174: Truth About Estrogen in Perimenopause and Beyond with Dr. Felice Gersh

[@LustigeMedizin]

Thank you very much for Not interrupting Dr Gersch!!❤ Thank you both!💐🙏

[@drtiffanykeenan9500]

Wonderful interview. I’ll be sharing this with my patients too. Thank you both.

[@starbettypink]

Dear Felice .. you are an amazing woman.. thank you for all education ❤

[@MsBuffalopoo]

I hang on every single word Dr Gersh says. It brings me to tears.

[@auaticamazon]

Brilliant talk . Very empowering. Thank you

[@annmarie3573]

I'm thankful that there's so much good information out there on women's change of life right now! I suffered for the last 3 years with many symptoms, anxiety, insomnia, heart palpitations, hair falling out, dry EVERYTHING. Finally, at age 45 I've found a provider who is willing to treat during Perimenopause. I'm on the estradiol patch and oral progesterone and it's been life changing! I'm also happy to get the jump on these failing hormones and preventing heart disease, brain disease, and bone loss!

[@alexandraferreira561]

You're very lucky, I'm 52,and doc said i wasn't yet on menopause,also i suffer from endometriosis since 2017..the doctor wanted to prescribe pills birth,a answered,i never took birth pills,so i ask Utrogestan,she said no,but than she made her mind and prescribe..but know i need to know if estrogen is also necessary 😘

[@Petunia-fl9lu]

oral progesterone is fabulous for me its been a blessing for sleep

[@carrieironside8034]

Thankyou for giving such beneficial insight to this daunting topic. I have realised that menopause symptoms have been working on me for some time! I had thought although still having periods things were fine but recently I've suffered 4 day migraines that don't go away until my period appears which now only lasts 2 days. My hair had gone into telegon effulium a couple of years ago , body aches in joints, high BP just everything out of sync, iam positive now the drop in oestrogen has contributed to these ailments and is now shouting at me via migraines and overheating that I need HRT. From listening to you I feel I should ask for estradiol patch and progesterone pill utrogestan for 2 weeks! Tomorrow I see the Doctor . My mother and auntie got no HRT and both have auto immune disorders . My mum was only 31 when she got ill also . Many thanks, Carrie

[@lizzyeden2478]

Such amazing important information. Love Dr Felice & could listen to her all day ❤ And she was allowed by the wonderful interviewer to speak without any unnecessary interruption! I'll be sharing with the women in my life 😊

[@222dyan]

Wow! Amazing information! Thank you. Brilliant woman. No one ever taught us that estrogen is this important and that there are receptors in the whole body! And it's responsible for so many important processes and functions within the body. My mind is blown, in a good way. The lack of studies for and on Women is disgraceful! This is pure unconscious misogyny, As complex and unique as our physiology is, wow. Profoundly disturbing. But SO grateful to find Dr. Gersh and your channel. Thank you! 😃🙏♀️💜

[@mobilemoon9526]

My mother died from a brain anyerism at 46 after having had a complete hysterectomy. My grandmother made it to 88, but suffered greatly from high cholesterol/BP, heart attack, recurring bladder infections, vascular dementia, then a fall and hip fracture which lead to her death. I believe all these issues were from lack of estrogen. I am now 46 starting symptoms of perimenopause and looking forward to taking bioidententical hormones.

[@donnalynnk70]

This is AMAZING! Much gratitude 🙏🏼🧡

[@directionnotperfectionpodcast]

This was one of my favorite episodes! I’ve listened multiple times and take away different notes each time… so much to unpack!!

[@daniellegrzelecki5222]

Thank you Sherry and Dr Gersh. You are both appreciated for all your work. I am planning on making an appointment with the Doctor ASAP.

[@j.j.l.]

I’ve decided to pay out of pocket to consult with Dr. Gersh’s PA, via telehealth, because I’m tired of butting my head against the fossilized “health care” system. It’s a shame we have to pay cash for real health care.

[@AdelaTR]

Lovely to listen!!! Thank you ❤

[@MS-sr1fe]

Very informative. Ty v much

[@Catherine-f8i]

I wish we could get some practical info on HRT during perimenopause- when should we start estrogen? How much and at what frequency? If Dr Gersh has shared this anywhere, would someone please point me there?

[@Nellie7777777]

Yes, yes, yes!!! We need this

[@Nellie7777777]

Hrt, birth control....what's the best option?

[@jessicahitchens6926]

You start as soon as possible. You don't wait... because your receptors are there and waiting. They haven't went into dormancy...

[@jessicahitchens6926]

Stat away from birth control. She stated in the podcast that Progestin was harmful to women. What do you think is in birth control.. Progestin... bio identicals.. creams/grls/pessaries. Stay away from oral. The liver has to process it and it can convert into something else in some women.

