How to Use Topical Estrogen Cream For Aging Skin | Menopause + Skin | Dr. Sam Ellis

[@DrSamEllis]

Here’s the link to the deep dive!: How to Use Topical Estrogen Cream For Aging Skin | Menopause + Skin | Dr. Sam Ellis kzbin.info/www/bejne/baTUpa2PrJKpmbM

[@tamaraatanyyazova146]

How old are you?

[@karenthomas9506]

Where can I buy this cream in uk please

[@deel2435]

@@karenthomas9506 Exactly! I've been to the gynae and derm they won't prescribe it here.

[@1Sun111]

progestine is not natural, so progesterone should be taken; as estrodiol is the strongest of 3 possible forms of estrogen, it might be better to take estriol instead

[@HaydeeSophia]

Dr. Ellis can I apply Retinol after applying Topical estrogen cream on my face. How long does estrogen take to absorb in the Skin? What are your recommendations regarding using retinol and topical estrogen cream as a night time routine?

[@fredbear72ify]

I am 84yrs of age I had breast cancer aged 34. I was on HRT for 20 years during menopause and after until my Doctor refused to prescribe it in my 70's since then things went downhill fast mood changes, irritability, dry skin. My belief is women should be able to have HRT for as long as they need it.

[@beckyshaknovich7554]

I’m so sorry you had this experience. I agree 100%. There’s no reason to stop HRT. It’s not like our bodies will start producing hormones again

[@dr.Xebafarhan]

U mean u had breastf CA at age 35 ....but still u used HRT for 20years ....is It True ???

[@roxyislove7660]

I was told due to breast DCIS not to use HRT..due to risk of cancer return...

[@Grace-lh2eu]

❤❤❤

[@cindylouwho6053]

My doctor said the same thing. I couldn't use and type of horomone. I was told basically any type of hormones was like food for cancer. I had a total hysterectomy. A preventive one to keep from possibly getting Ovarian Cancer. So would this not be dangerous for women like me?

[@Karenkaza1]

Thank you for this important video! I am almost 74. I was post menopause by age 42. I was on HRT for probably 15 years. I decided I had been on it long enough as I was reading all the misinformation and health scares at the time and was worried about my overall health. After I went off of it is when I ended up with osteoporosis, Afib, a debilitating rotator cuff injury, arthritis and fainting spells. And of course vaginal issues. I really wanted to go back on HRT but my GYN told me that because I had gone off of it, because of my age I couldn't go back on it. I am very interested in starting on topical estrogen for my face and hands and have high hopes that my GYN will OK a prescription for me. I just thought someone would be interested in my HRT journey. It was a blessing and kept me young and I shouldn't have gone off of it.

[@nancycy9039]

I’m 76 and was recently re-started on HRT by a functional medicine GYN. I was off of it for 4-5 years after losing access to a practitioner, then the pandemic. I’m now on compounded bio identical estrogen, oral progesterone and several nutritional supports (for things like low B-12). This type of HRT has been recognized as safe and beneficial to protect cardiac function, muscle mass and bone integrity, as well as restore better cognitive function, sleep and more. I had to find, and pay, this person privately and will be looking in the future for someone who accepts insurance to continue this protocol. Wishing you good health - the traditional alternatives are miserable… 😊

[@susanbardfeld4147]

Barbara Hoffman at Better Health Naturally is a good source of information to help you

[@wandaricketson1020]

I was on HRT from 45-52 and got off due to my sister getting breast cancer and her telling me I shouldn't be on it! I felt like I was aging too fast, arthritis, joint pain, depression, weight gain, just overall felt bad. So I just started again at 62. The research on breast cancer was flawed, although I think there was a slight risk with oral estrogen (I use bioidentical cream now and a progestrerone pill). To me it's better for my overall health, and I want to try and avoid the dementia my mom has. Your brain needs estrogen or it shrinks! I go to Dr. Dian Ginsburg - she is a virtual Ob/gyn who only does menopause medicine now. You should check her out. Luckily there are many ob/gyn's switching to this practice so we can get better information. Many I follow say you should be on estrogen for life and I believe them! I will continue to have my yearly mamogram and check for breast changes of course. Dr. Ginsberg said put a little of the cream under your eyes and on your crows feet, forehead wrinkles and hairline. Then half is vaginal and half is on alternating thighs.

[@BloomByCC]

Ugh! Not okay that we're so misinformed😢

[@susanvanputten492]

I think you can definitely go back on hrt

[@yljtv]

I’m 48. Everything changed this year for me. Brain fog, night sweats, moodiness, fatigue, joint pain. Still get my period like clockwork every 25-26 days. I made the executive decision to get help because my GYN felt I didn’t need HRT. I reached out to Winona and was approved for progesterone (pill), estrogen therapy (patch) and estrogen cream for my face. It’s been one month and my ENTIRE life is restored. I’ll never stop taking this!

[@butterflygirl7640]

Same my endocrinologist was against taking any hormones. I purchase through Winona and have been very happy with results.

[@Xue_Ying]

Thanks for this info. My endocrinologist dismissed the idea of HRT because I had a breast cancer scare that turned out to be nothing.

[@jennifermcmillan2588]

My doc is all for it , but they are also crazy with their labs requiring me to come in often , it’s 45 min away and I feel like they just want $$&&& .. I wonder if Winona would be easier .. I’ve been on combination of estrogen/ testosterone plus progesterone and vaginal estrogen for about 2 years now .

[@convenienceandpracticality9032]

My gyn wouldn't prescribe estrogen for me either. My symptoms were the same as yours and my periods are still SUPER regular. The poor sleep and brain fog is the worst. I dread every night. But my gyn wouldn't prescribe anything for me bc my periods were regular still. I need someone that is willing to help.

[@melissabodily3675]

Find A Different Dr...HRT are life changing

[@vivw1471]

As a gynaecologist, I am so appreciative of the information you provided to your viewers! It’s accurate and up-to-date and I am so impressed! Thank you for your dedication in creating these opportunities for medical knowledge deep dives!

[@rainesonne1320]

Gynecologist!

[@felrau1]

@@rainesonne1320 gynaecologist is the spelling more common in the UK, both are correct.

[@dollardun5868]

You are not. You can’t even spell it. Additionally if you were, you would know by now that estrogen replacement doesn’t cause breast cancer, it is protective

[@seaslife60]

​@@rainesonne1320spelling police 😂😂😂

[@marjonwhite2854]

@@rainesonne1320gosh really?? 😂

[@caitroseco6752]

Just wanted to add that post menopause you can actually have low testosterone, too! As women we actually need testosterone (just much less than men). My mom suffered with debilitating anxiety and irritability for 2 years (which we all certainly noticed, just didn’t know the cause) before she went to a hormone specialist who told her she had low testosterone and she began supplementing. Within weeks she noticed a huge difference in her emotional state

[@reinadelmar11]

Interesting. I would think that lack of progesterone or maybe estrogen would make someone irritable but I associate testosterone more with motivation, but who knows! Glad she is feeling better. It's incredible how much our hormones affect our moods and "personalities".

[@AvsFan32]

I tired and grew a beard and felt really aggressive

[@sweetpeace5]

@@AvsFan32TOO MUCH! That’s a simple fix-you need less…but don’t throw out the baby with the bath water! It’s 100% VITAL for bone health, motivation, maintaining muscle which is one of the most important components of aging.

[@love2vintage]

@@AvsFan32Me to and I only used it for a week and the beard is a permanent change until you have plucked away every single last hair sack.

[@DVelez-wz3fe]

@@AvsFan32You were using too much. I’ve been on it for 5 years and my doctor had to find the best amount for me by checking my blood. I love it…keeps you strong and active

[@eccomiatsf3676]

I"m 65 and use topical estrogen. I've been using tretinoin since I have been 42 and had a deep C02 done when I was 59, and that really helped a lot. When I turned 64, I didn't recognize the person in the mirror anymore. Topical estrogen has helped. I would recommend it. Thanks for address this. Very few dermatologists address this problem. We all get there some day. My mom passed away at 93 and she was on hormone therapy and looked very good in her senior years.

