Menstruation, Menopause, and Hormone Replacement Therapy for Women

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In this excerpt from my appearance on The Huberman Lab Podcast, Andrew and I discuss the Women’s Health Initiative study, hormone replacement therapy for women, and a range of topics related to women’s health, including:
-A detailed overview of hormones as they relate to the menstruation cycle
-Stages and symptoms of menopause
-How PMS relates to hormones
-A brief history of how the Women’s Health Initiative (WHI) study came to be
-The failures of the WHI study design and participant selection
-The use of synthetic progesterone in the WHI study and why this was problematic
-The use of hormone replacement therapy for women in Peter’s practice
-More

[@nadiablack4797]

I am sitting here watching 2 men talk about menopause and I've learnt more than I have from any female or doctor in my whole life. Thank you both

[@regeneration_proclamation]

That is so sad for women as a whole. So sad that we women constantly seek the deductive scientific validation from men for what only we could ever know is occurring inside of our bodies.

[@nadiablack4797]

@@regeneration_proclamation I'm not seeking validation I am saying that listening to this video I've learnt a lot, more than I have from any female doctor. You may find it sad I don't care where the information comes from as long as I get it

[@survive2thrive883]

AGREED! It’s crazy. I learned more than ever.

[@seablue140]

Exactly! Best video in this topic hands down yet! 👍👍👍👍👍

[@turenam2772]

Me too! It’s been 10 min and I have learned more than in these 10 min than in the last 5 years from my female family physician (54 yr female here)

[@janetjohnson7136]

This is the first time I've ever heard a doctor actually admit that the healthcare system has failed women's health. I've been saying this for 15 years now, but it's nice to hear at least one doctor admit it.

[@kitty16vcat11]

You should read the book by Elinor Cleghorn - UNWELL WOMEN Since having children in my early twenties, I always thought that the medical system was against us women, treated like 2nd if not 3rd class citizens, because if men had children I think our world would be a whole different one!

[@kellycook4347]

Just sitting here waiting to 💀. No doctor visit for 22 years for me. It's too expensive and they don't listen or care.

[@ccpetro]

@@kitty16vcat11Having been a male interfacing with the medical system for 40 to 50 years (depending on how you define "interfacing"), it has nothing to do with you being a woman, and everything to do with "the system" being layers and layers of "systems" oriented around trying to (a) map a problem onto a known, preferably well known solution, (b) apply the solution to that problem, and (c) have that problem go away. Just because you have it a little worse doesn't mean we don't have it bad too.

[@hmh3808]

@@ccpetrowhaaaaa? BS.

[@chaosdivine1895]

Why men are talking about women hormones and menopose?

[@janist6626]

I am 73 years old. I began menopause at age 38 (1988). I was put on estrogen (without progesterone). Soon I was prescribed progesterone. I then went to Estrodial patch with oral progesterone. I never stopped, even after the WHI scare. (I had an agreeable OBGYN). I still have a uterus. To this day, I take these hormones. I have no sleep issues, hot flashes, etc. and no vaginal atrophy/ dryness. I also look quite young. But, I have been consistently using Trentinoin for approximately 30 years, since it first appeared in JAMA. I have no wrinkles nor a “turkey neck” but do have jowls. So there it is. Take care. Listen to these guys.

[@charlierae8266]

My doctor wants to take me off it at age 50. I think I'll go to a new doctor.

[@jannlittle4745]

How much do you take for each to keep balance? Have you ever had thyroid issues?

[@tdogmom6128]

Thank you for sharing this. Sincerely thank you!

[@bernadettesandoval3990]

I'm 69, never took any synthetic hormones (ever) and I'm the same, except I have slight turkey neck but no jowls so you may not have actually needed those drugs.

[@show_me_your_kitties]

I love you ❤😂 I have an appointment on Thursday! 42 and ready to die, I know this is hormonal

[@mschlund1]

It's so refreshing to hear educated men speak so respectfully on women's bodies,menstruation,menopause, hormones and symptoms

[@sarahhibbard4845]

I second your comment ❤

[@helloitsme7983]

More respectful would be to have a WOMAN talking about this. Jeez.

[@Gogs126]

@@helloitsme7983 You've missed the point being made here

[@susansmith493]

It would be nice to hear women do the same for men's health issues.

[@starforbes4596]

I third this! Refreshing to have educated empathic men speak on woman's health much respect here! May i add ,With no political agenda!

[@Staceyintampa]

HRT saved my life! Depression GONE, hot flashes GONE, sleepless nights GONE, anxiety GONE, food cravings GONE, and I could go on and on. My OBGYN acted like I was crazy when I started complaining of symptoms in my 40's and I KNEW there was something wrong. There was...I had no hormones in my body. It took YEARS to find someone to help me. Now I have my life back!!

[@joanneweed1683]

And when suffering for all that time, you lack of hormones causes you to behave differently and possibly cause damage in your life by not thinking clearly. Drs please help women in their 40’s when they are asking for help! HRT got a bad wrap for NO REASON!

[@tanalinback]

Omg is this why the last 3 years I’ve managed to destroy ever single part of my life that I cared anything about???

[@Staceyintampa]

@@tanalinback I am 100% certain it was the cause of so many bad decisions in my life.

[@natasha83196]

I’m in that place now. My OBGYN did nothing to help even though I would complain of these symptoms year after year starting in my mid-40s. I did my own research, fired my OBGYN and now I’m exploring HRT. Can’t wait to get started.

[@Staceyintampa]

@@natasha83196 good for you!!! Once you have it you'll never want to be without it again!! Good luck!

[@lizsadler2056]

Had a physical AND mental breakdown during late perimenopause/menopause. No one seemed to know how to help me. I lost my business and had psychological symptoms like depersonalization and auditory hallucinations. I just had to power through it without help and it took a few years to feel back to almost “normal”. We need more research on this critical time of life.

[@larahuffmaster5857]

Bless your heart 💖

[@simplymary314]

Wow, this is horrible! I've been complaining about my symptoms but yours are just awful, you poor thing. I'm so sorry you had to suffer like that

[@annakudlata6402]

Liz, your story is like my story...during perimenopause I developed OCD, panic disorder and auditory hallucinations. It took me over 5 years to came back to balance with the help of pregabaline . What the shame that no doctor didn't think that the cause of my symptoms was the decrease of oestrogen...

[@natividadnazario1381]

Psychiatrist. Can help

[@granolagirlGfunk]

Aside from the physical symptoms of Menopause, I also got thrown into Anxiety and Depression. It is true that most physicians will not connect those types of symptoms to peri menopause/menopause. I had to actively seek out HRT.

[@maryannepaul2980]

I clicked this because I was triggered to see two men talking about female hormones. I was incredibly wrong and shared this widely. Thank you for not only showing an interest but genuine concern for us.

[@MamaBearA24]

Same!!! I'm so happy I watched it! It was very informative.

[@Nonybusinessxxxxxx]

Jesus you got triggered because two me were talking about women? Wtf is wrong with you? Get some help. 🤦🏼‍♀️

[@susiepettit8911]

I agree! That was my first reaction and now am like YAHOO! THANK YOU!

[@ke6445]

I know…haven’t watched it yet but the picture and title made me a tad uncomfortable…🤔what/how would THEY know?????

[@mann8283]

@@ke6445because they’re the top medical experts lol. Are you dense

[@lanadecker8800]

First reaction - why two guys are talking about menopause and I care. Second reaction - my female doctor told me "it's nature" and "get over yourself".... Thank you, Dr Attia ❤

[@janinemelnitz2750]

you need a new doctor!

[@tijentunali9897]

Exactly my thoughts and my experience with the female doctor!

[@NiaLaLa_V]

In my 40 years on this Earth men have always been kinder to me than other women are. Men have also never made me feel bad about myself like women have. Men are the ones with compassion. They beat us 10-1 in this area.

[@marynakviten]

I talk with doctors about crazy depressive PMS I have over 7 years now that are stilling 3rd of my life: and I got "get over yourself". So, my friend advised me to go to male doctor as they at least will try to understand

[@Mtsink]

A Woman GYN told my Mom the same. No recourse. No solutions or suggestions. I told her that can’t be right.

[@suzanneclark125]

"The biggest screw up in the medical field"....thank you for acknowledging this huge error for Women!!

[@catamish9338]

. I second this as I was not adequately diagnosed with fibroids leading to a total hysterectomy and having no post operative support and frankly I was told it was “ too 😂expensive” for real Organic hormone replacement. Tge GYN basically took his money and ran! Now 20 pounds heavier I’m figuring this out in my own. And as a nurse I wound lihh my e to add that Womens preventative healthcare is a big failas if should start prepubescently! Hormones are life and they should be regulated via nutrition and stress reduction. Women are hearty but stress of life and bad diet needs to be reckon izod as capitalism enslavement and is capitol assault on a women’s life. Analysis of hormones is key to balancing and making this available like a cheap pregnancy test over the counter… I’m so very frustrated about this and frankly you are pointing out a crime to women! Aging us and shortening our life spans. Many foods are lethal to women and collect at estrogen receptors. So start with nutrition and stress! Not drugs. And hormone correction should always be 100% natural! Please continue to push your facts! You will be saving so many woman who believe the pharmaceutical lies. I also watch my mother go Thru breast cancer after a hysterectomy and wearing the HRT patch . Her doctor told her that she had a triple beg tumor… but I will bet it was the HRT! I compare this with my own experience of elevated / depleted progesterone. They wanted to give chemfor this! wTF!! Ok just shoot me ! I am not a doctor but refusing chemo was the absolute the right thing to do!!! Sorry about the typos… phone comments are difficult with spell check and QWERTY phone typing. Women are more fragile than they think and if the fertility system is to operated you can’t have chemical interferences like synthetic foods and drugs in the body disrupting the hormone cycles. Love you both keep up the great work!

[@rosemullen1856]

No the bioweapon shot is the biggest. Doctors wil never get the respect they once had. They are lower than dog catcher

[@theresagagnon9162]

I truly love this ❤I would never feel that I needed to add or replace anything in my awesome body that is my man made🥰👍🏻👁 I am completely perfect and anything I need is up to me and my positive and healthful thinking is the gift👁❤️

[@Babyboffa2018]

2 men telling women how to cope with the menopause. 😂😂😂

[@brendasears9650]

0

[@Kim-ri1hg]

The entire medical community needs to be schooled on this subject thoroughly. Women are suffering and loosing their jobs, marriages, and minds. I went on hrt the first year in menopause. An estrogen patch and a mirena progesterone iud. I had to fight for it. I was miserable with brain fog, depression, weight gain, hot flashes, night sweats, and all the other issues dry skin, acne, vaginal dryness, and uti’s. I warn my daughters and all of my friends to be aware menopause can be worse than menstruating.

[@Shaz19754]

The mirena is NOT Bio-identical and is possibly doing more harm than good

[@HH-gv8mx]

I’ve been in hell most of my 40s but it’s gotten much worse in the last year especially after I got Covid and went through a bad break up. It seems like those two events kept perimenopause into high gear. The sleepless nights, the sudden weight gain, irregular periods and dry skin and dry eyes. I feel like my hormones are way out of whack. and like where did the cellulite come from! I’ve been active and fit my whole life and eat pretty healthy. All of it is so depressing. The only advice I’ve gotten is that doing long periods of fasting seems to help. 🤔

[@mlynn4364]

I’m sorry. That’s awful. I believe I’m suffering from pmdd from menstruating. I’m really scared it won’t get better.

[@HH-gv8mx]

What is PMDD?@@mlynn4364

[@rafataziz401]

Why not a combined bio identical patch? Is that an option

[@tiffanylbacon]

For the past 10 yrs I have gone through doctor after doctor with “unexplained” symptoms. I was told it was in my head, that there was nothing wrong with me. Fast forward 10 yrs and I come across a KZbin video that is eye opening. It basically informed me that I’m NOT crazy and for the past 10 yrs I have been in perimenopause. Not one doctor out of at least 50 in the past 10 yrs. The US Healthcare system is a joke. And women should be more concerned about the disparities in health over anything else.

