Testosterone in menopause? Time limit for HRT? Sleep? Skin? ALL answered by Dr Menn! Part 2

[@skiergirl4753]

I had sleep issues. I asked my doc for HRT. She said that we should give it a year then we could chat. I found Alloy the next day. I got an appointment and a prescription the next day. It helped within 10 days. I am super healthy and active and happy. I am not going off HRT for any arbitrary, out-dated reason

[@PENNSMITHSKINCARE]

Amazing! I am so glad they could help you!

[@xyz-mc5of]

@@PENNSMITHSKINCAREyour discount code does not work 🙁

[@dantopster]

I am so thankful for your videos on menopause. I've been dealing with menopausal depression for 3 years. I am a shell of the person I used to be. I tried everything from SSRIs to psylocybin mushrooms to ketamine. They are helpful but not a long term solution. I am a breast cancer survivor and after watching your videos I insisted and finally this past week my oncologist agreed to let me try low dose HRT. Thank you❤

[@sarahrosen4985]

It's been 3 months. How is it going? Hoping to hear good things. 💙

[@jgoldfarb3]

I started HRT when I started menopause, estrogen, Progesterone, testosterone, all monitored by a Euro Gynecologist & it’s the best thing I ever did, it gave me my life back, hope to continue forever. Great video

[@antoniettabonfigliovetere1195]

I have been on it for 12 years and my doctor said I can be on it for ever as long as I don’t have any contractions. For my bones and heart.

[@Loralarify]

Yes-I’ve been on it for 10 years now with a year hiatus, off, while I had cancer & surgery/chemo, etc. Don’t plan to ever go off it.

[@GluylaineA]

I’ve been on BHRT 15 years. I look and feel great. Thanks to Suzanne Somers!

[@sarahrosen4985]

Don't forget for your brain!

[@LosOGradysinMexico]

vital information. I have had access to HRT in Mexico for the past 10 years. Don't understand why it is so difficult to get in the States.

[@Cocotulip0003]

I'm glad you are receiving HRT. So many women in our culture go without assistance during this time.

[@lli_loue]

this discussion blew my mind !!! I am 52. I have a female gynecologist who is extremely open to HRT, but who has said “after 10 years it’s over, no matter what”. there is no chance that I’m getting off that life changing treatment and I had already decided to change gynecologists in five years. learning there is absolutely no reason to get off it is amazing ! I really wonder why doctors are so misinformed.

[@jojorey6886]

I’ve been on HRT for 10 years. What’s over after 10 years?

[@lli_loue]

@@jojorey6886 did you watch the video ?

[@jojorey6886]

@@lli_loue I watched the first half. She mentioned the ten year but I didn’t hear a specific problem.

[@saraf1084]

Is there a list of studies or a summary that speaks the doctors jargon that we could give on paper to our physician to help her understand that it’s OK to keep on it if it isn’t contra indicated for you as a patient??

[@PENNSMITHSKINCARE]

I will work on a list of sources- but something in the meantime would be the book estrogen matters- MANY studies cited there. 💙💙

[@pamelajensen5961]

Thank you, thank you thank you thank you!!!! Definitely going to check out the service. I’ve gone to see four different gynecologist to try and address these issues and they are all dismissive. 😢 I look young and very healthy for my age but I am physically struggling and the blood tests are not showing the experience I’m having, so they just tell me I’m fine.

[@natasha09179]

Thank you, Dr. for acknowledging that testosterone research is showing other possible benefits of testosterone.

[@ironmaidenfitness654]

Would they tell someone with diabetes to get off insulin or someone with an under active thyroid to get off T3? So why are they asking us to give up our hormones? I’m going to be on HRT forever 💜

[@CuriousJenJen]

I actually just watched a study about the benefits of testosterone in small levels on women's brains and to help prevent Alzheimer's.

[@jojorey6886]

I started HRT in my mid 50s-ish I’m now 66. My testosterone, progesterone and estrogen levels are checked through a blood test. My HCP makes a prescription for me based on these levels. I have a transdermal cream made using that prescription at a compounding pharmacy. The hormones are derived from yams and are bio identical to human hormones. I apply said amount on my thighs morning and night. It’s drastically improved my quality of life. I go once a year for follow up unless I’m having a problem which I’ve never had, the doctor discusses my concerns and spends an hour with me. My first gynecologist didn’t like HRT and said he’d give me Prozac. I told him, I think its better to take a bio identical hormone that my body makes rather than Prozac which my body does not not make. I guess he thought it was all in my head.