[@anetaintegra8543]

I hope she was healthier due to o estrogen rather than spending half her life diving into bad health.

[@SavvyMama]

How do you use it? because I have tried mixing my Retin A & Estradiol cream for my face & neck to firm and where I may see some moisturization I have not seen any firming! How do you apply it?

[@michy2630]

Do you use tret and the topical estrogen together or on different days?

[@SavvyMama]

⁠ Together.. I used to use them on different days & didn’t see any difference then either.

[@susanwelch7744]

Can you use it if on hormone blockers for breast cancer estrogen positive

[@MicheleNerio]

I am so glad mature women's health is finally being addressed. It's IMPORTANT and there should be no mystery to our bodies as we go through life. It will make people less scared overall and enrich lives. Its amazing to be 20 years old, but it's a stage of life and all stages are worthy!

[@melissasmith-k5i]

Thank you, and may you grow old gracefully and receive HRT without a fight.

[@mbee6256]

Agree w all except “it’s amazing to be 20”. Not really, my 20s were terrible - broke and stressed and still chasing any wisdom

[@MicheleNerio]

@@mbee6256 Same for me!!! My 20s were by far my worst decade. Lots I would do differently, but I'm HERE now!!

[@patricia7606]

Menopause information is pretty sparse.

[@clairehawkes1112]

This comments section! Learned more than I have over the last 3 years! Thanks everyone so much ❤

[@whatareyourdreams]

I often learn a lot more in the comment section than I do from the main video.

[@melissasmith-k5i]

You bet. Tell your friends!

[@Veramelzo]

Me too from Türkiye❤​@@whatareyourdreams

[@tracywood4971]

I'm 61 yrs old and an RN of 30 + yrs. I've had 8 children, my last one I had at 42. I hadn't had any issues with my skin until a yr ago when I woke up and found that my skin has changed, almost overnight. My neck has shown the most change. I have "turkey neck" to the worst degree. I have become very disturbed by this due to the sudden nature of it's appearance. I have recently gotten an Rx for topical estrogen, actually, the estrogen cream meant for vaginal use. I'm now going to try topical application to my face, neck and hands. I'll keep you posted. Keeping my fingers crossed!

[@janetingacollins6409]

I’m a topical estruses for both vaginally and on my face. It has helped on both areas with no negative side effects. I’m 70 and plan to use it forever.

[@genevievedeguzman9293]

I’m a 45-year old, medium fair-skinned Asian woman. For the last three months, I’ve used Musely’s Aging Repair Cream for my face in the morning ( 0.3% estriol and 1% vitamin C) and the Estrogen Boost in the evening (0.4% estriol, 0.1% estradiol, 20% progesterone; note the progesterone) and had fantastic outcomes so far. Overall, my face and body looked de-aged 10 years. The most dramatic change I’ve ever seen tbh, and I already had fairly good skin (like most of us here, I have a regular routine of 1% retinol, vitamin C, sunscreen, BHA/AHA exfoliant). The loss of elasticity, plumpness, and “bounce” of my skin was something I wanted to keep (or at least have high standards regarding) and was looking for something to address that. IMHO, it’s not wrinkles per se that age us but skin texture and tone changes (AKA crepey-ness and age spots). Because the creams are a hormonal treatment and I’m already in my mid-forties heading into perimenopause, I had the extra benefits of having more energy and sex drive than I had since my early 30s. Wowowow muscle tone improvement overall. The brain fog was real and much improved too. I sleep so much better. All cherries on top! I definitely say: give topical estrogen a shot. The dosing is low and I experienced very mild side effects (initial site irritation and mild breast tenderness that eventually dissipated; so far, no pigmentation issues either). Thank you truly to Dr. Ellis for keeping this important conversation going. We don't have to suffer these mid-life changes!

[@Tica5012]

@genevievedeguzman9293 This is concerning! You’re only applying the hormonal cream to your face? and yet you’re seeing improvements in your body muscle tone, a greater sex drive, sleeping better and less brain fog(?). This means ‘it is systemic’ and not just local. Have you discussed all the other benefits with your prescriber? And if so, what did they say?

[@xiomarasinnis7549]

I saw this brand recently! I would like to try the one with progesterone 🤩 . Thanks for sharing your experience.

[@perfectlyyoubeauty]

@@Tica5012it’s the estrogen boost cream with the estrodial and progesterone that’s giving her all those additional benefits. She likely uses that one on the arm or belly (maybe her face) and it does have systemic effects because of the higher blend of hormones. The aging repair cream that she uses on her face in the morning (I use this one as well) is really localized because it’s a much lower amount of estriol and doesn’t have the other hormones. Just my take on her comment being a long time musely customer.

[@genevievedeguzman9293]

@@Tica5012 actually i mention two products in my comment. One applied to the face, the other is applied to the body.

[@angelmorningstarr9504]

​@@genevievedeguzman9293 I just started using both about a week ago

[@nthrealtor]

I had mentioned to my Optometrist that I heard estrogen maybe good to use on the face… she did not seem impressed… I have since researched it more and it may actually help with eye issues caused by hormone drops. I hope more research goes into this one!!

[@jenniferwong1196]

Optometrists are not medical doctors, so I would not expect this type of clinician to know about this issue.

[@carriebee5418]

Optometrists don’t attend medical school and are not a resource for prescriptions outside of physical lenses

[@kaitlynjohnson7737]

Are all Optometrists condescending? I have been to two different ones in the past couple years, they are both like that!! 👺 They don’t know everything, their superiority complexes are ridiculous 😂

[@marisaskrodal8514]

I am 63 and have been on HRT for almost 3 years. I have been using Estradiol for several years but it wasn’t enough for my symptoms….foggy brain, lack of energy, hot flashes, weight gain, none existent sex drive. Now I am on Biodenticals….”Progesterone, Pregnenolone, DHEA and a second Estradiol cream ( inside wrist 2x day). Blood test shows I don’t need to be on Testosterone because I work out intensely with heavy weights 3/4 times a week. If you cannot find a doctor who will listen and take care of you find a nurse practitioner. I found mine in a weight loss/hormone replacement clinic. Life is GOOD!

[@dawncrawford9159]

You need Nanderlone & Stanzinol - Dr Edward Lichten , Textbook of bio identical hormones. 💯 nothing will ever work until you get your hormones, balanced . I’m 62 years old at 80% muscle mass size 3 🎉

[@PagesofLisa]

Me too! Been on hrt for 8 years now! Feel amazing!

[@jenniferjohnson5683]

My doctor won’t recommend it! I’m looking for a different one. So much new research that shows it’s not dangerous.

[@nt895]

@@jenniferjohnson5683you still need to never skip mammograms and should be tested for the genetic mutations that often cause breast cancer I’m on bioindentical progesterone there’s a little risk but with breast cancer but it protects against other cancers

[@jennicrow2946]

Is pregnenolone prescribed or OTC?

[@lidoibenfuchenoff7632]

“suck it up, buttercup! “ definitely the attitude of traditional providers.

[@Donna-vh5ym]

That's true and so sad. That's exactly what they said to me and now in my 60's and grrrr.

[@theboys444]

100%. There is a neglect that seems to happen. Not one doctor gave me information or told me what was happening. I suffered from severe menopause and was never told it could be mitigated. Most doctors don’t deserve our trust. Also, most doctors are prescribers, not healers.

[@melissasmith-k5i]

Well said!

[@lynlee142]

I had a female OBGYN about 15 year younger than me tell me this. She said to get fan for the round the clock hot flashes and would not talk about HRT and promptly dismissed me. I was disheartened. I asked for another doctor in the practice. They assigned me to a very young male doctor. I was prepared to read him the riot act if he tried to tell me to suck it up. I gave him the benefit of the doubt and after I shared all my issues, he sympathized and immediately provided an rx for HRT. Maybe the younger ones are better educated about this, or maybe his momma told him he better not let women suffer...!

