The Truth About Estrogen Patches | Ask Dr. Susan - LIVE

[@bellguts2766]

This turned out to be an interview for one person. She got free doctors advice and took up all the time. I am 73 and have used the patch for 25 years after a complete hysterectomy. I my doctor is trying to get me off the patch but I feel I still need it. I went from 0.05 to .0375 and now I don’t sleep more than 4 hours a night have headaches, vaginal dryness and depression. She refuses to keep me on my dosage because I had a stroke 15 years ago. I think it should be my choice. I have my yearly mammogram and have my heart checks.

[@camellia8625]

I agree patients should be deciding what risk level they are prepared to accept (within limits). I wonder if you could phone in yourself to get her opinion on your situation.

[@lf7065]

And this dosage will not protect you from Alzheimer's, Heart Disease and Osteoporosis. Time to find another, far more educated, doctor!

[@andrealopez7451]

It was a pre-recorded question. It wasn't a real person calling in. They just made a skit to make it look like it was.

[@ellekay1721]

Find a new Dr.

[@diann3880]

Fire your doctor

[@nancyv4431]

Great video! I love the estradiol patch. I’m still surprised at how many gynecologists will not support HRT. Ladies, find a doctor who knows about HRT and will prescribe them. Don’t suffer needlessly.

[@lisa408t]

Amazingly difficult to find a dr to prescribe

[@Anisky123]

@@lisa408t…unless you’re a trans.

[@jt8142]

@@Anisky123Not true. Are you racist or just hate people that don’t look or act like you?

[@kellyjackson4973]

Make sure you get a waterproof Band-Aid to go over your patch if you’re going swimming

[@bmbarnum]

or look for Tegaderm (you can ask the pharmacist where it is or google this online)

[@kim_858]

OMG!!! I may as well be listening to myself talk... Just started the patch, .025, 1 month ago, 59, and went through menopause at 48!!! Thank you caller, for asking this question!!.. 😊

[@mariamunguia8863]

I’m so thankful for all the doctors talking about hormone replacement online and on KZbin especially you Dr. Susan you are helping so many women I suffered for so long with so many symptoms my worst symptom was not being able to sleep for so long so many years I am seven years postmenopausal and my doctor never mentioned it to me even though I had these symptoms it is so heartbreaking that doctors don’t advise women about Hormone replacement my mother is now suffering with dementia because she never took was told by anyone to do hormonal replacement and it’s so sad so I’m thankful now for the knowledge and I’m helping my sisters now and I will tell all women that I come in contact with about this wonderful treatment they are gonna think I’m crazy but they will thank me later. Sending much love to you Dr. Susan for all your help.🙏🏽❤️

[@theworldofjuniperthecat1307]

I feel the same 🙏

[@hammerhead957]

Agree!

[@pkstiever]

I learned a lot for myself from this interview. The patient had great questions she brought up that will apply to so many of us!

[@lisahilton9616]

No clue how I missed your segment. I'm a fellow Houstonian and a patient at your office! I had a consultation at your office with your nurse about a year ago. Y'all did my labs and it was extremely useful. I am ready for my follow-up labs and sense I may need to increase my estrogen. Will see what the labs show. Thank you and your team💖

[@janetleephoto59]

Many women still have breakthrough bleeding when taking 100 or even 200 mg progesterone gel caps, I’m one of those. Many have to change to using the gel caps as a suppository for better absorption in order to stop the bleeding. If taking progesterone orally works for you, you’re lucky!

[@cyndieK1]

Just curious did you have a hysterectomy or an ablation? How are you doing now?

[@crystaloconnor5332]

It's not miserable to have a period when you feel amazing AND have a healthy period. I will exchange feeling amazing and energy filled for a short painless period. Good Lord

[@jodielee2310]

Totally agree. Don’t say yay to no period! That’s is when we start aging and dying without periods!!

[@tamih6533]

I wouldn't mind just having a period once a month, but I haven't stopped bleeding since I started HRT. I use a patch and 100mg of progesterone daily. Was thinking to just cyclically dose myself by taking 2 pills for half the time and see if that fixes it. But idk what days of the month to hold the progesterone. How do you take it?

[@Seblor9120]

@@tamih6533 I had the same problem and doctor recommended Aygestin. So I'm still taking it to not bleed. She said long term on this is not good Been on it for a month. 🙃

[@annab5090]

@@tamih6533I just asked this question to another doctor. She said to just start on the 1st of the month and stop 14 days later.

[@cat_623]

Thank you for all of this extremely helpful information that has been long, long overdue to be made available to women. I'm learning a lot from you and I hope I can "teach" (haha) my doctor. I'm currently in a search for a new OBGYN since mine recently retired, and in the meantime, I saw my internist for GYN needs. That visit upset me so much because although I adore this doctor in general, she is not a specialist and that is what I need. I would speculate that ALL women would benefit from seeing specialists. PS: in case it is of interest to you, I went through what they used to call premature ovarian failure (premature menopause) for no reason at age 37. I've been on estradiol and progesterone orally for 21 years and have had no troublesome menopause symptoms. Also, my bone density, cardiac health, and as far as I know my brain health are all fine. I also do not suffer from any genitourinary tract problems. HRT is not just for "symptoms" -- it is for lifelong, postmenopausal health benefits!!!

