Hormone Lab Work
Basic Hormone Evaluation
Therapy Guidelines Young teens with PMS, irregular cycles, dysmenorrheal, not in need of contraception: Progesterone 100mg P.O., H.S. Day 10-26 of cycle Young woman with irregular cycles: Mild PCOS, not desirous of pregnancy right now, normal glucose, insulin: Progesterone 100mg P.O., H.S. day 10-26 of cycle (day 7-27 may be required in some women to control bleeding). If in need of birth control or high testosterone, excess hair or acne: Birth control pills. Young woman with irregular cycles and abnormal glucose, insulin resistance: Mild PCOS, not desirous of pregnancy: Consider Metformin therapy progesterone 100mg P.O., H.S. day 10-26 of cycle (day 7-27 may be required in some women to control bleeding). If in need of birth control or high testosterone, excess hair or acne: Birth control pills. Early pre-menopause (35-50): with fibroids or endometrial polyps: Progesterone 100mg P.O., H.S. day 10-26 of cycle Middle pre-menopause (35-50): irregular, heavy cycles, PMS, hot flashes, with normal or mildly elevated FSH and LH, adequate estrogen: Progesterone 100mg P.O., H.S. day 10-26 of cycle Established Menopause (45-55): No periods, mild to no hot flashes: Progesterone 50-100 mg P.O., H.S. 3 weeks on/1 week off. Add biest 1-5 mg, or estradiol patch, or oral estradiol. S/P hysterectomy with or without hot flashes, elevated FSH but adequate estrogen levels: Progesterone 100mg P.O., H.S. day 10-26 of cycle S/P hysterectomy with or without hot flashes, elevated FSH but low estrogen levels: Progesterone 100mg P.O., H.S. day 10-26 of cycle. Add biest 1-5 mg, or estradiol patch, or oral estradiol. Menopausal Diabetic: Progesterone 50-100 mg P.O., H.S. Late Menopause: Elevated FSH and LH, low estradiol, progesterone and testosterone. Supplement hormones as needed for patient comfort. Measure levels. Occasionally, stop progesterone for one week to evaluate for endometrial stimulation. |
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