[@funlovinmumma]

I think I know the video you're talking about. It's about an hour and a half long? My cousin sent it to me after her and I had talked about the "crazy b*tch" had taken over the rational part of us. The whole time it was our menopause symptoms and we had no idea why we were feeling/acting/doing the things we were. Her husband came across it and asked her to watch it and everything made so much sense. I've asked it on to everyone I know. It's just as important that men watch it as well as women

[@thesilkpainter]

Same. Thanks for sharing.

[@caroline-O0127]

@@funlovinmummaI think I know which one too. I watched it today. I actually thought I was becoming very ill and crazy! Especially the frozen shoulder. I went to my GP but she never said it was down to menopause. Even vertigo. I seriously thought that was it for me.

[@tiffanygaydos8997]

Your opening comment almost made me cry Dr. Attia. A heart felt thank you. As a woman we have felt very unseen in prior years in regard to our specific health needs. If I am being honest, I almost didn't listen as my thought was what do two men really have to say about this. I am so glad I decided to listen anyway because my unfair judgment was so wrong.

[@LedgerAndLace]

That was my thought, too! So I scrolled down to see what the comments were from women and now that I've read yours, I'm going to give this a listen. Thanks!

[@rochelchase3726]

I had the same feeling but right now this minute I'm listening

[@brendabrannan9308]

I am 70 years old and have been on Oral HRT for almost 23 years……Dexa test shows No osteoporosis……Heart disease runs rampant in my family…..a complete Cardiovascular work up showed NO heart disease……NO. Vaginal dryness….a very active sex drive…and my dermatologist just told me that I had beautiful skin……My Dr. Is all in for me taking my Hormones……I’ll continue them forever!!!

[@eugeniebreida1583]

Who is your doctor, please?

[@sophieoliver2715]

This is beautiful to hear ♥

[@carmaela2689]

Where did you go to do this? I feel like my doc is against it.

[@CG-mj8tk]

Which hormones exactly? Wow

[@mariatrinks3615]

I would love to know which hormones you are taking?

[@karynnotkaren693]

I have to admit, I was reluctant to listen to men talk about menopause but learned so much. You guys are great. Thank you

[@lilianwal2385]

Exactly same here, as my Mum said, don't assume...

[@amandawhisnant2270]

I agree..it looks creepy these two men smiling about getting to talk about such a personal female issue...say what you want but those men have no idea what we feel with night sweats, fatigue, thinning hair, difficulty losing weight no matter how hard you try yet you get looked at like you're strange.

[@manatime1653]

Why? We women tend to talk about men and men's issues all the time.

[@karynnotkaren693]

@@manatime1653 the medical establishment, historically/ currently dominated by men has overlooked the area of menopause. Gynecologists that focus on women in menopause complain about the pitiful amount of time given in medical school to studying menopause and are so concerned about it that there is an North American menopause registry of gynecologists that specialize in it bc a typical gynecologist wouldn't have enough education to do so. (They are mostly women) The history of men's approach to women's health is rooted in sexist ideology. Hysteria was a medical diagnosis for women based on the idea that the uterus made us crazy. Not to mention the hideous gynecological experiments done on African American women by (white) make doctors. Not to mention all the KZbin channels that bash women, especially women part child bearing age, and only value them as baby makers, sex toys, and domestic labor - basically, I was nervous about what might be said and prepared for the worst. But as I said. I was wrong and they did an excellent job.

[@yorkshirelass8786]

Same here Iearned a lot, very interesting.

[@marjogarrison8089]

So glad to have men as allies in women's health

[@ChristenTucker]

I'm glad this is being discussed. Thank you. I'm 53 going through menopause. I feel like I'm dying and the projected thoughts that your no good anymore are not where women should be in 2024. I feel this age or time is about taking more care of themselves: food choices, excerise, being proactive in our care. I'm a very active person and I don't want to stop living.

[@denise3432]

Find the doctor that can help tku. You are worthy and Needed ❤️

[@maureenlenehan5672]

Go private menopause dr yes it costs a bit of money but your health is more important Good luck ❤️ don’t wait

[@naeberli9120]

I just asked my Dr and she did it right away. We did a telehealth appt and I had my Rx later that afternoon. For me, I wasn't expecting any results for 3 months, that's what I was told. By day 3 I felt completely different, and I mean completely. I felt happy for the first time in years, to the point I thought something was wrong 😂😂😂. Make that call and make your appointment. I've been on it 3 weeks and , OMG, the difference. You got this sista!!!!

[@vanessamcmanus4324]

May I ask if you’ve stopped having a cycle? I am 50 and know I’m in peri having the same issues as you and many more. I still have a cycle every 28 days though so Dr said no hormones yet. :(

[@rnawireman9847]

​@@vanessamcmanus4324 I was having awful symptoms during peri and was put on a low dose OCP. I ended up with fibroids and terrible bleeding. As soon as I stopped the OCP I was menopausal. There has to be a "bridge" for this time in a woman's life so we're not miserable! Maybe bio-identical hormones during peri menopause? But it's worth discussing with your gyn!

[@csflower]

I was given oral estrogen during menopause and had no sweats, no hot flashes but monthly migraines that needed strong pain meds. I was still able to work. All in all I felt pretty good. However in my 60’s was diagnosed with endometrial cancer and needed a complete hysterectomy. In my 70’s atrophy of my baby door and bladder. I have given birth to 7 children. Got female pelvic reconstruction that put everything back in place and has made my quality of life so much better so I am very thankful. Now in my 80’s my health is pretty darn good - no diabetics, no obesity, no high blood pressure, no more migraines, strong bones, some monocular degeneration in my eyesight and still some urine leakage if I drink too much water. All my blood tests come out good and normal. One exception - got diagnosed with AFib so take blood thinners and beta blockers. But I got no complaints. I do need an estrogen type cream to correct dryness and prevent UTI’s. So that’s my story. It’s great having 7 grown children. Widowed but happily single. 😃 Life is still interesting. Actuality it’s a hoot!

[@cearilindubhlaoi9507]

You sound amazing...so positive a real breath of fresh air ...much respect 🙏 I hope I can say the same in Mt 80s..much love from Ireland 🇮🇪 ❤ 💕

[@helenharris4860]

Thank you for sharing. Its so good to hear the positivity you have and gives us all hope of getting back to feeling somewhat normal again. Delighted for you that life is such a hoot in your 80s! 🥰 Wishing you continued health and happiness also from Ireland 🇮🇪 💖

[@csflower]

@@helenharris4860 ❤️

[@angonorato1770]

My gosh ...what a bteathe of fresh air you are...and SO inspiring! I have been feeling so alone with my issues the last 2.5 yrs..thank you for sharing all this that it CAN get better!!

[@toomanymarys7355]

Just so you know, bladder/incontinence and even baby door (lol) issues in women over 60 are the SAME among women who have had kids and those who haven't. And it doesn't matter how many, either.

[@KiwikimNZ]

Wow I am a nurse of 25 years and as embarrassing as this sounds, up until now I was taught and still believed that HRT increased the chances of breast cancer!!! Now this is why - as a health professional I continue to endeavour to educate myself as much as possible. Fascinating ! Thank you so much.

[@BigDawgCAM]

As a medical student, I wouldn’t be too hard on yourself. Literally every MD around me still thinks that too 😅

[@aimeesharp1092]

It does!! I was on BHRT for 6.5 years. It made me gain 20lbs, my breast grew a whole cup size, I then developed incontinence when I tried to run. By the way, I’ve always been a healthy person with normal bmi - so my experience was horrible- plus I got diagnosed with breast cancer. It’s not in my family and I eat incredibly healthy. I absolutely 💯 blame hormones for this diagnosis. So be careful ladies !! Since stopping the hormones, I’ve lost 25lbs, my breast density changed back to normal. And luckily my cancer was tiny enough and low grade that it was easily treated. Again be careful

[@maryjury284]

My problem with HRT has been I have blood clotting issues. I did a topical HRT and the veins in my arms clotted from my wrist to my elbow. Any suggestions on how to safely use topical HRT?

[@KiwikimNZ]

@@BigDawgCAM thanks ;)

[@KiwikimNZ]

@@aimeesharp1092 I’m really sorry to hear about your experience. It is always disappointing when you think that something may help you and it ends up causing more problems than you had before. Sounds like you have been through a lot. Glad you are doing better. I think hormone replacement therapy has its place and can work wonders for some people, it’s like anything that we put into our bodies, what can work for some can have really horrible side effects to another. It’s not a one size fits all unfortunately. Thank you for sharing your story I appreciate you letting me know your experience. We do have breast cancer and osteoporosis in our family so I will continue to do my research and look further into it. My menopause symptoms are pretty hideous palpitations, anxiety, dry skin and thinning hair, brain fog, low mood etc. you take care and I appreciate your reply x

[@iamshe6298]

I am so grateful for my male gyno. He immediately put me on HRT as soon as the symptoms came on. No pushback

[@susansmith493]

Male obgyn ... hard to find.

[@numbernine3436]

My male gyno did the same. I was 58 my 1st visit. I told him what I wanted, he said we usually give hormones when ur going through menopause.( I went through menopause late. Probably at age 50.) He basically said if you want to try it fine. He prescribed progesterone & estradiol. He was not ok with testosterone. Initially I felt a ton better. A yr later I just feel ok.

[@michellekinder665]

I'll admit, I was completely skeptical when I saw two men were going to talk about menopause. But, I'm so blown away by the fact that they took this conversation with exceeding importance and delivered more information than I've ever received from my doctors. I don't want to put every doctor in a category, but most are truly letting their patients down. I've spoken to gynecologists, enterologists, and my PCP about my symptoms, and every single one either wanted to put me on depression medication or they simply treat me like a hypochondriac. Thank you for sharing this validation and hopefully life-changing information! I'm blown away!

[@yourhollywooddream]

Thank you for talking about this. Suzanne Somers wrote books on bio-identical hormones two decades ago but people thought she was nuts. It’s important that we talk about this so women can get the healthcare they need.

[@snow40741]

It was because of her books that I learned how to treat my adrenal fatigue due to stress that depleted my hormones...I have been on bioidentical hormones since '09 have gone thru peri & menopause and have remained in good health! Yes the medical community did fail us women and we still battle to have this option approved and covered by health insurance!

[@Diana-sb4yl]

N also dr christiane northrup.

[@chiefswife1212]

Women don't require Healthcare for hormone changes!! It's a natural process, you're not sick!!

[@bloochoob]

I have her book too, and have new books by Dr Sara Gottfried too. Menopause Taylor on here is a retired gynaecologist, she’s great too. I’m in UK, Dr Louise Newson is prominent here, and the go-to for latest info. I’m on a waiting list for the menopause clinic for testosterone and I have 50mg combi HRT but I think I need a little bit more now, it’s been 6yrs on a low dose

[@sophieoliver2715]

@@bloochoob would you be up for connecting? I'm feeling lost with all of this and have been experiencing symptoms for at least a year; Dr told me to get the app last year and said I wasn't perimenopausal....calling them tomorrow as I need some support, but a buddy in everyday life would be helpful. Much Love

[@anyoneanyone3515]

I went through menopause at 40, and I am now 51, I’ve been on hormone replacement for over 10 yrs! They make my life bearable! They were life changing for me. I think it’s disgusting how the male dominated medical field has demonized HRT. I’m a nurse, and I’m smart enough to know that hormones help keep your body in homeostasis. The idea that a woman has to suffer during this period of her like is barbaric and disgusting.