[@jessicafuss4792]

I am going through this right now...will be 37 this month. I am going on the estradiol patch and progesterone pill...do you take testosterone?

[@cat_623]

@@jessicafuss4792 I hope you are able to navigate this strange, early menopause with grace and comfort!! I do not take testosterone, but I think I need to be evaluated for it. As an update, I did find a new (younger than me!) OBGYN who is completely on board with my goals for managing this stage of my life.

[@seven471]

I've heard widely varying recommended levels in blood work and that's why it's so controversial. In menopause the level that we should have is 0 so figuring out what we want to have should just be based on what was normal in our lives before menopause, but that varied daily in our cycle. I think 40 to 80 is quite arbitrary and I have heard 180 on other channels, so to each his own. I also think we should be very careful when referencing patches that we express the dose correctly; specifically, that it's not 0.5, it is 0.05; that it is not 0.25, it is 0.025; that it is not 0.75, it is 0.075; and that it is not 1.5, it is 0.15. Hugely important.

[@sharonphillips3700]

What degree do you have?

[@puffchickpam1]

@@sharonphillips3700😂😂😂

[@scarylouish]

I think blood work combined with the symptoms we are experiencing is important. You are right. We are all different, and one approach does not relieve all symptoms.

[@teamjorrin]

She's 100% right btw @@sharonphillips3700

[@newtexan1]

@@sharonphillips3700read the box. The correct dosages is important. You must not take estradiol.

[@miaash3870]

Lovely Dr. Susan, your invaluable information is vitally important for all women of all ages. It would be a huge help to find you on KZbin if your channel's name included the word "menopause" . Do please give this serious consideration. And THANK YOU for being here!

[@LS-uz4cz]

Are estrogen patches not optimal for hot tubs and saunas due to premature releasing in the heat ?

[@debistanley2791]

Dr. Susan, if a person doesn’t respond to their hormone treatment and/or combinations an Endocrinologist may be able to crack the case. They test the entire glandular system and they have a series of markers including enzymes in their tests. They love their science. I see an Endocrinologist for Adrenal Insufficiency. I’m stuck in a rabbit hole here. I have a cervical cord injury that causes spasticity. The signal blocker Gabapentin I take for it and others like it were studied before Covid by the FDA for their affect on the pituitary. Turns out, my weaning down on Gabapentin we discovered I’m in a rare group that suffers with adrenal insufficiency. A third of my pituitary suppressed, after 3 years of having a grave case thanks to the FDA swinging that door open to study Gabapentin I started scoring normal cortisol. My cortisol went from 0.9 to double digits highest is 17 proved it was a side affect to the drug needed to treat my cord condition. I’m not cured. 800mg of Gabapentin a day is not enough to deal with spasticity so I get stuck having a mini crisis. I use injectable hydrocortisone. I can rescue without going to a hospital. My Endro learned from my OBGYN daughter in law to try the patch, never occurred to him to try it AND for post menopause my daughter in law learned low DHEA affects libido in both men and women Per my Endro. I checked, the info is out there. Unfortunately we don’t have a baseline on me before the pituitary suppression but I took Premarin as my HRT during menopause. I take DHEA supplement We’re hoping the patch will help the DHEA come up. Anyways, I’m excited to get some estrogen back. You’re right, without it, everything goes ka-put.

[@theworldofjuniperthecat1307]

I’m really glad that doctors are finally helping women. Bless you.

[@rebelgurl7948]

I gained weight on the patch! Creams torches never but they quit working. Patch worked great but now wright gain! Perhaps to high of a dose

[@seraphtarot8610]

If your on the patch and go off will the symptoms start all over again from the newly reduced estrogen when you’re weaning off? I’m afraid to start. I’m 10 level estrogen (so low) and 54 but I’ve had night sweated and flashes for 2 years. If I start psych and go off in 5 yrs will the symptoms start all over again for years to adjust?? Help.

[@AliciasHealingChannel]

VITALLY important to cycle reset detox and mimic nature with BHRT.

[@victoriaboster1177]

Vitally???

[@kikigirlkauai]

What about the disposal of the used patches. Do they put hormones into the environment.

[@midlifewellnessnp]

Great advice, I am a new menopause NAMS provider and I am looking so forward to helping women through these years! I just had my first live talk, “It’s Not You, It’s Your Hormones,” and so many women there told me about what issues they have had during these critical years and how their providers wouldn’t give them HRT! I will be hosting more live talks & webinars on this topic for sure- women need to be heard! I will also be devoting my The 5-Minute NP Podcast to this topic! Women empowering women!💕

[@danikacbass9438]

I turned 25 less than 3 months ago. Shortly after, finally booked in with a gyno for always having struggled with irregular and painful (nearly vomiting painful) periods. She did some hormonal testing, and while nothing indicated PCOS or thyroid issues, my estradiol was 15.4. Believe it or not, she thought it was a fluke! I knew it wasn’t, and thankfully she wanted me to test again about a month later. It was 17.4. Now knowing the symptoms of low estrogen, I have a feeling I’ve had it for years. Should someone like me inquire about patches? If I go from 20 years old onward with low estrogen, I hate to think of my risks.

