Three common side effects after starting on hormone replacement therapy and how to fix them

Three common side effects after starting on hormone replacement therapy and how to fix them // Interested in, or just getting started on HRT but having a side effect? The good news is that there are some common side effects from starting HRT that I hope this video can help with.
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• Three common side effe...

[@heatherhirschMD]

What side effect did you have after starting HRT and what helped you fix it?! Comment below!

[@DisneyLissy]

I started last week and I’m cramping so bad. I always had horrible cramps when I had my period and can’t go through this again. Will this stop?

[@surgag]

Thank you! I’ve been on HRT for 6 months & this was very helpful.

[@lorrainespear1210]

I had a week or two of very minor spotting after starting HRT. That was the only side-effect. Otherwise it has been fabulous. No more night sweats. I don't feel like have to urinate all the time. No more brain fog. I don't feel like I'm in perpetual PMS mode. Best of all is the arthritis pain in my hands, feet and left hip is gone, even on rainy days.

[@SzazaM077]

Lack of libido

[@DW...]

@heatherhirschMD If you experience crying every day - would a higher dose of estradiol help? 🙏

[@liasmith696]

Thx Dr. Herschel~I’m 50 years young, just started HRT and I’ve traded watching home décor videos to menopause vids because they are so informative! 😂

[@niebieskimotyl3308]

Same here, binging menopause videos😊

[@debbie5128]

Collagen, magnesium, and vitamin c are what I take daily. Taking Collagen has improved my mobility ten fold. It takes a month or so to feel it. Keep moving your body - walk, cycle, swim, use light handweights, nothing too strenuous on the body. If you have stress - remove it immediately. Stress is the biggest igniter for menopause. It truly is a time to know your body, cycles, and be kind and loving to you. No more people pleasing 😁😁

[@mdaze9753]

I went into menopause at 48 after my mother died. I can attest to stress being an igniter ✋

[@Karikk72]

I swear that’s what happened to me !! Lost my dad July of 22 and things went crazy with my body right after !

[@SirenaSpades]

I've taken these since my 30's and I wouldn't say I've ever "felt" collagen. If you want something for mobility, it's glucosamine chondroitin.

[@debbiedejager2948]

I agree with this but would like to add that every woman going into menopause (if they are physically able to) should be doing some form of strength training to compensate for the loss of bone density & muscle mass which we know is exacerbated by the onset of menopause and the natural ageing process. This means lifting heavy by starting off with light weights and progressing to heavier weights over time. It’s not about bulking up but maintaining body strength. In combination with this I would include exercise such walking as close to 10000 steps a day as possible (understandably many of us have all day desk jobs). Taking up a Pilates or yoga class at least once a week, to focus on maintaining flexibility. Diet of course plays an 80% role in this. It seems to take a lot of us too many years to realise this and actually do something about it! I speak for myself here too. A lot of ailments (lack of energy, bloating) can be corrected through diet. Needless to say, going into menopause changes the game plan for many of us completely, our worlds are indeed turned upside down, where very little seems to be what it was before. So we need to up our game and this is basically what this message is about. Taking control of these changes to the best of our ability, so that life doesn’t ‘just happen’, to us. Do the research, make that appointment with an HRT specialist gynaecologist if need be to discuss your HRT journey, get yourself some weight equipment at home, find an exercise buddy to help hold you accountable on your fitness journey. With All this in the mix, our mental health will thank us for it.

[@branver1172]

What type of collagen do you take? My joints could use help.

[@mystrength5640]

Hrt is incredible.. it’s changed my life! 🎉💐

[@jujugoketo3711]

Thank you for this video. OBGYN has had me on estrogen for 2 years. Went to functional doc and switched to a blended cream. Got order for ultrasound- now I have hyperplasia - 15 mm thick uterine walls ( no Cancer cells).Immediately wanted to do surgery for D and C or hysterectomy. Been researching- I believe I should be able to reverse the thickening with progesterone. Really upsetting that I should have been checked earlier - AND I should have never been on estrogen without opposing progesterone..WHY would this happen! I just don’t doctors. You must research everything for yourself. Thank God for KZbin to give me a clue and do.additional research!

[@jonbonjovi6017]

That’s awful that 2 docs gave you estrogen without progesterone. It’s common knowledge that if you still have a uterus, you need progesterone because you will eventualky develop uterune cancer with unopposed estrogen. Any and every doctor should know that. That being said, your post highlights the importance of doing our own research, and being our own health advocates. Pubmed studies are very useful, since google is often biased, though I do always start with my searches with basic search engines. Good luck to you - it sounds like you caught it in time! God bless.