[@marycarver7092]

I just turned 40. I feel like im premenopusal😪 i got hormonal acne and my skin is a little dry. My moods are wacky and i feel like who am I😳 went to my doctor and they gave me depression medicine. Ugh. Should i ask my obgyn?

[@anyoneanyone3515]

@@marycarver7092, yes. Go to a gynecologist that supports HRT. They will do blood work to see where your hormone levels are.The 32 yr old male MD ( primary physician)wanted to place me on Effexor for hot flashes. Don’t let them do that! There is not enough evidence to support the findings that HRT causes breast cancer or uterine cancer. Both of my gynecologist have been on HRT for years.

[@sylviaking8866]

@@marycarver7092 Don't waste your time with doctors. They are useless. Find a Obgyn who knows what they are doing. I am using low dose birth control pill (takes about 4 months for full effect to be felt) and estrogen cream on vulva right now but will swop over to Angeliq a HRT for menopause once periods have stopped. The estrogen cream will help prevent urinary tract infections by 60 percent and vaginal atrophy a common problem during perimenopause. You may not need that yet but keep it in mind. Best of luck. I am 53 so a bit further along than you but be proactive. You do not need to suffer.

[@debrahager2634]

@@marycarver7092 ​ A few of KZbin’s highly-educated professionals: 1) Dr. Gabrielle Lyon, 2) Andrew Huberman, 3) Menopause Barbie. Ms. Mary, I wish u many decades of vibrant health!

[@sylviaking8866]

@Texasgirlinacrazyworld Between 50 and 55 our hormones plummet even further down. My sister was producing nothing by age 53 so just keep in mind you may have to tweak the doses a bit as you get older. You probably did not need so much progesterone yet. Just keep this in mind.

[@user-ek9kq2pv9g]

I have been on HRT for 36 years after a hysterectomy at age 30 and 2 babies. I am a healthy, active 66 year old woman with no side effects. No headaches, aches or pains who recovers quickly after physical activities like mountain climbing, hiking etc. I put my general good health down to HRT and a positive frame of mind!

[@skwoods7986]

This is such an encouragement. My OB. GYN retired and every other doc says I need to taper off my meds and I’m thinking no effing way! My mom and sister had virtually no menopausal issues. That gene skipped me.

[@karenzimmer7607]

I went thru menopause pretty well except the hot flashes. HRT was never brought up and I'm now 65. Should I even bother starting it now?

[@peacefulheart433]

Did you keep your ovaries ? I was wondering because my daughter had a hysterectomy at 28 and has been through hell since. She thinks she needs hrt but the doctors say she doesn't need them due to keeping her ovaries. Good for your doctor in placing you on hrt.

[@Candace575]

@@peacefulheart433blood tests can confirm

[@LibrajmL2023]

@@peacefulheart433Blood test.

[@funkymoma1]

Im peri and I’ve been on duel HRT for a month and I feel like me again! Brain fog is improving, I can sleep, sweats have stopped, my energy is up and I’ve lost half a stone in weight! Partly because I have the energy to exercise and am not snacking to stay awake at work. Being overweight is higher risk than HRT and it’s life changing!

[@vanessa.jasmine]

I'm a little less than a week in, how long before you noticed results?

[@PinkelefantZ3]

@@vanessa.jasmineI’m a little less than a week on injectable T and progesterone pill. I was told 6-8weeks since we are basically microdosing. Are you seeing any improvements yet? Low hormones feels like death! I wouldn’t wish this upon anyone.

[@vanessa.jasmine]

@PinkelefantZ3 I have definitely seen improvements with anxiety and depression. There is still some lingering anxious feelings, so we are going to wait another month to see if there needs to be an increase. I'm just on estradiol and progesterone, my NP hasn't even mentioned testosterone.

[@kimdavis1091]

I had a full hysterectomy at 42, went on HRT… I’m 61 now, still on HRT & feel FANTASTIC 👍👍👍

[@lorilayne9679]

It's fulfilling for me to see comments like this because I am to do a partial hysterectomy in dec due to fribriods and am worried. I hope mine will go as well as yours.

[@lindawitt4661]

Me too.

[@shannonholmes2756]

What kind of hrt?

[@kimdavis1091]

@@shannonholmes2756 Estrogel, oral progesterone, DHEA & TRT. 🏋️‍♀️🦾 🧠 🙏

[@TheNursepayne]

I had full hysterectomy 2 years ago. I’m on HRT but have never felt right. Can’t gain weight and hair falling out 😭

[@PaulaCrisp]

This is amazing. I would love to see studies done on women and testosterone therapy. I was experiencing severe exhaustion and would nap for at least 3 to 4 hours a day on top of sleeping 10 to 12 hours at night. I was told I was depressed, it must be my thyroid etc.... None of it was true. I asked my md to test my testosterone and it was essentially 0. No one would treat me for it. I found a low t center finally and started therapy. I can tell you at 52 I was beginning to think my life wasn't worth living because all I did was sleep. I have my life back now. The exhaustion is GONE and I want to live life and not lie on the couch all the time. I think this deserves a bit of study.

[@Maevelikeschampagne]

I’m right were you were. This is misery not living.

[@PaulaCrisp]

@@Maevelikeschampagne it takes time and persistence... But there is help out there. Make your doctor test for everything and anything. Especially hormones! It too me about 3 or 4 months to get straightened out and I'm not 100% yet (like 90) but it does get better!

[@kellypet3kids]

That’s great! What form does your treatment come in? Injection? Implant?

[@PaulaCrisp]

@@kellypet3kids I'm getting injections every 10 days right now. Once we get my dose locked in I'll be able to give them to myself.

[@helenahandkart1857]

Topical T cream is the easiest to use & adjust, I feel. In Australia we have 'Androfeme'. I do not know what similar may be available elsewhere.

[@katarzynabaran4422]

Dr Attia - thank you!!! 🙏🏼 You’re so right. My mother is 80 now and she was on HRT for 30 years non stop. It’s mind blowing how she compares to her women friends who didn’t have HRT.

[@myriamblancquaert3991]

Exactly not only quality of life i compare myself to a 7 year younger sister..who s not on hrt..i look a lot younger..better bones better quality of life better sex and i am a smoker she is not..20 years on hrt i am 62 no diseases

[@erinmcmanus777]

I thank you for confidently valuing a woman. Women have been considered second-class in a doctor's office. We have been received even from young women physicians as Crazy or we don't know our bodies. Darn it WE ARE IMPORTANT VALUABLE. THANK YOU FOR REASURING WE ARE EQUAL !!!! THANK YOU BOTH!!!

[@kitty16vcat11]

You should read UNWELL WOMEN by Elinor Cleghorn. Explains things that will raise your eyebrows for sure. 😢 Since having my first child as a young 20 year old, I always thought the same that we were treated like 2nd if not 3rd class citizens. If men had children and the issues we have, I’d think the medical world would be a different place! 😅

[@francesnance9110]

So grateful to hear these intelligent doctor's discuss one of the most annoying symptoms that women endure in their life - PMS & Menopause. Also, it is a breath of fresh air to hear Peter discuss the WHI study in detail. I've been on HRT for years, against the wishes of my GP and some friends. Unfortunately, the belief that HRT is unhealthy stems from the inaccurate media coverage and inept study outcome from years ago, and as a result, many women endured the suffering based on their GP's advice or the inaccurate media coverage of the study. Thanks for recognizing this important topic and discussing it! We don't have to suffer like our mothers & grandmothers did!

[@misato7213]

I'm starting to wonder if it is really misinformation, the hormone thing, rather than more of the anti-woman disinformation that stops women from receiving all kinds of basic health care

[@doggieclaude]

@@tylerfraley9725 there are different types. Taking oestrogen tablets may increase cancer risk, but using oestrogen patches decreases cancer risk. Topical oestrogen reduces osteoporosis and heart attack in women. Please stop commenting when you do not understand the subject, it is dangerous and irresponsible.

[@deeice5398]

@@tylerfraley9725 Was your mom using bioidentical hormone replacement? Synthetic hormones such as Premarin raised the risk of cancer not bioidentical hormones.

[@Somebodysomewheresometime]

@@doggieclaude I’m pretty sure it’s important to have estrogen and progesterone for cancer protection - menopause Taylor on YT is wealth of information.

[@GwenMotoGirl]

I’m on bio HRT, too, and I feel amazingly well at 62 under the care of a good physician who I pay out of pocket. My insurance primary care physician does not support this at all. Several friends judge me for this, too. It can be exhausting at times to hear the naysayers.

[@crh251]

Just like you said it was a big screwup! I suffered for 13 years with broken sleep during perimenopause. I was a walking zombie. At 58 and five years after my last period, I had had enough. I went on bioidenticals, and I’m finally sleeping again all night long. Plus my blood pressure came back down to normal. Thank you for talking about this. Women who go through menopause are often forgotten.

[@denisedecker7330]

I'm interested in how you got them? My doctor would not prescribe despite horrible breaks in legs and arms.

[@crh251]

@@denisedecker7330 , I am just seeing this now. KZbin never lets me know when someone replies. I apologize. I found my OBGYN through the NAMS (North American Menopause Society) website by plugging in my zip code. I’ve been on bioidenticals for one year now. Not only did my blood pressure improve but so did my lipids. I am no longer insulin resistant like before. A lot of menopausal women easily become insulin resistant due to hormone loss. I hope you find someone to help you out.

[@PSYCHICVIBES]

Called crazy!

[@Aemery55]

My naturopath does the HRT pellet implants. They've changed my life! So thankful for HRT

[@denisedecker7330]

@@crh251 thank you so much for your response

[@connie1869]

I am showing your video to my gp. Because they never ever listen to me. I have Peri menopause and I've been shown the door everytime told I'm too young and im mad its been impossible to be understood. I've suffered for too long. Thankyou for you're advice and also for 2 men to talk about us woman's problems and show compassion for us. Its Very very much appreciated . Thankyou 🙏🙏🙏

[@gilliandowney5225]

Change your doc or demand the hrt

[@huckyduck]

I’ve been on HRT patches since perimenopause at age of about 48-49. I’m now 80 and had never stopped the HRT. So that’s about 30 years. Some doctors have tried to talk me out of it. I changed doctors. I have no osteoporosis. My bones are as they were when I was forty. I can think clearly and still do website building, music production, book editing and so on. I can run and walk for miles. My hair is thick and healthy and hasn’t thinned like that of other women. I am on no other medication. There are many other benefits. I will never go off HRT as long as I live. People think I’m only 60. It’s amazing. Don’t let anyone talk you about of it… unless you have extenuating health issues.

[@Maevelikeschampagne]

Dr. Mary Claire Haver. She is the meno doctor. watch her videos.

[@SuzieQ7779]

@@huckyduckI’m 70 and have been in HRT for 20 years. Two docs have told me to stop. I said that’s a shame bc I hate being miserable. She shrugged her shoulders and said “oh well, that’s life!” Notice I said SHE! I’m a silversmith and currently preparing for a big show. I’m thankful I’m still capable of living an active life!

[@jerseyjen3940]

Fire your Dr - talk to other women who are @ your age or older You will feel so much better- feel alive again!

[@rnawireman9847]

I was 47 when I entered menopause. My hot flashes and insomnia were awful, I had no energy, and I could barely do my job. After 4 years of suffering trying to "tough it out" I finally started bio-identical estrogen/progesterone cream through an online women's health provider. I have no family history of breast/ovarian/uterine cancer, not a smoker & felt like this a was a good option for me. This treatment significantly improved my life! I rarely have hot flashes (once a month?) and sleep like a champ again.

[@Salamander-us3ys]

Who is your online health provider? That would je perfect for me.

