About natural hormone replacement therapy
| Q |
What are natural hormone replacement therapy products made from? |
| A |
They are bio-identical hormones synthesised in the laboratory from plant products – mainly soy or wild yam. |
| Q |
How long until I notice results? |
| A |
Generally between 2-6 weeks. At review, adjustments are made as required. |
Symptoms and concerns after starting bio-identical HRT
|
Q |
I am experiencing breakthrough bleeding. Is this normal? |
|
A |
Yes. Unless the bleeding is very heavy or frequent continue your
troches until your next review. Most bleeding settles within 2-3
months. It is of no cause for concern. If you are bleeding heavily for
more than 10 days, please contact the nurse consultant. |
|
Q |
My period has stopped altogether. Is this normal? |
|
A |
If you are in your reproductive years your periods will probably continue. They may stop. This is not a problem. |
|
Q |
I am experiencing crawling skin and/or hot flushes again. Does my treatment need review? |
|
A |
Yes. Your treatment will need to be reviewed at regular intervals
and the formula of your troches changed accordingly. Ring the clinic to
make an appointment. |
| Q |
I am starting to feel unwell on treatment. Does it mean it is no longer working? |
| A |
This just means your
treatment needs to be adjusted or updated. Please contact the nurse
consultant for a blood test form and make an appointment for review. |
|
Q |
I have put on weight. Is it because of the troches or treatment? |
|
A |
No treatment we give you will encourage weight gain. Certain
aspects of treatment will assist with weight loss, however diet and
exercise remain very important. |
|
Q |
Is it normal for my breasts to become swollen and sore? |
|
A |
Yes. It will normally cease 6-8 weeks after starting replacement therapy. |
| Q |
My sleeping patterns remain poor. Is there anything I can take? |
| A |
Yes. Melatonin. This is a natural sleep hormone. Please contact the clinic to arrange a script. |
| Q |
Why am I getting pimples and/or facial hair? |
| A |
This could be related to the androgen in the troche, so your troche formula needs to be altered. |
|
Q |
I am experiencing hair loss. What can I do? |
|
A |
Try a zinc supplement (25mg twice daily) together with Silica (hair and nail formula). |
| Q |
Is natural hormone replacement therapy compatible with other medications? |
| A |
It is compatible with most medications, however contact the doctor to confirm. |
|
Q |
Will estrogen increase my risk of breast cancer? |
|
A |
Our program is protective against breast cancer. It will decrease your chances of developing breast cancer. |
Monitoring and review
|
Q |
How do I get more troches? |
|
A |
There are scripts at the pharmacy. Contact them directly. |
|
Q |
My next pathology slip does not request all hormones. Is this correct? |
|
A |
Yes. We base changes on clinical symptoms not blood results. |
| Q |
Do I have to have my blood tests done at a certain time in my cycle? |
| A |
No. |
| Q |
I have decided to become pregnant. Do I need my treatment revised? |
| A |
Yes. Contact the clinic to make an appointment. |
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