[@celeste-236]

Danika, that low number is what menopausal women have. And anything below 60 means you are losing bone!! Only getting your estrogen at or above 60 will stop the bone loss. And the estradiol patch in a higher dose, can help. Also your doctor should have recommended a DEXA scan to see how much bone you’ve already lost. Or at the very least, Have you stood in your bare feet and had someone checked your height, the old fashioned way with a pencil mark on the wall at the top of your head? Also what do you think is the cause of this low estrogen? How is your diet? Are getting enough protein? Some people who don’t eat meat, have serious health issues. But you might consider finding another doctor because if you’ve been losing bone, you’re at risk for a fracture.

[@danikacbass9438]

@@celeste-236I was able to get a second opinion, but was informed that their policy isn’t to look into HRT until someone is down to 4 periods a year 🙄 HOWEVER, I actually work in radiology and perform DEXAs as part of my job, and can neither confirm nor deny that I may or may not have had one done as “training.” I’ve since just had to take manners into my own hands and get in extra supplementation and focus on strength training. It’s not a fun thing to have on my radar, but at least I know about it now and have an idea of how to work on it.

[@danikacbass9438]

@@celeste-236I thankfully work in radiology and am aware of the role of estrogen on bone health (I actually perform DEXAs!) and may or may not have had a coworker possibly or not possibly perform one on me on the down low. I’ve had to do a looot of my own research to work on prevention. The stupidest thing is that I did get a second opinion last month on the estrogen level, and I was told that “standard” protocol is to not worry about low estrogen until I’m only getting 4 periods a year or am unable to get pregnant 🙄 Absolutely pathetic.

[@danikacbass9438]

@@celeste-236also! I had mentioned to my doctor that I have what’s called Ehlers Danlos Syndrome. One of the maaaany things it can affect is how well your digestive system absorbs nutrients, unfortunately. But, there’s no way of knowing if that’s the cause 🤷🏼‍♀️

[@Cerceify4645]

@@danikacbass9438 I learned about retina issues from a surgeon when my nephew needed eye surgery due to an accident. I also recently saw a female GYN on YT say there are retina issues concerning lack of estrogen.

[@Ali-wi6sw]

Thank you for your helpful videos. Can you please clarify… I’m 63, in estradiol patch .05, my blood work range for estradiol for the last 2 years has been 21,5,32 15!! That is lower than the range of 40-80 you recommend. My concern is that I asked for the .05 dose to prevent the Alzheimer’s, heart disease and osteoporosis but if the labs show such a low dose of estradiol, I am getting the full benefit or do I need to take a higher dose to raise the blood level? Thank you for your help.

[@allisonhuber1771]

Hi, it's not the dose of E that is preventative it's the E levels in your body (everyone absorbs E differently). So if you want to achieve the preventative levels you need a higher E dose. Hope this helps!

[@tonettetjackson7899]

Glad to hear that it is helping women, but why is it so expensive?

[@pursuehealth940]

@tonettejackson7899 body identical estrodiol patches and progesterone pills are available at very reasonable prices across the US, and are typically covered by insurance. Bioidentical pellets are not covered by insurance, are not necessary for everyone, and they are quite pricey. Personally, I'll probably stay away from the pellet and just go with body identical. Best wishes.

[@loishoran3003]

When I filled my prescription through my insurance, the cost was $160. If I use Good RX, the cost dropped to $47

[@feminineheart]

When my levels drop below 100 I get symptoms again. I’ve been on HRT for 23 yrs because of POF.

[@coletteHawk]

I take the .05 mg estradiol patch and 100 mg mircronized progesterone. Before starting hormone replacement i hadn't had a period for 6 months and now I have one every month again. So i'm puzzled why i'm getting regular periods again when my doctors are doing all the right things why I am still getting a period

[@jt8142]

Are you taking your Micronized Progesterone nightly or cyclical? You could be peri-menopausal instead of menopausal, which is defined as 12 months since your LAST period.

[@jennifercourson7582]

She said the doses wrong in the beginning.. it’s 0.025, 0.05, 0.1mg not 1.0 mg

[@jane6485-n7u]

No, there is a .0375 dose as well. In the U.S. anyway. Maybe you are not in the U.S.

[@kimberlycarrejosimpkins6578]

@@jane6485-n7u you are correct!

[@emilymabry7533]

The vaginal cream has made my incontinence go away! No leaking anymore!

