This is a forum for women in surgical menopause who are not able to or do not wish to use estrogen.
As menopause is defined as the cessation of periods and ovulation (with surgical menopause being the same thing but precipitated by surgery), we're in menopause the moment surgery occurs, whether or not we have enough belly fat and enzymes to make enough estrone to make the symptoms bearable or even nonexistent. The symptoms are not what define menopause.
Most of us who are in surgical menopause would take serious issue with any medical professional who tried to tell us that we were not in menopause because we could still make a teeny amount of estrogen in abdominal fat cells. By that definition, no woman with ovaries could ever be in menopause unless she took an aromatase inhibitor, which makes no sense.
IF one believes that we are able to make all the hormones we need from DHEA, then women who cannot use HRT (ie women in this forum) should avoid DHEA like the plague in favor of non-hormonal symptom relief. And IF one actually wants to have estrogen in the body to relieve symptoms, the better way to get it is to just use estrogen rather than using DHEA and taking chances that the body is somehow going to be able to figure out how to make the right amounts of each hormone even though it lacks ovaries, which it will not be able to do 99 times out of 100. As far as the action of DHEA itself
on the tissues in the body, this is not understood at all at this point in time. There are a lot of theories but no reliable data of any sort in humans.
What we do know is that DHEA supplementation can be helpful for many (but not all) otherwise healthy people who have adrenal insufficiency. However, there is a difference between adrenal insufficiency and the normal decline of DHEA levels that occurs with age, and it's a HUGE leap to jump from one (DHEA test level result) to the other (pathological condition involving the adrenals). And there are no data on the validity of DHEA supplementation in women without ovaries - and it would definitely make a difference.
This link contains the best summary I've seen of the state of knowledge about DHEA, and really, there is nothing in there that supports its use in surgically menopausal women with or without tested low DHEA levels:
Unfortunately, a multimillion dollar industry has developed around convincing people that they should take DHEA supplements to stay young, retain libido and host of other things when there are no data suggesting whether or not this is safe or efficacious for anyone other than people with a documented case of adrenal insufficiency. The same thing was starting to happen a few years ago with perimenopausal women and pregnenolone, but to a lesser extent, probably because the focus was only on women.
(((Milashka))) if your estrogen level is low and your doctor wants it higher, the way to do that is to use estrogen replacement. If you don't want to use estrogen replacement but do want to take DHEA, which may or may not raise your estrogen level but will surely raise your testosterone level more and you cannot control the proportion between them, well that does not really make much sense. At least with HRT you can control how much of estrogen and testosterone you are getting and use an extremely low dose of either if you want to make sure not to get too much. DHEA is a shot in the dark, imho, and not a very accurate one.