Climacterium Virile Selection criteria for your patient to be treated with Estradiol and Progesterone. 1. The patientīs age is not of any consequence. Although there does appear to be a linear correlation between age and symptomology. 2. The nature of presented symptoms is of utmost importance! but: A plethora of somatic and physiological ailments can intermingle with the apparent climacteric symptoms!
3. A critical factor for diagnosis is first and foremost the pathological serum Estradiol and Progesterone level (E2). ideal: E2: 30 - 60 pg / ml Progesteron: 3 - 10 ng / ml
The evidence that a patient is indeed suffering from climacteric complaints is, in the final analysis, provided by the alleviation of symptoms (clear improvement) following the introduction of treatment with Estradiol and/or Progesterone. Generally three months therapy should suffice, in order to detect a clear improvement. (supported by evidence of restored optimal serum levels).
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