[@ellachallas]

@@jonbonjovi6017 It’s really needed whether there is a uterus or not. I had a hysterectomy and unilateral oophorectomy and was told I would only need estrogen (which was up to me). I ended up taking the estrogen and developed a hemorrhagic cyst that caused torsion on my remaining ovary, which has to be removed in emergency surgery a few years after my hyst. After that, my dr’s told me I would only need estrogen, because I have “nothing left” that I need to take progesterone for. I took estrogen only, again, for the past 6 years and just had to have a CT for a mass that a gynecologist I just started with found during a pelvic exam. Interestingly enough, it’s most likely an ovarian remnant that developed an endometrioma. I’m just sharing to raise awareness 🤍!

[@zmaja]

No bleeding, just headaches and nausea, stomach pain, but I was patient, eventually it got better, after a couple of weeks no side effects, I just feel great and I have no intention of stopping, ever.

[@debbiemartell8100]

Such a great video! Thank you 🙏

[@TTF-Sunshine]

Thank you. Very clear and great info

[@beverlystormbrumfield6815]

Very informative! Thank you so much! 🩷

[@user-gm8qo2ps3x]

Thanks so much for all this information so reassuring Denise liverpool England

[@totoslifetotochicken3871]

I started on 0.05 Estrogen patch/100mg progesterone and although my perimenopause symptoms completely went away in the 3rd week, at the 4th week I got a full period with all my debilitating PMDD symptoms . I asked my doctor if we could lower the estrogen 0.025 and up the progesterone to 200mg and so far in my 3rd week of this new dosage and some of my hot flushes came back but I have no period so far which is life saving. Oh, and my sleep is bliss now, which helps with everything. Thank you for all this valuable information!🌺🌺🌺

[@NiaLaLa_V]

Did your PMDD also go into Extra Super Elite Hard Mode as soon as perimenopause started? I am here because I feel like this is even harder than puberty was.

[@delenevanniekerk930]

Thank you só much. This is spot on and was very helpful.

[@patriciamoeller7649]

I star HRT couple years ago after I change 3 doctors and when I finally thought I’m going to fell better she prescribed the estrogen patch and of course after few weeks I bleed she didn’t prescribe anything else but the patch , so after I called to see her she immediately book me for a biopsy and the cost was almost 2000 dollars out of pocket because my insurance didn’t cover it, now I had another doctor who prescribed a estrogen gel and progesterone I’m ok but I know she needs to adjust the dose for them I’m very disappointed of doctors , I’m 52 no energy and 4 different doctors 😢

[@joannbarrientes4996]

I feel same way

[@chart2]

Thank you.

[@ariesloveandlight5367]

Thank you ,I’m excited to start hrt.

[@dorothynewhouse1160]

I had a complete hysterectomy at 30 didn't take HRT therapy ever I'm now 54 and my body is weak tired, I'm in pain daily I'm overweight and can't lose weight I'm tired and have no energy..I recently made a Dr. Appointment to discuss hrt.

[@heathernotzdaniels6350]

I'd be curious to know what your dr said to you about it. I am much the same position, age 31 complete hysterectomy, 2 years of estrogen, then the scare, now 51, and feeling like I'm having some sort of menopause like symptoms again. I'm having hot flashes again, I haven't slept well in over 20 years now, I have thyroid issues, pain issues, so many things have built up over the years, no matter how well I took care of myself. Asked my new dr about hormones and she said no, it would cause more issues at this point. I'm not sure it could get any worse honestly. Surgical menopause just isn't discussed yet, and with all of this new information coming out that we should have never experienced this life without additional hormones all these years, I am at a loss as to what to research to find the answers that I need. And you need.

[@rema1787]

I also had a complete hysterectomy at 30 and I do not know what to do! Did you start estrogen right after surgery? What do you mean by scare?

[@heathernotzdaniels6350]

@@rema1787 at that time, it came out in the news that hormone therapy was causing breast cancer, so many women went off of their hormones, it was a huge drop in numbers. Now, it's being reported that information was not accurate. But 20 years have passed, so now it leaves many of us wondering what to do. And yes, I had started estrogen as soon as I came out of surgery, they applied a patch while I was still under.

[@KingBasile]

@@rema1787 The scare would be the WHI study in 2002 with the statistically skewed "results" scaring both doctors & women off HRT. Find a good doctor/health professional who will listen to your concerns, they are online too.

[@4everyoung24]

@@rema1787 I think she means the scare of the study where they decided, without thorough investigation, that estrogen was the devil and all women needed to be taken off asap.

