Most of my perimenopausal patients  are happy, when their periods are gone . And I understand them: no spotting, no bloating, no tension, no unwanted pregnancies, etc. So now they can take hormones to get relief  hot flashes, anxiety, sleep loss, mood swings and get their youth back. Looks like everybody is happy:

- women, because they look and feel young again
- doctors, because menopause management is this way.

But not any more. The recent Danish study results proved 2 things:

1. Risk of heart disease was lower, if women were cycling.
2. Transdermal route was superior.

These finding are supporting previously very well know point of view, that cycling is better. So if you want your youth back, get some inconvenience. But you will be rewarded.
hormones, hormone replacement therapy, periods, cycling

Technorati Tags: hormones, hormone replacement therapy, periods, cycling

Hormone replacement therapy is very effective for menopause symptoms relief. Therefore when HRT was first introduced, everybody was very excited about it: patients, because HRT worked very well, doctors, because now treatment of menopause became easy.
Then Women’s Health Initiative study results came out. They found that hormone replacement (HRT) increased risks of heart disease, and breast cancer. Hormones, used in WHI, were conjugated ( horse) estrogens and progestins ( not natural progesterone). The other statistics confirm these finding. For example they found that breast cancer rate in the US is declining because of cutting down on HRT. So what is the problem with traditional HRT?

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The problem with synthetic or semisynthetic hormones is utilization: our body does not know what to do with them. But our body knows exactly what to do with our own hormones. Example: natural estrogen is metabolized by 2-OH pathway, which creates benign waste products. Conjugated ( horse) estrogen is metabolized by 4-OH pathway, which is not natural. The result: byproducts, linked to cancer.

Then doctors came up with the idea to use hormones chemically identical to our own hormones: method known as bioidentical hormone replacement. In fact these hormones have been on market for a long time. Example — Prometrium ( bioidentical progesterone). Estradiol and Estriol have been well known Biest. However of bioidentical hormones used in famous WHI study. Why? Because nobody wants to put money into the medications which cannot be patented. Have you seen Pepsi advertising? Many times. How about broccoli? I do not think so. Same thing with hormones.
As a physician I’m concerned with safety first. Remember: do no harm - ancient wisdom. Are bioidentical hormones safe? Do we have controlled double blind studies to confirm safety and effectiveness of the female hormones with the same molecular structure as our own? No, and we won’t have - at least in the near future. Because substances in nature, cannot be patented. Therefore no money to subsidize the studies.

Do we really need controlled studies? Effectiveness of insulin was confirmed on patient after he was injected with pancreatic extract and his blood sugar level decreased. Power of vaccination was confirmed on 21 patients only. No double blind studies. Would we get insulin or vaccines, if double blind studies were required?
Our experience and our colleges experience show, that hormones with the same molecular structures as our own are effective and safe for hormone replacement therapy, if used correctly under appropriately trained physician’s supervision. I know, that they are working for menopause and andropause. The new study, done by Aksam Yassin, MD, PhD from the Clinic of Urology and Andrology of Segeberger Clinics in Norderstedt, Germany, confirmed, that testosterone replacement therapy does not cause prostate cancer. Do we have to wait until controlled studies come out?
For more information about BHRT ( bioidentical hormone replacement therapy ) go to www.doctorkalitenko.com
Please let me know what you think about the safety of BHRT.
BHRT, HRT, hormones, safety, bioidentical hormones, bioidentical hormone replacement therapy

Technorati Tags: BHRT, HRT, hormones, safety, bioidentical hormones, bioidentical hormone replacement therapy

Everybody was surprised, then saw Angelina Jolie on October 4 2008 after she gave birth to twins. Why? Because she was slim again 3 month after delivery.  There is no question, that she looked fabulous.  The question is how she could do it.

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Do you think, that testosterone is for only? When I was in the medical school I thought this way. And many people still think, that testosterone is mainly for fun. But not any more.

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Do you want to have your periods back? Yes? No? Most of the women say no. And it is understandable: who wants to have this trouble again. If you decide to get bioidentical hormone replacement, you may have it without periods.  And everybody loves it: youth is back but no periods, no pregnancy. Another choice is to go back to cycling with periods again. There is no consensus which is better. And I usually recommended my patients BHRT without cycling. Until recently.

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No doubt, that some drugs are linked to weight gain. Among them: almost all diabetic medications except Glucophage, Prozac, Elavil etc. But are they really the cause of weight gain? Or there is some other cause? Are the drugs are adding calories to your diet, or our metabolism is down, leading to weight gain, even if you eat only a handful of food?

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Now many doctors agree that impotence is dangerous. Even in the article “Five symptoms men should not ignore,” published on the CNN site, unenthusiastic penis is mentioned as a symptom #3. Explanation: penis has the same vessels as the heart, brain, kidneys etc. Therefore if you have erectile dysfunction, then you may have bad penile vessels as well as coronary vessels and renal vessels, etc. So you need to check your cholesterol, heart, blood pressure etc. Sounds logical? Yes. But this is only the part of the problem. What they do not want you to know is

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Are you suffering from tiredness, which starts early in the morning after you get up? If yes, then you may not be getting enough sleep. Most of my patients are suffering from lack of good sleep almost every day. The reason: too much cortisol because of estrogen and progesterone decline. So what needs to be done? (more…)

Have you ever suffered from depression? If yes, then you probably had your libido decreased. THe new study showed, that women, suffering from depression and who are taking antidepressants, may benefit, from Viagra. But probably this is not the only way to help with libido loss. (more…)

Can you live without love? Me — no. What about you? I do not think so. So looks like everybody agrees that love is a must. Because love gives us energy, love gives us happiness, love gives us babies. Sounds easy? Not that fast. The problem is to find the right person, who can become your not only lover, but also your friend and supporter for life. THis is difficult. But it is possible. How? (more…)