What is the best way to use hormone replacement therapy?

  Рет қаралды 3,935

Heather Hirsch MD, MS, NCMP

Heather Hirsch MD, MS, NCMP

Күн бұрын

Пікірлер: 38
@heatherhirschMD
@heatherhirschMD Ай бұрын
What kind of hormone therapy are you on?! Tell me in the comments below!
@wearelegion1163
@wearelegion1163 Ай бұрын
Age 67, menopause at 58. Been on HRT for about 1 year & use Combipatch. It's great for hot flashes & night sweats but I did start having periods again in May after several months on the patches. Had ultrasounds & hysteroscopy/D&C to rule out cancer or other problems. Doctor said there's no risk to having periods so I'm staying on the patches & just dealing with the inconvenience of periods after 9 years without. I get my HRT thru the VA so options are somewhat limited
@cristinashean2988
@cristinashean2988 Ай бұрын
I have a similar question to above. I’ve been on climara patch started with .035 with 100mg micronized progesterone had some bleeding and a fibroid. Never had a fibroid before but was also on IUD for many years for birth control. Had fibroid removed and went down to .025 patch and it’s been 8 months with no bleeding until recently and had two spotting events so my doc wants to do another ultrasound to see if fibroid is back. What are your thoughts on bleeding on HRT and does HRT cause fibroids? Thank you for taking the time to inform women. I appreciate what you do so much.
@danidossantos21
@danidossantos21 Ай бұрын
I am 39. I had a hysterectomy and oophorectomy at 36 so symptoms of menopause hit me hard this year. I am taking 2.5 mg of oral estradiol and 100mg of oral progesterone. Just upped this dosage because symptoms were getting really bad, I was having severe joint and body pain, hot flashes, mood swings, anxiety…all the things! I feel Normal since changing this dosage 🎉
@MsQ275
@MsQ275 Ай бұрын
I'm on an estradiol patch, oral progesterone and compounded T cream. I appreciate the effects and benefits of all but T is by and far the biggest positive impact on my sleep, muscle composition and sense of well being (I'm single and libido has nothing to do with my use). I really really really wish doctors would catch up on T for women.
@youknow1334
@youknow1334 9 күн бұрын
I’m on same- where do you apply T cream
@rosamoreno4794
@rosamoreno4794 Ай бұрын
I did my 1st hormone panel on Friday 10/18/24 at age 47 and I can’t wait to get the results. I “know” I need to do this last year at 46 but both my primary and GYN dismissed it and me.
@patriciapyper4617
@patriciapyper4617 Ай бұрын
I am on evorol Conti patches l still get neausa vertigo thank you for sharing this video ♥️🌹
@bethmbuchanan
@bethmbuchanan Ай бұрын
As a senior who was a "victim" of the WHI scare, I believe eventually we will be able to use MRT but probably not in my lifetime. Thankful for local estradiol.
@julieellis6793
@julieellis6793 18 күн бұрын
I'm 80, and was on on Premarin after a hysterectomy until the scare. I'm taking otc hormones, and getting ready to go with the rx.
@bethmbuchanan
@bethmbuchanan 18 күн бұрын
@@julieellis6793 How were you able to get it with the rx at your age (our age)?
@julieellis6793
@julieellis6793 18 күн бұрын
I went to North American Menopausal Society and got a list of doctors in my area, including a compounding pharmacist. I started with her( closest). She had me do a saliva test and put me on otc biest, as well as an adrenal support and DHEA that they carry. I recently decided to go to one of the doctors on the list to make sure I'm getting the right balance of hormones. I have an appointment in January.
@bethmbuchanan
@bethmbuchanan 18 күн бұрын
@@julieellis6793 I hope you let us know how that appt. with the MD goes and if you then get MRT prescription.
@sebrinadickerson3341
@sebrinadickerson3341 Ай бұрын
I wish US providers would talk more about vaginal progesterone. Micronized oral progesterone causes so many side effects, just like the estrogen: GERD, insulin resistance and other issues exclusive to it going through the digestive system. Other countries have vaginal options for progesterone delivery.
@larajohnson8174
@larajohnson8174 Ай бұрын
I have heard that many women use micronized progesterone vaginally
@JB-wp2gn
@JB-wp2gn Ай бұрын
I’m interested in learning 11:38 about cycling dosing of HRT to mimic a natural cycle. I heard about this on Dr Felicia channel. What are your thoughts?
