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

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Heather Hirsch MD, MS, NCMP

Heather Hirsch MD, MS, NCMP

Күн бұрын

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...

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@heatherhirschMD 2 ай бұрын
What side effect did you have after starting HRT and what helped you fix it?! Comment below!
@DisneyLissy 2 ай бұрын
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 2 ай бұрын
Thank you! I’ve been on HRT for 6 months & this was very helpful.
@lorrainespear1210 2 ай бұрын
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 2 ай бұрын
Lack of libido
@DW... 2 ай бұрын
@heatherhirschMD If you experience crying every day - would a higher dose of estradiol help? 🙏
@debbie5128 2 ай бұрын
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 2 ай бұрын
I went into menopause at 48 after my mother died. I can attest to stress being an igniter ✋
@Karikk72 2 ай бұрын
I swear that’s what happened to me !! Lost my dad July of 22 and things went crazy with my body right after !
@SirenaSpades 2 ай бұрын
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 2 ай бұрын
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 2 ай бұрын
What type of collagen do you take? My joints could use help.
@liasmith696 2 ай бұрын
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 Ай бұрын
Same here, binging menopause videos😊
@mystrength5640 2 ай бұрын
Hrt is incredible.. it’s changed my life! 🎉💐
@dlm4501 5 күн бұрын
What exactly are you taking? I'm wanting to start but I'm kind of afraid to.
@xflyer87 Ай бұрын
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.
@zmaja 2 ай бұрын
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.
@jujugoketo3711 Ай бұрын
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 Ай бұрын
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 21 күн бұрын
@@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 🤍!
@patriciamoeller7649 2 ай бұрын
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 2 ай бұрын
I feel same way
@TTF-Sunshine 2 ай бұрын
Thank you. Very clear and great info
@debbiemartell8100 2 ай бұрын
Such a great video! Thank you 🙏
@beverlystormbrumfield6815 2 ай бұрын
Very informative! Thank you so much! 🩷
@delenevanniekerk930 19 күн бұрын
Thank you só much. This is spot on and was very helpful.
@theresamcdonald-smith5046 2 ай бұрын
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 2 ай бұрын
Can you explain what you mean by this please?
@health_Natural2 2 ай бұрын
Period at 64?? Really???
@theresamcdonald-smith5046 2 ай бұрын
@@health_Natural2 yes! I’m assuming I will have it as long as I cycle the hormones.
@theresamcdonald-smith5046 2 ай бұрын
@@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 Ай бұрын
It is unnatural to have ur period at such an age. Tricking the body is not a good idea.
@happygoluckystar8069 Ай бұрын
Very valuable content 👍👍 the only thing that is bothering is the sound and echo. Anything that could be improved?
@dorothynewhouse1160 Ай бұрын
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 Ай бұрын
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 Ай бұрын
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 Ай бұрын
@@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 Ай бұрын
@@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 19 күн бұрын
@@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.
@user-gm8qo2ps3x 2 ай бұрын
Thanks so much for all this information so reassuring Denise liverpool England
@totoslifetotochicken3871 2 ай бұрын
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 21 күн бұрын
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.
@MNP208 3 күн бұрын
@@NiaLaLa_V Yes, that can happen. As my periods came further and further apart, they were heavier too.
@kathrynreifenberger1194 Ай бұрын
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)
@ileanamurias922 Ай бұрын
Great information. Do these side effects get better over time? I just started and side effects are not great
@xochitlsuffle3343 2 ай бұрын
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!!
@ariesloveandlight5367 2 ай бұрын
Thank you ,I’m excited to start hrt.
@virginia6793 2 ай бұрын
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 2 ай бұрын
Good question!
@everhappy6312 2 ай бұрын
That's Menopause Taylor...Dr. Barbie Taylor talking about that:). Yup. That's correct.
@askssk715 2 ай бұрын
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 2 ай бұрын
Estrogen causes cancer.
@claudiac7346 2 ай бұрын
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?
@chart2 18 күн бұрын
Thank you.
@stephaniehughes901 2 ай бұрын
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
@loriwestern9103 Ай бұрын
Thank you, for posting this, started hrt 2 weeks in started bleeding, trying to consult with my obgyn on which way to proceed.
@charmaineclayton2018 25 күн бұрын
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
@harpertatman Ай бұрын
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.
@MH-yh8rz 2 ай бұрын
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.
@patriciapyper4617 2 ай бұрын
Yes neausa vertigo and sore joints l am on evorol Conti patches ❤
@foziakhan7680 2 ай бұрын
I’m on bioidentical Please share your thoughts Thank You😊
@webbotubes 2 ай бұрын
I am 35 just started HRT - feel very lost. I was so ill before though! What if you are still on the contrecptive pill?
@kathyg8684 Ай бұрын
Great video!!
@nazeeniranfar2616 Ай бұрын