[@jessieb.7188]

@@Salamander-us3ysI started with an online provider too. I went with Winona. They quickly prescribed me estrogen progesterone cream, DHEA supplements (to help my body create its own testosterone) and their brand name cream called Blossom, which is basically women’s viagra in topical cream form. :)

[@unahorgan6014]

I was recently told by a 34 year old ENT doctor that I should not be on HRT as it causes Brest cancer… I told her it was time to start re educating herself!

[@iss8504]

We are at the point where this is malpractice

[@Maevelikeschampagne]

Some drs get an MD and think they don’t need to learn anything else.

[@fancynancymacy]

I have been on H RT for the last 30 years and now I have breast cancer

[@TubnQT]

Women get breast cancer even when not on HRT.

[@TubnQT]

@Nancy Macy

[@vickihawse3769]

Absolutely brilliant discussion and great information. Much gratitude. I just started HRT and am steadily improving. It makes no sense to me that viagra is covered by insurance but HRT is not.

[@Topsten1]

In the U.K. April 2023 women are able to buy an HrT certificate to cover 12 months for price of 3 months. Game changing for those less well off like me

[@Ruskaya789]

Well it’s because viagra makes big pharma lots of money. HRT doesn’t , so they push it away. It’s all about making money for them.

[@lisacole690]

Most insurances cover HRT. Mine does. It covers Vivelle. I use the BHRT creams and pay for them myself though.

[@reinab8168]

My insurance covers it. I use combipatch.

[@matthewhunter6421]

Most don't cover Viagra 😂 where are you getting this from?

[@nancyg3969]

Thankyou for the acknowledgement. Ive been absolutely struggling with so many symptoms not just night sweats, but insomnia, monthly migraines, joint paint, aches, faitigue, vertigo, tinnitus, weak bladder, horrible anxiety i literally had a laundry list once i went through Menopause. None of my Doctors considered this was due to Menopause until I finally saw an Endocrinologist who specialised in Menopause. One month after starting HRT my symptoms have ALL improved! I sleep better, ive stopped wearing pads. I have way more energy and haven't missed days at work due to my exhaustion. I wish I had known earlier how helpful HRT would be.🙏🙏

[@-living4jesus4ever-]

That is the best ever! What a testimony! Do you know how late is too late for someone if my mom is in her 70s?

[@obugirl04]

I have adenomyosis. I used to go to the ER with abdominal pain and get accused of drug seeking. 😮 My uterus finally got so big it was obvious something was wrong. I finally got an appointment with a young obgyn that had won a lot of awards. She told me there were studies that Mirena might help. It did. I got my life back. We need more champions for women's health in the world. There was no reason for me to suffer all of those years and be treated like I was.

[@joydot7620]

I’m newly menopausal & furious. Esp now after hearing this v useful discussion. For another 3 months I’m an nhs patient who has miraculously survived ground zero for incompetent healthcare. This bogus study is held as holy grail here. The medical world is fast approaching point at which it needs burning to the ground. So over it.

[@juliegrune1375]

It's the holy grail everywhere... Bloody crazy

[@r8chlletters]

It’s over the counter in the UK! I only wish it was here in the US!!

[@joydot7620]

@@r8chlletters caveat - getting a prescription is nearly impossible if you arent a man who FEELS like a woman

[@r8chlletters]

@@joydot7620 hahaha I needed that, thank you! It’s outrageous isn’t it that actual women who need this are being skated by…while men get whatever they need…at a time of life when we are truly the most anxious, unable to advocate for ourselves and off-balance, in desperate need of help that can make such a huge difference is the same point at which doctors tell us “no” and inform us we are depressed or just plain nuts?? It’s been quite a journey for me I can tell you! I go in with my battle armor on now and take no prisoners!

[@klaudiasmutny2802]

Our grandmothers did not take hormones to get over menopause, God gave us tools to deal with it: healthy diet, exercise, meditation, nature :)

[@humbertohatma1190]

I am a man 58 years old and TRT has been so beneficial to the quality of my life, my Wife is getting there soon and of course i don’t want her to go through the horrible time that i am learning you are ladies go through in this period of your lives , i just started my research for my wife’s well being ….this is huge for us thank you all for sharing, thank for these two fine gentlemen fighting for this matter ..

[@lisae6725]

You sound like a very nice husband. It’s great that you actually want to understand what your wife is going through.

[@HippyFairie]

I am almost 57, no hot flashes, sleeping thru the night with the occasional low grade temp adjustments, 2 yrs ago I started using Testosterone, I inject about .25 of a mil weekly its changed my world. I was depressed, exhausted, dry, no libido. Now everything is tracking again, my blood work is still great every where else including thyroid. Its been very helpful.

[@pawprintsjersey5787]

Maybe I need HRT but how what do I take? Maybe that's why my hormones all over place brain fog hair loss, diagnosed with hyperthyroidism. Thank you any tips ?

[@HippyFairie]

@@pawprintsjersey5787 find a fabulous doctor who’s focus in womens hormone health, work with that doctor, then try another to compare. I’m two years in and I’m shopping a new practitioner. Not because I don’t like my current one but because it’s not her super speciality. I am mostly happy right now. I do have some extra hair in places and have more hair fall than prior to perimenopause. I just want to keep on top of it and keep improving.

[@SinfulGoddess1]

What type of testosterone ? Deletestryl ?

[@L.A.6482]

I was absolutely ruined by a hysterectomy 15 years ago and that breast cancer study kept my doctor from replacing my lost hormones. I went through hell when I fell Off a cliff! The clock began aging me immediately as well as the damage emotionally. They put me on antidepressants and labeled me bipolar. Took me years to figure it out and get estrogen. Have added testosterone recently due to severe muscle pain and I have had muscle wasting. I was and have always been so active in my life and have been blessed with good longevity genes. Probably the only reason I’m still alive.

[@BrookeBrooke12320]

This makes me so angry. Medical profession is always downplaying women’s symptoms. Good to hear you finally got the treatment you needed.

[@KatiaPaparone]

I have severe pain in my neck which affects my face and head. I’m currently on HRT but not testosterone. Do you think taking this will help my neck? Tx in advance

[@michdressel7723]

I'm 6 minutes into the video and I'm crying because it feels like there could be a solution to the horror of PMS I've been through for years. It maybe shouldn't be necessary to mention this in an ideal world but since that's not what this world is: it's even more amazing that this is two men talking about it! Thanks a million.

[@The_Nixie]

Just wanted to express support. Took me nearly a decade to get a diagnosis and for anyone to take me seriously - and it's appalling that in the 21st century, women who tell a physician that they are curled up in a fetal ball in pain (which they think is PMS but is actually endometriosis, PCOS...) and be advised to "get some Midol and a hot water bottle" (yes, actual convo). And we all go through it alone and unheard. It's *wonderful to see folks talking about it!!!

[@randomcole619]

This idea that men don’t help women has to stop. Our society is only possible because of strong men. Western men have given women a freedom they’ve had in no other time and mothers should teach their daughters how to honor that… on the note of pms and endometriosis, many women’s health issues are insulin resistance… these people never talk about getting to the root of the problem, they offer bandaids. Shouldn’t we look to fixing these issues? Should every woman and man alive just be on hrt till they die? Our high carb diet is causing these issues, low salt causes horrible period pain, all of our foods being in plastic as well… you now know the issue, don’t put a bandaid on it, ask what’s causing it.

[@karmic-lt3mi]

My father said I should be locked in a closet 1 week a month. I have been where you are and I am sad for that young girl I once was. Hug to you.

[@nemera34]

I went through my menopause without hormone replacement. I guess I had a good experience. No really bad hot flashes, no sleepless nights, no anxiety. I know that most women don't haver this same experience. My mother didn't do hormone replacement either.

[@karenkaren3189]

I had a similar experience except for some sleep issues.

[@same5952]

You indeed were very lucky.

[@sarahcox9284]

I went through menopause with no drugs or help from Dr's,I now have massive fibroids,look 3 months gone and I'm nearly 60,they won't do anything to help,I'm stuck with it,im in the UK.

[@SuzanneU]

You were very lucky! My experience was hellish and HRT gave me a life.

[@glamdragon]

Same here. I never expected menopause to be a big deal, and, apart from some vaginal dryness, for me it wasn't.

[@debrafitzpatrick2905]

I’m so glad I found this. I’m 58 and take estradiol, progesterone and testosterone and I feel great and powerlifting in the gym and am still seeing gains. Keep up the research! Thank you

[@SinfulGoddess1]

Can u please tell me what form and doses your using. I’m trying to figure this out so i can ask my doctor for them. I weight trained my whole life and now i cant even get into the gym. So exhausted. Cant get thru a workout. I got all the menopause symptoms. No period 2yrs. I’m 50yrs old. Ughhhh

[@-living4jesus4ever-]

Same! Awesome!! Just started HRT and already notice a difference in 10 days!! so happy for you! One of my questions, do we need to take it in a rhythm like a cycle would be-like 28 days on and 5 days off- or just take it every day? Blessings on your health and continued thriving!!

[@Georgie14]

I’ve been on hrt for 2 years and it’s been life saving and changing. I feel great and can function like a human. I spent ages 13-54 with the worst periods… I had like one good week a month. Then menopause started in my late 40’s and it was awful until hysterectomy and hrt. I pray other women listen and get support.

[@toniallen1130]

I am 66 and have been on HRT for a year. Estrogen, Progesterone and Testosterone. It’s been a game changer in several significant ways.

[@SunriseYogawithSandra]

How, if you don’t mind me asking? Did it help with weight gain?

[@toniallen1130]

@@SunriseYogawithSandra I have not had any weight gain at all. However, I am consistent with my eating and workouts. But, I have not had to battle increasing weight. I don’t know if that is a common problem on HRT, but not one I’ve had to deal with thankfully.

[@donna3086]

I’m 65 and I’m wondering how do you take estrogen, Progesterone, testosterone

[@toniallen1130]

@@donna3086 I get a testosterone/estrogen seed implanted about every 3 months and take progesterone orally in a cap every night.

[@janazaki1063]

Excellent to hear I'm on that Path , putting my foot down headed in HRT direction at age 65 -66 birthday coming my gift to my self this year ! I thankful for your research is tag on . Fatigued, Brain Fog , Osteoporosis starting pain daily. And why ? I have always been healthy athletic & active

[@wildandfree74]

Menopause is a real health issue that few doctors even recognize.

[@musicjunkieaddict6600]

Yes most doctors are clueless about menopause. Their response is it’s a part of life women have to go through

[@atk_1]

Agreed. It’s like we need to be taken to a pasture… I get nothing from my pcps

[@jewelleryaddict]

The doctors think it's normal thing that happens so why mess with it. Wouldn't say that to men if they had problems.

[@dammar117]

Nearly 10 years into perimenopause, I asked my GP (who, not once had uttered the word menopause) for referral for a menopause specialist. Her response? "Why do you need a menopause specialist?"

[@jonye7511]

@@dammar117 My gynae could not bring herself to say the word. It took an endocrinologist to finally tell me I was peri-menopausal. I try to ask for something at a health store and a middle-aged female assistant condescendingly stated that menopause is a natural process.

[@shellydudley1894]

I love that these are men caring enough about this for women to talk about this and shed light on things that are so hard and confusing to navigate … it is wonderful to see

[@user-mg1no2ux5g]

My mother died from ovarian cancer directly linked to HRT. Many women at the same time ended up with ovarian cancer as well, so the particular HRT she was given no longer is available. Because I knew early on that being my mother's daughter, HRT would never be an option for me, I made specific lifestyle choices a priority years ago. My mother should have been encouraged to try this first before doing HRT at the time. Supposedly I am right on the verge of menopause but don't feel like it and don't look like it.

[@travelpro23]

I’m glad you aren’t suffering, but lifestyle changes are not enough to mitigate the symptoms of perimenopause for all women. There are women who exercise, eat healthy, practice good sleep hygiene, etc. and still are absolutely wrecked by the effects of perimenopause. Lifestyle changes are not a silver bullet, and if they were, there would be a lot more women doing that instead of looking for additional solutions to help solve their health issues.