[@user-sr3xy4gg7j]

@@lynlee142 I've found I struggle with female doctors more with treatment, bedside manner and misdiagnosis (no matter their age). It's disheartening. One would think they would be more sympathetic to other women.

[@MariaM-111]

I am 54, post-menopausal now for about 2 years. I am on the estradiol patch, prometrium, testosterone and vaginal estradiol . I also use the vaginal estradiol on my face and neck as well. I use the vaginal estradiol cream on my face in the morning since I use Tretinoin at night. It takes a good 6 months before you start seeing some changes. It is somewhat drying and not cosmetically elegant but it’s cheaper than the compounded estriol creams and I put a moisturizing cream on top and then sunscreen. One small study comparing the estradiol cream to the compounded estriol cream showed the same skin improvement results in both groups. And, I did check with my OBGYN and she approved. By the way, LOVE your Prequel Vitamin C! New holy grail status!

[@Cherylebreaux]

You and I are on pretty much the same regime only I'm a bit older (58). Is there a reason not to use the estrogen with the tret? I usually do my tret and serums and then later, after it's had time to soak in, I go in with the estrogen cream (usually when I brush my teeth right before bed). I definitely have noticed a difference since starting the estrogen on face and neck.

[@MariaM-111]

@@Cherylebreaux Hi, from what I understand you can use Tretinoin and estrogen at night. The recommendation from Alloy website for their M4 estriol cream is estrogen first then tret. I would assume it’s the same for the estradiol cream. I separate them AM/PM because they both tend to be a little drying on my skin. If you are not experiencing any irritation and you are seeing results using them both at night, I think your routine is great.

[@reginarizer5797]

So, I can use the vaginal cream on my face?

[@MariaM-111]

@@reginarizer5797 Yes, I checked with my OBGYN. It’s not an elegant formula and can be drying but I put a moisturizer on top and it’s fine. The vaginal estradiol cream is stronger than the estriol cream that is made for the face so keep in mind if you are prone to melasma it can worsen it. I have not noticed any issues with melasma on my skin. Just make sure to use sunscreen everyday. If you are prone to melasma the compounded estriol cream might be a better fit.

[@MariaM-111]

⁠@@reginarizer5797 I do and my OBGYN approved it. It’s stronger than the compounded estriol cream so if you are prone to melasma it can make it worse. I have not had any issues with it.

[@danaprahl9748]

Yes, and Yes. Decrease in sag, wrinkles and bags. What a difference. if you can, go for it. All the skin care which I have been on for years did not produce the changes I got in a few weeks. So ladies... go for it. I'm happier for it. cause I was considering a lower face lift. If I can get these results in a few weeks I'll keep doing it and use my face lift fund for something more fun... like travel or a sports car. Don't get me wrong. I haven't turned the clock back to 20 but at 57 I look like a good 8 years maybe on some days even younger. I'm just glad the sag around my month and jaw area is gone for now.

[@karenk9573]

That’s great! Thank you for sharing. Can I ask did you apply the cream right under your eyes also?

[@danaprahl9748]

@@karenk9573 no not under the eyes

[@pspence1963]

Are you taking oral hrt as well?

[@danaprahl9748]

@@pspence1963 Yes. estrogen gel and progestrone pill

[@danaprahl9748]

I have no menopause issues by doing this. Also I take the max so I have no bone, heart or brain issues for the future. That is mostly why Im on HRT I did not have hot flashes I take it as a preventative for heart, bone and brain.

[@wynw7214]

Dr. Ellis looks like a younger Carolyn Bessette-Kennedy, may she rest in peace. Thank you Dr. Ellis for this informative, detailed video!

[@thelmalou1320]

I can see that. Both beautiful.

[@wynw7214]

Yes!​@@thelmalou1320

[@patbraden4342]

Yes she does

[@vhelma21945]

Yes.. ❤

[@tamarasergio1203]

Omg. She does resemble her

[@pinkrose8845]

You are the most professional and trustworthy dermatologist in the internet. Informing people about what really works in dermatology instead of just selling products for profit. Thanks !

[@stefanilesser1396]

Be aware if you have pets. We had recently gotten a puppy when I started using my topical estrogen (bioidentical) cream on my inner thigh at night. The puppy did not sleep with us but would come in and cuddle in the morning. Several months later, our vet noticed the puppy had an enlarged vulva and larger than normal teats. She the asked me if I was taking topical estrogen. Apparently, she knew the topical estrogen can transfer to pets. I immediately replaced the topical estrogen to troches and the dog returned to normal. It's amazing to me how powerful the estrogen transfer must be after a night of sleep and the dog having no direct contact with my thighs. There is plenty of research on this if you check, but I had no idea prior to my experience.

[@vanessameintjes9896]

Mmmm and what about your husband/partner

[@stefanilesser1396]

@@vanessameintjes9896 Didn't notice any unusual symptoms with him. It is easy to check on the information yourself, which I recommend.

[@bekahanneful]

Wow

[@carolwong9279]

This is so helpful. I don't usually pick up my dog until after my estradiol and testosterone dries but I will be more careful. I think I may have to switch to a patch. Tried the troche, made me nauseated and bloated as I was probably swallowing some of the estradiol and testosterone.

[@clairehawkes1112]

@@carolwong9279what’s a troche please? My dog does have enlarged teats! And had a pyrometra, I hope I didn’t cause that….

[@robins3672]

I was on a low dose estrogen patch for 15 years. Felt great, looked younger than my years. Then at age 68 my GYN said I’d been on it too long and scared me into stopping. That was about 3 years ago. The aging process just seemed to accelerate after that. Wish I’d stayed on it.

[@kimgroslouis5587]

My mom have had a total hysterectomy (severe endometriosis) when she was 28 (now 56). She was prescribed since 28 a estrogen gel to apply on her lower arms. With this she avoided all the menopose symptoms and she is still on it. Her skin is indeed very good looking too. Barely have wrinkles and she never been into creams or any kind of skincare routine and she never stepped into a beauty clinic. Just showering, using a washcloth and soap for face and body. On the other hand, my grandma and my mom always wore sunscreens since the 90s for outside doors activities. So I imagine that helped a lot for their skin preservation.

[@sweepandsooty]

That's nice to know :) I'm just turning 30 and I had my ovaries out at 28 due to Endometriosis. I'm also on HRT and had worried about my skin aging 😅

[@mariesmith1616]

Maybe it was great genetics too.

[@normakarina8722]

Can you please tell me what soap your mom use? Please

[@kimgroslouis5587]

@@normakarina8722 she has always used (decades) and still uses the original Ivory bar soap.

[@jenniferfoster2200]

I'm 57 and yes, I use topical estrogen , 2 x week in vagina plus occasionally a bit on face. Plus on low dose systemic HRT.

[@GreyCat827]

Thank you. I have a pelvic prolapse and wear a pessary. I use topical estradiol to decrease the chance of abrasion when removing my pessary for washing. It's been a year, and I've not experienced side effects. There is some darkening of tissues in the area, but not serious. There is very mild appearance of melasma on my face, which is camouflaged with makeup. Otherwise, my face has cleared of blemishes, is easier to hydrate, and my sense of femininity is restored. At 77, this is still important to me. Older does not mean stagnant.

[@ikr2377]

Does the esyrol give you melasma

[@Isobeln]

I’ve been using facial topical estrogen for a month now. I’ve noticed some improvement in my skin elasticity and firmness. It’s not a huge improvement but enough that I want to continue. The improvement is most obvious is photos, especially around the jowls. I’ve not experienced any negative effects

[@Ruby_rose8]

How long did it take before you started to notice them firming results? And do you apply estriol or estradiol? ☺️

[@Isobeln]

@@Ruby_rose8 I’ve been using an estriol cream for a couple months now. It’s become more obvious after one month use.

[@celestejacobs7386]

How old are you if you don't mind me asking? I'm about to turn 40 and I'm not sure if I'm at the right age to use estrogen cream on my face.

