Ilaaj aur dawaein

Bioidentical hormone

Bioidentical ke aik hi naam par do bilkul alag cheezein bikti hain. Aik manzoor shuda, jaanchi hui HRT hai jo doctor nuskhe par likh sakta hai. Doosri apni marzi se mila kar banayi gayi dawa hai jis se hidayat bachne ko kehti hain. Donon ka farq kaise pehchanein.

Is safhe par
  1. Lafz aur hidayat
  2. Yeh kya hai
  3. Hidayat mein kya likha hai
  4. Ilaaj ke baare mein hidayat kya kehti hain
  5. Doctor ko kab dikhayen
  6. Doctor se poochne ke sawal
  7. Deen aur ghar wale
  8. Is par nazar rakhein
  9. Aam sawal
  10. Milte julte mauzuaat
  11. Hawale

Qudrati hormone, yeh naam aasani se bikta hai. Sunne mein narm lagta hai, mehfooz lagta hai, us ke qareeb lagta hai jo jism pehle khud banata tha. Kabhi yeh label sacha hota hai. Kabhi yeh aisi shishi par laga hota hai jise kisi regulator ne kabhi nahin jaancha. Hidayat in donon ke beech saaf lakeer kheenchti hain. Woh lakeer yahan hai.

Lafz aur hidayat

English
Bioidentical hormones
In naamon se bhi dhoonda jata hai
body-identical hormones, body-identical HRT, BHRT, compounded hormones
Urdu
بائیو آئیڈینٹیکل ہارمون
Roman Urdu
bioidentical hormone
  • Pakistan Menopause Society ki 2026 ki sifarishaat body-identical hormone, jaise estradiol aur micronised progesterone, ko jism ke apne jaise hormone kehti hain: dawa saaz maiyaar ke, manzoor shuda, aur maiyaar ki jaanch se guzre hue. Woh in ki sifarish karti hain (section 5.10).
  • Yehi sifarishaat kehti hain ke apni marzi se mila kar banaye gaye bioidentical hormone par koi sarkari nigrani nahin, in ki dose aur khaalis pan aik jaisa nahin rehta, aur British Menopause Society, International Menopause Society aur PMS teenon in ki sifarish nahin kartin (section 5.11).
  • British Menopause Society doctoron se kehti hai ke jo auratein bioidentical hormone chahti hain, unhein nuskhe par manzoor shuda hormone milne chahiyen, aur yeh ke mila kar banaye gaye bioidentical hormone se bachna chahiye.
  • NICE NG23 doctoron se kehta hai ke woh samjhayen ke jin hormone ki tayyariyon par sarkari nigrani nahin, un ka asar aur un ki hifazat, donon maloom nahin (1.4.5).

Yeh kya hai

Bioidentical ka matlab hai aisa hormone jis ki kimiyai banawat bilkul us hormone jaisi ho jo jism khud banata hai. Is aik lafz ke neeche do bilkul alag cheezein aati hain.

Jism ke apne jaise, manzoor shuda hormone

Yeh aam nuskhe wali HRT hai. Pakistan Menopause Society inhein body-identical kehti hai, yani jism ke apne jaise hormone: dawa saaz maiyaar ke, banawat mein jism ke apne hormone jaise, manzoor shuda aur maiyaar ki jaanch se guzre hue (section 5.10). Is ki misalein estradiol aur micronised progesterone hain.

Women's Health Concern kehta hai ke UK mein istemal hone wali zyada tar aam HRT pehle hi bioidentical hai, jis mein estradiol hota hai, yani insaani jism ka apna estrogen, ya micronised progesterone. Is liye manzoor shuda estradiol gel aur patch bhi isi mein gine jate hain. BMS micronised progesterone ko bhi isi tarah bayan karti hai: paudon se bana, aur banawat mein us progesterone se milta julta jo ande dani banati hai.

Mila kar banaye gaye hormone

Yeh kisi aik aurat ke liye alag nuskhe par mila kar tayyar kiye gaye mixture hote hain, jinhein aksar koi clinic ya website qudrati ya aap ke hisaab se bana hua keh kar bechti hai. PMS ki sifarishaat kehti hain ke in par koi sarkari nigrani nahin aur in ki dose aur khaalis pan badalta rehta hai. Woh yeh bhi kehti hain ke BMS, International Menopause Society aur PMS teenon in ki sifarish nahin kartin, kyunke na in par nigrani hai, na in ke peeche saboot hai, na hifazat ka data (section 5.11).

Kuch clinic yeh alag dose thook ya peshaab ke hormone test se tay karte hain. America ki The Menopause Society kehti hai ke yeh test qabil-e-bharosa nahin, aur woh in ki sifarish nahin karti.

