Is Bioidentical Always Best?

Most menopausal women who take hormone therapy, assume that bioidentical estrogen is the most natural, and therefore the safest. That is not always true.

Words should have precise meanings. That is especially the case in medicine where communication is about 90% of doing a good job.

I still remember the first time a patient told me she wanted a “natural birth”. I wanted to give her what she wanted, but I didn’t know what she meant by natural. Was she hoping that she wouldn’t need an epidural? Did she not…