Progesterone helped with sleep, testosterone cleared my brain fog, forgetfulness, more energy, better sleep, much happier, estrogen helped with anxiety, guilty feelings, and made me feel much more relaxed. I started with the cream of estrogen and testosterone, then switched to the estrogen patch and testosterone injections twice a week. Ladies you DON’T have to suffer!!! No adverse affects!!!
@monicerezo955828 күн бұрын
Hola, qué dosis usas de testosterona? Y de parches?
@easolis2414 күн бұрын
Did you lose hair from testerone
@ThriveCollective11886 күн бұрын
What dose of Testosterone
@zorinaganpaul15982 ай бұрын
What an eye opener for me. I was sprouting chin hairs and couldn't understand why until Dr Gersh cleared it all up. I switched from oral premarin to estradiol patch and voila no more chin hairs. Thank you Dr Gersh, great lesson ❤❤
@HeatherB-z5bАй бұрын
I wish I lived closer to you. You would be my doctor
@marytaylor28242 ай бұрын
My dr wanted me on 40mg of testosterone a week. I have very low estrogen. Thank you for this! You are so helpful. It makes me feel normal to hear your videos.
@ThriveCollective11886 күн бұрын
Milligrams or micrograms?
@marytaylor28245 күн бұрын
@@ThriveCollective1188mg milligram. Not mcg. I inject 10mg typically.
@russvet2 ай бұрын
You are brilliant! Like your lectures so much ❤
@niclifts38312 ай бұрын
OMG! That is what happened to me! My OBGYN gave me just enough Estradiol patch .05 and a testosterone Pellet. I lost so much hair and grew facial hair. I still had menopausal symptoms. It took 8 months (this January) for the testosterone to go from 400 to 10 (August 1st bloodwork). However, my Estradiol never got above 40; but after waiting for testosterone to drop to 10, now my Estradiol went up to 180! Doc is going to do one more blood test in 6 weeks to see if that comes down; but I feel good now. And, while I don't have any more sexual desire, I can't afford to lose more hair. I am very afraid of ever taking testosterone again. I need to wait to see if my hair grows back. Wish you were in Las Vegas to try and see you, so thank you for the video! I'll try Metagenics DHEA 5mg pill once my hair grows back.
@j.j.l.2 ай бұрын
She does tele-health. As a post-menopausal, post-full hysto, post “trans” identified woman, I wasted no time in getting the proper help. Our health care system (at least in the states) is in the dark ages. I only trust doctors like Gersh, and, unfortunately, there seems to be very few of them.
@olderandwiser1272 ай бұрын
Check out fixaflash and womens health network.
@brendanolasco22142 ай бұрын
Testosterone pellets are often not dosed correctly and not easy to reverse once you have one implanted. I have done good with a testosterone cream which I heard is not as profitable as the pellet. My levels were all checked before starting hormone replacement and my estrogen and testosterone were nil. I felt horrible until I started on HRT but it took a few months. Sorry you got too much testosterone which is probably worse than having none. Also it was impossible to get HRT from my doctors even my gyn. They referred me to the menopause clinic in my health plan where not a single appointment was available for the entire year. I had to pay out of pocket and go with a group outside my plan. Good luck getting everything back in balance. It will take time.
@ozarkcyn1Ай бұрын
I'm in Vegas too. It's ALWAYS been a desert for QUALITY doctors.
@francescakolar24462 ай бұрын
Thank you Dr Gersch thank goodness for you . I really enjoy your informative content you have changed my life and I share your videos after all knowledge is power . Thank you 🙏🏻
@mindyadams9041Ай бұрын
My shbg 115, estridiol 28, 60 yrs old, high cholesterol despite eating clean whole food diet. Now I understand! Thank you ❤️
@juliaoneil193Ай бұрын
Thank you! You are by far the most knowledgeable in this area and the way you explain each topic is so easy to understand!
@cintiaspataro32052 ай бұрын
In the UK 0.4 the GP said it's normal 💀 next visit I'll say I want to change my sex and maybe that's the only way they'll give some testosterone.
@bekskayll68412 ай бұрын
Same here, it's so frustrating!
@gypsyrose550226 күн бұрын
I wish I would have seen this video prior to an appointment with a new doctor for HRT. She was a provider for Renovo Pellets, said all I needed was testosterone and then my body would produce all the estradiol I needed. A month later when we discussed my blood test results was when she first told me her goal was to keep my estradiol levels low so I don’t get belly fat. When I contacted her a few days later to tell her I wanted estradiol replacement she ghosted me, not responding to my two messages. I found a new provider for BioTe pellets and did blood work in anticipation of getting pellets. Why is it so hard to get estradiol in physiologic levels?
