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!
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).
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).