While many postmenopausal women are turning to “natural” or “bioidentical” hormone therapy because of safety concerns about conventional hormone preparations, there is no evidence that these products are either safe or effective.
The US Food and Drug Administration (FDA) has begun enforcement action against seven compounding pharmacies, stating that the claims made by these pharmacies about safety and efficacy of compounded “bioidentical hormones” are false and misleading, with no credible scientific evidence to support them. So should you be taking two of the most common "hormone supplements " being recommended to women here is Utah?
Studies on the use of DHEA (dehydroepiandrosterone), available as a nutritional supplement in the United States, have shown that DHEA can improve sexual interest and satisfaction in some women whose adrenal glands no longer function (adrenal insufficiency). However, DHEA is not proven to be safe or effective for other women, and it is not generally recommended.
This compounded (meaning “mixed up” dose of synthetic hormone by a pharmacy) can cause erratic and varying levels and is no safer than regular FDA approved progesterone pills. The American College of OB/GYN (ACOG) says that "Bioidentical" compounded hormones pose additional risks. These preparations have variable purity and potency and lack efficacy and safety data.
Should you get Hormone Levels checked for Menopause Treatment?
There are few reasons for the measurement of hormone levels to check for success of therapy when treating a postmenopausal woman with hormones. If treatment is initiated for symptom control, improvement in symptoms is the therapeutic end point, and there is no need to assess hormone levels. Hormone therapy should not be adjusted to hormone levels (serum, urinary, or salivary).