Re: Getting Rx for Ortho-Gynest cream

[Guest guest]

Thanks Val,

I didn't mean I was going to put Oestrogel on my face. Sorry if it

sounded that way.

I know Ortho-Gynest is only available from MM in Eurpoe and I was

wondering if you thought a Dr. would Rx me for it so I can order it

from MM, if I told my Dr. it was for my face? I understnad they

won't fill orders (even for Cyclogest and Ortho-Gynest) without an RX

from a Dr., which they want us to FAX to them.

Thanks,

>

> I don't think Ortho Gynest is available in the U.S. It is estriol

and I'm

> not aware of any estriol product being sold here. Estrace cream

might be an

> alternative.

>

> Oestrogel should not be used on your face. It is alcohol based and

drying.

> It is available in the U.S. as Estrogel.

>

> I don't know if Cyclogest is available in the U.S. either. I think

it is a

> UK product. In fact, I don't know of any U.S. progesterone

products that

> are vaginal suppositories. Probably only available through a

compounder.

>

> Here's a study on estradiol and estriol NOT being absorbed through

the

> dermis. This will counter any argument that facial E would be

systemic.

>

> Arch Gynecol Obstet. 1993;253(2):71-4.

> When applied to facial skin, does estrogen ointment have systemic

effects?

>

> Kainz C, Gitsch G, Stani J, Breitenecker G, Binder M, Schmidt JB.

> 2nd Department of Gynecology and Obstetrics, University of Vienna,

School of

> Medicine, Austria.

>

> We examined cytological vaginal smears of 17 women before and after

three

> months of dermal estrogen (1 g of 0.01% estradiol ointment or 0.3%

estriol

> ointment once daily), applied to the face for dermatological

indications.

> The mean age was 57.1 +/- 7.6 years (range from 46 to 66). Seven

women had

> estrogenic smears (more than 10% superficial cells) before therapy.

Nine

> women were treated with 0.01% estradiol ointment and 8 were treated

with

> 0.3% estriol ointment. Both groups had gynecological examinations

including

> cervical and vaginal smears before and after treatment and also

monthly

> measurements of serum follicle-stimlating hormone, prolactin and

estradiol

> levels. Serum hormone levels and the appearance of vaginal smears

showed no

> significant change during treatment.

> PMID: 8215610 [PubMed - indexed for MEDLINE]

>

> Here's one regarding the skin effects:

>

> Int J Dermatol. 1996 Sep;35(9):669-74.

>

> Treatment of skin aging with topical estrogens.

>

>

>

>

> Schmidt JB, et. al.

> Department of Dermatology, University of Vienna Medical School,

Austria.

>

> BACKGROUND. The coincidence of climacteric symptoms and the

beginning of

> skin aging suggests that estrogen deficiency may be a common and

important

> factor in the perimenopausal woman. Often hormones have been

considered

> important in endogenous aging of the skin, but their role has not

been

> clearly defined. Therefore, we investigated, whether topical

treatment of

> the skin with estrogen could reverse some of the changes in the

aging skin.

> MATERIAL AND METHODS. The effects of 0.01% estradiol and 0.3%

estriol

> compounds were compared in 59 preclimacteric women with skin aging

symptoms.

> Monthly determinations of estrodiol (E2), follicle-stimulating

hormone

> (FSH), and prolactin (PRL) were done and the monthly clinical

monitoring was

> supplemented by measurements of skin hydration by corneometry and

> profilometry. In 10 patients, skin biopsies were taken for

> immunohistochemical determination of collagen types I and III.

RESULTS.

> After treatment for 6 months, elasticity and firmness of the skin

had

> markedly improved and the wrinkle depth and pore sizes had

decreased by 61

> to 100% in both groups. Furthermore, skin moisture had increased

and the

> measurement of wrinkles using skin profilometry, revealed

significant, or

> even highly significant, decreases of wrinkle depth in the

estradiol and the

> estriol groups, respectively. On immunohistochemistry, significant

increases

> of Type III collagen labeling were combined with increased numbers

of

> collagen fibers at the end of the treatment period. As to hormone

levels,

> only those of PRL had increased significantly and no systemic

hormonal side

> effects were noted.

>

> Val

>

> -----Original Message-----

> From: rhythmicliving

[mailto:rhythmicliving ]

> On Behalf Of menomama

>

>

> Good morning, I have an appt. with ObGyn on the 11th and was

> wondering what I might say to her to get a prescription for Orthy-

> Gynest cream for my face.

>

> I also have to ask her to write for Oestrogel. I'm wondering if

she

> would write for a face cream? Any ideas on what to do to get rx

for

> this?

>

> I also want to ask her for Estrace to apply 3 x per week

(estradiol)

> to keep vulvar area healthy. (1 mg or less - pea size amount) and

> cyclogest.

>

> I don't want her to think I'm " bathing " in hormones.

>

> Also, I had my last blood tests run at low pint of application (12

> hrs. after application). I hope that was a good thing to do. I'm

> going to ask her and if she wants a peak reading she can give me

> another order.

>

> Have most of you tested at peak or low level of hormone application?

>

> Thanks and have a great week.

>

>

>

[Guest guest]

Maybe just tell your doc what you're using and ask for the prescriptions?

Can US docs prescribe meds that are not approved here?

Val

-----Original Message-----

From: rhythmicliving [mailto:rhythmicliving ]

On Behalf Of menomama

Thanks Val,

I didn't mean I was going to put Oestrogel on my face. Sorry if it

sounded that way.

I know Ortho-Gynest is only available from MM in Eurpoe and I was

wondering if you thought a Dr. would Rx me for it so I can order it

from MM, if I told my Dr. it was for my face? I understnad they

won't fill orders (even for Cyclogest and Ortho-Gynest) without an RX

from a Dr., which they want us to FAX to them.

Thanks,

[Guest guest]

Val, I don't know. Since I'm not using insurance, I don't see why

not.

Thanks,

>

> Maybe just tell your doc what you're using and ask for the

prescriptions?

> Can US docs prescribe meds that are not approved here?

>

> Val

>

> -----Original Message-----

> From: rhythmicliving

[mailto:rhythmicliving ]

> On Behalf Of menomama

>

> Thanks Val,

>

> I didn't mean I was going to put Oestrogel on my face. Sorry if it

> sounded that way.

>

> I know Ortho-Gynest is only available from MM in Eurpoe and I was

> wondering if you thought a Dr. would Rx me for it so I can order it

> from MM, if I told my Dr. it was for my face? I understnad they

> won't fill orders (even for Cyclogest and Ortho-Gynest) without an

RX

> from a Dr., which they want us to FAX to them.

>

> Thanks,

>