[@teevee826]

Absolutely!!

[@-living4jesus4ever-]

How do they determine that cancer is directly caused from HRT? So sorry to hear of her death?

[@midmomom2490]

I am speculating that there is a huge rise in divorces during menopause & afterward due to many things mentally & physically women can’t help/control. And I dear say men can’t do anything either to help them out. This is a long over due conversation…thank you!!

[@midmomom2490]

I totally believe that!! Very unfortunate

[@nylafagan7439]

I heard a divorce lawyer say its true.😢

[@karengrant3468]

Thank you!! I educated myself on HRT because my doctors didn’t…. I don’t understand why drs are so uneducated on this life saving subject!! It’s really a disgrace. This needs to be consistently talked about so more ppl are educated.

[@patriciavandevelde5469]

Doctors just want money money money

[@evadnemorris2939]

100% agree with you

[@SuperNashum]

The whole médecine is pharmaceutical. It was changed more than 100 years ago. Money won

[@mistylantz6909]

Where is a good place to start learning about this? Just starting my journey in this.

[@lorag4581]

@@mistylantz6909 , if you don't already follow Menopause Taylor on KZbin, she's an incredible resource. She's a retired gynecologist. You'll need to start with video 1 of her series, though, to understand everything she says. She's basically teaching Menopause University. 🙂

[@maybeme94]

Thanks for the information guys! I’m 67 and really needed to hear it. I’ve never had any symptoms of menopause until recently…when I began a physical relationship and realized I had vaginal atrophy. And what a bummer. I’d been divorced for a very long time, and no physical intimacy. Hearing your research about topical estradiol is a relief. Would love more interactions about women’s health, how hormones affect emotions, and, wellness. I appreciate your conversations so much!

[@myladavis3190]

Dr. Attia, thank you, thank you for bringing this up; so much kick back for us using bio-identical hormones and remembering that women’s quality of life is changed forever if done correctly. 🎉🎉

[@jenniferaddison3829]

I contemplated taking my life because I was taught that HRT can cause breast cancer, and after suffering for too long, I asked for help and THANKFULLY, no questioned asked, was prescribed HRT and I can now function like a normal woman. Even after having a hysterectomy, it took 14 yrs to start having peri menopause symptoms and they were brutal. I had hot flashes every half hour to 45 mins, ALL DAY AND NIGHT LONG, was a raving lunatic and so depressed that I went on anxiety meds. Always get a second opinion and stop gaslighting yourself.Thank you for an amazing video!

[@lr8504]

can you share what your initial symptoms when you started?

[@margarethurley334]

I feel so bad for you. 😢

[@Tamarachloe]

Same here dear! I was suffering so, so bad! On Bio Identical Hormones for 4 months now, and I have my life back! I am 53.

[@emitishosoda9393]

Progesterone coated IUDs have androgenic progesterone and can have systemic effects.

[@squirrlee6463]

Thank you both for validating our hormonal experiences with science. Every single clinician needs to hear what you’re saying.

[@ClaudiaChestelsonChestelsonMay]

I am an 83 yr. old female with a uterus, Been on Bioidentical Progesterone and the original estrogen since age 43 (early menopause) and have excellent health. Thick hair, no lines in my face at all - great mood .. very healthy slender exercising person. Not stopped my current HRT even during all those scary controversial times. Just followed my own instincts about replacing what once kept me beautiful and healthy.. and I won't be stoping any time soon. No cancer or anything else wrong ever.

[@judiseibold9119]

this is inspirational! I am a nervous reck about getting on Bioidentical anything. I am almost 60 and have seen quite a change in my appearance over the last year. Also, physically I am not the same. Maybe I need to look into that.

[@betqpublic9901]

Me too but only 67 and look and feel 50

[@tammyowens9405]

What estrogen dosage are you taking? I’m on it, but my hair is falling out 😢

[@betqpublic9901]

@@tammyowens9405 that is what adequate testosterone prevents

[@betqpublic9901]

@@tammyowens9405 testosterone stops it for me

[@MsDOMOARIGATO]

Thanks for this! I had a pellet injection 3 months ago and have been doing my research excessively since, and I've learned more in the first 10 minutes of watching this video than I have in the past 3 months.

[@dbprofesh]

21 year old me sure wishes I would have had some of this information after a complete hysterectomy. I was on “horse urine” , Prempro and patch, while struggling with undiagnosed ADD, for over 20 years. The pain and struggle almost broke me. Doctors, male and female kept telling me I was fine, normal but I was the furthest thing from normal. I ate clean, exercised with a personal trainer 5 days a week, hot yoga, hiking and kayaking, no weight loss. Years of improper hormones, and now thankfully the compounded hormones have helped me to remember what “normal” really is. I hope young women won’t have to struggle through the prime of their lives because of a lack of proper information. Thank you for sharing.

[@kbkatherineb3944]

Male dominated medicine. Just sayin’

[@dbprofesh]

@@kbkatherineb3944 ABSOLUTELY! While I have had female doctors also disregard or be misinformed, the worst abuses my body took were all due to male doctors making extreme choices, “in my best interest”. I tell any younger woman with questions to advocate for yourself NO MATTER WHAT! Educate yourself, understand your body and question, everything. We only get this one vessel, something’s we can’t take back.

[@coder-steph]

That’s me right now 😭 my hormones were never tested and I am really active with an active lifestyle and I can’t lose weight! I have hypothyroidism and it’s shown to be normal for years but the hormone test I ordered for myself showed very low progesterone. I’m now seeing a HRT specialist to get my hormones on track. I’ve dealt with years of being overweight and having severe depression and anxiety since puberty. I’ve taken small amounts of progesterone by cream and it’s made me feel better slowly. Hopefully now that I’m seeing the specialist, I can get feel and look even better. Just sad that it took me years to find what was wrong with me just by researching online. Even though I get my thyroid checked every 3 months and gone to numerous psychiatrists over the years. Yet, it’s been the hormones all along.

[@mann8283]

@@kbkatherineb3944because men do it better

[@kimdavis7812]

Great convo here 👍. I had full hysterectomy at 42, went on HRT immediately… then added TRT, progesterone & DHEA… 60 yrs old now & fit, strong & super healthy… love my hormone supplements 👍👍

[@colleenmccann1190]

Love this!!! I'm 43 and I just started DHEA too, what a life changer for me. I am truly looking forward to aging fit, strong and fully hormone supported!

[@karenadvent9981]

Ditto

[@letuswrap]

@@colleenmccann1190 how many milligrams do you personally take?

[@rc6888]

Can I ask what DHEA does for you?…or can anybody answer…thank you

[@zoeymckeown3194]

@@rc6888 it exerts a beneficial effect on your mood and your libido.

[@reallythere]

I had very early menarche, at 8 years old. My last period 10 years ago, was 49. I had no idea what losing all my hormones would be like. It has been h*ll on earth. I live alone so there was no-one to help me when I was sick and lost in a maze of tangled up dose effects. I could not rest to due cold and hot flashes. I became brain fogged, emotional, totally exhausted. The next 7 years led to depressions, losing my business of 20 years and house, becoming so insecure of my abilities that I lost all my confidence. I felt like I was aging at crazy rapid speed, and I was. More tired, insane brain fog, missed appointments, unable to handle complex tasks, etc I'm now precarious financially as opposed to secure before. I'm now on HRT 6 months and was given half dose. It only helped me not stay down. Now finally I'm on regular doses for 1 month. I can already feel better but they are threatening to remove it in 1 year due to 10 years after menopause 😢

[@stefkadank-derpjr1453]

What's a half dose? I want to mention to my doctor.

[@reallythere]

@@stefkadank-derpjr1453 half the amount of estrogen etc

[@Phoenixdawn111]

So sorry about this. Praying you get all the help you deserve❤

[@kwanyinaura4563]

Change doctors if they want to end it

[@reallythere]

@@kwanyinaura4563 it is the recommendation here

[@user-fs9uv5cm8l]

Thank you!!! I am 67 years old and I have just gone back on hormonal cream!! I suffered from terrible dryness and I was scared to start this cream again!!! Both you and the cream have saved me!!!

[@kirane8986]

I'm 53 and live in New Zealand. I went through HELL for 5 years (did I mention I went to HELL and back again 😊) with no help from my doctors. I spent 1 year reading and researching to educate myself on the effects of menopause and HRT. Then, I spent another year educating/ presuading my doctors to put me on HRT. I'm at a high risk for getting breast cancer, but I decided the risks of breast cancer was probably the least of my worries. I wish I had seen this podcast back then because this info would have been instrumental. This podcast restores my faith in the medical industry. WOW!!🎉 I've been on HRT for a year and a bit and my life has change significantly. I have a few symptoms but it's a work in progress and I'm so grateful to be back to my normal self. 🙏

[@missylove5303]

I have been on biodentical hormone pellet therapy for 12 years, and I feel awesome! I will be 70 this year. I have so much energy. Truly grateful for Biote Hormone Pellet Therapy!

[@pearllee08]

I'm going to look into the pellet. Glad to hear it's worked for you.

[@julietaylor5203]

I use bioidentical hormone cream that is compounded in a pharmacy. Unbelievable the positive impact it has made in my life. Mood, weight, energy. I have never felt this good in my entire adult life! I am 62 and weight less than when I graduated HS.

[@lizz9840]

what’s it called? I’d love to learn more.

[@karmindy1]

I am 64 and have been on biote hormone pellet therapy for six years and it saved my life and gave me the best quality life I have had in years. Eliminated my debilitating migraines,was able to get off of meds for depression. I get compliments all the time on how nice my skin looks. I have more energy than people much younger than me. It’s just a shame There isn’t more doctors out there who specialize in this field. Too many of my friends have been told that it would increase the risk of breast cancer and have opted not to do hormone replacement and a breaks my heart to see the decline in their aging and the lack of quality in their lives, knowing it could be better . Thank you so much to the two of you for educating more people about the truth.

[@karmindy1]

I am 64 and have been on biote hormone pellet therapy for six years and it saved my life and gave me the best quality life I have had in years. Eliminated my debilitating migraines,was able to get off of meds for depression. I get compliments all the time on how nice my skin looks. I have more energy than people much younger than me. It’s just a shame There isn’t more doctors out there who specialize in this field. Too many of my friends have been told that it would increase the risk of breast cancer and have opted not to do hormone replacement and a breaks my heart to see the decline in their aging and the lack of quality in their lives, knowing it could be better . Thank you so much to the two of you for educating more people about the truth.

[@wondershea]

Thank you!!!! HRT literally saved my life when I hit perimenopause- progesterone and testosterone were actually my lowest levels. I take all 3 now - estrodiol patch (relieved dryness and brain fog), progesterone (stopped the night sweats and I sleep like a baby now), and testosterone pellets (restored libido which had vanished and gave me back energy and helped build muscle). I am so thankful to have found a doctor and clinic that only treats women in midlife. No more waiting for hours for doc to show up after delivering a baby! My cousin went to her *old *male doc after I told her to ask about it and he told her her he didn’t recommend it and that HRT was “trendy” WTF?!!! When I saw 2 dudes taking about menopause I thought “ok here we go” but I am so encouraged to hear this being discussed among men. Maybe men will listen- we have been suffering needlessly and if you love your ladies and want them to be at their top form at every stage of life - share this info with them! You will both benefit - I promise!

[@emitishosoda9393]

True. Thank you for speaking about this. I am proud that as a young doc I saw through this study and never deprived women of hormone replacement. Despite being on the right side of the data, I got a lot of flack from specialists that I would refer patients to who were on hormone replacement therapy , because they believed the false data that concluded that women should not be given hormones past about a year or two. However, although I'm a fan of Dr. Attila, I do wish that talking about women’s hormones was done with a woman doctor in her middle years who not only mainly treats menopause, but also, has actually experienced these changes. Why are men always given the audience ro speak for or about us as women on major platform?

