Menopause Matters Forum

Menopause Discussion => All things menopause => Topic started by: Amandajane46 on March 28, 2015, 07:54:12 PM

Title: HRT which one
Post by: Amandajane46 on March 28, 2015, 07:54:12 PM

Hi which is the best bio identical HRT on prescription I can try from my GP please

Title: Re: HRT which one
Post by: dazned on March 28, 2015, 08:26:20 PM

Hi the regime I posted on my specialist appointment that you read is bioidentical and many women on here use that but they have patches or gel for the estrogen bit ,some use the progesterone bit all the time or on last 12 days.

Title: Re: HRT which one
Post by: Amandajane46 on March 28, 2015, 08:52:05 PM

Hi is that the femoston one x

Title: Re: HRT which one
Post by: dazned on March 28, 2015, 08:58:00 PM

Well yes that one is but I didn't get on with it,I'm progesterone intolerant apparently !  But that one is only if you post meno,the new one I'm about to start can be used for either ,it's the one with the utrogestron used as the progesterone.You can use it orally or vaginally which most on here seem to do.

Title: Re: HRT which one
Post by: Amandajane46 on March 28, 2015, 09:10:38 PM

Hi progesterone does not agree with me ether I was on evorel conti but now on evorel 50 but symptoms are still present so have doctors on Wednesday that's why I'm asking I want a bio identical patch as my DR not good with HRT

Title: Re: HRT which one
Post by: dazned on March 28, 2015, 09:24:45 PM

As far as I understand the only progesterone is the one in femoston conti  and Utrogestron that is what specialist said ,I believe you won't be able to get it all in a patch you have to have an estrogen patch then utrogestron or the tablets. But maybe someone else knows different.
Have you read Thread about utrogestron Hurdity is the expert read what she says about it .

Title: Re: HRT which one
Post by: GeordieGirl on March 28, 2015, 11:18:30 PM

I've just posted this on another thread - it may be useful although I'm not sure how up to date the list is, although it is comprehensive. It's from the Surmeno site and is a good reference guide to HRT and BHRT drugs in their various guises, either oral, transdermal or vaginal. I suspect there may be some omissions (I can't see Utrogestan on there, a natural progesterone) but it's a good starting point.

GG x


OESTROGEN:

Oral human-identicals:

    Biestrogen ("Bi-est")
    Estrace and its generics
    Femtrace
    Gynodiol
    Triestrogen ("Tri-est")

Oral synthetics:

    Cenestin
    Enjuvia
    Estinyl
    Estratab
    Menest
    Ogen
    Ortho-Est
    Premarin

Transbuccal human-identicals:

    compounded troches or oil drops
    Estrace and its generics

Transdermal human-identicals:

    Alora
    Climara
    Divigel
    Elestrin
    Esclim
    Estraderm
    Estrasorb
    EstroGel
    Evamist
    FemPatch
    Menostar
    Minivelle
    various compounded estrogens
    Vivelle
    Vivelle Dot

Transdermal synthetics:

    none

Vaginal human-identicals:

    Vagifem
    Estring
    Estrace cream
    Femring

Vaginal synthetics:

    Ogen cream
    Premarin cream


PROGESTERONE / PROGESTIN

Oral progestins (synthetic):

    Amen
    Aygestin
    Curretab
    Cycrin
    Megace
    Ortho-Micronor
    Nor-QD
    Provera

Oral progesterone (human-identical):

    Prometrium
    compounded capsule

Intrauterine progestin:

    Mirena

Transdermal/ Transbuccal Progesterone (human-identical):

    compounded cream/gel/troche
    Endometrin
    Prochieve (ex-Crinone)

Progestin injection (synthetic):

    Depo-provera

Title: Re: HRT which one
Post by: Amandajane46 on March 29, 2015, 08:42:09 AM

Thank you GeordieGirl  :)

Title: Re: HRT which one
Post by: Dancinggirl on March 29, 2015, 08:48:47 AM

Amandajane - there aren't any bio identical progesterone patches - Utrogestan only comes as a capsule but some women use it vaginally (though this is not licensed here in the UK). DGx

Title: Re: HRT which one
Post by: dazned on March 29, 2015, 11:37:09 AM

Hi I have got utrogestron vaginal pessary today.

Title: Re: HRT which one
Post by: Hurdity on March 29, 2015, 11:45:34 AM

Hi there

That list is American (I think!) GeordieGirl - the preparations available here in UK can all be found under HRT preparations - this tab http://www.menopausematters.co.uk/treatment.php and then all the sub tabs for oestrogens, progestogens, peri and post menopause. All the bio-identical oestrogens are the ones containing estradiol. Some contain estradiol valertae which is quickly converted to estradiol in the body so generally counts as bio-identical.

As Dancinggirl says the only bio-identical progesterone licensed for hRT is utrogestan. Some gynaes and GPs also prescribe Cyclogest pessaries and Crinone vaginal gel is also available but rarely prescribed. These latter two are used for fertility.

The progestogen in Femoston is called dydrogesterone - not bio-identical, but of the tablet HRTs the closest progestogen to our own natural progesterone. here is some info about the progestogens:

Progestogens which can be used cyclically are of 3 main types:

    Testosterone derived - Norgestrel, Norethisterone acetate and Levonorgestrel.
    Less testosterone related - Medroxyprogesterone acetate(MPA).
    Least testosterone related - Dydrogesterone and Micronised progesterone (Utrogestan).

Side effects are often experienced during the progestogen phase of treatment and can be reduced by using a product containing a different type or route of progestogen.

http://www.menopausematters.co.uk/perimeno.php

If you are progesterone intolerant - well highly so - then you are probably better off on a long cycle HRT (ie have a bleed but not every 4 weeks) but if your doc is not good with HRT this might be difficult. Can you get referred to a meno clinic?

Hurdity x