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?
@bobbielute4946 2 ай бұрын
Do you discuss surgical menopause
@theloveofgardening1928 Ай бұрын
What about chest pain and burning. Rapid heart rate ... I can't find anything on it.
@charocflores Ай бұрын
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!
@kendrarobison4886 27 күн бұрын
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.
@monikakress3867 2 ай бұрын
the side effect that I experienced was the eyelid twitch that had been going nonstop for two years went away.
@mystrength5640 2 ай бұрын
Magnesium Biglycinate helps at Night.. a good Multi B with FOLATE.. (Not Folic acid) Correct Vit D3 Blood levels..
@therapeuticeating 2 ай бұрын
My worst symptom: IBS, loose stools. What’s up with that? Also, bleeding.
@nancyg9318 Ай бұрын
I am only on progesterone 10 days every 3 months with .75 patch. I bleed a lot. Is this a typical dose?
@user-fh2in4mu2j Ай бұрын
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?
@duchessdelarue5983 2 ай бұрын
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?
@beatricefrask5230 2 ай бұрын
Thank you Doctor !
@everydaymelinda5488 Ай бұрын
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.
@therapeuticeating 2 ай бұрын
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 2 ай бұрын
Same question. I heard it’s ok to bleed but also heard it’s dangerous if the lining is building up. Confusing!
@cathy2893 2 ай бұрын
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?
@causticchameleon7861 Ай бұрын
Can you have bleeding from HRT after you’ve had a uterine ablation?
@erlindawilson8294 2 ай бұрын
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 Ай бұрын
Check her website. I believe her online medical practice has a provider in Nebraska
@everhappy6312 2 ай бұрын
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.
@mumzthewurd1 Ай бұрын
What about bleeding and pelvic pain after 3 years of HRT?
@patriciapyper4617 2 ай бұрын
Were is the best place to put evorol Conti patches please thank you ♥️🌹
@juliestapleton589 2 ай бұрын
It will say on the box or you can google it.
@shebyt9327 2 ай бұрын
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 28 күн бұрын
Up the progesterone to 200mg
@bc15540 2 ай бұрын
I am wondering if continuous progesterone in perimenopause can cause frequent spotting.
@giuseppinasanger6410 2 ай бұрын
Yes and I’d like to know if taking it continuously causes a tolerance after a while and reduces the sleep benefits??
@NiaLaLa_V 21 күн бұрын
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 Ай бұрын
😮where do you practice? I need an appointment with you.
@lf9341 Ай бұрын
Does anyone know how quickly HRT kicks in? I can't sleep with the hot flashes.
@kimbeasty8477 Ай бұрын
Could I take hrt if I had a brain aneurysm????
@maggieoconnor9054 2 ай бұрын
Anyone find that they developed flushing from the oestrogen gel? Maybe due to the fluctuating hormones never had it before I tried it :(
@jeannejones5449 Ай бұрын
Thank you you’re the best💐
@niebieskimotyl3308 Ай бұрын
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 😊
@ivalani Ай бұрын
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.
@brianne571 Ай бұрын
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 Ай бұрын
Take progesterone at night bbe it has a calming effect to it .
@lisaalexander1824 19 күн бұрын
Does it cause mania in bipolar..??? Coz I get high from Iboprufen !!!
@SirenaSpades 2 ай бұрын
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 2 ай бұрын
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 2 ай бұрын
I can relate to this. Testosterone helped me, it was the missing link. Now we’re just working out the dosage and method.
@Alykat736 2 ай бұрын
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 Ай бұрын
@patriciaa2976 2 ай бұрын
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 2 ай бұрын
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 2 ай бұрын
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 2 ай бұрын
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 2 ай бұрын
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 2 ай бұрын
@@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
@jenniferr4041 2 ай бұрын
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 2 ай бұрын
Maybe try adding testosterone?
@everhappy6312 2 ай бұрын
Me too. The weight gain is making me so upset.
@questioneverything1776 2 ай бұрын
Get off the oral estrogen, do patch.
@cyndi01 Ай бұрын
@@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 Ай бұрын
Same here, weight gain and Hrt did not help my hot flashes or sleep deprivation. Fustrating...
@mariaserapio924 2 ай бұрын
I'm using pallet to treat my menopause. How can I ask my MS to switch me to FDA approve HTR.
@sweetpeace5 28 күн бұрын
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 Ай бұрын
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 28 күн бұрын
Perimenopause if you have an educated doctor! No reason to suffer for years leading up to ceasing periods altogether as many women do.
@annetcell-ly4571 Ай бұрын
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?
@patriciapyper4617 2 ай бұрын
I can't see my doctor for a appointment
@JasSchMin 2 ай бұрын
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 28 күн бұрын
Progesterone keeps the lining from thickening. That’s why necessary to take it when you have a uterus.
@joankasayer5633 Ай бұрын
I have bleeding was unpleasant and stop HR
@PatriciaFerguson-lf2mc Ай бұрын
Can you start HRT if you are peri menopause 😊