[@nathaliez9783]

Last time I watched your video I forgot to leave a comment..I have been using a topical estrogen cream with 0,3 estriol..I noticed after a few weeks that my skin felt more thick, after using it now for almost 10 months, I must say the depth of some wrinkles has diminished, my skin is more clear, less dry, more firm..I also have been using retin A for 7 years..I am 62 years old and my skin doesn’t look my age..I am very pleased with the estrogen cream..I also use a couple of your prequel products, the skin protecting cream being my favourite. I was also still using recently the birth control pill to mask the hot flashes of menopause, I stopped as I don’t get those anymore..this is my story !

[@sailingcosmo47]

Topical estradiol cream (Ovestin) absolutely works mixed into your usual moisturizer. I’m 61 I am not a candidate for systemic HRT unfortunately. But the topical cream is a total game changer. I’m so happy .

[@ooosh1]

Oh, that's interesting! What ratios do you use?

[@jessicahitchens6926]

Yes you are a candidate. Who told you that?? You have many many options now. Do the research. Don't go into fear. Fear blinds everyone.

[@shaikrafeenah6541]

This may help with Powdered estradiol pill or a liquid of progesterone from bioidentical from gelatin capsules mixed in a moisturizer or any lotion

[@sf3413]

I really want to see the medical community significantly increase research concerning menopause and treatments. As I am entering this new phase of life, it's shocking how little literature exists currently. Thank you for your video. I'm open to using a topical estrogen, but would probably opt for HRT for a more systemic result.

[@sarashepard7504]

Every woman needs to be talking to their obgyn to make them address these issues in a more serious and meaningful way.

[@jessicahitchens6926]

They are useless

[@Dannilovestofly]

@@jessicahitchens6926Agree! You have to do your own research and advocate for yourself. Thankfully Midi exists.

[@nt895]

HRT is ideally started during menopause and is studied safe used for 5 years a test 4 genetic mutations that make women way more susceptible to breast cancer should be done first & yearly mammograms should not be missed I’m on bio identical progesterone it’s amazing

[@melissasmith-k5i]

One needs both I believe.

[@MakQeen]

I’m in HRT for last 2 years. I’m 47! It has totally been a game changer for me! I had debilitating side effects of estrogen loss & my patch & progesterone took them away! I feel almost normal now.

[@Kne2450]

What symptoms did you have before starting HRT?

[@MakQeen]

@@Kne2450 weight gain of 20 lbs in a couple months, when before I’d always maintained my weight. Depression, not sleeping or waking at 3 am and not able to go back to sleep, migraines that lasted a week, itchy dry skin, feelings of bugs crawling all over my skin, crying all the time for anything, feeling terrible with flu like symptoms most of the month. No hot flashes but I had cold flashes so bad that my skin would itch and I would scratch and make myself bleed over nothing, joint pain, no energy, no desire to workout (which I’ve always done) I was a completely different person and hated myself and even was contemplating suicide. My Dr put me on an anti depressant which didn’t help my menopause symptoms. I started watching videos on KZbin: Dr Mary Claire Haver, others, and educated myself on what was essentially happening to my body. It was peri menopause and I’d started having symptoms around 42. My periods which had been very light before that were non existent now, and I was having awful Vaginal dryness that it actually hurt to walk. Everyone’s side effects can be different so I had to just explain everything I was going through to an Endocrinologist who knew based on my age 44 that I was going through estrogen withdrawal basically. I got the hormone replacement I needed and they help a lot. I feel 80% like myself.

[@MyLifeInTheDesert]

Im 47 and still on birth control pill. I am sure this has prevented me from dealing with the crap. Plan on transitioning to HRT at 50

[@MakQeen]

@@MyLifeInTheDesert I was having all kinds of awful symptoms even while on a high dose bc pill.

[@kellyvendrasco1945]

How long before you noticed it helped?'m 49 and started in May and have not noticed any changes yet. Thanks kindly!💕

[@lizlou7601]

Total hysterectomy at 45 started bio hrt for 12 years now! Absolute life saver ❤

[@ShabamGram]

I've used topical estrogen for a year without any issues, and I have seen an improvement in my fine lines. I always use SPF and I am very happy with the results.

[@handbaglove100]

As someone who is in surgical menopause, thank you addressing this topic!

[@Nubianette]

I’m 57, started using HRT in April. After 3 months, I noticed my face had increased volume, and I look less tired, when I’m not tired. I can imagine topical estrogen would be great for places where women have extra concern.

[@Dannilovestofly]

Thank you for discussing menopause at all. It’s difficult for us old gals out here to get proper care or an OB that even knows or cares what they are talking about for this stage of life. Appreciate the honest info!

[@melissasmith-k5i]

I use an on-line physician for my hormones and I'm 73 years young!

[@Taty14002]

Girl don’t call us old. 🙄 You may feel old but I don’t.

[@Taty14002]

@@melissasmith-k5iyes you are as young as you feel. My mom is 72 get on my nerves because she acts like she’s a little old lady and I already told her to stop acting like that. It’s annoying. My mil is 80 and she doesn’t even act like that.

[@nancycy9039]

@@melissasmith-k5ihow did you find an online physician for this?

[@michellebailey4769]

I have been on Alloy’s .3% estriol face cream for 6 months now and what a difference it has made. My skin is so supple and looks alive again! I also use your Multi-quench serum as well as daily collagen and tretinoin! I am on estrogen and testosterone therapy as well. The total combination has made a difference in my skin and my physical/mental health as well.

[@susanvanputten492]

Did it take a full 6 months of estrogen to see a difference?

[@michellebailey4769]

@@susanvanputten492 no! I saw a difference after using it for about 2.5 months.

[@yayain5349]

Did you use the cream every day?

[@michellebailey4769]

@@yayain5349 Yes. I use it every night.

[@jessicahitchens6926]

Yes..

[@C2C.]

This is the most accessible, responsible, and thorough discussion on this topic I've seen. Thank you.

[@gleehanson4775]

I started topical estrogen about 2 months ago and have felt like im back to being more like myself! Its amazing and i had no idea how much better I'd feel! Im 67 and this stuff is wonderful!!!

[@buddha-full3926]

Wonderful! Are you using topical estradiol or estriol?

[@pingrowland7012]

Did you get it over the counter?

[@ritumillar7850]

What topical estrogen are you using? Thank you in advance

[@VirtualHumanBeing]

Do you also take progesterone?

[@tendr247]

But are there estrogen receptors in the face? I’ve been on the patch and vaginal ( estrodial NOT PREMARINE) since I was in my mid 30’s and I’m 70 and I see aging horribly in my face and all skin.

[@BeeKaye]

What a blessing this information is! My skin has never been dry until menopause. I’m so glad to have learned this. Thank you!

[@dac823]

I’m 55 and have been on HRT for about 2 years now and it helped me tremendously. I started using topical estradiol on my face 3 months ago and already have noticed a difference in my skin. Thank you for coving this important topic, Dr Ellis.

[@chucalissa9231]

What doctor gives the prescription?

[@lisawilliams5486]

I’ve been on the hrt patch and oral progesterone. I got CO2 laser. Just life changing. Melasma spots are gone. I sleep like a baby. Hot flashes are gone and I started using weights 2x a week with a trainer via FaceTime. I feel 22 at 60, and I’m glad I did it.

[@martahaces]

Thank you for this! Even though I am not in that period of my life, I think this normalization of speaking of menopause and perimenopause empowers us millennials and younger generations to face it without fear and knowing our options. 😊

[@SusanBame]

As a 67-year-old, I must say I know nothing about any of this. I'm learning, finally.

[@jessicahitchens6926]

Don't worry you will be there in s blink of an eye. Most are going in younger now especially your age group. I guarantee that will happen. Premature ovarian insufficiency will be rife.

[@jessicahitchens6926]

I'm sm early millennial too

[@melissasmith-k5i]

Fight for normalizing our needs and insurance coverage . Men. are covered by insurance for Testosterone and have 21 prescriptions available for impotence. How many do woman have covered ? ZERO!