@r8chlletters2 ай бұрын
Women need testosterone. Unlike estrogen and progesterone which have a period of fluctuation testosterone basically stops entirely. For confidence, stamina, drive, muscle building and sexual function testosterone is extremely important. See a specialist and talk about what is possible for you. Do not see anyone who doesn’t specialize in HRT. I use a testosterone cream, .75gm daily which I get from a formulary that makes it up for me. Hugely helpful and easy to use. Not FDA approved (yet) and requires annual bloodwork to demonstrate the dose is in a safe range (the range is actually fairly wide). I have no “manly” side effects as the dose is within range. It would take a lot more to get the sorts of outward responses described here. Please do not use pellets. This is a barbaric method and creams are totally effective.
@brendanolasco22142 ай бұрын
Definitely the cream and it is easy to stop taking the cream if someone wants to. I was turning into a weak frail and depressed lady without it. 3 months after starting the cream I have energy and started going back to the gym. Also has helped me keep up at work. I am not ready for retirement and do not think I would have made it without testosterone. I have not had any hair thinning, facial hair or acne but my levels are being checked every couple of months.
@susan63362 ай бұрын
@@brendanolasco2214what strength is your cream?
@jennifermoffitt7294Ай бұрын
i have more t than i thought at 50... not sure i'm in peri or menopause but i have hot flashes here and there and some changes in sex function hit at 49.. my free T is 4.8 and my total t is 30.. no TRT just estrogen and progesterone. I was on low dose pill until 49 for severe anemia
@Drd7682Ай бұрын
@@susan6336I know you weren’t talking to me but in case it’s helpful I’ve been using 2 mg/day topical testosterone cream for about 6 years now (before menopause). Saved my life truly. No side effects, blood level of free testosterone pretty much stays under 30. Of course everyone is different.
@muse3241Ай бұрын
How do I get the testosterone cream? What doctors prescribe this?
@inquisitive924822 күн бұрын
Thank you so much for your video! It is very helpful! You should teach medical students on the HRT , majority of the OB/GYN are not knowledgeable in this area. Many I recorded by pallet producers, and act as salesman and not as doctors. A year ago I went to the provider who recommended pellets. I was a little scared to put it under my skin in case something goes wrong. I did a lot of research and put together pieces of information that made me refuse pallets. I came to the doctor and told her about bioidentical available in regular pharmacies. Amazing she was under the impression that only compounded pharmacy can make bioidenticals! Anyway! I self-described myself HRT and she just signed the prescription.
@lilmisfitmelanieАй бұрын
Im 48 to be 49 new years eve. I went thru menopause very early tho really don't remember many symptoms of it. I stopped bleeding at 39. Im now on estradiol patch 0.2mg twice weekly and 200mg progesterone pill at night. I know i need testosterone as i feel im aging exponentially this past year and have absolutely zero drive.
@mindyadams9041Ай бұрын
Thank you!
@HeatherB-z5bАй бұрын
I made a appointment to ask my GYN about taking testosterone and she said at my age, (75) my levels will be low but I don't need it
@drironmom6815Ай бұрын
She’s wrong. I’m 68 s and testosterone pellets give me energy and libido
@doctoralisonjohnson28 күн бұрын
Why wouldn't you need it? It's a vital human hormone. If you care to ask you might ask her why she thinks you don't need it. Testosterone helps maintain muscle mass, can improve brain function, etc.
@Lisa_Tamati15 күн бұрын
😂 sad
@drironmom681515 күн бұрын
@@HeatherB-z5b find another doctor. Look up biote or evexias to find a doctor who understands hormones
@jackiemansfield83255 күн бұрын
I lost my periods at the age of 48, and the libido also disappeared(which I don’t mind). Today, 63 yo, my only symptom is low libido. Should I take any hormones to protect ovaries, uterus? I never had any hormones before…
@muse3241Ай бұрын
So what do we do when our hair started thinning in perimenopause? Add progesterone? Hair thinning at the front and sides of the scalp and no dermatologist has answers.
@queen-b94142 ай бұрын
Dr G please explain. One minute you speak of single digit T being low. I’m assuming that is Total T but you also said 99% of T is bound. I have high total T but my free T is 3, which is within range. So what do you look at, Total or free? SHBG 33.
@narangre2 ай бұрын
My doctor told me the hormones work better when given together. I take all 3 because of early menopause.
