After the story about equine estrogens in the comments, advice began to break through on the topic of urine analysis and estrogen metabolites. Something in the sense that a competent gynecologist-endocrinologist will take into account the important nuances of your female body, which are not taken into account by the greedy manufacturers of horse hormones.
To begin with, I personally advocate equine estrogens.
Let's continue with the fact that there are no gynecologists-endocrinologists. There is an obstetrician-gynecologist and an endocrinologist. These are different specialties. If you really want to, you can get them in parallel. But it is difficult.
Let's go further. A tale has appeared about estrogen metabolites in urine, which should be taken into account by women with age-related decrease in hormones.
Indeed, there are concepts such as "bad estrogens" and "good estrogens".
When estrogens are digested in the female body, there can be several different pathways for digestion.
One path, like in a fairy tale, leads to the formation of good estrogens that inhibit the appearance of cancer.
Another path leads to the formation of hellish estrogens, which grow cancer in women.
There was a tale that everyone should take these tests into account in order to protect themselves from demonic hormones.
In fact, this is just an echo of the American deception with bioidentical hormones.
When Americans learned in 2002 that too many older women were dying from equine estrogens, panic began.
Enthusiasts of bioidentical hormones immediately emerged from the muddy water. They, like a whole army of the Sukhov Red Army men, persuaded their female comrades to follow them.
Then, at every corner, they shouted about the unique and tailored plant hormones for a specific woman. Type they are completely identical to natural ones. Well, just like the strawberry gum flavor.
As a result, in the 2000s, the incidence of cancer among older women in the United States skyrocketed. That is, equine estrogens, of course, were dangerous for the heart, but bioidentical estrogens for some reason caused cancer.
We don't use such garbage. It seems. But our enthusiasts also want to participate in the Sabbath, so they use what remains. Namely - tricky tests for estrogen metabolites in urine and elsewhere.
Comrades women! Those equine hormones have been around for 80 years. With them, everything is simple and clear. But new innovative approaches are completely unexplored. So there is a greater chance of dying from new approaches. Got it?