[@annierichards7367]

Me Too! Bathroom trips back to normal! finally sleeping! Hallelujah

[@MawMawsGirlz]

I had a total hysterectomy in 2012, took estradiol tablets for about 2 years. Took myself off of them as I was afraid of getting cancer from hrt. I’m now 53, have been on Climara .325 mg, for about 6 months and now I’m losing hair!!! It’s not on my pillow but when I comb or brush it, I’m losing A Lot! I have long, fine, dark brown hair and have a few gray hairs. I’m taking Biotin with Collagen gummies plus 50+ women’s multi vitamins daily and have been for about 8 months. I’ve taken tenormin since I was 23 for mitral valve prolapse, Gabapentin, low doses of pain meds due to a rare congenital severe arthritis condition plus my ra level is 54. Yes!!! I hurt every day and have since I was a child due to my congenital condition but this hair loss is frightening! Do you think I should stop the vitamins? I was on a normal multi vitamin and the vitamin A was lower than this 50+ vitamin. I’ve noticed hair loss since the change of vitamin but could the Climara patch be responsible for my hair loss? I don’t have ovaries or anything and I was put into post surgical menopause and was on my cycle when I had my total hysterectomy so that was horrible! I have no hair on my arms now and that just happened within the last month. Climara was a miracle for collagen that I lost and seems to have helped my arthritis symptoms. Can’t take arthritis treatment cuz the Dr said my condition is congenital.😢 I also have had lower left leg and ankle swelling the past year and I only weigh 115. Lost from 125-113 in a month this April and think that was stress related 🤷🏻‍♀️. Hopefully I’ll be divorced soon due to domestic abuse. Mental abuse. Yes I’m miserable but can’t find a place to rent that I can afford and my family is 3hrs away. Lost my only son in 2014, my husband at the age of 35(he accidentally shot himself in the head), and the husband before that, abused me for 13yrs(kids dad). My life is stressful so could that be the reason for hair loss, could it be poor circulation from my leg, my vitamins, or the patch? I’m praying you can help me and sorry for all the info but I’m trying to touch base on things to help.

[@hollywesten9550]

Hi, I’m not a doctor, but I wanted to mention that I was prescribed Gabapentin, and it made me lose my hair like crazy! My doctor had me reduce the dosage, and the hair loss lessened a bit, but then it got bad again when I tried going to the full dose again (I wasn’t even taking very much, compared to most people). You didn’t mention how long you’ve been on Gabapentin, but I would suggest trying to stop that if it’s possible, to see if your hair loss improves. Gabapentin was terrible for me and my hair. The hair loss stopped after I stopped taking it. 🙏🏻

[@jkwjcw3ify]

I'm 67 started estradiol and medroxypro in 2007, 16 yrs now. .05 dose. My Np says I don't need patch, I would like it I think. Also menopause is long gone, do I still need medroxypro? I have tried to stop HRT a few times over the years ( because they said it was dangerous you know) and it was nothing but a nightmare each time so I'm not going to quit anymore.

[@DebbieDooo]

I started on Combipatch 0.05/0.14 and even after 3 weeks I can tell a difference. I am sleeping more soundly, mood has evened out a bit and vaginal dryness/integrity has gotten better. They say it takes 3 months to see full benefits so I am hopeful that it can only get better yet with time.

[@rachelteeuws1241]

Wonderful. Have you had any side effects from this patch? I’m due to start estalis conti 50/140 next month and eager (and hopeful) for a positive result

[@DebbieDooo]

@@rachelteeuws1241 no side effects as of yet. Good luck with yours!

[@leannaennis6631]

I am starting my 3rd week on the patch. So far so good.

[@rachelteeuws1241]

@@leannaennis6631 good to hear

[@user-fv7lr3ue3v]

Thank You sooooo much for this info....I am going to start this patch this week and hopefully I will see improvements as well 🙏

[@bonitageborkoff5649]

Where is a good place to put the patch ?? and I was told to use two times a week. ( change 2x a week)

[@helenhernandez2197]

lower buttock areas or bikini areas & switch to opposite side at change of patch

[@annehaughton3968]

My problem is cramping like I’m getting a period but no bleeding -I’m on the verge of stopping for only this reason.such a grind

[@vivavita3769]

I had the same reaction to the patch,

[@gigjoy1994]

Omg same. The cramping has me feeling horrible. Did you ever get any relief?

[@megmorrill9600]

Dr. Susan, thank you! I know this is 2 yrs. past your program, but it was so packed with info and super educational!

[@DLNewhouse54]

Since starting the estradiol patch I gained 12lbs!! I am a diabetic I take novalog twice a day and ozempic 1 mg every Sunday. I eat organic foods drink water every day and I walk 3 to 4 times a week...why Am I gaining weight and not losing weight???😮 also I had a complete hysterectomy when I was 30 I'm 53 now and I just started estradiol 2 months ago.

[@jesscouch8397]

i started the E patch 0.025 then went to 0.0375 my hair was really falling out and now I am Estrogen Dominant . What say you Dr Susan ?

[@deborahc7113]

my stomach gets so bloated, not sure if its from est pill 1mg, test injs or progesterone? any input on this?

[@OlaRalu]

Hi, i'd put my bet on the estradiol pill. The same thing is happening to me, honey!