[@TheAkasha2012]

I think us GenX woman are really pushing to create a lot of awareness. My Mums generation silently suffered through. I speak to anyone in my circle (work/personal) about it, create awareness, there’s loads of great resources online. Dr Marie Clare Haver has had some great podcasts on the topic, Davina McCall has a great book on it and is working hard in the U.K. to create more awareness. Look them up. The sooner you know the better you can prepare. It will massively increase the quality of your life during peri/menopause.

[@DMV-z2t]

since I carrie the APOE4 gene for alzheimers I went on HRT before menopause. Best decision I have ever done. I went on HRt at 54. menopause at 57. take .75 dose

[@smwokk]

I once started BCPs just before going on a cruise. I had very clear, even skin and no history of melasma. I went out on deck one day, came back, looked in the mirror and had brown patches on my cheeks and upper lips and have had it ever since. Literally in one afternoon. Something to consider before any hormonal therapy. If only my doctor had informed me of the possibility. Thank you for this in depth video!

[@rosemarie7816]

What does BCP stand for please?

[@pritipatel2493]

You are such an authentic you tuber. You seem very passionate about what you do and that is bringing a change. Stay blessed!! 🙏🙏

[@New-York-Attitude]

Every woman should read the book Estrogen Matters by Avrum Bluming & Carol Tavris to make informed decisions. It’s pretty much changed how I look at my health. Spoiler estrogen doesn’t cause cancer.

[@suecone2198]

I am on a low doe of HRT because I had polyps in my uterus which I was told was caused by too much estrogen. I have been using vagafem for years with no problems. I just started using estrogen on my face so I haven’t noticed improvement yet but I am hopeful. I am thrilled that us older women are finally being taken care of as it has been discovered what an important part all these hormones play in our bodies! Thank you for this explanation!

[@jessicahitchens6926]

Why don't you go on micronised Progesterone?

[@gwendachapman3]

You might want to consider Nascent Iodine for your polyps. Lack of iodine is often what is behind lumps in breast and reproductives .

[@dorothyduncan5255]

I have been using topical and systemic forms of HRT. I love the way the topical on my face has made a noticeable effect. I am 57.

[@Delph_a]

Which are you using? I am considering Musley

[@vicksta8875]

Just remember: Every 'BODY is different! Not all things work the same for everyone. Find that practitioner who works for and with YOU. Its a journey well traveled, yet worth it. ❤

[@cassiemil3148]

Women's healthcare provider here. 55yo. Just started about 2 weeks ago on face/neck, as an addition to retinoid, vit C serum, and sunscreen regimen (not all at once of course). Going to start on the backs of my hands as well. So far, no irritation or hyperpigmentation, but it's winter and 2 weeks may not be long enough. Wish me luck!

[@Rogue_1987]

Are you applying the estrogen cream with the Retinol both at bed time? Or do you do Retinol at Night at the Estrogen Cream in the morning ?

[@lauram9748]

Yes I started estrogen cream on face about a month ago. I’m 56 and have been on HRT for about 5 years. The estrogen cream has made a noticeable difference in my skin clarity and suppleness. And it was noticeable within 2 weeks if not earlier. I love it. I haven’t had side effects from estrogen cream at this point but I did up the tretinoin use at night which did irritate my skin. Thx for a great video!!

[@cwills178]

My situation is almost the same. I’ve been wondering about adding a topical. Appreciate the good word from someone the same age and on HRT. Thanks!

[@saralin2820]

Would love to see a video for women who’s NOT able to take topical estrogen or HRT secondary to health risk eg-CA,

[@jt8142]

@@saralin2820I recommend you read the book, “Estrogen Matters” by oncologist, Avrum Bluming, MD for the latest & most accurate info on these topics.

[@mariesmith1616]

Which cream do you use? Prescription cream?

[@Linda-hj5tv]

I have been on bioidentical hormone replacement therapy since age 46. I blasted through perimenopause and it was awful and compounded by the fact that it was a challenge finding a doctor to acknowledge and address it. I am 71 and found my people! All this to say thank you for putting this out for today’s audience. ❤️.

[@Tracimakingwaves]

Such a great topic. I'm 61, on HRT and incorporated using estradiol on my face 4 months ago. My skin is responding positively and looks and feels healthier. I discussed this with my Gyn prior to starting and got her 👍🏼. Thanks for another video with great information

[@seaslife60]

Traci, I'm curious how long have you been on hormones?

[@Marie-oy1bd]

@Tracimakingwaves Did you use estradiol on your arm, then ask about applying to your face instead? Wondering if you apply nightly or alternate locations? Thanks for any more information you can share!

[@Tracimakingwaves]

​@@seaslife60i started on systemic HRT about 5 years ago

[@Tracimakingwaves]

​@Marie-oy1bd I apply about 1/2 pea size to my face each morning. Sometimes, I blend with my moisturizer and sometimes I apply it as a single layer, alone

[@nancycy9039]

⁠@@Tracimakingwavesso you use topical estradiol on your face in addition to on your arm?

[@caseyclayton8244]

Ive only been using it for 1 week and oh my gosh, it WORKS!!!!

[@reneklein6049]

Great topic. I'm 65, but at 42, I was diagnosed with Premature Ovarian Failure. No symptoms, my periods just stopped. I was put on the Estradiol patch and progesterone. At 48, I was taken off of the hormones. I went on Estrace Vaginal Cream, and have been on it twice a week, since then, and have had no negative side effects. I'm definitely going to ask my gyno if I can apply to my face. I must admit, that I've tried it a few times, but wasn't sure if I should be doing so. I have no risk factors such as family history of breast cancer. I've also been on topical Tretinoin since my 20s. Wow, what a great combination the two would make. Thank you, Dr. Sam for such valuable information. Very much appreciated. 😊

[@Archiebean]

Your gyno won't know. Look at the % as the vaginal cream is normally 1%. You want 0.01 %. I use the 1% but just a smidge of cream, about the size of a grain of rice.

[@reneklein6049]

I meant to say dermatologist. And that's the exact strength that I have. I did use a pea size amount last night. For now, I'll use it twice weekly, on the nights that I use it for dryness. Thanks.​@@Archiebean

[@ammonitelight]

Why did they discontinue your HRT? It can be continuously used and really should be because of the protective effects!

[@reneklein6049]

I wish they knew more back then. I would have fought to stay on in. But, via a heart monitor, it was discovered that I went into non sustained v-tach, and threw me off of the transdermal estrogen patch. Ugh.​@ammonitelight

[@Archiebean]

@@reneklein6049 With any hormone, it is better to use daily, so that it is not the case of one day there is a hormone and the next day there isn't. I have been researching this subject for 18 years. It would be way better to use a smaller amount every day. 😁

[@dorothygale1176]

My doctor won't prescribe the topical for me because I'm already on the HRT patch. 😡 No uterus and no history of breast cancer in the family. And she's my age! Thank you for this wonderful information. 💖

[@rhondascott1341]

I'm a BC survivor of 8 years and started estradiol a couple months ago on my face and neck. Dr. Ellis just reminded to do our hands as well. It hasn't hurt my complexion, so I'll continue it to see what the future holds. I also just had my first round of Sculptra, so can't wait to see what that does too. I'm getting two more treatments in the coming months.

[@rhondascott1341]

BTW I'm 60 yoa

[@ceejae2349]

53 yrs old. Partial hysterectomy at 40. On estradiol gel (or patches when available). Started topical estradiol as well around 6 months ago due to sudden urgency which disrupted my sleep. A few weeks on it and my urgency disappeared. I assumed that if it was good enough for my vulva, it would be good enough for my face. The skin on my face is much smoother as are the backs of my hands. I'm loving it

[@maru2725]

This information is so valuable! Thank you so much for making a deep dive into this topic. As a post menopausal woman that has suffered from the symptoms you mentioned, I am super interested but still haven't made my mind around it. Personally, at the moment I am not convinced about using this cream topically on my face for aesthetic purposes only. After almost 5 years of starting this process, I discovered that this new stage of our lives (at least in my case) required more than 'just' taking HRT, which has proven to be so beneficial for me, but also lifestyle changes, from exercise to nutrition, skin care, hair care and so on... It takes some work (and years) in getting to know this new body, but if you learn how to give it what it needs you can get great results out of those changes, from the outside and inside as well. What I mean is that this cream could be an option but it is not the only answer. At least that is the case for me now.

