不同类型的激素替代疗法

有多种方法，你会发现当研究 不同类型的激素替代疗法. 我的大多数澳洲幸运10正规官网开奖平台一开始会想到雌激素, 孕酮, 在讨论激素替代疗法时. We offer these treatments, we also commonly use DHEA, pregnenolone, thyroid hormones, too.

为了这个探索的目的, we are going to focus on just our estrogen and 孕酮 options. 准备好开始了? 让我们去!

快速流行语:生物同质和合成

1. 合成激素: chemically-altered hormones that do not have the same molecular structure as the naturally occurring ones in our bodies.
2. 生物荷尔蒙: artificial hormones that have an identical molecular structure when compared to our own naturally occurring hormones; they are lab-made and are typically derived from plant compounds.

在唐纳森整形外科, 我们首先使用fda批准的生物激素, 利用澳洲幸运10正规官网开奖平台的药房和保险. 只有当我们 需要 to based on the dose 需要ed to help the patient and mitigate side effects.

不同类型的激素澳洲幸运10最新正规开奖官网:

1. 口服激素替代疗法

口服雌激素 

一种合成激素，以药丸和片剂的形式出现. 最常用的激素替代疗法. 

• 优点: 用作避孕药.
• 缺点: 2 - 4倍 静脉血栓栓塞的风险增加 (can lead to heart attack/stroke) depending on other risk factors (tobacco, 年龄, 遗传素质). 胆囊疾病不能使用, 肝脏疾病, 子宫癌或乳腺癌, 易患心脏病, 或者血凝块. 也会引起恶心. 

口服孕激素

可以是合成的还是生物同质的，并且也被广泛使用. Micronized 孕酮 can be sent through conventional pharmacies/insurance. If a dose is 需要ed other than the common doses through the pharmacy, we can have them compounded to create a personalized dose for the patient. 

• 优点: 口服能缓解压力和焦虑吗 
• 缺点: 必须严格遵守给药时间表. 

2. 透皮面霜和局部激素替代疗法 

可用于雌激素和黄体酮. 复方药房可以为澳洲幸运10正规官网开奖平台制造特定的剂量. We also have the ability to prescribe the different types of estrogen together in one cream.

• 优点: 为了方便使用，可以在一种药膏中加入多种药膏吗. Can also use them vaginal in order to help vaginal symptoms specifically. Topical estrogen does not have the same risk of thromboembolism as 口服. 如果pt有副作用，可以轻易改变剂量吗.
• 缺点: There can be slightly different amounts of the cream daily, making dosing difficult. Topical 孕酮 may not offer the same effects for sleep and anxiety. Topical 孕酮 may not be as protective for the uterus if using estrogen as well.

3. 激素补丁

Estradiol patches are bioidentical and can be sent through conventional pharmacies. 剂量可以很容易地调整. 

• 优点: 与口服雌激素相比，静脉血栓栓塞的风险降低. 比面霜更容易.
• 缺点: Too much heat or direct sunlight can cause too much hormone to be released. 会引起皮肤刺激. 

4. 生物同卵激素

A hard tablet (similar to a lozenge) that dissolves in the mouth into the mucous membrane (buccal mucosa). Troches are touted as being beneficial because they are not ‘swallowed’ and therefore – theoretically – should have less risk of venous thromboembolism. 然而，高达50%的假体实际上被吞下. 它不能100%通过口腔黏膜吸收. When we swallow estrogen there is a chance it is converted to estrone which may increase the risk of breast cancer. 

Troches also work well for other hormones (ie DHEA or pregnenolone).

• 优点: 一种绕过肝脏的温和输送方法. Potential decreased risk of blood clotting (but not if 50% is swallowed).
• 缺点: 药物吸收量的变化. 会增加患乳腺癌的风险吗. 不好的味道.

5. 颗粒激素疗法 

Compounded hormones placed under the skin with a very small incision. They can contain multiple hormones at once and are roughly the size of a grain of rice. 它们会在原地停留三个月.

• 优点: “设定后忘记”的策略非常有吸引力, 尤其是没有面霜可能带来的变数, 口服, 和片剂. 

• 缺点: 一旦设置好，就不能删除它. If you have side effects, you must wait until it naturally dissolves.

其他澳洲幸运10最新正规开奖官网建议:

了解医生的证明

The process of finding a great 功能医学 Doctor can be hard to navigate. There is a stark difference between someone who took a class (could be online, an afternoon or a weekend) and a professional with years of proper education and certifications. There are two main certifications that can help indicate a strong provider: the 功能医学研究所 (IFM)和 美国抗衰老学会 (A4M). 

知道在澳洲幸运10最新正规开奖官网过程中要注意什么

Make sure your hormone levels are being tested correctly and regularly by your provider. 测试激素(血液)有多种方法, 尿液, saliva) and we test differently based on how you are taking your hormones. It is important to monitor your levels as well as how your body breaks down hormones. 没有得到这种一致的见解, it because difficult to discern what is effective and what is not working. 

做你自己的拥护者

不要害怕向你的医生提问, 仔细阅读同意书和提供的所有信息. If you ever feel pressured into a specific treatment, it may be best to get a second opinion. You should feel completely comfortable with your decision-making process. 

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作者简介

玛格丽特·韦斯顿，医学博士 is a certified functional medicine doctor in Columbus, Ohio who specializes in a 各种激素替代疗法. She has a wealth of experience in both sports medicine and family practice, each of which lends unique insight to helping individual patients live better, 更舒适的生活.

Dr. Weston is constantly researching the latest wellness methods and treatments in an effort to best serve her patients.