[@jessicahitchens6926]

Stay*

[@rociobarlag269]

THANKS!!! BEST INFORMATIVE INTERVIEW

[@chucklawrence9461]

Excellent interview and information!! Paula

[@divya1355]

Thank you for this fantastic info. Just trying to figure out the difference between compounded versus non compounded HRT.😊

[@tracymcbride8328]

Would love to know Dr. Gersh’s thoughts on what optimal estradiol levels would be for menopausal women? I’ve heard 75-100 & some suggest higher 🤷🏻‍♀️

[@ENOURMOUSSCALE]

I am in Pakistan and when I went to my doctor for menapsoual support she gave me tibolin 25 mg and tons of supplements once a day it's not helping I have terrible joint pains mood swings body aces it's so frustrating plz guide me I am 52 and yet not completely menupousal meaning didn't had a period for last six months

[@jessicahitchens6926]

Magnesium Glycinate at night. Magnesium flakes and Epsom salts in a bath or a foot bath. Magnesium spray. Vitamin B complex high doses unless contraindicated. Vit D3 and VitK2 daily for bones. Bio identicals creams such as USP Progesterone cream.

[@jessicahitchens6926]

It makes perfect sense to me when you see the agenda and the profits been made by this corporations. They know exactly what is wrong its always a hormone deficiency.

[@megangaskey5031]

Could you please help me understand the best way to start bhrt? Specially when it comes to starting estrogen estradiol cream, progesterone, dhea and testosterone? How long ahead should I be on estrogen estradiol and progesterone before I start testosterone?... thank you 😊

[@russvet]

The good scheme is 1- DHEA daily (from low doze about 10 mg) and Progesterone in capsules in the second part of the m.cycle And then in 1-2 months 2 - Estrogene in cream/gel in the first part of the m.cycle and Testosterone in gel (if needed, probably not daily)

[@megangaskey5031]

Thank you 😊

[@michellemustari498]

My hormones are red normal to Optimal levels during the cycle protocol and I still feel depression and anxiety though I have a T3 that is low could that be the cause of the depression anxiety

[@hiya1399]

Yes. Low Free T3 levels can cause low mood and increase in anxiety. You want your Free T3 to be mid-range or higher.

[@jessicahitchens6926]

Egg production ceases when the mucus plug disappears.

[@doodieevanshenagan3330]

Dr.Gersh, I’m on Estradiol patches, was applying estrogen face cream on my face & neck, had blood work done & my estradiol level was 58.4 from March to May 2024….mynipples began feeling very tender so assuming I was getting too much estrogen. I would love your opinion please……would too much progesterone make nipples very tender also?

[@jessicahitchens6926]

Your not on supplements that's why you are sensitive. You also need to be on a Progesterone in combination with Estradiol. The cream shouldn't have Estradiol in it. It should be Estriol and Progesterone.... this is the topical cream for face and neck. You should not be experiencing sensitivity. Something is amiss.

[@doodieevanshenagan3330]

@@jessicahitchens6926 Hey….i am on 200mg of Progesterone pill I take at night. I remember Dr.Robert Mathis say starting too much Estradiol right away can cause breast tenderness…..my dr started me on 0.1mg patches, then I began bleeding a bit like Dr Gersh speaks about, which means my uterine lining is shedding which is good❣❣ so I’m happy with that, still have nipple sensitivity. What supplements are you talking about that I need? I do take compounded testosterone, also take B vits., Selenium, Vit.D3 & K2……let me know what I’m missing. Oh I also take Benfotiamine for diabetes & on generic Mounjaro….5 mg shots once a week

[@Aki-wq6xh]

Does that mean we should stay on birth control instead of switching to HRT ?

[@charleedell92]

Just n=1 here but I will stay on the combined pill (which I take continuously) until around 53 when I can reasonably assume no further ovulation. I am taking it for ovarian cancer risk reduction as well as other health benefits, not contraception. It also means I get to completely bypass the rollercoaster of perimenopause. After that I will go straight on cyclical HRT.

[@Aki-wq6xh]

@@charleedell92 thank you for sharing!!! Subjectively I feel better on HRT but I worry the estrogen is t high enough to protect me from those dementia heat disease risks etc I wonder if HRT dose is enough >

[@KateHarris9791]

I've heard the opposite. That birth control is not our friend as it inhibits our ability to ovulate and make progesterone (which is what protects our body.) BC is suppressing hormones. HRT is boosting insufficient hormones through non-synthetic agents. Read Lara Briden's book The Period Repair Manual for great info on this (it's an easy read.) All the speakers on HRT recommend starting sooner rather than later.

[@valerie4912]

⁠@@Aki-wq6xh It should be enough. And as time goes on you can increase. There is a video where birth control pills and HRT are explained in greater detail. Seems HRT is the way to go so dosing can be controlled

[@3hotspuds]

She says no to birth control pills for hormone replacement. They aren't the same as bioidentical and she said no to oral estrogen. Topical is what she mentioned

[@Tomorrowandtomorrowandtomorrow]

please use chapters to section off your videos

[@laveshiayarborough-wall8232]

I dont have ovaries due to a complete hysterectomy due to endometriosis

[@jessicahitchens6926]

Well then you need supplements and bio identical hormones or you will get into a lot of trouble in the future. Change your diet...

[@michellejessey8654]

My estrogen is high even on my period

[@bluejean-1968]

Take high doses of 5% progesterone cream.