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Bio-identical hormones and PCOS

WHAT IS PCOS (Polycystic ovary syndrome)?

PCOS is a condition which includes :

  • Irregular or absence of menstruation
  • Excess of androgen production
  • Lack of other reasons for irregular or absence of cycles and excess androgens

SYMPTOMS OF PCOS:

  • Obesity
  • Irregular or absence of menstrual cycles
  • Infertility / recurrent miscarriage
  • Hirsutism
  • Oily skin / acne
  • Alopecia
  • Depression

LABORATORY AND SONAR :

  • Cysts on the ovaries (sonar)
  • Blood : High testosterone level or high DHEA or high androstenedione
  • Elevated insulin level or insulin resistance
  • Elevated LH
  • Decreased SHBG
  • Abnormal lipid profile
  • Hypertension

BIO-IDENTICAL HORMONE THERAPY IN PCOS:

PROGESTERONE 3 % cream : Apply ½ (0.5ml) scoop twice a day from day 10-25 of cycle.

Dose can be increased based on the symptoms and blood tests.

Or Micronized Progesterone capsules 100 mg: Take 1 capsule at night.

OTHER NUTRACEUTICALS FOR THE TREATMENT OF PCOS:

  • NEW: d-Chiro-Inositol: Take 1-2 capsules twice daily, with or shortly after meals
  • Alpha Lipoic Acid (Dual R-form) (or Alpha Lipoic Acid): Take 1 capsule daily, with or without a meal
  • Chromium Polynicotinate: Take 1 tablet twice daily with meals
  • Beta-Sitosterol: Take 1 capsule twice daily
  • Hormone Balance Natural HRT: Take 2 capsules daily after a meal
  • Soy Isoflavones: take 1 capsule daily with or shortly after a meal
  • Burnout™: Take 1 capsule twice daily with a meal (Refer to label for directions for use)
  • Invisible Fibre™: Refer to label for directions for use
  • Stress Damage Control: Take 1 capsule after breakfast and 1 capsule after lunch
  • Krill Oil (Neptune - NKO®) Omega 3 (or Fish Oil Extract Omega 3 or Sol-Oil 3 & 6 or Flaxseed Oil Omega 3): Take 1 capsule twice daily, with or shortly after meals
  • Treatment of Insulin resistance:
    • Alpha Lipoic Acid (Dual R-Form): Take 1 capsule daily, with or without a meal
    • Chromium Polynicotinate: Take 1 tablet three times per day with meals
    • CLA: Take 1 capsule three times per day, 30 minutes before meals
    • Magnesium Glycinate: Take 2 capsules at night after a meal

References:

1. K, H. (January 2009). The Bioindentical Hormone Debate: Are Bioidentical Hormones (Estradiol, Estriol, and Progesterone) Safer or More Efficacious than Commonly Used Synthetic Versions in Hormone Replacement Therapy? Postgraduate Medicine, Volume 121, issue 1 .

2. Smith, P. HRT: The Answers. 2003.

3. Writing Group for the Women’s Health Initiative Investigators, “Risk and benefit of estrogen plus progestin in healthy post-menopausal women,” JAMA 2002; 288:321-333.

Contributor:

Dr Caige Golding

 
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