[@gma2039]

Thank you for providing these educational interviews about women's health.

[@PENNSMITHSKINCARE]

You're Welcome! I am so happy to do it!

[@amberdelgado9335]

I just got did Alloy! They gave me the patch of estradiol and pills for progesterone! I’m so grateful!!! Cause my Dr told me I’m not in menopause yet so she did not to prescribe me HRT, but I’m having all the symptoms

[@leneskov5184]

Great that you focus on this topic - I am 62 and it is too late for me to start HRT. My menopause symptoms started in my mid forties and I still have the occasional hot flash 😫 When I went into menopause (age 51) my doctor advised me not to take HRT because of the (now debunked) breast cancer risk 😞 I would love for you to interview Dr Stacy Simms, PhD, who studies womens health, training and menopause. She has some really great insights to how menopausal women should train to preserve bone health, muscles, heart etc. Super interesting. 😀

[@denisenj7648]

Check with a good doc. The ten years is just a guideline. If you heart and blood vessels are strong and healthy you can still go on. If you have already suffered cardio aging and damage from estrogen deficiency then you can't add her now. But check it out. Instead on cardio tests.

[@breezyveezy1]

Dr Stacy Simms is amazing!

[@sek4110]

I am 63 and just started on HRT with Alloy 1.5 months ago. It is not too late. Best thing I have done in a very long time. I feel better than I can remember.

[@meredithlindley6882]

Thanks for doing this Penn! Enjoyed it immensely.

[@hmorganbts]

I wish they would develop a body cream as well with Estrogen. I use the cream on my face and put some of that on my body but it would be nice to have a larger size for body.

[@labellabeach631]

Have you noticed it helped with any Crepy skin on arms ? Did you ever have that before starting ? I do all the right things and out of nowhere my arms look dreadful I’m wondering if I need to up my hormones. 😅

[@lindaalbergo1]

I’m adding this comment here because your series on menopause sparked my thinking. I went through menopause 22 years ago, and since I had no symptoms, no hot flashes and night sweats no nothing it didn’t dawn on me about the effects I could have down the line . Now at 75. It’s too late to do anything but, and this is a big but, about 10 years ago I started to notice this thickening in my waistline I have a “ spare tire that no amount of exercise will reduce and a pouch belly that is nor going anywhere . I’m a petite woman 5’ 1”and always been slender. I eat well and exercise, so I don’t know where this came from. recently, I’ve been doing some research and came across the concept that the chemicals that we use all the time predominantly phthalates can have serious consequences that obesity and weight gain being one of them. Now trying to remove them from everything we use is mind-boggling. I’ve gone and gotten rid of all my plastic containers using all glass ,finding laundry detergent that has no phthalates, etc. but what I would love to see on your channel predominantly because you really have in my estimation, one of the most logical, concise, informative and educational channels around. How can we find which products have these harmful chemicals how to decipher the coding in the ingredient deck that might use another term for them. I know I started small with the laundry detergent and glassware, now I have to get rid of all my lovely plug-ins that make my house smell great, but where to go from there is a mystery and overwhelming .I am hoping for the beauty community, and all these channels that Iwatch with make up and hair to take this on as a cause and help educate their viewers into what they should buy, what and they shouldn’t buy what they should look for etc.Maybe you can be the tip of the spear and start this ball rolling

[@sarahrosen4985]

Good for you for realising and wanting to change. I think you will find more answers in the biohacking space than the beauty and makeup space. They tend to espouse the "there is NOTHING wrong with plastic or toiletry additives " and "there are no such thing as hormone disrupters". Start with someone like Andrew Huberman and, hopefully, The Algorithm will suggest more biohackers / knowledgeable health researchers. Also, Really Very Crunchy has started doing unboxings of very natural, no plastic, products sent to her. If you are in the US (I am not), you might see some products to try. That spare tire is a #%£@! and every weapon available to fighting it should be used!

[@alipg2251]

Thank you again Pen and Dr.M, Why testosterone Pellets are not a way to go?

[@lettyguerragirlbills792]

This is great this needs to get out. I’ve been on her for 16 years . The sad thing is that are hrt providers are sooo expensive. Had to change my ins and lost my provider. Thankfully my compounding pharmacist was willing to work with my obgyn who’s not a hrt dr. I’ve been on hrt for 18 years couldn’t live without them.