[@lorimoore5589]

So there is no risk of clotting with the patch? My understanding is there is risk of clots with both just a bit less with the patch. Oral estrogen is 1 out 1,000 for clots and 1 out of 2,000 for the patch. Is this correct or am I misinformed?

[@gloriab3776]

I am so happy you’re in Houston. I’m coming to see you

[@catherinethibault2518]

Omg you are a blessing 🙏🏼 how come we are so little informed ?

[@Jenny-nk1et]

I need to find a different doc. I mentioned hormones after i go thru menopause and he said theres no point in giving u any hormones. Im having hot flashes and moodswings.I'm in peri I know I'm getting close to menopause

[@millytorres9777]

I went thru premature menopause at the age of 27. I have been suffering with vaginal dryness for years.

[@desireeasselinpena]

I was told by my doctor that the patch DID NOT treat dryness. You have to use the cream for that

[@conniemartin9468]

Im on estradiol .05mg, 60 years old, I still have some insomnia, and anxiety, brain fog. Im not on progesterone because I had a hysterectomy. Is there anything else I can do for these symptoms. Thyroid is normal.

[@Suzen_S.]

You need a higher dose. We keep raising mine until these symptoms stopped.

[@gregoryludkovsky5185]

I was rx ed 1 dose of patch 1998 & use it from then on 3 yrs ago my GYNO rx ed vaginal estrogen & then testosterone cream I'm 75.5 yrs young.

[@babyluv1879]

Very helpful video I've learned a lot about the dosage of estradiol patch I was on the 0.025 didn't see any improvement now I just started on 0.05mg I'll give you an update 😊

[@aawrnnc]

@babyluv1879 - do you have any updates?

[@babyluv1879]

Yes I've been on the Estradiol 0.025 going on 6 months and I have seen a huge difference the belly bloating the feeling full symptoms along with gas hot flash are gone I also recommend to my older sister she was having the same symptoms she's 54 She seen a huge difference as well I highly recommend I don't have any side effects from using them they are once a week patch they don't interfere with my workout or bathing I highly recommend this patch I hope this helps anyone who's interested in using them

[@babyluv1879]

One patch last for 5 days then change and it also helps with dryness I hope this information helps someone

[@dm2836]

@@babyluv1879In the first comment you said 0.025 wasn’t helping so you started taking the 0.05 and would update us. Then in your update you said you were still on 0.025 and loving it. I’m a little confused, did you bump up to the 0.05 and then go back down to the 0.025 and stayed there? Was there a reason? I’m only asking because I was just prescribed this today and I am TERRIFIED so I’m trying to learn and understand everything. 😭 Also my patches are twice a week and that stresses me out too. Plus I have to take 100 mg of progesterone on it and I’m so afraid I’ll gain weight because I’m only 5’1” and already weigh 184… I hate getting older so much. 😭

[@vickystreeter376]

Is it better to take the estrogen patch and the progestrian pill separate or is the combipatch just as good

[@helenhernandez2197]

I gained weight on combi & started bleeding daily just switched to this regime last night! wish me luck!

[@jt8142]

The combi patch has Progestin in it, which is a synthetic form of progesterone. I would stick with oral Micronized Progesterone and the Estradiol patch, both of which are bio-identical.

[@triciacarpenter2796]

I have been on an Estradiol patch for yrs and mine is at 0.1 MG and was told I could not get it any higher, I had a complete Hysto in 2018 still on the patch and feel it's not doing anything. I finally made an appointment with a hormone clinic and they took my blood and I'm getting the pellet.

[@ktcee803]

Me too! Years on the highest patch. I don't sleep well, dry skin, anxiety, inflammation, hair fall. I had a blood test and found i have less estrogen in my system now than the last year! I've just ordered cream. Hoping I can get levels up and feel better.

[@jt8142]

Pellets are untested, unregulated, and very expensive. Buyer beware.

[@persnickety369]

Some women also add a testosterone supplement.

[@newtexan1]

I do. But it’s so hard to regulate

[@nicolameikle8737]

I wear progynova patches. I wear a 100 patch and a 50 patch. I use progesterone cream and androfemme cream

[@gloriasaliba3395]

Greetings from Sydney Australia - sadly for me my doctor did not prescribe HRT for me as I was struggling through menopause as I was overweight and DT2 - I am 62 now post menopausal have lost 60 pounds and almost reversed my diabetes - am I able to start HRT now? I am having a heart check next week - my chronic insomnia and anxiety also heart palpitations is just awful

[@victoriaboster1177]

Find a new doctor. You’re worked really diligently to get healthier so now find one who will partner with you.

[@jodielee2310]

I literally hate progesterone it gives me anxiety big time. I know I should take it but I skip it most of the time.

[@elainelerma9356]

I am 51 and I want to start HRT. I had a heart attack 8 years ago and have 2 stints. I was at 125 lbs and in perfect health. It happened out of no where. I am still working out and feel great. Do you think I am a candidate for HRT?

[@amandagreene367]

I’m not trying to be rude , but my Sister had the Phizer Vaccine and had a heart attack and a stroke 2 days after the shot and her hair fell out?!?