[@happygoluckystar8069]

Very valuable content 👍👍 the only thing that is bothering is the sound and echo. Anything that could be improved?

[@xochitlsuffle3343]

I been on HRT a little more than 6 months, I had bleeding but my obgyn did not want to lower my estrogen because I have been feeling GOOD, so she gave me more progesterone, 200mg and it didn’t stop, so went to the maximum 300 progesterone and it is still not stopping so I am changing to the IUD, hopefully that works. But HRT really changed my life!!

[@ileanamurias922]

Great information. Do these side effects get better over time? I just started and side effects are not great

[@kathrynreifenberger1194]

So informative, thank you Dr.! Tough to listen to because the sound quality is poor, very tinny. A good mic-audio system would be great 👍 (thought you might want to know)

[@askssk715]

Yay! What great timing. Started on .025 patch last November. Increased to .05 patch a month ago and I've started spot bleeding. I figured I just needed to give it time. I have had a Mirena IUD since I was 36 and haven't had a period since. I'm 57 now, so the spot bleeding is funny to experience again. Glad it's nothing to be concerned about.

[@duynajohnson8479]

Estrogen causes cancer.

[@theresamcdonald-smith5046]

At 64 years old, I cycle my HRT (estradiol, progesterone, testosterone) and still have a period every month like clockwork. It’s worth it, for as good as I feel. I use only bioidentical hormones from a compounding pharmacy prescribed by a holistic doctor.

[@joannebarlow3900]

Can you explain what you mean by this please?

[@health_Natural2]

Period at 64?? Really???

[@theresamcdonald-smith5046]

@@health_Natural2 yes! I’m assuming I will have it as long as I cycle the hormones.

[@theresamcdonald-smith5046]

@@Maggie-zr2ow Well, you’re actually trying to mimic your body when it was younger, so I go with the cycling. I tried static dosing, but I didn’t feel as good. Check out Suzanne Sommer’s book “Ageless”. She mentions other doctors in the book that also have good books. I spent about a year research this stuff before I started. It’s been 14 years for me, now.

[@starrhall8160]

It is unnatural to have ur period at such an age. Tricking the body is not a good idea.

[@virginia6793]

I heard from another KZbinr who is a doctor that the minimum dose of estrogen to prevent disease like heart disease and dementia is .05 of the patch. If you go lower, it may work on symptoms of menopause, but it's not that good at preventing disease. Is this correct?

[@tinaalbritton3450]

Good question!

[@everhappy6312]

That's Menopause Taylor...Dr. Barbie Taylor talking about that:). Yup. That's correct.

[@loriwestern9103]

Thank you, for posting this, started hrt 2 weeks in started bleeding, trying to consult with my obgyn on which way to proceed.

[@patriciapyper4617]

Yes neausa vertigo and sore joints l am on evorol Conti patches ❤

[@stephaniehughes901]

Ive been on an estradial patch and progesterone pill. My symptoms started coming back, so i asked my doc about T . She did bloodwork then prescribed estratest. Im afraid to fill it,because ive bever heard about it. How do u feel about it? Thanks

[@charmaineclayton2018]

I have very sore hands and a horrid belly bump , I am a retired fitness trainer, and I still work out and play tennis , but I gained weight in the last 2 years on HRT

[@claudiac7346]

Great video! I am 54, started on HRT four months ago, had some ocasional bleeding and had an ultrasound that shows uterus lining 3mm,and my gynaecologist suggested going on higher dose of estrogen from a transdermal 50 mcg to 75 mcg to fix the bleeding,does that make sense?

[@kathyg8684]

Great video!!

[@harpertatman]

Ever hear of having contraindications of hrt with cortisone injections? Before hrt the injections didn’t give me bleeding, but after starting hrt, the injections caused horrible cramping and bleeding for 6 months. My doctors didn’t believe me that the two were related, but my ob gyn found research backing me up.

[@theloveofgardening1928]

What about chest pain and burning. Rapid heart rate ... I can't find anything on it.

[@charocflores]

Dr. Heather, I have tried gels, creams , vagifem, all made my vulva on one side burn, it won't go away. Now I am trying the patch. I makes me extremely drowsy and gave me a horrible headache that made me almost cry. I cut the patch's half and left the other half on my lower abdomen. It was just 0.025mcg. to begin with. Today I was not as drowsy but still took me 2 hrs. to be back to normal after waking up. My one side of the vulva burns and burns since 2 hrs. after I applied the patch. Don't know what to do. Please give me your opinion. Thank you so much for this education!

