Nancy Lonsdorf, MD
1100 N 4th St Suite 211
Fairfield, IA 52556
Estradiol, Estriol, Progesterone, Dehydroepiandrosterone (DHEA), and Testosterone are hormones which may be given in any variety of combinations, delivery routes, and dosages depending on my own individual requirements.
Bioidentical hormones are those that are identical to those produced by human ovaries, adrenals or other tissues. They are not synthetic (i.e. made in a lab and chemically different from human hormones,) or altered human hormones or derived from animals. Dr. Lonsdorf only prescribes bioidentical hormones, ones that precisely match the body’s own hormones.
I have consulted with Dr. Nancy Lonsdorf about the potential risks and benefits of using hormone replacement therapy (HRT), which are summarized below. I have reviewed the results of the Women’s Health Initiative Studies and understand that the hormones used in those studies were not bioidentical and not the same as those Dr. Lonsdorf prescribes, which are bioidentical, as described above.
I will provide Dr. Lonsdorf with a copy of these reports annually or biannually, in order to begin or continue Bioidentical Hormone Treatment. (BHRT)
An annual follow-up visit is required with Dr. Lonsdorf each year for renewal of BHRT, and testing of hormone levels is required at least once a year to assure that hormonal balance is achieved, and that levels are both safe and effective.
I understand that spotting or bleeding can be normal in the first 3 to 6 months on the hormones.
Reported Benefits of using Bioidentical Hormone Replacement Therapy:
REPORTED RISKS of taking Bioidentical or other Hormone Replacement Therapy:
I understand the risks to me as an individual vary greatly, and can be greater or less than those found in studies. Medical science is always learning new information; this could include the discovery of other significant risks to me besides the ones listed above.
In signing below and on following document, I agree that I have read and understand the above discussion, had my questions answered, am aware of the potential risks and benefits, and agree to follow the recommendations given above. I wish to proceed with the Bioidentical Hormone Replacement Therapy.