[@Dzulcic]

Find a hormone therapy clinic to help if doctors will not. Most doctors will only prescribe pharmaceuticals.

[@hawaiijeans]

I have been on a .1mg estradiol patch for 2 years. My levels were checked & too low. Now I am on .1 + .075mg

[@MeimeiLovesmusic]

How did you get the doctor to prescribe the additional .075 mg?

[@bethcomstock5708]

How many years can you use the patch? I had a complete hysterectomy in 2004 and have used it continually. A new doctor wants me to stop using it. I want to continue use, I have had great results.

[@PorteñaCali]

Listen to yourself first!

[@yvie0136]

I have never had HRT never had it offered or in my orbit but I have been given antidepressants for symptoms i am now learning are most likely menopausal. I am now 64 is it too late for me

[@terrib3083]

Same here. I finally got off the antidepressants but think I may need some hormones. I’m 72.

[@JanineHyslop]

Im not post menopausal at 51 just missed a few over the past year so im on the progesterone for 14 days on and 14 off off and oestrogen gel every day. I felt better within the week less joint pain anxiety much less brain fog and slept better first night i too progesterone. My night sweats are pretty much gone and the weird sweat smell has gone im amazed.

[@chrissypiec1427]

My dosage says 0.1 mg daily of Climara patches

[@dianechapis]

Thank Doctor Susan and caller Mindy for asking these great questions ❤ I learned so much today.

[@josephinemiller68]

Why would it be controversial to draw blood? Wouldn’t that be extremely necessary checking levels before? not expensive and it’s easy!

[@elenasalisbury8282]

Dr . Susan .. you are amazing !

[@shondrellhill6148]

I just started taking LyLLana .0.05 and Progesterone 100 MG

[@jessg5286]

Can you take too much progesterone? Would it create high blood pressure? I am on 400 mg prog daily and doctor Susan only talked about 100 and 200 mg. .50 estriadol cream

[@jodielee2310]

Progesterone makes me way too depressed! I wonder why you say it helps our moods? I take 100mg every few days that’s all I can stand.

[@alovelyyarn]

100mg helped the anxiety immensely, but it also tipped me over into depression. I couldn't do it.

[@diann3880]

Estrogen levels should be over 100 … anything less only protects the providers

[@tamiramos5873]

With all the side effects, how do you feel ok with doing HRT? I was given Prempro the other day but I don't want to take a pill so I asked for the patch. That's why I am here. But the only difference between you and me is I still have my uterus. I was told initially that if I only have estrogen that I would have my period again. I may be getting the combi patch. However, I am not sure why I am getting anything, my sex drive is outstanding (although I don't get satisfied much), I do not have a dry vagina, I went through hot flashes and if they are still here, I do not notice them. I do want to sleep better though and get this menopausal belly under control. If HRT doesn't help with those two things, I am not sure why I should do it.

[@jthepibble9651]

Progesterone is the feel good hormone, and it DOES make you tired and I sleep TONS better now that I am on the prog pill WITH the estroidal patch - Thank God, are you on progesterone? Try watching some Dr. Barbie Taylor vids, she has a vid on every aspect of this and is very informative also as well as this wonderfuln lady here, Dr. Hardwoch Smith thank you

[@Cerceify4645]

A ophthalmologist told me retina problems occur in women not taking estrogen. He makes a ton of money on their surgeries, not just my nephew.

[@terryo1463]

another channel said you also need testosterone with estrogen and progesterone to help with sex drive and muscle mass and strength is that true

[@deborahdeclue]

Yes true for many women. I suffered for an entire year with no sex drive, loss of muscle strength and tons of mood swings/weepiness. Figured out my testosterone was in the 5th percentile. Started testosterone therapy and within 4 days I started to feel myself again- it was amazing! I’m now feeling normal with a great sex drive.

[@Lifee4224]

​@@deborahdeclueHello. How many doses of testosterone do you take per day and how many days do you use it in a month? thanks

[@deborahdeclue]

@@Lifee4224 It’s given via injection every three months by a doctor who specializes in Bioidentical HRT- the dose will be determined by your weight and a couple other factors and should start out conservatively in order to avoid unwanted side effects. I’m very happy with it so far- I’m about 4 months into being on it.

[@AlwaysLoveGodFirst]

@@deborahdeclue I am taking testosterone in a cream form and it is doing nothing. Where did you get the info about testosterone in injections? Wondering about this option…I have my OB app next week. Thanks!

[@alisonlevy2273]

What is the appropriate dose of the patch to reduce bone loss?

[@kmcq692]

Thanks. I’ve had menopause four years ago and started some HRT for two years or so and now observing that my tendency to obsess and binge on KZbin videos about skin care may be related to my HRT (100 mg progesterone pill and 0.05% estriol patch)--I might need to cut things in half. I’m so obsessed about things! Eek!

