CLA wrote:It looks like the hormone that they are going to recommend is something called Prevarin. I think it will cost about $166 a month. Pricey, but cheaper than a divorce! He also said he would have to refer her to someone else if she was wants to take testosterone as he said it was tricky to monitor and she would be better off with someone who has a practice more devoted to that sort of thing.
Prevarin is Premarin packaged to be applied in the vagina. Premarin is horse estrogen -- PREgnant MARe urINe. Horse estrogen is different than human estrogen. Bioidentical HRT uses hormones that are identical to what naturally occurs in the human body. They use the term "bioidentical" instead of "natural" because bHRT hormones are synthesized and not naturally-occurring. But your body doesn't know the difference.
Do check out the bioidentical option. Why, pray tell, use equine estrogen when the real stuff is available? bHRT has not been embraced by big pharma because it can't be patented and there is not much money to be made with it. bHRT has been around for 30 years or longer, but is just now starting to make inroads into mainstream medicine -- due to grass-roots patient demand more than anything.
He also said he would have to refer her to someone else if she was wants to take Testosterone as he said it was tricky to monitor and she would be better off with someone who has a practice more devoted to that sort of thing.
Ok, that's screwy. I have never heard of going to one doctor for estrogen, and another for testosterone. And another for progesterone? Measuring blood testosterone levels are no more difficult than testing estrogen levels. It is easier actually, since there are two main types of estrogen to be dealt with, but only one kind of testosterone. bHRT ultimately bases its dosage on symptoms anyway. Some symptoms of of too little or too much estrogen, progesterone, and testosterone are similar. You need someone knowledgeable about all three.
But your doctor is right -- there is someone who would know more about testosterone (and everything else) -- a good bHRT doctor. They will run every conceivable blood chemistry test, including sex hormones and thyroid. A totally integrative approach to health. The training required to get certified is rigorous. https://www.a4m.com/
Our last bHRT doctor was a big-deal OB-GYN, but he displayed his A4M "diploma" in the waiting room, not his OB-GYN FACOG thing.
So you owe it to yourself to talk to a bHRT doctor. It wouldn't hurt to call the place in CO that I linked to in my last post, because they are knowledgeable about bHRT and blood clots. I don't know how common or uncommon it is for a bHRT doctor to be knowledgeable about blood clots, because it is never anything we have had to deal with. Do spend some time on their site. They explain what bHRT is and link to several studies showing the dangers of non-bioidentical HRT. But there are bHRT clinics all over the place now, so you can find someone closer to talk to and not have to spend a lot of money.
My guess is that if you go to a bHRT doctor, if she needs blood thinners, then he will prescribe them. If she doesn't, then giving her normal post-menopausal hormone levels won't be a factor and he won't recommend them.
If you decide not to go the bHRT route, ask the doctor who wants to prescribe the Prevarin if Estrace would be better. Estrace is another big-pharma product, but does actually use bioidentical estrogen.
Pricey, but cheaper than a divorce!
I can understand Poetess's reaction to this statement. But we say the same thing anytime we spend money on our marriage. We go to a nice beachfront hotel every year for a marriage Vision Retreat, for example. We say that in jest, but only partially in jest. Indeed, if you don't invest in your marriage, you will end up divorced or with a marriage that you hate. In the case of sexual problems caused by hormones, if they couldn't be fixed, we could live with that. Our fingers and mouths work fine, and as long as we are willing to use them, then we would have no grounds for divorce, and can have a somewhat fulfilling sex life. But, in most cases and certainly in our case, sex problems are quite treatable. If either of us refused to get treated, then yeah, that's withholding sex and grounds for divorce IMO.
BTW, my wife spends about $75/month on her hormones. I spend probably half that.
Everything you ever wanted in life is just outside your comfort zone (Jamie Lee Curtis)