Hidayat mein kya likha hai

BMS doctoron se kehti hai ke yeh farq saaf saaf samjhayen. Manzoor shuda bioidentical hormone nuskhe ki dawaein hain. Mila kar banaye gaye hormone par nigrani kam hoti hai, jis se in ke khaalis pan aur hifazat par sawal uthte hain, aur BMS kehti hai ke in se bachna chahiye.

NICE NG23 yehi baat doosri taraf se kehta hai. Woh doctoron se kehti hai ke samjhayen ke jin hormone ki tayyariyon par sarkari nigrani nahin, un ka asar aur hifazat maloom nahin (1.4.5), aur yeh ke in mein jo kuch dala gaya hai, us ki hifazat, maiyaar aur khaalis pan bhi shayad maloom na ho (1.4.6).

Kya jism ke apne jaisa progesterone baqi progestogen ke muqable mein chhaati ke cancer ka khatra kam rakhta hai? Is par hawale aik baat nahin kehte. BMS kehti hai ke bioidentical hormone ka khoon ke lothre aur chhaati ke cancer ke khatre par asar masnoi hormone ke muqable mein zyada neutral hai, aur yeh ke micronised progesterone mein, masnoi progestogen ke muqable mein, nazariyati taur par chhaati ke cancer ka khatra thora kam hai. NICE NG23 kehta hai ke abhi itna saboot nahin ke tay ho sake ke mushtarka HRT se chhaati ke cancer ka jo khatra barhta hai, woh micronised progesterone ya dydrogesterone ke saath baqi progestogen se mukhtalif hai ya nahin. Yeh baat doctor se karne ki hai, kisi clinic ka rukh karne ki wajah nahin.

Ilaaj ke baare mein hidayat kya kehti hain

NICE NG23 hot flush (achanak garmi lagna) aur raat ke paseenon ke liye HRT pesh karne ki sifarish karti hai (1.5.1), aur PMS ki sifarishaat ise un auraton ke liye, jo ise le sakti hain, in alamaat ki sab se moassar pehle darje ki dawa kehti hain (section 7.1.1). Agar aap jism ke apne jaise hormone hi chahti hain to BMS kehti hai ke doctor se nuskhe par manzoor shuda hormone maangein.

Pakistan mein estrogen wala hissa seedha hai: jism ke apne jaisa estradiol gel PMS ki fehrist mein hai. Progestogen wala hissa itna seedha nahin, kyunke fehrist mein micronised progesterone alag se nahin. Agar aap ki bachedani hai to doctor us ki androoni teh ki hifazat ka koi aur tareeqa chune ga. Dekhein progesterone ki qismein.

Kya Pakistan mein milta hai?

Estradiol ke liye, haan. Jism ke apne jaisa estradiol gel Pakistan Menopause Society ki 2026 ki us table mein darj hai jis mein woh HRT ki cheezein hain jo is waqt Pakistan mein milti hain (Table 10). Is table mein micronised progesterone alag se kahin darj nahin.

Doctor ko kab dikhayen

Agar aap kisi clinic, beautician ya website se li hui koi hormone cream, capsule ya qudrati kehlane wali cheez pehle se istemal kar rahi hain to woh doctor ko dikhayen. Packet saath le jayen.

Is mein wild yam ki woh creamein bhi shamil hain jo qudrati progesterone keh kar bechi jati hain. The Menopause Society kehti hai ke jism wild yam ko progesterone mein nahin badal sakta, aur yeh ke jin yam creamon ki jaanch hui, un mein aksar yam tha hi nahin, jabke bohat si mein aise hormone mile hue the jo label par nahin likhe the.

Agar aap ki bachedani abhi hai to kaafi progestogen ke baghair estrogen lene se bachedani ke cancer ka khatra barhta hai, isi liye manzoor shuda HRT mein donon saath diye jate hain (PMS section 5.4). Koi bhi hormone wali cheez istemal karte hue andaam nihani se ghair mutawaqqa khoon aaye to use dikhana zaroori hai.

Doctor se poochne ke sawal

  1. Aap jo estrogen tajweez kar rahe hain, kya woh jism ke apne jaisa (body-identical) hai?
  2. Kya yahan micronised progesterone milta hai? Aur agar nahin, to meri bachedani ki hifazat kis cheez se ho gi?
  3. Main kisi clinic se li hui cream ya capsule istemal kar rahi hoon. Kya aap dekh sakte hain ke in mein kya hai?
  4. Kya manzoor shuda dawa ki jagah mila kar banayi gayi dawa chunne ki koi wajah hai?