[@jt8142]

kmcq692: Your comment doesn’t make sense grammatically or otherwise

[@meilih2030]

It's not just the body, my brain is also malfunctioning. Sometimes I stop and pose and think what I am going to say, or I stop and think what i will be taking from the cabinet. I kinda have this blank moments. I hope I can go early tomorrow and get ultrasound, I will ask for patch if it helps my dryness. All sorts of things happening to me when I entered this 40's. Even spider veins are all over, maybe it is also hormonal. saggy cheeks, laugh lines, stretchmarks due to gaining fats on hips and thighs and legs, Pores are also huges, acne scars got deeper, My acne is getting hyper again probably due to androgen. My estrogen is declining. A few pieces of gray hair on my head. My cycle is shortening and dryng up. It's sad to grow old single and alone. I'm 46 now going 47 I feel like I have a death sentence.

[@ddob43211]

My brain fog was terrible before the patch plus progestin. It cleared up soon after.

[@Anonymous-sh3ig]

Talk to your gyno my dear

[@meilih2030]

@@Anonymous-sh3ig I did she didn't prescribed me the hormone she said I can take herbal estrogen. My sister doesn't agree on estrogen because we have 3relatives that had cancer.

[@meilih2030]

@@Anonymous-sh3ig it's fine, I just need to adjust slowly with my age.

[@kims5747]

Why not go with bio-identical topical estradiol cream? My understanding is that it is all natural, so it is safer than the patch.

[@Katepwe]

It’s all bio identical whether it’s patch or cream or gel. It’s all made in lab to be body identical.

[@pegalou5785]

I am 65 and had a totally hyster with both ovaries removed at 32. I have been on a patch all these years. My dosage now is 0.025mg twice weekly. Although my physician would like me to stop. I have tried a few times but hot flashes and insomnia were horrible. I also want to stay on the patch for osteoporosis and to help with my heart. I have vaginal dryness and started vaginal estradiol for this. I think I could even be on a higher dosage of patch. Do you have any recommendations? Thanks.

[@puffchickpam1]

Yeah, find a new doctor. Ain’t no reason for you to be quitting your HRT.

[@04Serena]

I’m 72 and my ovaries were removed at age 23! It’s been a journey... I began on oral estrogen, but have been on a patch (now 0.05mg) for many years, and my doctor knows better than to try and stop it. Some older/uneducated doctors will try to stop ERT at age 65, but that’s just BS if a healthy woman is symptomatic without replacement.

[@pegalou5785]

@@04Serena exactly!

[@cynthiaporcaro9937]

Such great info Dr Just starting patches. And its pretty low, so i may have to asi her t8 bump it up. I love your videos! So much great info

[@kikigirlkauai]

Love you doctor Susan and thank you. I learn a lot from you.

[@hawaiijeans]

.375mg is not a low dose, Dr.! I’m sure you both meant .0375mg, right?

[@gloriaminnies4324]

I had a full hysterectomy menopause only starting now. I'm 53yesrs

[@amandagreene367]

Me too!!!

[@hawaiijeans]

My experience with doctors is you cannot say you want to be in a certain range. You must say you are symptomatic. They are told to prescribe ONLY to alleviate symptoms. My gyno told me I am at risk for heart disease & stroke by taking HRT. I told her I have heard the opposite. She shook her head, “no”

[@gypsyrose5502]

I appreciate the advice to just tell the doctor I still have symptoms, in order to get an optimal dose. I’m going to do just that.

[@Snipewoods69]

Shouldn't you always start on a low dose first?

[@malindalee1]

What is the best time of day to apply the estradiol patch? What other ways can you take progesterone if the bio progesterone causes side effects?

[@larisalilynedelcu]

What tests do you recommend before starting hrt? I checked my heart, the breasts that have a benign formation each to follow, gynecologically, they are suitable for substitution. But for the risk of blood clots, what test do you ask the patients?

[@Intrepiddabbler]

So SO glad someone called about a post-mwnopausal "period". Went to one doc and she said that that was "normal". My thought: no ma'am, it ISN'T!

[@katmct]

My doctor also told me that it's a part of life and get use to it!? No ma'am.

[@puffchickpam1]

@@katmct I would’ve had a few choice words for him

[@tovah2276]

@@puffchickpam1She said “No ma’am.” So let’s not assume that it’s a “HIM” and maybe pay a tiny bit of attention to the comment prior to that judgemental comment. MANY MANY Male OBGyn’s are huge proponents of Estrogen/Testosterone supplementation for your healthy but jumping to a conclusion that her MD is a Male is just wrong and this is one Specialty that Men take a huge hit in, from Women. Don’t be that person. Perhaps you missed 1 of the 2 sentences? An oversight maybe? Regardless, pay attention if you are going to comment and then try to not assume or judge. 🙏🏻♥️👍🏻 Be well.