@jax-sx9pk
@jax-sx9pk Ай бұрын
Super helpful, thank you!
@divya1355
@divya1355 Ай бұрын
How does compounded Estrogen and progesterone fare in the spectrum? My doctor has prescribed creams for both
@mbigs1509
@mbigs1509 Ай бұрын
I'm young(ish) 40 yo on estradiol patch and oral progesterone 14 days per month. I've asked repeatedly for T, but my doctor refuses. Backround: I knew something was wrong at 35, and after begging for 4 years, I saw someone else who finally checked my hormones and gave me an answer to my horrible symptoms. Also, unfortunately, found out too late for me to do anything about having children.
@HA-mn7si
@HA-mn7si Ай бұрын
Do people with MTHFR mutations fare well with oral HRT?
@JS-su7wf
@JS-su7wf 15 күн бұрын
I have 2 MTHFR gene mutations. I'm on oral progesterone and estradiol patch. It's been 4 weeks and each day I feel more and more like myself.
@leasanders3902
@leasanders3902 Ай бұрын
Do you recommend Bijuva?
@marnieecklund3520
@marnieecklund3520 Ай бұрын
I have been taking duavee. I am unsure if this is a good choice.
@triciab2354
@triciab2354 Ай бұрын
Generally in the menopause world (Dr. Mary Claire Haver) she considers the estradiol patch or any estradiol (topical DIVIGEL)with a micronized progesterone to be safer than conjugated estrogen therapies with a progestin, which is what DUAVEE is.
@JAYWRITE-h3e
@JAYWRITE-h3e Ай бұрын
@staceyraymond7682
@staceyraymond7682 Ай бұрын
Hi, I used the patch at .25 and progesterone daily for 5 months and was having all the monthly things periods, sleepy and cramping so I went off but am missing the things it did help with, sleep, energy, skin, night sweats. Any suggestions?
@jojohn2950
@jojohn2950 Ай бұрын
Patch, micronized progesterone, vaginal estrogen. I’d like some T . Haven’t asked my Dr. about it yet
@rosanag.walker6793
@rosanag.walker6793 20 күн бұрын
I'm 54, started menopause less than 1 year ago. After using 1 pump of oestrogel + 100mg of micronized progesterone daily for 5 months, started having some bleeding similar to periods, once a month for a few days. It really feels like a period, because I also have cravings, bloating, sore breasts etc. But my doctor says it's not healthy and I might have uterus cancer in the future, so she wants me to stop HRT 😢 Has anyone here experienced the same? Please share, I really wouldn't like to stop it.
@liltoxicxiii
@liltoxicxiii 12 күн бұрын
What is the risk with the femring? Does it have a clotting risk?
@yummyj3393
@yummyj3393 Ай бұрын
I use Combipatch, but want to switch to a transdermal estradiol patch with a transdermal progesterone (not progestin). Does the U.S. have any transdermal FDA approved progesterone products? It doesn't seem like we do. Combipatch is so limiting in terms of dosages & I would rather take a bioidentical progesterone transdermally (not orally) and not a synthetic progestin like the norethindrone acetate that is in the Combipatch.
@JR764.._
@JR764.._ 13 күн бұрын
I am 65 and using estradiol gel topically and am starting vaginal estradiol. I have a really important question. I want to use the progesterone capsule (mixed into the vaginal cream. Can the two be mixed like this please
@patriciapyper4617
@patriciapyper4617 Ай бұрын
I put my evorol Conti patches on my bum cheek ❤
@we4utube2
@we4utube2 Ай бұрын
Do you need testosterone if your blood work for it came back normal? I’m on the patch and progesterone and I feel great. ❤
@DebMcCabe
@DebMcCabe Ай бұрын
Testosterone dosing is more about symptoms rather than levels. So if your levels are not high and you are having symptoms, ask your doctor about supplementing.
@marywidener1409
@marywidener1409 Ай бұрын
My doctor recommends a compound estrogen vaginal cream. Will that help 11:30 with nights sweats, anxiety and brain fog? Those are my main menopause symptoms 😢
@ninjarokitBOB
@ninjarokitBOB Ай бұрын
Can a menopausal woman who suffered a pulmonary embolism while using transdermal E patch continue to use use Intrarosa or vaginal estrogen cream?
@blondebeautylush
@blondebeautylush Ай бұрын
Wrong there are 3 routes - oral, transdermal, and injections
@michellebailey4769
@michellebailey4769 Ай бұрын
Actually4….I get my estradiol and testosterone subcutaneously in pellet form!
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