w o m e n ’ s • Hormone Therapy Facts • Defining Bioidentical HEALTH •Your Hormone Options • Start with Your Symptoms UPDATES •Questions to Ask • Resources
National Women’s Health Resource Center, Inc.
form of estrogen, primarily avail-able during pregnancy when it is
Hormone Therapy Options: produced by the placenta. Each
form works differently in differentparts of your body. Fact 2.“Natural” is a mar- ustom-made “bioidentical” hor- keting term, not a mone therapy is being promoted medical term. Just because a medica- Cfar and wide as the natural turkey—no matter what form they tion or supplement is labeled “natu- anti-aging antidote and the
ral” doesn’t mean it’s any safer than
menopausal woman’s best friend.
symptoms they’d thought long gone.
the first results of the Women’s Health
type of therapy best meets her individual
to follow any of these requirements.
increased risk of breast cancer, heartdisease, stroke and blood clots. The
Fact 1.Your body produces Fact 3.Women today can choose from many three different kinds of options to treat their menopausal estrogen. These are: estradiol, or E2, symptoms. It is important to under- Women’s HEALTH UPDATES Bioidentical Hormones
is not reliable; nor is it used to deter-mine dosage or to monitor therapy. Fact 5.If hormone therapy is indicated, the FDA Safety and Regulation of recommends that it should be pre- Bioidentical Hormones scribed at the lowest effective dose for the shortest time needed. Using If you choose to have your bioiden- Fact 4. As with any med- varying doses and hormone therapy ducted or published. While these ication, all forms of hormone therapy have the potential for side effects. Whether it was made Defining Bioidentical When something is “bioidenti-
estradiol and estrone—have a high-er risk of breast cancer than women
Your Hormone Options
bioidentical hormones: those thatare FDA-approved and commercially
Women have numerous FDA- National Women’s Health Resource Center www.healthywomen.org Bioidentical Hormones Vaginal tablet. Less messy than a Oral. Most hormone therapy formu- Vaginal ring. There are two rings cur- Injection. Before there were creams Transdermal gels and spray.
months, at which point it is replaced. Progesterone. There are two forms of Transdermal patches. Ranging from
drug, but in different doses. Prochieve is
typically prescribed for infertility.
the forearm starting near the elbow. Lotion. Estrasorb (estradiol topical
emulsion) is a bioidentical estrogen. Vaginal cream. Estrogen creams www.healthywomen.org National Women’s Health Resource Center Women’s HEALTH UPDATES Bioidentical Hormones Start with Your Symptoms Resources Questions to Ask Your Health Care The new approach to hormone ther- American Menopause Foundation Professional Association of Reproductive Health If you are considering using Professionals hormone therapy to treat menopausal symptoms, ask your health care professional National Institutes of Health these questions: Menopausal Hormone Therapy 1. Why should I take hormone Information therapy? 2. Which hormone therapy delivery method is right for me? 3. Could you please review the term “bioidentical” with me? National Women’s Health Resource Center, Inc. 4. What is the lowest dose of hormone therapy that I can take to relieve my symptoms? The North American Menopause 5. How long should I take hormone therapy? 6. What side effects are possible
increasing it until you’re comfortable,
with this medication? The Hormone Foundation 7. What are the risks associated with this medication? Bioidentical Hormones References Women’s Health UpdatesPublished by the
5 North American Menopause Society Position
National Women’s Health Resource Center
associated vasomotor symptoms.” Menopause:Menopause Society. 2004; 11(1):11–33.
2 Subcommittee on Human Rights and Wellness.
6 Femring [package insert]. Rockaway, NJ:
House Committee on Government Reform. Women’s Health Updates provide health information to
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women interested in making informed decisions about
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their health. This information does not suggest
individual diagnosis or treatment. This publication is not
3 EstroGel [package insert]. Marietta, GA.
9 Delestrogen [package insert]. Bristol, TN:
a substitute for medical attention. The publisher cannot
accept responsibility for application of the information
4 “Hormone Therapy: Fact or Fiction.
herein to individual medical conditions. The National
Menopause Flashes.” North AmericanMenopause Society; January 2005.
Women’s Health Resource Center does not endorse or
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HEAD LICE COUNSELLING GUIDELINES 1. Head lice do not spread any diseases but do cause emotional distress. They affect anyone, regardless of personal cleanliness. Children are affected more than adults because of the amount of time spent in close conditions. 2. Lice require warmth and human blood to survive. Transmission is person-to-person, spread by direct contact. Sharing of hats, coats,
Treatment of head louse infestation with 4% dimeticone lotion: randomised controlled equivalence trial Ian F Burgess, Christine M Brown and Peter N Lee 2005;330;1423-; originally published online 10 Jun 2005; BMJ doi:10.1136/bmj.38497.506481.8F Updated information and services can be found at: References This article cites 10 articles, 1 of which can be accessed free at: 5 onl