass, this can lead to higher levels of body fat and a heavier appearance, even without a change in weight.
If you are healthy, most experts agree that HRT is safe to use at the lowest dose that helps for the shortest time needed. If you're 59 or older, or have been on hormones for 5 years, you should talk to your doctor about quitting.
Phytoestrogens are present in many human foodstuffs including fruits (plum, pear, apple grape berries, …), vegetables (beans, sprouts, cabbage, spinach, soybeans, grains, hops, garlic, onion,…), wine, tea, and they have been identified in a number of botanical dietary supplements.