[@webbotubes]

I am 35 just started HRT - feel very lost. I was so ill before though! What if you are still on the contrecptive pill?

[@foziakhan7680]

I’m on bioidentical Please share your thoughts Thank You😊

[@beatricefrask5230]

Thank you Doctor !

[@nazeeniranfar2616]

Thank you for this informative video. I heard that to fully get the benefit of HRT on bones we have to take the whole 50 microgram of estrodile in the parch! Is this true or halving the patch still works positively to protect the bones?

[@kendrarobison4886]

I developed sores on my tongue. Not sure if this side effect will go away or if I should try a different form of estradiol. I have tried oral and the gel.

[@MH-yh8rz]

I’ve been on Prometrium for 3 months with breast tenderness as my only problem. Not taking estrogen yet. I don’t want to give up my Prometrium because I sleep so well. Does having only one side effect mean I’m intolerant to progesterone? I would rather live with breast tenderness if it means I sleep better.

[@shebyt9327]

Love this information!! Been dealing with spotting since August when i started hrt and then changed it in January. The dose of estrogen I'm on right now (1g Divigel plus 100mg progesterone) barely helps my hot flashes (it does help many other things). I'm afraid if I decrease the estrogen my hot flashes will get worse plus then I may be in for another 6 months of spotting bc I changed things. See how confusing this is?!? I just know I'm so tired of the spotting.

[@sweetpeace5]

Up the progesterone to 200mg

[@monikakress3867]

the side effect that I experienced was the eyelid twitch that had been going nonstop for two years went away.

[@mystrength5640]

Magnesium Biglycinate helps at Night.. a good Multi B with FOLATE.. (Not Folic acid) Correct Vit D3 Blood levels..

[@everydaymelinda5488]

When I stop my progesterone (100 mg) the breast soreness goes away. Could it just be too high of a dose for the dose of estrogen I'm taking? My blood levels are still low.

[@bobbielute4946]

Do you discuss surgical menopause

[@jeannejones5449]

Thank you you’re the best💐

[@cathy2893]

What if you're on the lowest dose already? (.025 estradiol patch + 100mg oral progesterone) and then started having a cycle after 2 1/2 weeks after starting the HRT?

[@patriciapyper4617]

Were is the best place to put evorol Conti patches please thank you ♥️🌹

[@juliestapleton589]

It will say on the box or you can google it.

[@bc15540]

I am wondering if continuous progesterone in perimenopause can cause frequent spotting.

[@giuseppinasanger6410]

Yes and I’d like to know if taking it continuously causes a tolerance after a while and reduces the sleep benefits??

[@therapeuticeating]

So if you have breakthrough bleeding does that mean we SHOULD adjust the hormone level or wait to acclimate to the new level? Does this symptom go away over time? At what time (month marker) should we change the dose?

[@jeand7768]

Same question. I heard it’s ok to bleed but also heard it’s dangerous if the lining is building up. Confusing!

[@user-fh2in4mu2j]

Dr Hirtsch, is it normal to have some spotting here and there after one year? Also, I take the progesterone in a pill but insert it vaginally, is it better if I take it orally?

[@nancyg9318]

I am only on progesterone 10 days every 3 months with .75 patch. I bleed a lot. Is this a typical dose?

[@4everyoung24]

I’ve been on Estradial patch, oral micronized progesterone, and intravaginal testosterone. I was put on HRT to treat osteoporosis (as part of a comprehensive plan). Prior to HRT I had mild-moderate insomnia and mild to moderate urinary incontinence. I have been in it about a month and a half and my sleep is great and I have some reduced I continence. However, I have developed the brain fog that most women say disappears when they start HRT! Like for REAL brain fog. I’m scheduling a follow up because this is not good!

[@brianne571]

100 mg progesterone pill patch. So droggy couldn't drive, but never so calm before like that part. Plus waves of nausea. I stopped very sedating.

[@deeburrell4897]

Take progesterone at night bbe it has a calming effect to it .

[@causticchameleon7861]

Can you have bleeding from HRT after you’ve had a uterine ablation?

[@maggieoconnor9054]

Anyone find that they developed flushing from the oestrogen gel? Maybe due to the fluctuating hormones never had it before I tried it :(

[@therapeuticeating]

My worst symptom: IBS, loose stools. What’s up with that? Also, bleeding.

[@mumzthewurd1]

What about bleeding and pelvic pain after 3 years of HRT?