[@allison.guy6673]

I went thru menopause 5 years ago. I literally thought I was losing my freaking mind. So I begged for hrt. And now, thankfully I’m on it and feel better. My mom is 83 and still on it. She refused to come off it. She has the bones of a 30 year old.

[@donnab8345]

Doctors won't prescribe them, usually, for more than a few years. :(

[@barbarabruce7648]

​@@donnab8345 find another doctor who will

[@donnab8345]

@@barbarabruce7648 I suppose I could give it a try. Insurance won't pay for me to go doctor-shopping, though. So it would be pretty expensive. Over $100 per visit, maybe. I don't think I can afford that. I can try one doctor, female, and see how it goes, though. Thanks.

[@dianasmith1398]

I am in my 70 s and I am going to my doctor in hopes of getting back on estrogen replacement cause the doctor took me off after that ridiculous study and I have suffered ever since😢

[@erindiego-benard276]

​@@donnab8345doctors are starting to change about that, finding the benefit many have with staying on HRT if the patient is healthy.

[@usattfan2836]

Thank you for validating women. I am so grateful to see a man, a MD, is acknowledging this act of incompetence in woman’s health. I am in this stage and feel like a “throw away” in the world. My value, what I can offer society seems to be worthless as most doctors, including OB-GYN’s, are highly uneducated in pre and post menopausal women. We woman spend nearly half our lives in a menopause. Surly those years should be spent in proper health and not meant to endure these symptoms which cause certain medical diseases that lead to death. Basic health like this good doctor is teaching should be widely known to doctors and woman. It has been through good information like this on KZbin that is educating me on my own body. Menopause Taylor had been a huge source of learning,she calls her posts Menopause University. Dr Taylor is a retired OB-GYN and is highly educated in many areas. I would appreciate other sources you find helpful. Once again I offer sincere appreciation for addressing this very important topic,

[@jemmanolan137]

Thank you, thank you! This Video should be apart of our schooling education system, honestly so much information explained really well. This will help me going into my first gynecologist appointment again THANK YOU!

[@bnabrit]

PMDD- I believe that's when my progesterone levels are low and I feel like a different person. Glad we are getting some real answers for womens health.

[@natalieedwards5906]

What an incredible discussion, and so beautiful to see two men talking about this. I'm so happy & excited to see more and more conversations becoming prominent on menopause & perimenopause. Thank you to every single person thats commented here because it helps all of us feel less alone! I'm 40 and after over a year with no period it looks like i've gone into menopause. The grief around this and feeelings of 'loss of self' have been huge, and I have had to twist my male doctor's arm here in the UK to get full bloodwork done. Women shouldn't have to suffer in silence, beg doctors for tests, and nor should they have to fork out thousands for work with nutritionists. This information should be free and available to every single woman, and I'm so glad its beginning to be that way. ❤ Wishing you all the best with your journeys, and youve inspired me to stop being fearful about HRT and start investigating it as an option!

[@Tinayoga777]

@@poollife777what is ghaba pls, and isn’t DHEA prohibited ? as fda? thx🙏

[@lightpainteddoll]

HRT shouldn’t be prescribed on tests alone but on symptoms. If you’re suffering or you simply want to minimise the risk of osteoporosis, Alzheimer’s, or even just the outer symptoms of aging, you should be able to get HRT. It’s insane that we have to beg for it and the vast majority of doctors have no clue about it. In the UK it’s quite bad but if you go to Poland (I’m British-Polish), women there are even more scared of HRT than the doctors and the knowledge is close to none. 😢

[@lightpainteddoll]

@@poollife777you could’ve been fine with nothing. That does not mean it applies to every other woman.

[@Tinayoga777]

@@lightpainteddoll this is 100% valid. The body needs estrogen and progesterone , once doesn’t produce naturally, …its very sad doctors are not very informed…. but the problem is .. HRT can cause harm. I had very young age symptoms…36 due to stress as my brother passed away young. My period stoped immediately , was 2 nd fay of my period. I did lots healings, etc. and start with HRT. After 3 years my liver got hemangioma hepatic,due to hormones as per consultations with many doctors.. and now Im only with supplements.I wish they dont cause harm.

[@UshasRides]

I remember my mum going on HRT in the 90s... it changed her from being an absolute monster to being a nice normal human being. It took away not only her extreme mood swings, but her hot flashes, and other physical issues. I on the other hand, elected to never go on HRT... I spent years on OC, and realised when I came off it that it had been stunting my ability to 'feel' emotionally, and physically during intimate moments - it was not much different to valium. In fact, it was a serious wake-up call getting off that stuff, that I vowed that I would never go down that route again, nor entertain the notion of HRT. Well, I too had the usual physiological issues when menopause hit. I did some research and figured out that I would simply change my diet. It worked. Cutting out the carbs completely killed the hot flushes and brain fog - which makes me wonder whether there is some weird interaction between the hormones and insulin. In any case, there are occasions when I might have a slice of cake at a party for example... and the hot flushes come right back for a day. I'm not saying diet will help everyone, but it helped me... as well as going on very high doses of vitamin D (which is technically a hormone). I must be the world's worst big pharma customer because I have no idea who my doctor is (haven't seen one in many years), and don't take any medications.

[@zeetalzee5582]

yeah, same. I went to my doctor who said my symptoms (difficult and heavy periods; breast tenderness; weight gain) all sounded like perimenopause. She's not against using HRT, but since my symptoms aren't that intense, she suggested some slight diet and sleep changes (I already have healthy diet and sleep habits). I mean, very slight -- 1 more hour of sleep; same calories just add protein and fibre). Since doing so 6 weeks ago, I've lost the breast tenderness, lost weight (not all of it yet), and my period was light and painless. As it's working, I'll stick with this. And then we'll see how I go as I go along. :)

[@amandamann2946]

I am keto but it hasn’t helped my flushes. In the beginning my low carb plus phytoestrogens herbs controlled it but at a certain point it just stopped working for me. I do find that a cortisol blocker helps a bit. There’s a stress factor at play too.

[@lisar3944]

@@zeetalzee5582 if you had told me "just get an extra hour of sleep" before I went on HRT I might have ripped your head off ;) Point being: it's not always a choice, and crippling insomnia is one of the most neglected symptoms of menopause. I went from sleeping a healthy 7-8 hours to about 3, broken into one hour increments. That went on for about 1.5 years until I finally found a gyn who knew what was up and put me on hrt. Before that docs were spouting "sleep hygiene" at me - it's truly inane. Anyway not trying to criticize you - in fact I'm really glad you've been able to manage with dietary and sleep adjustments alone. May you continue to be so fortunate!

[@helenf1175]

Yes, there's definitely a stress factor involved.. I found lactium to be amazing for helping to lower & reset my cortisol levels. Also dhea, vit D, low-carb diet, etc 😊

[@kishataylor6963]

Wow !!! Thanks for sharing, please tell me more about your no carb diet. No carbs at all, zero fruits, zero bread, nada ??? Really ??

[@nolamama3558]

I wish I could get a doctor to listen to me about this. My mom died over 10 years ago, but I've talked to her sister (my aunt) and my first cousin, and they confirmed my suspicion that we enter menopause earlier and finish earlier. The hot flashes, the brain fog, the exhaustion are REAL but they keep acting like it's all in my head.

[@nicolelamond4]

Menopause is a natural phenomena. From my experience, the problem is often lifestyle and societal expectations, rather than actual menopause. I'm 55 and yes, I get hot flushes and can sometimes feel tired and can't function very well etc, but I adjust my lifestyle as needed. I recognise that my body is changing and I need to adjust, but after I started exercising and moving a lot more, I feel pretty good most of the time and even lost weight. I'm not saying that no one should take HRT, I'm saying that taking HRT is a medical intervention and I'd rather listen to my body and see if I can find a psychological and physical way through. Then I also don't have to deal with any long term side effects.

[@Maevelikeschampagne]

yeah youre fortunate you got a mild case. nothing even remotely close to what I went thru and am going thru. and the HRT has tremendously decreased my symptoms. I would be hiding in a closet if it were not for finally finding forward thinking drs. I did all the things youre saying worked for you. NOPE. our bodies are all different. dont discount others just because your experience hasnt been severe.

[@PeppersGhost55]

I mean, that’s your experience. So HRT isn’t for you. We’re not all the same. Menopause…YMMV 😏 I’m 61 now and it’s been a decade of watching my body, mind, & marriage become unrecognizable.

[@donnam2012]

I am 59, my last menstruation was 52. I have had a pretty easy time of it, and feel utterly liberated now! The PMS and period pains made my life a misery. I put on weight, don't mind that.

[@Shay3356]

I also went through menopause without any intervention, I never liked the idea of HRT either. We have everything we need in, fitness , a healthy diet and lifestyle, no need for any medical intervention.

[@bubb5225]

I bet to voted “leave,” you Tory tw.

[@Meli27w]

Omg this is so amazing to see men coming together to discuss this in depth. What a beautiful world we have become ✌🏼 we are all one ❤️

[@juliaconnell]

interesting... and here i was thinking, great - two MEN discussing women's health - yet again 🤔🙄 - (not that women/a woman _needs_ to be involved, or that men aren't... capable - ... just omg - the _history_ of women's health - the condescending, patronising... not talking about deep dark past - talking about last MONTH - years & years & YEARS - just my own personal experience, let alone those poor 'hysterical' women' hysteria "1610s, "characteristic of hysteria," the nervous disease originally defined as a *neurotic condition* peculiar to women and thought to be caused by a dysfunction of the uterus; literally "of the womb," from Latin hystericus "of the womb," from Greek hysterikos "of the womb, suffering in the womb," from hystera "womb," ..." 1801, hysteria - nervous disease, coined in medical Latin as an abstract noun from Greek hystera "womb," from PIE *udtero-, variant of *udero- "abdomen, womb, stomach" (see uterus). Originally defined as a *neurotic condition peculiar to women* and thought to be caused by a dysfunction of the uterus. by 1839 general sense of "unhealthy emotion or excitement" SOURCE: etymonline plus dictionary.com "the ancient Greeks believed that when a woman was behaving irrationally-or in a way that they considered to be irrational-it was because her uterus was literally wandering around her body causing trouble....A number of ailments and attitudes were blamed on hysteria, including nervousness, fainting, irritability, anxiety, boldness or outspokenness, sexual desire, and-no joke-the suffragist movement. The word’s origin ties it to the idea that any show of emotion or force from a woman is evidence of her fragility and inherent instability, and echoes of that are still present in its uses today. When I ask you to picture someone hysterically crying, or screaming hysterically, you will most likely picture a woman who is out of control. That’s not a personal failing; that’s evidence that we’ve been conditioned to associate hysterical with women." basically ANY time a *man* thought a woman was acting (in HIS opinion, 'irrationally' - (including, such shocking behaviour as boldness or outspokenness, expecting to be able to VOTE, any show of emotion or force ...) such 'irrational' was *because she WAS A WOMAN* - (had a womb, uterus...) so yes, pleased that YOU darling young one see this as a positive thing, some of us older women have a different experience/reaction to seeing two men talking about women's health (NOT these men - _listening_ to them - but not familiar with this channel, these people - did not know WHAT to expect)

[@oliveoil7642]

Have been on bio identical HRT compounded mixtures for 20 years now. Estrogen, progesterone, testosterone, DHEA. Did not suffer like the majority of my friends. My doctor has adjusted dosages as needed. 65 now and doing great!

[@Maevelikeschampagne]

You are soooo fortunate. That type of dr is a unicorn.