[@whitneydickinson3526]

You do such a good job of making complex topics accessible, thank you. Being a menopausal woman, I do suggest replacing the term "atrophy" with "GSM". More comprehensive and less negative connotations.

[@claudiakuhn2802]

This video was informative from the dermatology point of view, thank you. I did listen to this entire video and did rewind to make sure I heard correctly. The study that showed that women on HRT were at an increased risk of breast cancer was the WHI, this was over 20 years ago. The data was misinterpreted (absolute risk v relative risk). The arm of the women taking estrogen alone actually did NOT have increased breast cancer. Also the women took Premarin, a oral form of estrogen and synthetic progesterone. Women today are given transdermal estrogen and bioidentical progesterone if they have a uterus. It is stated that the women does need to make this decision with her oncologist and gyn but listening to this information is instigating fear over facts. Definitely every women needs to make this decision based on her history but again the information needs to be current and accurate.

[@nataliemarshall7158]

I’m actually confused, are you saying that listening to Dr Sam is instigating fear over facts?

[@claudiakuhn2802]

@@nataliemarshall7158 I am referring to the comment that Dr. Ellis made that women taking HRT or MPT have an increased risk of breast cancer.

[@notes_to_elle8664]

Some women are still prescribed oral estrogen for HRT, so considering the risks for cancer and blood clots is still potentially important.

[@saltycrunch]

Dr. Ellis actually says the same thing you did, but you're making it sound like she was saying the opposite. She said the exact things you did about systemic versus topical estrogen, and bioidentical progesterone. And that the statement of increased risk might be correct in a vacuum but there are other factors involved that actually make the risk not as a parent. It seems you stopped listening after the sentence she said about increased risk of cancer. Why people are liking your comment I have no idea.

[@leahbsly]

​@saltycrunch ​ Dr. Ellis does state there's more to determining the actual risk of breast cancer, but in the video, there's a text box pop up thing (whatever you call it) where it says "People on hormone replacement therapy are at higher risk of breast cancer". And then around 12:15, she states again that estrogen causes a small increase in breast cancer. An entire generation of women have needlessly suffered from no HRT based on this WHI study that was misinterpreted. I'm one of them ❤

[@kellymcbride6642]

I am so thankful that there is so much buzz around menopause now. I am through my menopause now and I am so happy to be done with periods. As you mentioned, I do feel like I look older all of a sudden since my menopause. I am on hormone replacement therapy and I am doing a lot of skin treatments to maintain my collagen. I have start to use estrogen cream on my face.

[@iss8504]

Anyone honestly worried about breast cancer who is still drinking alcohol, smokes and is overweight/diabetic, is totally missing the boat wrt estrogen. The studies do not show a statistically significant increase in breast cancer. Yet smoking, being overweight, and alcohol all increase the risk in statistical ways.

[@hlnblk]

What if we’ve already been diagnosed with breast cancer?

[@caracorson2709]

Totally true. Estrogen has been show to decrease risk of breast cancer, dementia, osteoporosis, heart disease and diabetes.

[@healershealth5818]

@@hlnblkI also want to know about this???? If you’ve already been dx with breast cancer are you able to use HRT oestrogen and progesterone ??? 🤷🏼‍♀️

[@dantopster]

@@healershealth5818 I had breast cancer and I'm on HRT. I had to fight with my oncologist, but I convinced her. I was having serious mental health problems due to the decline of estrogen.

[@karengrandoli7181]

@@healershealth5818 if you have been diagnosed with hormone positive breast cancer you cannot take hormone replacements. You are placed on a hormone blocker. My oncologist did tell me last month that the topical estrogen cream would be ok but I think I'll pass for now.

[@jodikarem8274]

I use Biest and love it. It has gotten rid of brain fog, night sweats, hot flashes and my overall look is young!

[@sunshinefl6586]

What is Biest?

[@mayaw1448]

@@sunshinefl6586 biest cream is the estradiol cream.

[@Linda-oi4pj]

@@sunshinefl6586it’s bio identical estrogen. I use this also.

[@missknight9]

I am in my 30s and take HRT for premature ovarian failure. I also insert Vagifem daily, but after seeing this video will be talking to my endocrinologist about topical estrogen at my next check in. Thank you!

[@dianasanabria5816]

Thank you. I am 50 and going through perimenopause and your video was the information I needed! I hope this information continues to get shared and distributed to all women. There should be a whole unit on perimenopause and menopause in all of our health classes in high school for all (including the boys). That way, we all have the understanding needed and be ready for all these changes when they hit us later in life. Plus, we would have been more understanding of our mother’s who went through all of this when we were teens/young adults.

[@sunshinerainbows1221]

Wow! Thank you for this information. I am mid 40’s and have been taking estradiol & progesterone for the last couple of years simply due to intense peri-menopause symptoms. I have been using the estradiol gel over the front of my body nightly as instructed but never knew that it could be used on my face and hands! How interesting. I will give this a try.

[@butterflygirl7640]

Yes I have been using a topical estrogen for about 6 months now and definitely notice a difference in my skin and my hot flashes subsided. I’m 55 and officially hit menopause last May.

[@cdanieldance]

I was put on hrt at 55. Game changer. My skin is finally getting back to what is was. Not a cure all, still hard to maintain moisture, but the acne finally stopped. So yea estrogen depletion is real. By replacing it, I can attest, game changer

[@notes_to_elle8664]

I'm 46 and on the estrogen patch and yes, I noticed my cystic acne has all but vanished, knock on wood. I still get small breakouts, and I do think I am getting very small brown patches due to the estrogen, but I'll take it! I had horrible inflamed acne in my 30s and 40s that mauled my face, and it's so frustrating to know now that I should have at least investigated hormone treatment options, e.g. the pill. I feel like for a long time there was so much scaremongering, especially with HRT, so I suppose I should feel lucky that at least now there seems to be a more enlightened, evidence-based approach, at least where I am in the UK.

[@MissMohz]

I’m 61 & on oral estradiol & progesterone and noticed my facial skin went from combo to EXTREMELY oily and having acne like a teen. Wondering what I’m doing wrong 😑

[@tammylynn5667]

Try castor oil and talllow for moisture of the skin 😉

[@jessicahitchens6926]

Get off the oral Estradiol. Transdermal cream or gel.

[@jessicahitchens6926]

Yea that only goes so far. And you need to it nightly for probably 4 months. Then go back again. I do agree it's great for inflammation and joints etc. But it doesn't get down to the crux of the matter. Which is the fiberblsst cells. What feeds them????

[@tasneemmeghji9217]

I love that you are informative without resorting to drama!! Great info. Thank you.

[@paigeturner165]

I had radical hysterectomy early in life. NOBODY warned me what to expect 😢 I’ve hated my body ever since. My skin on EVERY part of my body changed, my stomach ballooned and my back aches from all my internals moving into the space that was created.

[@melissasmith-k5i]

Find a provider, it I not too late to improve your wellbeing!

[@sonjacroft3016]

Thank you so much!! I would absolutely use topical estrogen. I’m on HRT as prescribed by my gynecologist, and I’m visiting my dermatologist this week to discuss topical estrogen for aging skin.

[@DianneElizabeth64]

I was put on estradiol gel tabs in May. By July, I was off of them. I continued with testosterone and progesterone but nothing compares to estradiol. I had to research for myself why my lymph nodes under both arms ached 24 hrs a day. Why I had breast pain. I have a hormone specialist and I’m not sure if she understands that taking estradiol orally converts to estrone which is inflammatory or she didn’t think to tell me at one of my many visits to find out what was wrong with me -that cost hundreds of dollars every appt about this detail. It’s drs like you on KZbin that I am learning from because i HAVE to. I asked for the patch after 2 months of estradiol replacement and WOW. I am watching my skin rejuvenate again. No lymph node pain. No breast pain. Just the benefits.