[@kawaiitropix4837]

Yay a second video & a guest blog 🥰thanks again for ALL you do/share😘

[@claudinewooley7590]

I have an additional question. Can you look into bladder control issues? I’ve been on HRT for about a year. I love it. It has helped greatly with all my symptoms, however my bladder control issues still flare up. It seemed to get better shorty after beginning HRT, but it has returned again. Thank you for delving into the menopause research and featuring it in your channel

[@Shoshana_Grace]

These videos are so incredibly needed and helpful. Thank you!! I am wondering if the next time you interview someone regarding HRT if you would please ask about blood testing. I know there are are few schools of thought on this, and I don't believe MyAlloy requires or feels the need for them (I am using them and am very happy so far!). I have had a few people express surprise that I wasn't having blood work as part of the treatment, so I am curious to know more. If you have already covered this, my bad. I would be grateful to be directed to that video though I feel like I have watched most of them...twice haha. You are the best!

[@gategirl66]

Yes! My coworkers (all using pellets) get blood tests all the time. I think most of them do it at least every 3 months. Would love to know their viewpoint!

[@Rositasparks]

Hormone levels vary greatly, not just day-to-day, but even throughout a single day. As a result, tests for hormone levels are inaccurate and therefore not helpful for prescribing treatment. HRT is best prescribed and adjusted based on symptoms not by blood test results. ( I get HRT through Winona ( on line it is similar to Alloy) for my hormones and my HRT had to be adjusted according to my symptoms which I shared with my dedicated physician. ❤

[@amymccall5263]

Love that you’re doing this!

[@mell8831]

You’re so luminous in blue in this video Penny! Thank you for making this video!

[@PENNSMITHSKINCARE]

Thank you!

[@staceyjewell8844]

I am 53 and postmenopausal. I have stage 4 endometriosis. I am not on HRT because I don't think I can take it due to endo. Estrogen feeds endometriosis. I'm looking to find out what options are out there. Thank you for doing this series!!!!

[@sek4110]

Can these doctors associated with Alloy prescribe testosterone if needed online?

[@Geor197]

Thank you very much Penny and Dr Menn great information !!!!

[@thirdsister107]

Is the MyAlloy for skin the same type of product as the Biopelle & Emepelle ? Thank you 😊

[@SS-wg7nh]

Hi Penny, I'm about to purchase products from my alloy. I thought it was advised to take micronized progesterone--though I see this they do not offer. I thought that was an essential component... is there a service that offers both estradiol patch and micronized progesterone? Thank you for your work! ❤

[@rosiet253]

They do offer both. After you communicate with your dr, you’ll see it in your prescription order.

[@michellesparks1590]

I would love to know if the authorities think everyone should be on HRT for preventative measures or should it just be used to deal with symptoms. I am perimenopausal and have been able to deal with most symptoms with lifestyle but I got behind the curve with muscle mass and the joint pain makes working out difficult. Maybe HRT could give me the assistance to build muscle?

[@kathydora6347]

Thank-You ladies so much for this! I will be watching for more videos of this nature for sure!

[@AmalfyRamirez]

Very helpful, thank you so much for doing this episode . Very much needed.

[@PENNSMITHSKINCARE]

So glad it was helpful! ❤️

[@saraf1084]

Thanks so much, Penn!! ❤😘

[@PENNSMITHSKINCARE]

You are so welcome!

[@wilmabald3986]

Can I as a Canadian sign up with Alloy to get hurt treatment ? I cant find the help I need here

[@kristinsewell2949]

I’d love to know more about why pellets are not the move besides the FDA piece. I’ve used them for over a year w great results, but…hate the insertion process as well as the cost. Thank you!!

[@jackiedavis6398]

Ive been on HRT for 10 yrs now. No problems at all. My insurance now has decided they are not paying for it anymore.

[@PENNSMITHSKINCARE]

That is terrible, I hope you are able to find a solution!