[@erlindawilson8294]

Hello there Dr Hirsch! Thank you so much for all that you do for a lot of women! I had learned so much from you through you Chanel. I learned so much from you throughout my menopause journey. I need to know more. Please let me know how can I help get a hold of you to know more about. I have a lot more questions. I’m in a small town of Nebraska. Please help. Thank you so much! I 1:13

[@TracyD.-wp8yx]

Check her website. I believe her online medical practice has a provider in Nebraska

[@mariaserapio924]

I'm using pallet to treat my menopause. How can I ask my MS to switch me to FDA approve HTR.

[@sweetpeace5]

Pellets are really the worst form of HRT whether you feel good or not. There is no adjusting so if you suddenly start bleeding (too much estrogen) you cannot take it out. Majority of docs that really know their stuff say they are just a big money maker & bordering on malpractice.

[@DeyaIV]

Interesting! Wow, so many kinds of hormones, dosing and forms on how to take them. It seems like could be very complicated 🫣😩 only menopausal women can start HRT? Or women in perimenopause can start taking hormones?

[@sweetpeace5]

Perimenopause if you have an educated doctor! No reason to suffer for years leading up to ceasing periods altogether as many women do.

[@lynel2765]

Can HRT ( patch & progesterone pill) be taken while on Letrozole for a stage 1 breast cancer ? Having very bad hot flashes as well as incontinence

[@everhappy6312]

For incontinence you can use Estradiol vaginal cream as it is not systemic...it only stays in the vagina apparently. I follow Menopause Taylor here on KZbin. She is a Gynecologist, Lawyer with a MBA...she really knows her specialty.

[@sweetpeace5]

Most physicians would be adamantly against HRT when you’ve had BC. But the ones in the know (really educated) say quite the opposite. There is a doctor extremely well versed in BC/HRT that has some incredible info I first heard her interview on FLCCC Alliance.

[@duchessdelarue5983]

If you start taking bio identical hormones before you are at the end of menopause (before you have gone a year without getting a period) will you continue getting periods and essentially never get to the end of menopause(when you stop getting periods)? Or will you eventually stop getting periods either way?

[@SirenaSpades]

Ok. I'm experiencing massive weight gain. I've been on estrodiol for 9 weeks. I have an IUD so no progestrone. No changes to diet and I've increased my workouts - I work out quite a lot, 6 days a week rowing plus yoga. I started at 118 which I maintained for years, and have gone up to 126 in that short time. I have an appointment next week to follow up. Breast tenderness (no cycles, I assume the IUD takes care of that, which is why I love it, and have loved it since my 20's). I've researched adding testosterone and spoke with my pharmacist about that so I will be talking with my doctor about it during the appointment.

[@ceeceenocap]

8 lbs is in the ballpark of the normal ups and downs of water weight gain/loss across a week. I get that it might seem like a lot for you - and it’s worth paying attention to, for sure, but I wouldn’t let it stress you out. Speaking of stress, you might want to get your cortisol checked. As we get older, that kind of intense exercise can actually lead to weight gain. (not in the health care field here, just another person trying to figure this all out!)

[@user-qw8no5bl5m]

I can relate to this. Testosterone helped me, it was the missing link. Now we’re just working out the dosage and method.

[@Alykat736]

It really sounds like Your Estrogen is too high or imbalanced with progesterone so making estrogen too high .i had the same thing/symptoms due to that .

[@annatolson7797]

8uu,,,,,,Ź

[@xflyer87]

Side effects for myself: I started getting a good nights sleep, night sweats gone, brain fog so much better, I can remember things now (yay!). Seeing a knowledgeable gyno is so important. If you don’t have a gyno you like then kick that one to the curb and find someone you do like. A good one will help you with any problems that occur and listen to your concerns.

[@bobkatc9368]

I have dry mouth and burning tongue... I'm on .05 estrogen patch and 100 mg progesterine. Have you found increasing levels helps this symptom?

[@monicathrasher3561]

I’m sorry no one answered you. Please check our pain free you videos. I use to battle with dry eyes and mouth, so much better now

[@patriciaa2976]

After being on Estradiol 0.05 patch for three months I started feeling anxious, nervousness (shaking) , palpitations, loosing weight, itchy skin. I was diagnosed with hyperthyroidism. My endocrinologist claims that HRT didn't cause this. I HAVE MY DOUBTS. Im on medication for the thyroid but have not returned to the Estradiol.

[@ironmaidenfitness654]

These sound like menopause symptoms, and maybe this might seam counterintuitive but maybe try talking to your doctor about increasing the estrogen dose for 3 months and see if you feel better

[@melymel36]

She didn’t think that you should be referred to your endocrinologist to reevaluate your dose of thyroid medication? I’m on HRT and high dose of Armour Thyroid and was told to watch for symptoms as HRT can affect the amount of Armour Thyroid I would need.