@doctoralisonjohnson2 ай бұрын
I do Testim gel for men and use 1/10. I use about a chocolate chip sized amount. It's not hard to measure and I'm not overdosed.
@legohouse48192 ай бұрын
How are you finding that dose and method?
@doctoralisonjohnson2 ай бұрын
I feel great, increased motivation, better mood, increased sex drive. I've been on it 3+ months now.
@prepub1Ай бұрын
Do you know your dose in mg? I have a micro measuring set, so I can measure as small as 1/64 a teaspoon, have you ever measured your chip sized amount?
@cami5054Ай бұрын
I use my husband’s Testim 50mg 5 gram tube leftovers & empty into a 0.5ml syringe and use 0.1 ml which = 1mg
@MommaMia-k8t28 күн бұрын
Your doctor prescribes that even though it's for men? That is awesome. I have to have mine compounded at $65 for a small tube :( I just started and am discouraged at the cost.
@szbeatrous4 күн бұрын
My ovaries were removed at 41, an oophorectomy. My uterus and cervix as well. I’ve been on HRT ever since, but no testosterone. I am hardly producing any testosterone and have no libido or energy. I do take 10mg. of DHEA daily. Why do doctors never address women, especially young women, who have had complete hysterectomies?! I have no ovaries to even produce any testosterone!
@butyoulooksohealthy-fibrom9202 ай бұрын
Ladies, get your free T tested. It’s the most reliable to see what your body is actually using for.
@jennifermoffitt7294Ай бұрын
mine is high and i'm exhausted.. so confused - no pcos and on low dose HRT
@lilmisfitmelanieАй бұрын
@jennifermoffitt7294 look into amino acid therapy and also remineralization. I believe we are all deficient in all of the 90 essential vitamins minerals aminos omegas and prebiotic. Its overwhelming learning all of this but I believe that we can & are created to be young for way longer than we are. The process isn't for the faint of heart that's 4sho
@lilmisfitmelanieАй бұрын
@@jennifermoffitt7294 a young woman who worked for a bio ID trt once gave me a list of what women need after menopause: estradiol progesterone of course dhea pregnenalone dha-omega(cod liver oil great) b12 and b complex D3K2 and iodine. ❤
@plejaren125 күн бұрын
rD. Gersh--- Do you do BIOIDENTICAL hormones for your patients? Thanks
@hersheykiss44452 ай бұрын
My first test reads free and total, MS. That is 30 with range being 2-45. The next one reads just free testosterone. It's at 1.3 with range being .1-6.4. I'm not sure if I'm good or not.
@jennifermoffitt7294Ай бұрын
my total is 30 with free high at 4.8... i'm shocked with my lack of energy and libido (on HRT too) i prob should have stayed on the pill. i'm 50 in a month
@hersheykiss4445Ай бұрын
@@jennifermoffitt7294 try CoQ10 and B12. I don't have energy problems, even with my low hormone levels.
@doctoralisonjohnson28 күн бұрын
It's kind of low overall.
@jessicahitchens69267 күн бұрын
The pill is poison. You would be on xeno estrogens. Body identicals hormones are not Progestins and synthetic Estradiol.
@pennyrobbins42852 ай бұрын
What if someone doesn't have ovaries, uterus that's had a total hysterectomy? Should they take testosterone?
@Katepwe2 ай бұрын
Possibly
@marycarver70922 ай бұрын
Her doctor said my daughter had too much at 17. Her level is 49. They she needs to be at 33
@123STEP232 ай бұрын
What is considered low testosterone in serum in women ? What is considered a normal range ? Sick out here in MO have no idea .. please help !
@123STEP232 ай бұрын
Not sick ( spell check !) Supposed to say Docs out here..
@Always-xl9db2 ай бұрын
I think 2 is the lower limit. And upper is 45. But like she said, teens are probably good.
@123STEP23Ай бұрын
Mines one .. I’m totally indifferent to anything I’m not ME anymore .. we need docs trained properly on hormone dosages
@stef35652 ай бұрын
Can I get back on my testosterone after my knee replacement surgery? Estradiol patch and Progesterone also?
@sweetpeace52 ай бұрын
I’m not understanding why you had to go off?
@doctoralisonjohnson28 күн бұрын
You should have never had to go off. Get back on❤
@jeanie5002 ай бұрын
Where can you find the formula to estimate free testosterone using SHGB and Total Testosterone?
@salleone638710 күн бұрын
Does your recommendation change if a patient has had an oophorectomy?