[@janeta3509]

I did not know this oral conversion to.estrone Must be due to.having to go thru the liver. Been on estradiol for 15 years. last year, due to the crazy increased cost of estradiol.patch, I started oral estradiol. Does not work as well as the patch so I was happy recently to discover a more reasonable price for the patch which I just started again today.

[@tracycarberry4932]

​@@janeta3509Can u tell me the name of the new patch u got x

[@melissasmith-k5i]

Great!

[@victoriabernhard1036]

I don't believe estrogen is necessary for women after menopause. If using cream vaginally,yes , it is beneficial. I have not tried it on my face. I'm curious to try it. I do know that if your testosterone is low , it is important to supplement that at a very low dose. The trokees work well .

[@lisabafundo4355]

Great informative video. Yes, i have been using topical Estradiol cream prescribed by my doctor on my face for the better of six months. I haven't had any issues with side effects. I have seen good results, most particularly in areas where the skin is thinner, around the eyes, and neck areas. I've also been using it on the upper inside of my arms with great improvement in thickness as well. I do use it along with Retin A and other skincare. I'm quite happy with the results. Thank you 😊

[@Lulu-kt6gr]

Hi - Do you put retinols under or over your estradiol?

[@lisabafundo4355]

@@Lulu-kt6gr hi, I use the estradiol cream first than retinol.

[@deniseg4028]

This was excellent, thank you. Very well presented and so helpful. I have topical estrogen for applying to the opening of the urethra to help with stress incontinence, I didn’t like the pessaries. I’m also on HRT but thrilled that I can use the cream on my hands, face and neck. My hands have hardly any fat and are by far the oldest looking part of my body! My lower pelvic physio at the hospital told me during an exam that she can tell I’m on HRT. A slightly awkward compliment but good to know!

[@constancehall1231]

I was hoping that someone would address incontinence. Thank you. I have been on HRT for 27 years now (the patch). I also have a bladder condition called interstitial cystitis which causes feelings of urgency as well as urine leakage. About a year ago, I started on additional topical estrogen applied vaginally and around the urethra. It has made a huge difference. Sometimes systemic estrogen is just not enough. I would encourage any woman with bladder issues to speak to her gynecologist about topical estrogen, as well as personal benefits and risks. For me, it's been a quality of life saver.

[@deniseg4028]

@@constancehall1231 I’m glad to hear that you’ve seen improvement with topical estrogen! That gives me hope, thank you for sharing!

[@nancycy9039]

@@constancehall1231estradiol systemically, how? meaning on the skin? And now more on the skin?

[@hazelavila7319]

Do you apply the estrogen cream inside the vagina or on the vulva as well? Does it help with atrophy?

[@dulcedubonnet]

Thank you for making this video easy to understand. I have watched other videos on the subject and more than often they are not doctors and unable to convince me that their opinions are valid and worth following. A study and baseline has been long overdue on the benefits and risks (melasma and vascularity). Melasma loves to make a surprise visit during pregnancy and creeps up in menopause, the uninvited guest at a party...returns. Having 3 pregnancies in my life, me and hyperpigmentation have had a long-term unfriendly relationship. My derm gave me script for a compound combination of topical estrogen, hyaluronic acid, DMAE, glycerin, oleic acid, vitamin E and Tretonoin. I found that topical estrogen is very drying to my face and hands and didn't want to risk the hyperpigmentation returning. Derm is closely monitering any changes in my skin. Its too early to give an opinion on the compound, I think 3-6 months is a fair time to see any changes and to find out if this will be a lifetime daily routine.

[@HannaS-k3s]

Thank you for the great information. Can topical estrogen be used on the face and neck or only on the face? Would bringing it down the neck cover too much area and make it systemic? Also, how can topical estrogen be incorporated into a skincare routine? What skincare ingredients can it be used with or layered with or shouldn’t be used with? How often should it be used to be effective? These are the answers I was really hoping for.

[@hsmd4533]

She answers some of these questions in the video

[@wandaricketson1020]

I'm wondering that too - I'm thinking any estrogen on your skin becomes systemic so I hope people are taking this into account when they start using it on your face. My menopause doc prescribed the amount she tested my body to need, I use a tiny bit under eyes, a little vaginally and the rest on my thigh. I'm wondering if people may be using too much if they use a lot for their face and neck?

[@kendragilmore4121]

I was ready to buy this product until you mentioned a worsening of melasma. I'm already desperate to find a product to clear this, I have on upper lip and do not want it to get darker. I've seen other videos on KZbin saying how amazing it is, but none of them mention the side effects. Thank you for sharing such detailed information on this product.

[@ChristinePacinda]

My ND prescribed a topical HRT cream that includes various forms of estrogen as well as testosterone that I've been applying to my inner thigh for a few months now. It's made a huge difference in alleviating my pervasive post-menopausal symptoms (the hot flashes never went away for me until treatment), but I never considered what it could do for my face. I have seen some improvements in my facial skin, but I honestly thought it was because of my focus on skincare. Now I'm rethinking a lot of things.

[@Mayfitz]

Name please?

[@sagapoetic8990]

Thank you for this information. I'm amazed the improvement in menopause education and I'm glad Millenials and Gen Z do not have to suffer. My mom's generation, the Boomers, were scared off HRt and had to suffer from both a wall of silence and bad information. My generation, X, and I'd venture to say Gen Y -- we were shamed into avoiding this critical discussion and also received horrible information and avoidance including from female practitioners. That is utterly sad that even female doctors would avoid this topic. Thank you, Dr. Ellis, for addressing this head on. It makes no sense multiple generations of women have had to suffer. I'm so happy reform is taking place and I look forward to all the coming research and revolution in how menopausal women are approached, educated, and treated. Thank you again.

[@gothgirlatheart3545]

I was anorexic for 2 years of my life from 34-36. My skin looked horrible as I was protein and estrogen deficient. I was 93 pounds and skeletal thin. Now at 36 1/2 and at 135 pounds with a regular menstrual cycle - my skin is desperately trying to catch up.

[@sarashepard7504]

Congratulations on your recovery ❤

[@treasurechest123]

So happy for you that you are able to be a healthy weight now! It’s not easy. ❤

[@ellenfrancis7155]

I am a 64-year-old woman who has been on topical compounded estrogen and progesterone creams for 15 years with the guidance of my doctors. It has been life-changing in terms of quality of life and menopausal symptoms. Both my internist and gynecologist agree that I should stay on these creams For the rest of my life if I want to. I apply the estrogen in the morning to the inside of one arm and the progesterone in the evening on the inside of the other arm. I’m wondering if I can use a dab of the same estrogen cream on my face. thank you for this informative video! I’ve been wondering about this for a while now.

[@jessicahitchens6926]

Mix it with something else and put it on.

[@skinAPRN]

As an NP that practices in a large retirement community focusing on primary care and esthetics I appreciate this info! Will be sharing with my patients as many are already using vaginal estrogen cream! I am going to try this starting tonight! Thank you again!

[@rosem8377]

Lucky to be getting this information ahead of menopause!

[@lizmartin418]

I am 70 and I never used hormone therapy for menopause symptoms. Would topical estrogen be beneficial for me at this age?

[@Ms__Divine]

Yes I will definitely try it, I have an appt with my menopause OBgyn Dr coming up and I’m going to talk to her about using it. Thank you for all that you do and having these discussions with all of us.

[@KristineWahl-ft9qj]

I'm so happy to see this topic coming up more and more. I would definitely have availed of a prescription oestrogen cream formulated for the face.

[@dhadbaoui]

Since taking estrogen/progesterone my skin looks better, it’s not dry anymore, my hair started growing back, I sleep better, and much more. I used to work for a NHRT doctor and she had her own formula for a topical estrogen facial cream.

