80: Synthetic vs Bioidentical HRT - We Have to Differentiate

Confessions of a Male Gynecologist

Did you know there are only four bioidentical hormones?

The amount of misinformation and confusion surrounding hormone replacement options - especially estradiol and micronized progesterone - is staggering. Many doctors act like synthetic hormones, and bioidenticals are the same thing when in reality, it’s like comparing apples to cars.

Today, I’m doing a quick but deeper dive to clear up any confusion about estradiol, progesterone, ethinylestradiol, and micronized progesterone and why I recommend bioidentical hormones. In the maze of hormone replacement therapy options, it's essential to understand what truly aligns with your body's needs. Enjoy the episode!

Highlights

The controversy surrounding bioidentical hormones

The history of the use of diethylstilbestrol (DES) and the significant adverse side effects

What you need to know about ethinylestradiol, which used in most oral contraceptives

Concerns around the long-term use of birth control pills, particularly post-menopause

Bioidentical hormone replacement options

How the Women’s Health Initiative study impacted the collective’s perception of estrogen

Why you should be cautious about using conjugated equine estrogens like Premarin

Different types of progestins used in contraception and hormone replacement therapy

Contraindications of synthetic progesterone medications

The four types of bioidentical hormones

Differences between synthetic and bioidentical hormones

What’s behind the national shortage of micronized progesterone and alternatives

A warning against predatory telemedicine clinics

The benefits of bioidentical progesterone

How different administration methods affect the risks and benefits of hormone replacement

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Resources

Dr. Tassone's Practice https://www.drshawntassone.com/

The Hormone Balance Bible https://tassonemd.com/hormone-balance-bible/

Hormone Archetype Quiz https://tassonemd.lpages.co/hormonearchetypequiz/

Disclaimer This podcast and website represent the opinions of Dr. Shawn Tassone and his guests. The content here should not be taken as medical advice and is for informational purposes only. Because each person is so unique, please consult your health care professional for any medical questions.