5 Comments

Oh dear goddess, I recently heard the term "dirty estrogens." It came from a patient asking for my help in ridding her body of said, "dirty estrogens." I googled it and found a bazillion web sites referencing "dirty estrogens" and how to get rid of them (buy something!), but no clear or consistent explanation of what a "dirty estrogen" is. In general, these hucksters seem to be referring to estrone and estradiol as "dirty." But they like estriol, "which is the protective estrogen.” Can you give us a little more clarity about estrogens and estrogen metabolites?

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Could you please explain which form of vaginal estrogen therapy is more effective for improving the tissues of the vagina as well as for the clitoris and urethra. I live in Canada and estradiol is only available to us as a Vagifem tablet or contained within Premarin cream. Otherwise Estrone cream (Estragyne) is available. Unfortunately estradiol cream as in the US available Estrace ( and generic) is not available to Canadians—I wish we had the option. A physician told me they equally effective however my understanding is that estrone is weaker. Could you explain this?

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I was just recommended to take Vitex and Estro Px. What do you know about these two supplements

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As a patient I've asked for bioidentical progesterone, just wanting oral micronized progesterone rather than a progestin.

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Cat amongst the pigeons.

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