[@joan.nao1246]

Our entire Endocrine system is affected - absolutely thyroid function affects liver function, sex hormone function, cardiovascular function, etc - and vice versa. It's ALL affected, much like falling dominoes.

[@everhappy6312]

Hyperthyroidism was already in the making before you started HRT. I suggest you follow Dr. Barbara Taylor ( Menopause Taylor) here on KZbin. She is THE EXPERT in Menopause.

[@loneranger7573]

@@melymel36 only if your hrt is oral. transdermal does not affect thyroid absorption of meds. I am on NDT also and HRT. I take 3 grains in winter, usually go down half to a grain in summer. take estrogel and prometrium. allgood

[@JasSchMin]

bit confused now...what if i am on combined HRT and not bleeding, will this cause the uterus lining to get thicker ? (or the progesterone in the combined RX help to keep it thin ?)

[@sweetpeace5]

Progesterone keeps the lining from thickening. That’s why necessary to take it when you have a uterus.

[@kimbeasty8477]

Could I take hrt if I had a brain aneurysm????

[@lf9341]

Does anyone know how quickly HRT kicks in? I can't sleep with the hot flashes.

[@lisaalexander1824]

Does it cause mania in bipolar..??? Coz I get high from Iboprufen !!!

[@NiaLaLa_V]

Is there a YOU on the west coast, Seattle area? Preferably one who might be kind to uninsured patients who can't afford to get it wrong.

[@l.b.3152]

😮where do you practice? I need an appointment with you.

[@jenniferr4041]

Weight gain and feeling premenstrual constantly. My OBGYN offered oral combo. It improved my sleep and hot flashes are gone. I’ve been on them 3 months and question if it worth it. The weight gain is depressing.

[@user-qw8no5bl5m]

Maybe try adding testosterone?

[@everhappy6312]

Me too. The weight gain is making me so upset.

[@questioneverything1776]

Get off the oral estrogen, do patch.

[@cyndi01]

@@everhappy6312I just stopped my Estrogen & progesterone because of extreme weight gain. I lasted a mth ON those hormones. I couldn’t even fit into my clothes. Has your weight gain subsided any?

[@microbehunter7584]

Same here, weight gain and Hrt did not help my hot flashes or sleep deprivation. Fustrating...

[@bethraines5474]

I have tried oral estradiol and the patch. I can not tolerate them. The patch causes gallbladder issues, and the pill causes pain in the back of my neck. I have tried it over and over. I want to take but these pains make it intolerable. Any suggestions and one having this problem.

[@loneranger7573]

Hey for me I fixed the gallbladder issue by taking 3 grams taurine daily, its an amino acid that thins your bile. estrogen thickens bile and causes galbladder sludge and pains. taurine works. also lowering dose of estradiol helped . I take topical estrogel, 2 pumps, and take 2 prometrium pills at night. all the time, no breaks. perfect.

[@stephaniesteiner6028]

Can u take micronized progesterone w IUD? Just got a Mirena. While my uterus is protected, what is protecting my breast health?

[@SirenaSpades]

The Mirena is a perfect dose of progestrone.

[@athenachloewoodrow6356]

Progesterone does not have a protective effect for your breasts

[@loneranger7573]

Iodine intake is very important for breast health. did you know until chemotherapy was invented, they used estrogen therapy for breast cancer? keep your intake of cruciferous vegetables high, exercise moderately, avoid alcohol. that will protect you .

[@anne-louisegoldie]

What if you are post menopausal, already on 100mcg patch and think you are absorbing it alright, but blood oestradiol is below 250pmol /L, and isn't adequate for bone loss protection? Gels and sprays already tried, so I believe it's the dose and not the absorption that may be the issue. At higher risk for osteoporosis due to autoimmune conditions. Thank you 😊xx

[@newclee]

If I may, in the video Dr speaks about changing the route, from transdermal to oral.

[@joan.nao1246]

Transdermal absorption is definitely a problem for many. Oral or inserted pellets might be your next trial.

[@anne-louisegoldie]

@@newcleethank you 😊Unfortunately, oral oestrogen isn't an option for me.

[@newclee]

@@anne-louisegoldie It would seem that you would need to make an appointment with a professional in this area. This way they can work with your individual needs. I hope you are able to find what you need soon!

[@ivalani]

Side effects for me: weight gain, anxiety and acne. The first one I am sure was the estrogen , the other two- the progesterone. I stopped HRT and feel well again.

