Oral estrogen have many more health protective benefits than does transdermal estrogen and therefore the preferred form of estrogen. When it comes to oral estrogen, medical studies have found that oral e2 estradiol is the safest and most effective form, because it avoids inherent side effects related to oral CEE.
Out of the three forms of estrogen, estradiol is the most potent form. It is approved by the U.S. Food and Drug Administration to treat estrogen-related conditions. Estriol and estrone are not approved in the U.S. for women. However, these estrogens may still be used in some compounded medications.
Soy to the World
The most widely cited natural remedy is soy, which is very high in phytoestrogens, or plant estrogens. Other sources are red clover and flaxseed, both of which are available as supplements.
Irregular periods, hot flashes, difficulty sleeping, mood swings, and headaches can all be signs of low levels of the hormone estrogen in women. The most common cause of low estrogen is perimenopause, your body's transition into menopause, but other factors can be involved.
It depends on your situation. Not all women need, want or are candidates for estrogen therapy. Estrogen can reduce menopausal symptoms like hot flashes, night sweats and vaginal dryness. If you have a uterus, you'll likely need to take progesterone along with the estrogen.
Functional foods, vitamins and minerals, and herbal supplements are all natural ways to boost estrogen in the body. If natural methods aren't enough to boost your estrogen levels, visit your doctor to discuss other treatment options, such as hormone replacement therapy.
Bioidentical or "natural" hormones
Bioidentical hormones are hormone preparations made from plant sources that are promoted as being similar or identical to human hormones. Practitioners claim these hormones are a "natural" and safer alternative to standard HRT medicines.
Estradiol (E2) is the primary form of estrogen in your body during your reproductive years. It's the most potent form of estrogen. Estriol (E3) is the primary form of estrogen during pregnancy.
Natural and synthetic estrogen may cause the following common adverse effects: breast tenderness, nausea, vomiting, bloating, stomach cramps, headaches, weight gain, hyperpigmentation of the skin, hair loss, vaginal itching, abnormal uterine bleeding, also known as breakthrough bleeding, and anaphylaxis.
According to the Food and Drug Administration (FDA) and several medical specialty groups, the hormones marketed as "bioidentical" and "natural" aren't safer than hormones used in traditional hormone therapy. There's also no evidence that they're any more effective.
A Fred Hutchinson Cancer Research Center study involving postmenopausal, overweight, and obese women who took 2,000 IUs of vitamin D daily for a year found that those whose vitamin D blood levels increased the most had the greatest reductions in blood estrogens, which are a known risk factor for breast cancer.
Because estrogen creams are absorbed through the skin and go directly into the bloodstream, they're safer than oral estrogen for people who have liver and cholesterol problems.
Phytoestrogen/Isoflavones
Phytoestrogens are natural chemicals in plant foods that have a mild estrogen-boosting effect. Isoflavones are the major class of phytoestrogens, found in soybeans and soy products, nuts and seeds (such as sesame seeds and flax seeds), and chickpeas and other legumes.
You can take estrogen in the form of a pill, patch, gel, vaginal cream, or slow-releasing suppository or ring that you place in your vagina. If you experience only vaginal symptoms related to menopause, estrogen in a low-dose vaginal cream, tablet or ring is usually a better choice than an oral pill or a skin patch.
Yes, you can buy OTC estrogen creams without a prescription from your healthcare provider. However, you shouldn't try to substitute OTC estrogen creams for prescription estrogen products. If you're looking for vaginal estrogen creams for vaginal dryness, these aren't available for OTC purchase.
Hormone replacement therapy (HRT)
HRT is used to increase your body's natural hormone levels. Your doctor may recommend HRT if you're approaching menopause. Menopause causes your estrogen and progesterone levels to significantly decrease. HRT can help return these levels to normal.
Taking estrogen without progesterone increases your risk for cancer of the endometrium (the lining of the uterus). During your reproductive years, cells from your endometrium are shed during menstruation.
Fatigue and Sleep Issues
Estrogen is intimately linked to serotonin, and serotonin makes melatonin. Melatonin is the primary sleep hormone. This means, if you've been sleeping less and feeling fatigued, you could have low estrogen.
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.