When Bioidentical Therapy Becomes an Accidental Fertility Treatment
From the file of unintended consequences: a lady in her late forties visited a "hormone therapist " of dubious science and was given a combination of estrogens, and progesterone, all identical to the hormones made by the adult female body. This lady was not post-menopausal, but perimenopausal, meaning she had not yet stopped having periods.
Unfortunately, the "hormone doc" forgot to tell her that this can boost fertility, and despite the odds, it IS possible to get pregnant in your late forties. OOPS. Her periods stopped, and she thought it was menopause-it was an unplanned pregnancy instead.
Moral of the story-you need birth control right up until you stop having periods, and are confirmed as being in menopause. A birth control method like Nuvaring, which uses progestins and a synthetic estrogen will often be a better choice because the progestin in it can reduce heavy bleeding, decrease ovarian cysts and prevent uterine fibroids-all problems commonly experienced by women in their forties.
The bioidentical hormones aren't strong enough to suppress ovulation and prevent pregnancy. A pregnancy in the late forties presents a number of serious risks to the mother, risks that are much higher than most birth control methods. That's why the synthetic progestins and estrogens will often be the best choice for a perimenopausal women who needs extra estrogen for her body and brain, but doesn't want to have more children.
A nice blog piece that covers this comes from Dr. Elizabeth Vliet at:
http://www.newsmaxhealth.com/dr_vliet/progestin_NuvaRing_safe/2010/07/26/335358.html