[@labellabeach631]

✨🤍✨I have a great question for everyone! ✅Who here has noticed being on HRT helped their crepy skin on their arms or wrinkled skin on their arms. I loved my Pilates, weights & Yoga toned arms but within the last year they have gotten so old looking like I’m 70 not 56! I I also eat clean and do fresh juicing, drink lots of water, take one pump of testosterone gel daily take 1mg estradiol and also 200mg progesterone and I also stay out of the sun when I can and use sunscreen when I do what else am I missing here could I maybe need to go up with HRT dosage or maybe ADD DHEA?? Anyone get help or experience in that department?? Anyone take more than 1mg Estradiol and noticed it helped de age their arms? 😅 I am blessed with my GP hooking me up with my hormones but she’s not going to be concerned about my arms. ✅And yes bumping up to 200 from 100mg progesterone helped me sleep tremendously better for anyone wondering if that has helped anyone. Zero hot flashes too. 🥰 Xo ✨💖✨

[@lettyguerragirlbills792]

Penny on another note will you be doing any rf home devices?? I trust your judgement and would love your opinions 😊

[@PENNSMITHSKINCARE]

I have used NEWA for years but recently bought the Lumo by EvenSkyn …. Jury is completely out but I’m excited to try it! 🧡

[@PENNSMITHSKINCARE]

Oh!! I also have the Tripollar Envig- it’s a UK based device that I’m also excited to test. I have to put together a testing plan 🤪

[@lettyguerragirlbills792]

Thanks penny can’t wait to see results I’m hoping it will soon lol I just want to make a smart purchase and affordable. I’m having gravity taking the lead on my neck. Some say they see results with RF in weeks with tri polor ? But I’ll look into lump and newa

[@janinemelnitz2750]

Why are you not rec pellets? It is a safe transdermal route that can easily be kept to levels under 100 which is a safe level for women. It is easy, no messy creams and compounding

[@PENNSMITHSKINCARE]

They aren’t modifiable once put in.

[@janinemelnitz2750]

@@PENNSMITHSKINCARE They dissolve in 4 months and easy to follow levels with lab evaluations and symptom profile. It is very common and as a gynecologist i see several patients that have these placed. I dont because my office does not use them. I have seen many excellent results. I hate seeing this method discounted when it is a viable option when placed by a responsible provider.

[@sharoncruz-vm2jc]

Great video, thank you!! Where again is the list that I can find a doctor near me? 🙏

[@usnamom78]

Is there an age where HRT stops working? As in we have no receptors. I am 66.

[@denisenj7648]

You can be on it for your entire life if you don't have other issues.

[@janedelaney4327]

Did I miss when she addressed weight gain on HRT? Does it cause weight gain or does it decrease risk of post menopausal weight gain?

[@jeanheffernan4715]

You said we could ask additional questions. I read the book she recommended, Estrogen Matters. And it specifically recommends premarin for Alzheimer's prevention because of the equilon in it. I would like to know her thoughts on that.

[@PENNSMITHSKINCARE]

Can you let me know where in the book you read that (if you can recall)? I read it also and I don’t remember that (but there was a LOT to digest!!)

[@jeanheffernan4715]

@@PENNSMITHSKINCARE Yes, pg 236. It's under the question does the form of estrogen that I take make a difference? I also listen to him on Dr. Attia & he mentioned it & then I emailed him and he confirmed it for me. So Dr. Bluming endorses is the use of premarin because that's all the research. He was saying the research has not been done on the patch yet. But you'll see on that page he specifically references Equilin and the study is footnoted.

[@angieharden4321]

Any recommendations for topical estrogen OCT? If that’s even a thing. Thanks

[@eleonorabuba9124]

Can a healthy, active woman at age 73 who has never been on HRT before start on HRT? Is it too late at this age?

[@milliemuzzo2326]

Why does Dr. Menn not recommend testosterone in pellets?

[@saraf1084]

One more question… 😊❓Can myalloy pick up a prescription if your doctor refuses to continue it past the five year mark?

[@PENNSMITHSKINCARE]

I'm not sure, I would definitely encourage you to reach out to MyAlloy and see what they say 😊

[@RMD28]

I’m 56 and about two years menopausal. Had a blood clot in my abdomen 13 years ago so I cant take estrogen. Do I have any options? Thanks so much.

[@denisenj7648]

I'd look into a vaginal cream. Speak to your doc.

[@saraf1084]

❓❓Is there a list of studies or a summary that speaks the doctors jargon that we could give on paper to our physician to help her understand that it’s OK to keep on it if it isn’t contra indicated for you as a patient

[@candyapple7308]

If you are on transdermal estrogen and oral progesterone do you still need vaginal estrogen for vaginal and urinary tract health? Thanks!

[@denisenj7648]

I think so. That's what the last expert penny had on said.