@CindyLaddyАй бұрын
My doctor just added testosterone a month ago but free T didn’t increase at all for me- my estrodial is now WAY too high. So way too much conversion/aromotase. Any workarounds for this? 🙏🏻❤
@SK-bv6yd2 ай бұрын
Thank you so much for the great video! My obgyn doctors do not seem to have time to explain things like this. I've been using vaginal estradiol for a couple months and its been great, even helping with hot flashes and nigh seats. Does it mean that it's supposed to affect you only locally, but somehow have systemic effect? I had a partial hysterectomy, leaving ovaries and cervix, and do I have to worry about possible systemic effect of estradiol on my cervix, needing progesterone as well? Thank you!
@doctoralisonjohnson28 күн бұрын
You shouldn't have to worry about taking progesterone if you do estradiol and only have cervix. This is what I was told by my Gyn who specializes in menopause care. However you can continue to take micronized progesterone if you want to - it has many benefits.
@gypsyrose550226 күн бұрын
@@doctoralisonjohnsonDr. Gersh has great videos on why we need Progesterone, no matter if we have a uterus or not. I intend to start cycling Progesterone as she recommends.
@SK-bv6yd19 күн бұрын
@@doctoralisonjohnson ,thank you for your answer!!
@jessicahitchens69267 күн бұрын
The Gyn is completely incorrect. They know nothing about womens hormones. Were never trained.
@jessicahitchens69267 күн бұрын
You go on Progesterone. Progesterone helps your brain and thyroid. Your bones and your skin. It also calms you down.
@hollyshult1332 ай бұрын
Very interesting! Dr. Gersh, can you give your opinion on if sex binding globulin is high? My bloodwork came back with high sex binding globulin, and I don’t even understand what that is. I’m post menopause 8 years, and no HRT.
@olderandwiser1272 ай бұрын
Look at both Womens Health Network and fixaflash.
@tranquilityseeker5812 ай бұрын
Good info. Can you tell me if I might need it after a full ooperectomy and hysterectomy
@Katepwe2 ай бұрын
You might….only your health care provider can make that call.
@avalemmon76882 ай бұрын
Thank you. I’m 47, and three weeks in to taking 0.5 ml daily compounded testosterone for my symptoms and my blood test showing my total T 9, and my free T 0.8. I am not taking any other hormone replacement. I had a full female hormone panel done and that’s what my gyno suggested. Thoughts?
@sweetpeace52 ай бұрын
You need to say what your “symptoms” are meaning why you’re using it in order to answer the question.
@ThriveCollective11886 күн бұрын
Wouldn’t boosting estrogen boost aromatisation of excess testosterone?
@tanaatkinson78332 ай бұрын
I might have missed this? Did you say what an optimal level for DHEA? My TEST level is 15. I’m 62yr old menopause woman. What is ideal SHBG?
@Raaxo875Ай бұрын
100 or more
@DianeRettonАй бұрын
Is it safe to take dhea if youve had breast cancer
@Andrea-642 ай бұрын
It took me 10 years to get low dose hrt. It will take some hard work to get DHEA, which is only available by prescription in Canada. It's been a month and a half, and my symptoms are the same as before starting hrt. I'm 60 and now have severe osteoporosis. Are 4 pumps of estrogel optimal?
@Katepwe2 ай бұрын
Everyone is different but in my experience I was started at the lowest dose and increased until symptoms were lessened. I suggest you search on the North American Menopause Society website for a menopause trained practitioner in your area. In Canada the cost is out of pocket but may be covered by some insurance.
@olderandwiser1272 ай бұрын
Can you not order from usa? Check Ona's Naturals.
@Katepwe2 ай бұрын
@@olderandwiser127no, not in canada
@Andrea-642 ай бұрын
@@Katepwe Thank you. I'll check that out 😊
@lynda2844Ай бұрын
This was so informative! Thank you. I am interested in starting testosterone due to lack of sexual desire and painful sex/dryness. Dr G-you mentioned we must be on estradiol or have adequate amounts if we take testosterone. I’m wondering if that is also the case if I end up taking or start out taking DHEA instead of testosterone to see if that relieves my symptoms. Also, I don’t recall it mentioned on this and other videos you have done but if taking testosterone (or DHEA) can help with desire will it also fix the dryness issue or would I need to take something else for that? Please help!!
@Sophie-qt5jxАй бұрын
You need vaginal estrogen to fix the dryness and all other vagina and bladder issues.