[@doodieevanshenagan3330]

I’m 73 yrs old & just began estradiol patch, compounded progesterone & testosterone, patch is 0.1 mg,…progesterone 200mg capsule….testosterone 1% (25mg,/2.5 gram…place 12.5mg each morning…..I was using estradiol face cream but stopped cause my nipples began being very sensitive……forgot to say I’m also applying compounded progesterone in the morning…….so I’m wondering which hormone is making my nipples sensitive?? My blood work last week revealed my levels….Estradiol 58.4…..Testosterone 92……Progesterone (Prometrium) no results……FSH 37.1

[@Dzulcic]

Dr. Susan, what is the optimal level for progesterone and testosterone for women post menopausal? It may take a year of lab work and pellet therapy to get this “just right”! Thank you for all your insight!

[@jt8142]

Do not settle for untested, unregulated, and expensive pellets

[@carlaadams1386]

This is a helpful video! The first person asked all my questions and now I feel enpowered!

[@jillharding2991]

I won’t be taking it anymore. I was put on estradiol 0.5 dose 4 months ago, it’s a gel I had to put on my thighs. Within 3 months I got cystic acne, a very bad side effect of this stuff. I now have 2 abscess on my private parts, and 2 very painful cyst in same area. I’m on 2nd lot of flucloxacillian to clear them up. If they don’t go this time my g.p said they have to be drained. I also got facial acne, so much white stuff oozing out my skin. I felt sick. My doctors agree it was the estradiol that caused it, and has taken me off it. The patches made me itch insanely, and they wouldn’t stay stuck to my skin. I have to find natural foods and vitamins supplements to replace this hormone. I’ve had no estrogen in my body since having a hysterectomy in 2014, we are now in 2023.

[@lf7065]

This starting dose was way too high! Your doctor didn't know what he/she was doing. A menopause specialist would be much more helpful to you.

[@chestnutmair1]

Can you start estrodial patches if you have high cholesterol? Or does low estrodial cause high cholesterol?

[@ms.lex.lex.]

I'm 39, on HRT for the past 6 months- patch and progesterone daily, and my period returned monthly since being on HRT. My period went MIA for nearly a year. I don't mind that my period is back. Soooooo..... should I not have a period?!?!

[@nancyparsons8031]

How much estrogen is to much? I take 2mg

[@bluejean-1968]

Very detailed and helpful information.

[@LadyKay78]

Thank you! How long after being on patch on the lowest dose is suggested to get labs for the level?

[@Happilyeverafter2]

I just started an estradiol patch 2 weeks ago. I change it every week. It's 0.1 mg/day. Is that low? High?

[@QuenllyWatson]

Thank you so much 😊 I have all the s/sx and my doctor gave me the vagi so cream it es. Awful after seeing this I Asked started progesteron 200 mg and the patch .05 I can’t wait to see results..how long will it take ?

[@tinaseamon6324]

I am 54 and postmenopausal. I hadn’t had a period in over 10 years (although I was on the Depo-provera shot during most of that time). I stopped taking the the Depo shot in 2022 because I suspected I was menopausal a and blood work confirmed I was. During that time I had no period. I started HRT in March 2024 and have been on it for 3 months and am now having breakthrough bleeding every month. I’m on 0.1 estradiol patch and 100 mg progesterone every night. Overall I feel so much better but the breakthrough bleeding is really a nuisance. Should I consider a dosage change?

[@mariamunguia8863]

My doctor started me on 0.25 patch and 100 mg of progesterone at night it didn’t take all the symptoms away so I asked my doctor to please if she could bump it up higher because I was still having symptoms and she put me on 0.05 estradiol patch but she left me on 100 mg of progesterone I asked her if she could bump that up to and she said no so my question to Dr. Susan is is it necessary to bump up the progesterone 200 mg I don’t want my uterine lining to start growing.

[@shenell1185]

Do u mean 0.025 mg (not 0.25)

[@copenhagem1]

100 mg every day, 200mg 12 days of the month

[@cherikreitzmann6281]

I've been on 2 of the 1.0 estrogen patch but still have hot flashed at night. My labs in the past say I have good levels. Any thoughts?

[@Thereisonlyone464]

Hi This is such a great video! I have noticed that when I change my estrogen patch one day per week, on that day it seems like I’m getting too much of it, because I get really flushed and hot maybe a little dizzy. It goes away by the next day, but I’m wondering if that not good? And what should I do about that?

[@erinbuxton6787]

My body is buzzing through the patch (0.05mg) in 2 days, on day 3 I am feeling terrible! Like I have the flu! But if I go to higher dose patch, then it's too much.

[@wem-c9f]

Hi Dr Susan, so I went to another pharmacy to get my new box of Prometrium today as it is running out. And this pharmacist also told me that I have to take it at least 1/2 hour before food on an empty stomach or 2 hours after food. And there is a label on the box saying so. Now I am really confused again because I was taking it with food after your comment. Can you please help clarify this? And the pharmacist also says that it may affect mental alertness and/or coordination. It's funny how without estrogen, we will have this brain fog and then we have to supplement Prometrium while on HRT if we have a uterus and it can cause mental dullness and coordination issues 😅😂😭

[@lisadavis1837]

Thank you so much!I have learned a lot listening to your podcast.

[@Lulu-kt6gr]

.025 is low. I’m on a .1% patch. They go up to .4%. I’m confused about the .75 or 1%?? That sounds very high.