[@deannamead4172]

I am on the estradiol patch with oral progesterone and my OBGYN prescribed vaginal estrogen because I was getting UTIs constantly. So far so good. Hope this helps!😊

[@jaimeamador5034]

In addition to the patch and progesterone, I use a compounded estriol cream vaginally. My prescriber said it was to help all of the vaginal area and keep the tissue plump, etc. It is localized to the vaginal area and is a weaker estrogen.

[@turenam2772]

In my personal opinion… it depends, I was on vaginal estrogen but surprisingly. I no longer need it (and a friend of mine said the same). On the other hand, y sister still needs it. So… up to your body. Note, I do use an all natural product before intimacy to “assist” but not always, as I no longer need it for vaginal dryness (after being on the estrogen patch for 6 mos after going into menopause 6 mos ago).

[@wendycarlton919]

Hi Penn and Dr. Menn, i asked my Dr. If he is open to HRT when the time comes and he said yes but not until my periods stop completely. I asked if he could or should check my levels to see where I am at but he said no need as long as i still get my period. Do you agree with this? I dont want to miss a window of opportunity.

[@wendycarlton919]

@@bilingualbackpacker wow thank you for this, time to dip into alternative resources

[@mirana3967]

So. . . Am I hearing, , , estrogen for vagina, , can be used on face??? IT ALL SKIN?? INTERESTING. THX PENN if ya get back to us about this extra use.

[@PENNSMITHSKINCARE]

No, she just meant that there’s a skin version (M4) and a vaginal version because they’re both skin 😊 I’m not sure of the estriol % in the vaginal version 🤔 but I’ll check 😉

[@PENNSMITHSKINCARE]

Because you do bring up a valid idea lol

[@jeanheffernan4715]

I've used vaginal estrogen for years and I did try putting on my face once. Oh my God one mistake it burned like hell.

[@claritanovelo3308]

Hi Penn Can you find out if birth control pills raise glucose levels. I am prediabetic and tried low dose of birth control pills but it raised my glucose so much I had to stop it. As soon as I got off from it my glucose went down drastically. Thanks

[@sarahmoon9857]

Your eyes are absolutely spectacular

[@yanyperez3609]

I love and appreciate that we are gradually having the access to hormones, but if considered specialty care, WHY are you all pushing a membership?!?!? I don’t mind paying for the care as insurance doesn’t, but a membership too??? C’mon!

[@sarkahalastova9667]

Thank you!

[@PENNSMITHSKINCARE]

You're welcome! 😊

[@xyz-mc5of]

@@PENNSMITHSKINCAREThank you so much 🙏 I’d appreciate more videos on this topic, it’s so informative 🙂

[@zoeberry33]

I'm done with menopause at age 56

[@denisenj7648]

You'll be menopausal and estrogen deficient for the rest of your life.

[@wendycarlton919]

How do you find the M4 cream?

[@PENNSMITHSKINCARE]

You can find it on the MyAlloy website www.pjtra.com/t/8-12831-299858-277677 💙

[@aldanava8947]

Where is part 1?? Thanks

[@PENNSMITHSKINCARE]

Here you go: Weight gain+anxiety during menopause? Getting the TRUTH with Dr Corinne Menn kzbin.info/www/bejne/iXupoIN8m7Sfras

[@lisadeharthansen7076]

Me too.

[@Happiervibes123]

I have a had a best friend for 40 years and she is getting testosterone which has turned her into a bossy, narcissistic, impossible to be around person, as if she is like she is coked up on cocaine. She loves it and that’s her choice and fine with me but I can’t be around. her. It’s like she has no self-awareness and no feelings anymore. You can’t even talk to her. SAD! PLEASE BE CAREFUL… testosterone can make you mean! They give her this with HRT😢.

[@myliarobbins8451]

I tried hrt, I had to get off it, all it did is make me mean and road rage.

[@Geor197]

You need to be balanced in order to feel great, it took me 1 year to find the sweet spot . But I feel great, no more joint pain , no more depression nor anxiety, libido is great, no more vaginal dryness. I am on estradiol patches and progesterone capsules

[@jenniferd8841]

I was on Bio HRT for a while but I had sxs of excess Estrogen no matter the dose. Very happy with homeo hormone replacement. Much safer & no side effects. (for me anyway) Consider having a homeopath on as well to discuss this option. Thx Penny!