[@joankasayer5633]

I have bleeding was unpleasant and stop HR

[@niebieskimotyl3308]

I've got headaches and nausea, vertigo, exhaustion, mood swings , bad sleep, joint pains before, hrt stopped that, honestly even some side effects would be better than this combo of symptoms 😊

[@yensounta6501]

Do you have patients on a higher dose of the patch (2 patches of 0.1 estradiol) especially younger/going through POI? I feel like the max dose of 0.1 estradiol isn’t cutting it (37 POI) :/

[@user-qw8no5bl5m]

Maybe adding testosterone??

[@stephaniesteiner6028]

Maybe up the PG. So u are on .1, x2 patches?

[@yensounta6501]

My T levels are "normal" range right now so GYN won't recommend it @@user-qw8no5bl5m

[@yensounta6501]

@@stephaniesteiner6028 I'm on 200 mg micronized progesterone 12 days of the month. Doc doesn't have any "guidance" on using 2 patches at a time.. I'm trying to find more research to substantiate taking more estrogen. Any insight on this?

[@everhappy6312]

Started HRT few months ago and my weight is creeping up. I have never in my entire 53 years old life been at 170 lb. Same food, same exercise routine...same everything.

[@Dbeckdesign68]

I had breast tenderness for the first three weeks, but it’s not so bad now. I’m going for my first follow-up on Thursday. What questions should I ask? Should I have my hormone levels tested?

[@SirenaSpades]

Wow. My first followup was scheduled almost 3 months out. They are definitely doing a full panel.

[@alpinelove6225]

One of the side effects I've experienced since taking HRT (mine is a combination of BioTE Estridiol, Testosterone and oral progesterone) is an enlarged clitoris from the tstosterone. My clitoris feels less sensitive. Can lowering the testosterone help this problem? Or is this irreversible?

[@miaash3870]

According to Dr. Susan , lowering testosterone would be recommended.

[@rachaelamy5056]

Where is the best to place the patch?

[@karenflynn147]

There are instructions in the package insert and/or consult with your pharmacist.

[@patriciapyper4617]

I can't see my doctor for a appointment

[@patriciapyper4617]

I was given estrogen cream for down there it made me bleed and dierhoe l also have lbs ❤

[@nancydubuk1768]

Iam on an estrogen cream to help with dryness. I was not put on any progesterone. Is it ok to not have a progesterone rx ? I was told since estrogen is in cream form, I don’t need progesterone. Please help.

[@loneranger7573]

you can buy progesterone cream online, I like NOW brand. use as directed.

[@miaash3870]

@@loneranger7573 Wrong advice! Prescribed drugs ought to be bought from pharmacies.

[@LinA-it9vd]

New studies out show estrogen alone is the best. The numbers are there on the largest study in years.

[@workhardplayharderx2]

Is this the case for natural HRT creams as well? I'm taking one by Barbara Hoffman called "Menopause Cream" and it has Red Clover & Progesterone in it. I had not had a cycle in 5 months and started a period 3 weeks after starting it. So, is bleeding common regardless of the type of HRT you are using?

[@rachelteeuws1241]

You are taking what? 😂

[@jeanheffernan4715]

1. Bleeding 2. Breast tenderness 3. Isn’t working

[@patriciapyper4617]

I also have palpitations ❤

[@SimonaDelean]

Are you seeing patients out of state?

[@annetcell-ly4571]

What age group are you talking about?!If you’re on hormones for life does that mean the uterus sheds even when you’re 80? Or does it settle down after 6months no matter what age you start? Do older women need more or less?

[@wearelegion1163]

I'm 66, went thru menopause at 58. Just started HRT Combipatch about 4 months ago. No side effects as far as I can tell. How do we know if it's working? Are there blood tests we should be getting to check hormone levels?

[@DisneyLissy]

I just started the Combipatch last week and I’m having horrible cramps 😭

[@Karikk72]

I was told if yu see 70-80% improvement in symptoms, then yu are on the correct dose ! If not, meet with doctor again

[@SirenaSpades]

Usually the doctor schedules a follow up to do a full panel blood test

[@K-E2019]

How are your symptoms? My symptoms were pretty much gone after just a few days.

[@nancypisani7229]

did your insurance cover the combipatch>? My doc wouldnt give to me bc she said it isnt covered? I have great insurance but i feel she didnt want to give me.

[@meko3089]

Where is your office??

[@jh9912]

My weight did go up 10 lbs overnight when i started low dose patch. Doesn't bother me because i work out 5 days a week. But i do wonder if anyone else had this? And is that indication that maybe estrogen too high? I thought maybe weight would adjust, but it has been 7 months.

