Phytoestrogens are medicinal compounds from plants that interact with our bodies’ estrogen receptors, mildly mimicking estrogen’s effects. Women are becoming increasingly interested in taking phytoestrogens as an alternative to Hormone Replacement Therapy (HRT) for menopause, feeling that phytoestrogens are natural options that are milder and safer for the body. Many studies have been done on the efficacy of phytoestrogens. A new study has analyzed 174 of those studies, in a meta-analysis, combining the results of all the studies and analyzing them together for the purpose of a new research objective. In this case, the authors (Tempfer et al. 2009) reviewed the side effects of phytoestrogen treatments, compared to placebo or no treatment, in randomized controlled trials. Side effects were reported by 38% of the 4806 people taking placebo or no treatment (the control groups), and 36.7% of 5502 people taking phytoestrogens. Therefore the overall difference in side effects was not significant. When the occurences of different side effect categories were analyzed, those taking phytoestrogens were only found to have a moderate increase in gastrointestinal side effects. No increase in gynecological, musculoskeletal, neurological, or unspecific side effects were found in those taking phytoestrogens. The bottom line - phytoestrogens have a safe side effect profile. [And they are awesome.]
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November 11, 2009 at 10:38 am
todd
what about the cancer risks for using phytoestrogens for hormone therapy? Have any studies been done on that? I imagine not since it’s a newer sort of thing, but just curious
November 11, 2009 at 3:45 pm
admin
I don’t know of any studies on cancer risk after using phytoestrogens as hormone therapy during menopause, nor do I know of any long-term studies on the use of phytoestrogens in general and cancer risk. However, most animal studies show that phytoestrogens are linked to a decrease in cancer, though a few other studies are inconclusive. Studies have shown that women with more phytoestrogens in their urine are less likely to have cancer. I don’t think that there are any studies showing increase in cancer risk from phytoestrogens. However, you may have heard about the large-scale study by the Women’s Health Initiative on the use of estrogen and progestin for hormone replacement therapy for post-menopausal women, which was abruptly terminated early when they realized women taking these showed an increase in breast cancer rates. Use of phytoestrogens as an alternative increased after this. Phytoestrogens have weaker estrogen-like effects on the body, can bind to only particular receptors in some cases, and can even have an anti-estrogenic effect on the body in some cases. I think they are generally safer due to these qualities. However, each species’ compound is different and every person’s body is different with a different existing level of endogenous hormones. I think, like with anything though, that there is of course a danger with ingesting too many phytoestrogens, whether medicinally or in diet. They have a very real hormonal effect on the body. Tooo much soy is definitely not that healthy for anyone. I believe that someone could potentially develop cancer due to overconsumption of phytoestrogen-containing plants or food, but I would think it would have to be in excess over a long period of time. But I am not a medical professional of course.. What do you think?
March 13, 2010 at 6:03 pm
Lauren
Fascinating blog! I have some female-to-male transgender friends who avoid foods like soy products because of their estrogen-like qualities that might counter-act their gender transitions. Is this phytoestrogen in action? Is there a list of foods that involve phytoestrogens somewhere, or any studies done on gender presentation/ ’secondary sex characteristics’ that you know of?