[@denyabrown-morales2469]

Can you take dhea and testerone and progesterone, heard no. Heard dhea, shouldn't be taken with testerone

[@heidib4965]

I’m on bio identical plant based hormone pellet therapy. I had a hysterectomy at 27. My pituitary gland was about to tap out hormones. My thyroid wasn’t working. Now I feel amazing. It feel 25 but I’m 50. My friends and family asks me how I’m looking younger. Lol. All my meds are compound pharmacies.

[@karenb6771]

I'm 69 and have been on Estriogen, progesterone, Testosterone, & DHEA for 10 years.

[@gypsyeclipse9788]

I need a new Dr and yours sounds great. Who?

[@mindbodysoul1968]

Finally someone is talking about female hormones...we don't usually get a mention on these types of podcasts.

[@prudeylou]

Gentlemen. Because of this video I took the necessary steps to start on HRT today. The insomnia and night sweats have been unbearable and are causing issues with my performance at work. I have always believed HRT would increase cancer risk and had decided to avoid it all because of that belief. My workouts, my work, my relationship have suffered. I don’t want to just shrivel and dry up from the inside out. I’m looking forward to feeling better. Thank you both.

[@barbara1904]

I’m a nurse, I didn’t know I was going through peri menopause. I thought it was work and my sick mom and I couldn’t understand why I was putting on weight exercising more and eating the same. It had a life changing effect on my life and my career. Who knew? 8 years later, HRT patches lifted the darkness but by then, lots of damage done. No one talks about it.

[@time2heal]

Same here! Had a hysterectomy one ovary removed. My doctor never talked about even getting a PAP after that. It was like Case closed. Luckily I never had the classic signs of menopause. Maybe some very mild hot flashes but very infrequently. Years later diagnosed with osteoporosis at age 58. My doctor won't consider Bioidentical hormones because I'm no longer in menopause? She says it won't work?

[@ysmodericci]

As a nurse aren’t you taught about female anatomy and health?

[@JenniferAguiartampa]

@@ysmodericcimost nurses have very little education on the endocrine system. Nurses are basically taught to do procedures, give meds, track symptoms and document in the glorified cash register we call a medical record. The failure of most women is lack of communication with each other regarding this process. When I was a young nurse, I worked with many nurses who were 15-25 years my senior. I watched many of them go from rockstars to emotional and physical messes. My job gave me the opportunity to work with many amazing women in an intimate setting where there was time to talk and get to know each other. I had watched my mom “sit down at 40 yo and not get back up.” That’s how I describe the change I saw. She wasn’t bedridden or lazy, she was just different. I saw so many of my friends and coworkers do the same. As a 25 yo, I vowed to not let that happen to me. I would educate myself and not just accept it as life. I started on bio-identical hormones at 38 yo. My PCP is a few years younger than me and he is a rockstar. He also found it sad to see women become completely different and went out of his way to figure it out. I was also a catalyst for that. He and I had many long conversations about it and I told him I’d be his test subject. He’s now one of the Prost sought after PCPs in my city. He’s sick and amazing person, he still sees regular patients and does all of this under insurance. His favorite patients are women with hormonal issues and senior citizens. He said small interventions in these populations provide the most relief and patient satisfaction. I’m no 52 yo and until a year ago, I have been doing well until Dec 2021 when one of my twin girls was had an emergency cardiac event at 19 yo and ended up in the hospital needing a life saving procedure. It has nothing to do with the “virus” or the “treatment” going on at the time. It was a congenital defect that happened in the development of her heart in utero. Rare but not unheard of. It was just unusual to present itself at 19 yo. Usually it’s presents in middle age, when we are going through menopause! See how I brought that full circle? 😉 The stress from that and some other life events all happened within a year. I gained 30 lbs, have no energy, horrible brain fog and all the other symptoms. My doctor and I are working together to right the ship. We’ve come to the anecdotal conclusion for every year of traumatic stress, it takes 3 years of hard work to right the ship. Unfortunately, when these traumatic events happen in life, it’s usually at a time our body is fighting us. Everything is harder to change. Most people (men & women) don’t have the veracity it choose a path and stick to it long enough to see if the path is helpful to make the change. We are all in or all out. We are looking for a fast fix. He and I developed a plan in January and it’s been so hard to stick to it because it’s not changing anything. I send him my data every month and I see him again in July to try another path. It’s so HARD! So the reason for my rant is we need to HELP each other! We need to SHARE! We need to be dedicated to ourselves in a very selfish way at this point in our lives. Most of us have spent our life caring for others and not ourselves. This is a period in our life where it has to be about OURSELVES. I’m blessed with an amazing, kind, dedicated, patient husband. I’ve watched my friends marriages fall apart during this time. It helps that my husband is a doctor (surgeon) and understands (kind of) what is going on with me. But I’ve also communicated with him since we met (I was 26 yo) how I felt about this phase of life, how hard I was going to work to make it a time that wasn’t miserable for both of us and what I needed from him in return to stay married. I do have to remind him, on the regular, that this isn’t fun for me and if I can suck it up and work hard, then he can too! 😆 I hope this helps you!

[@YouButter]

@@time2healyes it will !

[@Patricia-qg6bd]

I found when I stabilized my glucose and insulin by eliminating processed carbs, my menopause hot flashes practically disappeared.

[@Kinesiology411]

You can still consume carbs if you eat fiber first, like salad or veg. Keeps blood sugar very stable. But lifestyle changes absolutely change menopause from a hellish plunge to a pretty easy, manageable shift.

[@blueberrycobbler]

@@Kinesiology411Protein has a greater effect on carbohydrates.

[@Kinesiology411]

@@blueberrycobbler ideally if you consume fiber, protein then carbs you have the greatest stability w blood sugar. See the data shared by Jessie Inchaupse.

[@teresamoore4126]

​@@Kinesiology411and vinegar just before meals.

[@Kinesiology411]

@@teresamoore4126 if that works for you, yes. Not a fan of vinegar as some health panacea. Great on fish and chips though, lol.

[@yesenia3816]

After radiation and chemo at age eleven and twelve, my daughter developed hypothyroidism and very low tsa. She no longer produces estrogen. She is on HRT. I'm so grateful for it, otherwise she just bleeds without end. People need to get informed. Thank you so much for continuing to speak out in this.

[@maricellouis1124]

The first 5 minutes of this video is just spot on!! 🙌🙌🙌

[@skywalkergreen9012]

LOVE your rule of always giving the Absolute Risk change when giving the Relative Risk change. As a physician I can tell you that not all physicians follow this rule.

[@tnprincess888]

I agree!

[@marcosta183]

I started to have HRT over 20 years ago. When my Gynaecologist told me to stop the hormones intake, I just refused it till this day. I am healthy and even my right eye glaucoma is stabilised. I congratulate myself for my choice, taking eventual risks but recollecting the fruits. If I can, I’ll take Oestrogen and Progesterone for the rest of my life. I followed myself...

[@HH-gv8mx]

It doesn’t progesterone make you gain weight?

[@marcosta183]

@@HH-gv8mx Actually I started to gain weight the last 5 years, only. My MD told me I was with insulin resistance. At the same time, I started my intermittent fast... I already lost 7kg in a year.

[@rebeccaallen5547]

@@HH-gv8mx no it didn't make me gain weight and I've been taking it for years. My weight has remained the same.

[@michellemildwater1021]

WHAT IS THE NAME OF THE OESTROGEN AND PROGESTRONE PILLS YOU TAKE ? I USE TRISEQUENCE AND LIVE IN DENMARK.DO YOU BLEED EVERYMONTH. ?

[@marcosta183]

@@michellemildwater1021 yes. In my country it is Trisequens. They say bleeding is unnecessary but I disagree. The closest to natural function, the better...

[@ginajackson7724]

Love how straight forward you are Peter, but compassionate at the same time. I would love if you did a real-time town hall on this. I would love to spearhead something like this.

[@amberjessal3474]

This was structured so well as respectfully any woman would be dubious listening to 2 men discussing menopause. This was really informative. Thank you

[@lgingermcdonaldfrederiksen7437]

As an obgyn generalist in community practice i have continued to prescribe and promote the benefits of hormone replacement therapy prior to during and since the WHI. So so many women have had their quality of life adversely affected by the primary provider telling her "hormones" are dangerous 😳 i can only help those in my practice but what a shame for so many thousands of women. And testosterone is unequivocally IGNORED by traditional medicine , of course so very very important!! Thank you for the discussion.

[@jdub7552]

Well done...it so frustrating to hear prehistoric stubborn thinking deny the data along with the amazing diagnostic tools available today.

[@petrichor100]

For menstruating women, does TRT (low doses to restore physiological levels) cause periods to stop?

[@NAlvazaz]

My primary care doctor at least referred me to a gynecologist but yeah, the only thing he would prescribe for me is a anti-itch cream that I'm keeping around if I have bug bites. Lol. Thankfully, my GYN prescribed me the proper medication that the primary care doc would not.

[@angiechristinefitness]

Mine laughed when I asked about HRT and said chemicals are bad… then prescribed me Lupron for my issues instead 🫣

[@lisar3944]

thank you for your enlightened approach to this subject. I think that some don't understand that without hrt, you can quite literally feel like your life is already over due to the symptoms. Even if the WHI study were "true" I would have gladly taken the small increased breast cancer risk to get some SLEEP, lose the bizarre range of other symptoms, regain my equilibrium and have a fairly normal life again. How can quality of life NOT be a major consideration when making a decision like this?!

[@Sara-lf4fb]

I am perimenopausal and my symptoms are having a big effect on my quality of life. I just started HRT after going toe to toe with my doctor who initially said she would not put me on until I was in menopause. I'm 48 so that could be years. I'm so glad I dug my heels in and kept advocating for myself! Why aren't doctors educating themselves about the latest research? Dr. Attia is a breath of fresh air!

[@tnt01]

you are young, birth control as hrt works great.

[@loneranger7573]

no dear, most women in America have menopause at around age 51. stay on HRT, it will help you so much! I have been on it 13 years, and will never come off. even if docs wont prescribe it, I can order it online or go to the states and get hormone creams over the counter. bio identical is great!

[@tnt01]

@@loneranger7573 many early menopause, very common to have earlier nowadays.

[@Sara-lf4fb]

​@@loneranger7573 no dear, it could be several years before I am in menopause since the average age is 51 in the United States. Every woman is different, and since the average age is 51, that means half of American women start After 51. However, even if it is many years away, I plan to stay on HRT long-term as it has been a game changer for me.

[@charoaubrey]

I am 51 and perimenopausal. I have gained 15 kg in one year and a half, my moods swings are unbearable, no sign of sexual desire… and today I have been told by my doctor that it is a part of life and I have to get used to it

[@mk1360]

Thank you for bringing light to this. My PCP told me there was no way I needed hormone therapy even though all signs point to an imbalance. He said I would get cancer and blood clots. This was 2 days ago. No effort to be up to date on this very prominent issue.

[@helenrose5302]

Love the use of “in a susceptible women” when talking about PMS symptoms, never heard it phrased that way 💯💯💯

[@miesanderson3408]

Thank you for this…. I’m also on HRT as a woman and it literally prevented me from leaving my profession of 25 years as my symptoms so bad I couldn’t sleep or think. Once I got treatment I was like I was in my 30’s again mentally now I’m weightlifting for functional health. Before treatment it felt like oh now I’ve passed my child bearing years I’m no longer if use ….. so just may as well die. It was a horrible experience snd wonderful to be on bio identical hormones living my next chapter of life and being valuable to society in other ways besides child bearing. My question is why is the study discussed so distorted and backed with what seems to be suppression of informed information? Who would be afraid of woman having a better quality of life? Or are we really discarded by society after 50? Thank you for amazing content.

