NON PRESCRIPTION OPTIONS

• PHYTOESTROGENS

• Naturally occurring estrogen-like substances found in

certain foods
---Isoflavones found in soybeans, chickpeas
tofu, tempeh, miso, soy
---Lignans – found in flaxseed husks and isolated in oils
--- Coumestans – found in red clover, sunflower seeds, bean sprouts
 NON PRESCRIPTION
• Vitamin E
• Black Cohash
• Dong Quai
• St. John’s Wort
•
• Ginseng
Licorice
• Chasteberry • Liberty tea
• Evening primrose oil • Estroven , promensil
• Velarian root
• Wild Mexican Yam
 PRESCRIPTIONS
NON-HORMONAL:

• Anti-Depressants: Venlafaxine, paroxetine, fluoxetine, citalopram

• Blood Pressure Medication: clonidine
• Other: gabapentin, bellergal
 HORMONES

• Estrogens
• Progestins
• Androgens
Hormones can be made from:
• Plant sources
• Animal sources
• Synthetic
 DELIVERY SYSTEMS
• PILLS
• PATCH
• INJECTION
• CREAM / GEL
• IUD
• RING

Continuous
Sequential
Cyclic
Combined
BIOIDENTICAL HORMONES
• Plant-derived
hormones chemically
similar or identical to
those in the body.

• Can be oral, absorbed

from under the tongue,
implants, injections, or
suppositories.
 COMPOUNDED HORMONES
• Agents prepared,
mixed, packaged or
labeled by a
pharmacist, custom
made for a patient
according to a
physician’s or
provider’s
specifications.
Women’s Health Initiative
 Use through time

2002:WHI

Prevention:
Osteoporosis
cardiovascular

Treat symptoms:
Hot flashes and night sweats