@vivellazАй бұрын
If you still have a uterus, you have to get a script for estradiol plus progesterone which protects uterus from estrogen (estradiol). If you just want estrogen for vaginal dryness, use the estrogen called Estriol which is weaker and safer than estradiol. It is a cream you can apply vaginally daily for a week or two and then only twice a week. All of these things usually require prescription from a doctor. Here in South Africa the Estriol creams can be obtained over the counter as they just mostly have an effect locally on the tissue and not so much systemically. Rather see a doctor, it is safer to get the right treatment.
@doctoralisonjohnson28 күн бұрын
Get on some vaginal estrogen if you can for dryness.
@deannemerey67762 ай бұрын
Could you address testosterone supplementation in the setting of estrogen receptor positive breast cancer?
@lisaj5041Ай бұрын
Would be nice if she and other doctors would address this!
@JOEYDEEZ369Ай бұрын
Yes.. women need testosterone for the optimal maintenance of their libido…. during perimenopause & post menopause we lady folks are often deficient in this hormone…. most women often end up being oestrogen dominant as they sail through their aging journey…. I don’t think that it’s good to be oestrogen dominant over a long term… I mean it surprises women to know that we need this hormone albeit in smaller amounts than that of the pesky menfolk hahah I’m a testosterone & not oestrogen dominant female who thinks and moves like a guy but I’m all woman I’ll have you know ma’am hahah and I wouldn’t have it any other way I tells yuh… Nuff said ;)’
@cathybell42952 ай бұрын
What if you no longer have your ovaries due to endometrial cancer?
@jennifermoffitt7294Ай бұрын
i just found out my free T is higher than normal 4.8 with total at 30 (at age 50).... wth i thought i had low T due to being tired
@LeamoyerАй бұрын
I think I’ve always been low in T. Checked at 55 for first time after learning about HRT and I was in single digits : 7!! That explains a lot. After having T added to my HRT I am about 150 total and free 10 and I feel amazing.. 😻
@LeamoyerАй бұрын
Lucky how you’re always had good T. I think I’ve always been low in T. Checked at 55 for first time after learning about HRT and I was in single digits-7!! That explains a lot of my symptoms. After having T added to my HRT I am about 100 now of total & fluctuate between 3- 10 depending on the day I took my labs. I feel amazing.. 😻
@jennifermoffitt7294Ай бұрын
@@Leamoyer 70 is prob best total T for women... I don't feel great with my T level so not sure it matters as much as we though.. I have some kidney issues which might be affecting my energy level too
@jennifermoffitt7294Ай бұрын
@@Leamoyer i have no idea what my T was until now at 50
@tanaatkinson78332 ай бұрын
Is progesterone also called E4?
@cozinha89452 ай бұрын
P4 is progesterone, E2 is estradiol
@zqueen67662 ай бұрын
What if testosterone injection caused me cystic acne
@LeamoyerАй бұрын
That means it’s too much for you. Find your sweet spot. Some woman push DHT more than others so some can tolerate more than others.
@jessicahitchens69267 күн бұрын
Why would you get that??? You're a woman
@deborahc71132 ай бұрын
my tot T was 309 on T injs
@susan63362 ай бұрын
What level was your free t?
@jennifermoffitt7294Ай бұрын
woah
@deborahc7113Ай бұрын
@@susan6336 143.8 pg/ml Free T
@fatimafreire28412 ай бұрын
❤❤❤❤😊
@tamjase1978Ай бұрын
Testosterone make me anxious and angry. Im on estradiol and progesterone added t only .01 now it triggers my stress response. Any ideas whats happening please
@doctoralisonjohnson28 күн бұрын
I found anecdotally in myself that progesterone and testosterone seem to have a greater connection than I'd ever heard. I felt intolerant to progesterone then tried testosterone and had the thought to see if I could tolerate progesterone more frequently and at the dose I needed to be at - no problems anymore! So maybe you might up your progesterone and see if you tolerate testosterone better. Also make sure you are on an optimal dose of estradiol for you❤
@tamjase197828 күн бұрын
That's interesting thankyou. I am on 2.5 sachets of sandrena. I did try to lower it but I couldn't sleep. I will try increase my p@@doctoralisonjohnson
@wendymccleary146527 күн бұрын
That's how DHEA creme effects me, but I feel good on testosterone. Perhaps it's the opposite with you.. and DHEA might suit you better. We are all biodiverse. The good thing is DHEA doesn't require a prescription in the US.
@tamjase197827 күн бұрын
Thankyou I'm in Australia not sure if you can get it here. I have reduced my dose now to .02 it's better. @@wendymccleary1465