[@declutterqueen5702]

Send me the information

[@EmpressLestat]

It wouldn't surprise me the least that keeping women sickly would benefit the control structures because women have a more natural spiritual connection and they are the majority in the Spiritual Community. This community is what is helping people through these current, turbulent times and many do believe we are in an End Times Cycle. If there is no healthy leadership, then people are easier to control.

[@KN-ms4xk]

Exactly how I feel...life is over...stopped having period around 42 but was fine. No side effects no weight gain or loss of muscle, had energy, still felt attractive, happy..never put on meds (never went to a GYN - thought I had defeated this horrible thing called menopause. Then at around 49 things started to change & getting worse..it all happened so fast ~

[@seablue140]

Thats a great question and one I started asking! That really does a number on your head. Let me tell you.. hell yeah we're depressed! However, I will not take medication. I just want to stop being gaslit. 🤨

[@jennieoh8543]

Women need to realize the average death of women in the early 1900s was 48 years old. They did not live to see menopause and if they did they were in poor health. Due to medical advances the life expectancy has changed. We are missing a very important hormone after menopause. The WHI study was seriously flawed and the reason the black box warning on rx prescriptions has not changed is because of the studies cost. There would have to be another study with a higher cost to change the verbage in your rx. The WHI study was huge, expensive, and flawed in the case of HRT.

[@californiagirl3574]

I’m 64. My last period was at 53. Every year I felt worse and worse with severe hot flashes, weight gain (10 lbs in the first year), changes in my skin and nails, sleepless nights vaginal dryness and zero libido. I started HRT pellets 8 weeks ago and I already feel entirely different. Vaginal dryness - GONE! Hot flashes - GONE! Libido - I feel like a woman again! My blood work before I started: estrogen level was 5.0. Testosterone was 5. Practically zero levels per the doctor. Blood work after 7 weeks: estrogen 44.6; testosterone 136. I also take oral progesterone and Biote brand supplement. We are going to decrease the testosterone a little bit due to a bit of dark facial hair coming in. I wish I had known about HRT when I initially went through menopause. I wonder how different my life would have been. It is frustrating that most health insurance covers “the pill” but not bioidentical hormones.

[@XtineJohnes]

We're going to have to stand together and change that. You should never have had to wait so long to get help and go through that horrible time period where you were in such pain, it was unneccesary.

[@juliefigliozzi1761]

Did you change doctors? Mine still cites blood clots and breast cancer risk as reasons she won’t prescribe them for me.

[@rebeccacarraway480]

@@juliefigliozzi1761 change doctors. I had to get snarky with mine. There are functional medicine clinics that are run by MDs and NPs that actually test your levels, etc. My doc point blank said they do not test hormone levels. Like…wut?? 😳

[@terriperry9434]

I went into immediate menepause in 2010 following a hysterectomy. I have been miserable since and have never had my hormones levels checked. Nobody does it any more.

[@californiagirl3574]

@@juliefigliozzi1761 I did a lot of research first that indicates it’s safe. I asked myself how is it any different than being on the pill, which I was on for 20 years. I do think it’s important to do blood work every time you go in for a pellet.

[@LeaEllenLong]

Thank you for this episode. I feel validated as a woman to have two men care to educate and discuss this issue.

[@dawnbuchanan3242]

Thank you for this discussion! I started HRT about 7 months ago when I was struggling with depression, fatigue and trouble sleeping. I was 54 and still having occasional periods. I got a 2nd opinion because did not like the first Doctors approach. The second Doctor checked my hormones and saw my levels were very low. I take a very low dose of estrogen, progesterone and testosterone. I also get an annual ultrasound to check my lining. It has made a huge improvement in the quality of my life. I ended up quitting my job at the time because I didn’t know how I could function anymore. But now I feel strong and excited about life again. It was a little scary and some of my family didn’t agree but I think it is so important for women to take control of their health and bodies.

[@carolynfunk8667]

Thank you for this. I had a hysterectomy at 25 and until I found Suzanne Somer's books 25 years later, I fought tooth and nail with doctors about hormones. I had moved and found out I lived in a town with one of the doctors in her book. I received my bioidentical hormones and I've never regretted a thing. Needless to say I got divorced during the no hormones period. It's taken me a lifetime to forgive the ignorant doctors I went to when I was younger.

[@ShelovesJesusandElvis]

I’ve been searching for help since I read Susanne Somers!! I’ve been to 3 different providers now and I’m still not finding any of them seeming like they really know what they’re doing. Testosterone seems to be needed for me the most. Anyone else have a word of wisdom? I’m 58 and been in menopause for 3 years.

[@carolynfunk8667]

@Nancy Sprague Yes, thank goodness for her books! Keep plugging away trying to find the right doctor. Some advertise they do the hormones, but know very little. Testosterone seems to be my issue too. Feel great when it's right. Don't give up! Good luck!

[@lillyshaw9439]

Did it take time getting used to the bio-identical cream? I lasted a week with my new cream as I felt nauseous and off.

[@carolynfunk8667]

@@lillyshaw9439 It does take time to adjust. I never got nauseous. Emotions were up and down until hormones stabilized. It was worth it.

[@lillyshaw9439]

@@carolynfunk8667 thank you so much for your reply. Day two. My gynaecologist put some testosterone with mine this time. I swear I felt more energy today. You are so thoughtful to reply. Thank you again xx

[@ThinkPinkThinkLife12]

Thank you for breaking this down. As a woman who had invasive breast cancer in my 30s, I was told by all my specialists that I would raise my risk of recurrence significantly if I chose to go on HRT (body identical)! Bear in mind I had a total mastectomy & lymph node clearance & now 14 years clear of cancer with annual mammograms. I had to sign a disclaimer before I could be prescribed HRT a few months ago by a menopause specialist stating I am fully cognisant that I am raising my breast cancer recurrence risk by taking it! I went decades with undiagnosed endometriosis with devastating consequences & the wild hormone fluctuations of perimenopause brings it to a whole fresh level of hell. This I now understand is down to the dramatic drop in progesterone levels & spikes of oestrogen that aggravates the endometriosis lesions, a disease that contrary to popular belief does not end with menopause. I have begun body identical HRT with continuous progesterone in an attempt to calm down my disease ravaged body & debilitating symptoms & pain. It is great having the facts broken down

[@JenniferAguiartampa]

I understand your frustration. Even though you had mastectomies, there is always some left over breast tissue cells that can become cancerous from estrogen. When this recurrence happens, it goes undiscovered until it’s spread to bone, organs or brain. What your doctor had you do is called “fully informed consent” and it was the correct thing to do. If I were in your shoes, I would chose HRT for quality of life because we only get one life.

[@ThinkPinkThinkLife12]

@@JenniferAguiartampa I appreciate that & understand that, but could that not be relevant to any woman over a certain age? I believe women who consume a few glasses of wine every week &/or carrying extra weight are at a higher risk of getting the disease than I am, as a non smoker or drinker, of having a recurrence on body identical HRT? I did choose to start the regime of Oestrogel & Utrogestan six months ago & seeing the benefits already, not least being more stamina & energy & no generalised aches or pains, which has me a lot more active on a daily basis & losing weight. My iron levels have increased for the first time in years, my blood pressure & cholesterol levels have come down & I am sleeping much better too. I had a baseline MRI & mammogram done before I started & still under the watchful eye of my cancer surgeon so I guess only time will tell. As you rightly say overall quality of life & I feel protection against other conditions such as heart disease, osteoporosis & possibly even dementia are also worth considering ☺️

[@JenniferAguiartampa]

@@ThinkPinkThinkLife12 you are correct. An “unhealthy” lifestyle increases ALL risks for everyone. I’ve had several breast cancer patients who lived very healthy life and had cancer come back after mastectomies. One of them was the wife of a PA I work with. She was 38 yo and it went to her brain. Whether a patient lives a healthy or unhealthy life, we are still required to give the patient a fully informed written consent. It would be unethical and malpractice not to. We do it so patients can make the best decision for themselves. And we do want to put up some resistance and have the patients continue to respond to us and advocate for what they want. It’s been proven that patients need to hear something 3-5 times to fully understand and process the information, especially when delivering information that is stressful and can effect their future outcomes. There are some doctors (less now than in the past) that just want the patients to do what the doctor wants. That’s because they’ve heard so many times, “you never told me that.” Now that we have studies on how to deliver information to patients with different backgrounds, ethnicities, cultures, education levels, socioeconomic levels, ages, genders, personality traits, etc, we are getting better and less “paternalistic”. The newer doctors are proving to be very good communicators. And information is more easily accessible for patients to obtain in ways that is the best for them to understand and process. It’s too bad our healthcare system had 2 years of chaos recently. It will take a generation to undo the damage and earn trust again. I wish you well and a long, healthy & happy life!

[@ThinkPinkThinkLife12]

@@JenniferAguiartampa thank you for taking the time to write that, your patients are fortunate to have you & yes I completely understood why I had to sign that consent form & had no issue with that but there is still a lot of misinformation out there amongst doctors regarding the new generation of body identical hormones. I am under a wonderful menopause specialist who deals with complex cases so I am in good hands & she has been willing to go on this journey with me. She is part of an amazing team in a menopause hub here in Ireland that are doing great work & look at all aspects of the menopause including diet & lifestyle, not just HRT.

[@dianebernaski3619]

My ex doc told me Asian nations don't have a word for menopause. If I ate more soy, I would be fine.

[@morganeoghmanann9792]

My mother was on HRT for over ten years even though at the time the guidelines advised women not to be on it for longer than 3-4 years. My mother ended up having blood clots in her legs and a pulmonary embolism - possible side effects of which she was warned of when she started taking it but because she felt so much better and experienced so much relief, she stayed with it. Upon almost dying of the pulmonary embolism, the ER doctor immediately took her off the HRT. The effects were immediate and very uncomfortable for her. I know many women have been helped by HRT and, as a 63 year old woman, my joints scream with pain more often than not but I am terrified of ending up like my mother. I have a disabled sister depending on me to take care of her and if I get an embolism......

[@cateivy9747]

I started HRT at 48 to help with the typical symptoms of menopause. At age 50, I had ovarian cancer. No other risk factors at all.

[@capellihairextsny]

🙏🏼

[@kam0406]

Thank you for covering this! There are so many women suffering needlessly. Doctors will not put women on this or even tell them it is available! And so many women have no idea this is even an option! Please cover this topic again. And again! We need to get the word out! Thank you for being being an advocate for women's health!

[@kjbrocky]

He's so right about the biggest screw up being about turning women off to fixing their hormones due to flawed studies (which may have been intentional!!). Tragic

[@grannygoes7882]

I've been on HRT for 25 years. Never had my hormone levels tested. I tell my compounding pharmacist when my symptoms change and he tweaks my hormones. He added testosterone around age 50. It works, is all I can say. My ob/gyn doesn't seem to know anything about HRT and just copies the prescription the pharmacist suggests. I went off all HRT for a year recently. It was horrible. I thought after a year my body should adjust and that at age 65 I didn't need the hormones any longer. For a time I wished I'd never gone on them as I feel they just delayed menopause, they don't help you get through it. If I quit taking them again, I'll have all the horrible symptoms again. On the other hand, I'm 65 and look 45. It's been easy for me to stay fit. I think the T helps with that. I would love to have a knowledgeable doctor to discuss my situation with.

[@dg-pt3ls]

Oh my gosh thank you for this! I started going through menopause in my early 40s which lead to chronic menopausal migraines almost everyday for a year. If I was lucky I would have maybe 7-8 migraine free days per month. I gained a ton of weight. Severe insomnia. No energy. I was so sick I became disabled and couldn't function. I'm a professor and had to retire in my 40s!!! It was literally hell on earth. My neurologist said it was likely from a lack of steady hormones, so I started HRT and my migraines have stopped. My neurologist literally saved my life by referring me for HRT. Thank God for smart doctors who think outside the norm.