@lynel2765 2 ай бұрын
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 2 ай бұрын
For incontinence you can use Estradiol vaginal cream as it is not 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 28 күн бұрын
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.
@Dbeckdesign68 2 ай бұрын
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 2 ай бұрын
Wow. My first followup was scheduled almost 3 months out. They are definitely doing a full panel.
@bobkatc9368 2 ай бұрын
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 Ай бұрын
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
@meko3089 2 ай бұрын
Where is your office??
@SimonaDelean Ай бұрын
Are you seeing patients out of state?
@bethraines5474 2 ай бұрын
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 2 ай бұрын
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.
@4everyoung24 19 күн бұрын
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!
@anne-louisegoldie 2 ай бұрын
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 2 ай бұрын
If I may, in the video Dr speaks about changing the route, from transdermal to oral.
@joan.nao1246 2 ай бұрын
Transdermal absorption is definitely a problem for many. Oral or inserted pellets might be your next trial.
@anne-louisegoldie 2 ай бұрын
@@newcleethank you 😊Unfortunately, oral oestrogen isn't an option for me.
@newclee 2 ай бұрын
@@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!
@jeanheffernan4715 2 ай бұрын
1. Bleeding 2. Breast tenderness 3. Isn’t working
@sueharrison8818 2 ай бұрын
love your video's. The LADY NATURALPATH DOCTOR IM SEEING Does the SALIVA TESTS ONLY TO DETERMINE ANY Hormone imbalance! Is this as good as blood test? Are results still good??? Tks much
@joan.nao1246 2 ай бұрын
Sue Harris - any good practitioners know that numbers on paper don't mean a darn thing! They'll treat your unique symptoms & well being instead, NOT generalized numbers.
@stephaniesteiner6028 2 ай бұрын
Can u take micronized progesterone w IUD? Just got a Mirena. While my uterus is protected, what is protecting my breast health?
@SirenaSpades 2 ай бұрын
The Mirena is a perfect dose of progestrone.
@athenachloewoodrow6356 2 ай бұрын
Progesterone does not have a protective effect for your breasts
@loneranger7573 2 ай бұрын
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 .
@rachaelamy5056 Ай бұрын
Where is the best to place the patch?
@karenflynn147 Ай бұрын
There are instructions in the package insert and/or consult with your pharmacist.
@alpinelove6225 2 ай бұрын
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 Ай бұрын
According to Dr. Susan , lowering testosterone would be recommended.
@workhardplayharderx2 2 ай бұрын
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 2 ай бұрын
You are taking what? 😂
@bridge7528 2 ай бұрын
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 22 күн бұрын
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 19 күн бұрын
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 2 ай бұрын
I thought the equine was from horses and is barbaric for the horse?
@patriciapyper4617 2 ай бұрын
I also have palpitations ❤
@joannbarrientes4996 2 ай бұрын
I got spotting, cramps for days, got scared, got off , had to get biopsy, biopsy was normal, i,m frustrated , can,t find a dr, talked to 3 so far
@cyndieK1 Ай бұрын
How long after you started hrt that you started bleeding?
@wearelegion1163 2 ай бұрын
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 2 ай бұрын
I just started the Combipatch last week and I’m having horrible cramps 😭
@Karikk72 2 ай бұрын
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 2 ай бұрын
Usually the doctor schedules a follow up to do a full panel blood test
@K-E2019 2 ай бұрын
How are your symptoms? My symptoms were pretty much gone after just a few days.
@nancypisani7229 2 ай бұрын
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.
@patriciapyper4617 2 ай бұрын
I was given estrogen cream for down there it made me bleed and dierhoe l also have lbs ❤
@carmaela2689 Ай бұрын
I didn't just get tenderness, I got a very large lump in my right breast that I have to go have checked now!
@nancydubuk1768 2 ай бұрын
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 2 ай бұрын
you can buy progesterone cream online, I like NOW brand. use as directed.
@miaash3870 Ай бұрын
@@loneranger7573 Wrong advice! Prescribed drugs ought to be bought from pharmacies.
@LinA-it9vd Ай бұрын
New studies out show estrogen alone is the best. The numbers are there on the largest study in years.
@yensounta6501 2 ай бұрын
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 2 ай бұрын
Maybe adding testosterone??
@stephaniesteiner6028 2 ай бұрын
Maybe up the PG. So u are on .1, x2 patches?
@yensounta6501 2 ай бұрын
My T levels are "normal" range right now so GYN won't recommend it @@user-qw8no5bl5m
@yensounta6501 2 ай бұрын
@@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?
@rocioloera5439 2 ай бұрын
I been having it for more than a year 😢
@mdaze9753 2 ай бұрын
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 2 ай бұрын
Have been inserting vaginally for 8 months. Once a day before bed. It works really work for me
@SirenaSpades 2 ай бұрын
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 2 ай бұрын
I also feel very blue and anxious on progesterone
@K-E2019 2 ай бұрын
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 2 ай бұрын
What did you switch to and is it working? I have same issue.
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