[@adauresfriendzone596]

May I ask where did you have hair loss. I’m 55 and think my hair loss stems from estrogen deficit

[@dhadbaoui]

@ estrogen deficiency it what menopause is all about. We stop producing it. I had an all over decrease in body hair. My temples were more pronounced without hair.

[@geraltote]

I’m 55 and in perimenopause. A few months ago the symptoms started really badly: hot flashes, brain fog, weight gain and mood swings. I started with natural supplements that helped but then I switched to HRT thanks to Dr Marie Claire Harver. What a game changer! About a month ago I started using Alloy cream and I saw the difference in elasticity and less wrinkles in less than 2 months. More changes way faster than any other cream. I have been using tretinoin for more than 3 years and the Alloy cream has upgraded my skincare routine like no other cream. And my body feels like my own again thanks to HRT

[@LiziaAmbuehl]

When and how do you apply the estrogen cream in your skincare routine?

[@geraltote]

@@LiziaAmbuehlonly at night as the last step in my skincare routine. I wait a few minutes after using my moisturizer

[@adagoikhman3122]

I am already on vaginal estrogen , after hysterectomy. So, I will definitely consider using it topically. YAnother aspect for me is how topical estrogen effects rosacea? after hysterectomy my rosacea worsened significantly. Thank you, our video comes in great timing, considering that I am 45.

[@ladymissg76]

Thank you so much for this! As someone who is going through perimenopause, the changes to my skin and hair are upsetting and it's hard to find anyone who truly knows anything about this topic. Would love a deeper dive into this topic and suggestions you might have for skin and hair products if you choose not to go the estrogen cream/HRT route. My hair goes from feeling like straw for a few days to shedding like crazy to back to normal all within a few weeks. My skin is combination but now to the extreme resulting in crazy hormonal acne and eczema around my eyes. None of my makeup or skincare is working for me the way it used to. 😭Thank you!!!

[@MistyMorningMangoes]

Ditto.

[@samanthab3247]

Amazing video, you tackled all my questions about this! Thank you Dr!😊

[@marieantoinette3451]

I would love to hear about all the different HRT's; benefits and risks for Perimenopausal women!!!

[@valeriasanta3957]

You are so articulate and clear in your videos, I love them!! Thank you for taking the time to talk about this issue. ❤

[@debicorso7688]

Love this presentation. HRT is the bomb and at 65 I have been using it since my early 50's. I added Testosterone a year ago. Game Changer! We need our hormones to be our best and we have estrogen receptors throughout all systems in our bodies for a reason. Unfortunately, the focus has only been on reproduction for so long. Too many millions of women have suffered unnecessarily for too long. So glad to see things are changing and it is being talked about studied, and prescribed. So important! Lots to learn on this topic, and so much fear and misinformation, it is great to have another sound voice on this topic. Find providers who are educated about the benefits and understand all the nuances. It is complicated, but the bottom line is we need our hormones and they benefit your health your entire lifespan.

[@KristinaDAF]

Excellent information and thoughtfully presented, as always. Though I must say, reading the comments about topical estrogen users experiencing a reduction in perimenopause symptoms certainly challenges the notion that there is minimal systemic absorption… 🤔

[@laritalovesmakeup]

I’ve been using Empelle night cream and serum for over a year now. It’s for estrogen deficient skin. I use other products in the morning. I’m now 67 and fell this is a great product. It’s creamy and feels nice. Hope this helps someone. It was recommended by a plastic surgeon.

[@teetee9315]

I was going to try that cream but decide to order musely instead. Do you think its worth the price? Has it made improvements in your skin?

[@kimsenn5024]

Thank you for this info. I’m in my 60’s and I had breast cancer in my 40’s. I was given an estrogen cream and have been using it on my face for about a month. I’ve noticed significant reduction in my forehead wrinkles which I have had since my 30’s. However I have not seen any improvement in wrinkles around my mouth. Now I am questioning if I should even use this cream.

[@meganh7742]

Started HRT and estrogen cream for face this year with Alloy. All good here!!

[@ashleyangeli]

Same! Me too! ❤️

[@angierox6964]

Absolutely! Age 56, menopause for 15+ years. Started hormone replacement therapy with bioidentical hormones (Biote) 2 years ago. Within the first month I felt huge improvement... energy, memory, muscular, mood both stabilized and improved. I felt like a woman again… I have no vaginal dryness no itchiness and I just feel overall sexier. I notice if I do just a little bit of exercise I can feel it, I feel good! Why in the world isn't every single woman taking bioidentical hormones. (If you have a man or a life partner they need to take something so they can keep up with you. Lol!) If your primary doctor tells you this is just part of aging then find a doctor who will listen to you and help you. My primary had been giving me generic pharmaceutical prescription type hormones, maybe it helps something I don't know.

[@Helena1045]

PLEASE tell me how I can get my hands on that estrogen gel you show. I'm 78 years old. Was on compounded estrogens for several years. Lost my doctor. (He lost his license for prescribing hormones and billing insurance companies. Long story). So I went to a regular doctor and asked for a prescription for estrogen and progesterone and she laughed me out of the office. Literally. She said who would prescribe hormones for a 70 year old woman. That was eight years ago. She was older, I thought she'd understand, but no, she was sure it would kill me. So, I found a way to get Estrodial gel from overseas illegally and I bought 3 tubes. I use bio identical progesterone cream from over the counter sources. Now the estrogen gel is almost gone and I don't know what to do. My overseas source has dried up. Doctors won't prescribe it. Interesting -- the last time I saw my primary doctor, who I wouldn't dare tell I use the stuff, he was in shock about my age. He asked me what do I do, I look no more than 40! I told him I take B vitamins. Why can't they just make it so a woman can decide whether she wants to take something. It's not Fentanyl.

[@janeta3509]

There is a dr in Texas who has videos on youtube. Dr. Shawn Tassone. He does tele medicine and, depending on what state you are in, can and will prescribe hormones.

[@Helena1045]

@@janeta3509 Thank you!

[@Wintek55]

Find a functional medicine Dr, that’s where I get my prescription

[@El139sy]

Your video was so timely and informative. My OBYG prescribed me to use the topical estrogen cream as HRT to deal with perimenopause yesterday and interestingly the cream was out of stock in many places. I was puzzling why there was such a demand for suddenly. Your video came so in time to speak on ladies could use this on the Aging skin. You also touched on the risks to apply on the aging skin and now i am wary.. especially i do have slight melasma and spider veins like on my face currently .

[@Cottoncandyclouds1234]

I am 47 and have been suffering for the last 4 years with perimenopause. Severe weight gain with no change in lifestyle. Went from a size 4 to 14! Extra dey skin especially on my face. Bloated stomach, so much I looked 9 months pregnant. Brain fog, can't hold a thought. Severe Hot Flashes constantly! Can't sleep at night, up until 4 or 5 am. Night sweats/hot flashes wake me up when I do sleep. I am just miserable! My doctor won't prescribe any HRT says it's too soon. Why do I have to suffer for years! My husband's friend went to his Doctor a month ago for high blood pressure, and being over weight. His doctor said he wanted to check his hormones. Turns out HE is on MALE MENOPAUSE. Went on hormone treatment asap, no questions asked, no doctor or insurance saying no..... Yet here I am withy blood work proving I am in peri menopause and I can't receive treatment. At this point I really do believe that the medical system hates women and doesn't care at all

[@aprilrain2011]

agree

[@aprilrain2011]

I have had to have my urethane stretched 3 times . United Healthcare refused to pay for the $500 estrogen cream. But ecoli is just fine for us to pay for because at 56 and full hysterectomy by age 32..everything is atrophied. Not to mention my weight gain and mood. Hugs friend!

[@user-bz2hl9xw1b]

Get a better doctor. Many docs will prescribe HRT in perimenopause.

[@renwar71]

You definitely need to find a new doctor …that’s BS you shouldn’t have to suffer at all …HRT saved my life

[@mariewiefel4542]

You could try changing doctors. I feel like female doctors are more willing to help with these kinds of issues. Good Luck, I hope you find someone to help you.❤