Thursday, July 24, 2014
Thursday, January 01, 2009 Susan, Community Member, asks

Q: A few days ago I switched from Estratest HS to Combipatch. I had horrible hot flashes last night,

I don't understand if the Combipatch is working for me.  The Estratest HS worked great with hot flashes but my Gyn. thought Combipatch might be better for low libido.  2 nights later after stopping Estratest HS and wearing Combipatch I had horrible hot flashes from 2 am on, why?   Is the Combipatch working at all, is the dosage too small (I think it's the only dosage offered).  Anyone know ?

What exactly would be the benefit of Combipatch versus Estratest HS?

Answer This
Answers (1)
Sandy Greenquist, Health Pro
1/ 5/09 5:51pm

First of all, Susan, it is very unlikely that Combipatch would help your libido more than Estratest since libido is created by testosterone and Combipatch has none of that.  There are actually 2 dose levels of Combipatch, so maybe you're on the lower and not getting enough estrogen for the flashes. 

Second, the best bet for your libido is bioidentical testosterone which is exactly like what your own body made.  The ingredient in Estratest is a synthetic chemical and, in my experience, is not nearly as effective.

One last point, if you can find the right dose, a patch is a much better way to take estrogen.  You can use lower doses; it goes directly into your bloodstream and doesn't have to be metabolized in your liver; and it keeps a nice, steady level of estrogen in your blood.  Estradiol is the bioidentical form and is very effective.  It comes as a generic, and as Vivelle dot or Climara.

Good luck finding the right combination for you,

Sandy

Reply
RByrd, Community Member
10/19/10 9:21am

Where do you find the bioidentical testosterone?  Is it prescribed?  Or over the counter?  Can your Internal med doctor prescribe this?

Reply
Sandy Greenquist, Health Pro
10/19/10 5:41pm

It has to be prescribed by your provider and made in a compounding pharmacy.  There is a gel coming out, probably next yr., but right now there's not a good alternative made by a pharmaceutical company.  Your internal med. doc can prescribe this for you.  I generally use cream and start with 1-2mg daily.

Good luck!

Sandy

Reply
Answer This

Important:
We hope you find this general health information helpful. Please note however, that this Q&A is meant to support not replace the professional medical advice you receive from your doctor. No information in the Answers above is intended to diagnose or treat any condition. The views expressed in the Answers above belong to the individuals who posted them and do not necessarily reflect the views of Remedy Health Media. Remedy Health Media does not review or edit content posted by our community members, but reserves the right to remove any material it deems inappropriate.

By Susan, Community Member— Last Modified: 12/25/10, First Published: 01/01/09