Deen aur ghar wale

Auratein poochti hain ke kya hormone ki dawa un ke deen ke lihaaz se theek hai, aur yeh banti kis cheez se hai. NHS ki website kehti hai ke zyada tar estrogen wali dawaon mein estradiol paudon se banta hai. Koi khaas dawa deen ke lihaaz se theek hai ya nahin, yeh kisi mustanad aalim se poochne ka sawal hai. Is mein theek theek kya hai, yeh pharmacist se poochne ka.

Bohat se gharon mein pyaar se pehle koi jari bootiyon wali dawa ya desi totka bataya jata hai. BMS likhti hai ke aqliyati communities ki auratein aksar doctor ke paas jane se pehle supplement aur jari bootiyon wali cheezein aazmati hain. PMS ki sifarishaat baghair nuskhe ke milne wale supplements ke baare mein ehtiyat ko kehti hain, kyunke in ki hifazat aur asar par saboot kam hai (section 6.5).

Is par nazar rakhein

  • Roshara ka alamaat ka score chand minute mein 27 alamaat ko number deta hai, account ke baghair. Kul number apni appointment par saath le jayen. Alamaat ka score shuru karein
  • “Main kahan hoon?” us mor ko naam deta hai jis par aap shayad hain. Chhe sawal. Main kahan hoon? Shuru karein
  • Tracker mein roz ka haal likhein, aur yeh bhi ke us se zara pehle kya hua tha. Is ke liye muft account chahiye. Tracker kholein

Aam sawal

Kya bioidentical hormone aam HRT se zyada mehfooz hain?
Yeh is par hai ke aap kin ki baat kar rahi hain. Pakistan Menopause Society manzoor shuda, jism ke apne jaise hormone ki sifarish karti hai, aur mila kar banaye gaye hormone ki sifarish nahin karti, kyunke na in par nigrani hai, na in ke peeche saboot hai, na hifazat ka data (section 5.10 aur 5.11). (Hawala: Pakistan Menopause Society, Good Clinical Practice Recommendations for Menopause Care in Pakistan (JSOGP 16(2), 28 April 2026))
Kya clinic ki qudrati hormone wali cream aur jism ke apne jaisi HRT aik hi cheez hain?
Zaroori nahin. British Menopause Society do cheezon ko alag rakhti hai: manzoor shuda bioidentical hormone, jo nuskhe par manzoor shuda dawa ke taur par milte hain, aur apni marzi se mila kar banaye gaye hormone. Doosri qisam par nigrani kam hoti hai, aur in ke khaalis pan aur hifazat par sawal uthte hain. (Hawala: British Menopause Society, Tool for Clinicians: What is the menopause? (reviewed January 2026))
HRT mein estradiol kahan se aata hai?
NHS ki website kehti hai ke zyada tar estrogen wali dawaon mein paudon se bana estradiol hota hai, jo bilkul us estrogen jaisa hai jo menopause se pehle aap ki ande dani banati hai. (Hawala: NHS website, Common questions about oestrogen tablets, patches, gel and spray (reviewed 5 January 2023, review was due 5 January 2026))

Milte julte mauzuaat

Hawale

  1. Pakistan Menopause Society, Good Clinical Practice Recommendations for Menopause Care in Pakistan (JSOGP 16(2), 28 April 2026)Hissa: 5.4; 5.10; 5.11; 6.5; 7.1.1; Table 10 · 1 October 2026 ko khola gaya
  2. British Menopause Society, Tool for Clinicians: What is the menopause? (reviewed January 2026)Hissa: Progestogen; What are bioidentical hormones? · 1 October 2026 ko khola gaya
  3. NICE NG23, Menopause: identification and management (last updated 15 April 2026)Hissa: 1.4.5; 1.4.6; 1.5.1; table 1, breast cancer · 1 October 2026 ko khola gaya
  4. NHS website, Common questions about oestrogen tablets, patches, gel and spray (reviewed 5 January 2023, review was due 5 January 2026)Hissa: How do oestrogen tablets, patches, gel and spray work? · 1 October 2026 ko khola gaya
  5. Women's Health Concern, HRT: benefits and risks (factsheet, reviewed July 2026)Hissa: Bioidentical HRT · 1 October 2026 ko khola gaya
  6. British Menopause Society, Tool for Clinicians: Menopause in ethnic minority women (published June 2023, review was due June 2026)Hissa: Self-help behaviours · 1 October 2026 ko khola gaya
  7. The Menopause Society (then The North American Menopause Society), The 2022 hormone therapy position statement, Menopause 2022;29(7):767-794Hissa: Compounded bioidentical hormones (key points) · 15 October 2026 ko khola gaya
  8. The Menopause Society (then The North American Menopause Society), The 2023 nonhormone therapy position statement, Menopause 2023;30(6):573-590Hissa: Other supplements: wild yam · 15 October 2026 ko khola gaya