[@mdaze9753]

Estrogen causes fluid retention, while progesterone, since it has a diuretic effect reduces that extra fluid. This extra water weight tends to make women feel bloated and can be 5 or more pounds. Are you taking progesterone as well ? Maybe it's too low for the amount of estrogen you are taking?

[@jh9912]

@@mdaze9753 I do not have uterus, so no progesterone. I am on 0.25 patch. My weight went up in a few days of starting.

[@SirenaSpades]

I'm finding that too. I'm going to start a low dose testostrone to fight that. I've been working out 6 days a week but the weight keeps going up. I started at 118 and 9 weeks in I'm at 126 already.

[@r-anne7375]

@@mdaze9753 Its just the opposite for me. I'm on estrogen and I cycle in the progesterone. During the time I'm on the progesterone, I gain so much weight and I'm bloated and moody, just like it used to be before my period. Wish I could stop the progesterone and just do estrogen only, but I have to protect my uterus.

[@cathy2893]

Yes jh! I've also gained 8-10lbs in just a week or two!! : ( My doctor doesn't prescribe testosterone which is the only thing I've heard that may counteract the weight gain. I don't know what to do because I was MISERABLE before starting the HRT - AWFUL hot flashes all day and night + insomnia. Within 3 days of starting HRT, my hot flashes and insomnia are 99% GONE!! I'm on the lowest dose of estradiol patch .025 and 100mg of progesterone.

[@bridge7528]

Started on hrt a few years ago. I’ve always had migraines (maybe 10 a year ) but began getting them weekly (Tuesday or Wednesday). I asked my doctor if she thought it was hrt(she didn’t) saw a neurologist and asked if he thought it was hrt( he didn’t). He just prescribed migraine medication. I saw a gynecologist and asked if she thought it was hrt( she didn’t). I decided to listen to my gut and stopped hrt in January. I’ve only had one migraine since then. Has anyone else experienced this? I really want to go back on for all the other benefits. It was the patch and progesterone that I was taking. Even went to 1/2 a patch. Any suggestions?

[@erinwhitney2028]

I may be similar…47 & migraines had tapered down but then I started 0.05 estrogen w 100mg prog. Had a horrible migraine which was likely bc I was a day late changing the patch. Had horrible migraines on birth control pills earlier in life and no one connected. When I stopped the BCP, the migraines improved (less intense and less frequent). I’m going to give this 6 months and see if it happens again but if so, I will know exogenous hormones are problematic for me.

[@sunnysal3889]

Taking HRT daily (continuous not sequential) minimized migraines for me. However, when I tried progesterone, it gave me an instant migraine. Even when I tried it vaginally and every other day. I went back to my previous progestin.

[@greggfletcher5485]

I thought the equine was from horses and is barbaric for the horse?

[@mdaze9753]

Heather, you did not mention taking oral progesterone vaginally. Is this a viable option for women who are having trouble taking progesterone orally and transdermally? I am having difficulty with the mental side effects of progesterone. Thank you.

[@elenasalisbury8282]

Have been inserting vaginally for 8 months. Once a day before bed. It works really work for me

[@SirenaSpades]

I don't know about others, but I have an IUD which I am very happy with, it provides the progestrone and I never have to mess with it. Also no cycles, which is the best part!

[@user-ev5zq1vf5h]

I also feel very blue and anxious on progesterone

[@K-E2019]

I figured out very quickly that I was intolerant to the micronized progesterone. I had to switch to the “ less natural “ one but that was fine with me . I would have been completely non-functional if I had stayed on the micronized.

[@rsj722]

What did you switch to and is it working? I have same issue.

[@carmaela2689]

I didn't just get tenderness, I got a very large lump in my right breast that I have to go have checked now!

[@DisneyLissy]

I just started last week and I’m cramping so bad. Is that normal?

[@joannbarrientes4996]

Yes I got that too

[@DisneyLissy]

@@joannbarrientes4996 did it go away?

[@karenshaffer2571]

Hi my doctor only gave me 10 days of 100 mg progesterone/prometrium. Is that enough and do I take them 10 days in a row? I have estradiol patch .025 mg weekly in post menopause at 55

[@karenflynn147]

That is odd. I take the same dose of the patch twice weekly & the same dose of progesterone daily. Not sure why your doctor has only prescribed you 10 days of progesterone!?! These are hormones we need on a regular basis, not antibiotics to take for a short duration! So what is the plan after the 10 days of progesterone, I'm very curious!?!

[@PatriciaFerguson-lf2mc]

Can you start HRT if you are peri menopause 😊