To make sure you can safely take esterified estrogens and methyltestosterone, tell your doctor if you have any of these other conditions: high blood pressure, heart disease, or coronary artery disease; high cholesterol or triglycerides; kidney disease; asthma; epilepsy or other seizure disorder; migraines; endometriosis;. Up to 15 percent of Estratab contains synthetic equine estrogens. Ortho-est (estropipate tablets derived from soybeans or Mexican yams, is identical to human estrone in its estrogen composition. Ogen also consists of estropipate tablets and is identical to human estrone in its estrogen composition. These symptoms may include a feeling of heat, sweating, and warmth in the face, neck, or chest hot flashes and dryness, burning, and itching in the vagina. Esterified estrogens are a man-made mixture of estrogens. Estrace (estradiol tablets) is derived from soybeans and Mexican yams. Estratest is a combination of esterified (combined) estrogens and methyltestosterone, based on yam and soyplant and then synthesized to resemble human estrogen. Estratab consists of esterified (combined) estrogens. To enhance health, natural therapies such as Chinese medicine, acupuncture, herbs, homeopathy, supplements, vitamins, and natural progesterone are used. Consultations may be offered as well as treatment plans. An important focus is on education. Others suggest that a low-fat high-fiber vegan diet will help prevent onset of osteoporosis, heart disease, cancer, and some of the symptoms of menopause. Are there holistic remedies for relieving menopausal symptoms? Many menopausal symptoms can be relieved by diet and lifestyle changes. You should not take esterified estrogens and methyltestosterone if you have: liver disease; a recent history of heart attack, stroke or circulation problems; abnormal vaginal bleeding that a doctor has not checked; any type of breast, uterine, or hormone-dependent cancer; or if you are pregnant. Is Premarin the only choice? Most doctors agree that Premarin is not the only estrogen replacement effective for preventing osteoporosis and treating the symptoms of menopause. These other estrogen drugs are derived from plants, and do not harm mares and foals. This medication should not be used to prevent heart disease or stroke. This medication can cause birth defects in an unborn baby. Do not use if you are pregnant. Tell your doctor if you become pregnant during treatment.