Why to take progesterone at menopause.

Find out when and why you should be taking progesterone when taking postmenopausal hormone therapy replacement. It's more complicated than you might think and should be used correctly for uterine protection. Be sure to stay proactive about your menopausal health when using hormone therapy in perimenopause and menopause.
--------------------------------------------------------------------------------------------------------------------------------------------
GET MY FREE HORMONE HEALTH GUIDE: view.flodesk.c...
---------------------------------------------------------------------------------------------------------------------------------------------
I see patients in my private telemedicine practice in 8 states! (CA, NY, MA, NH, RI, FL, OH and AK) and you can book here: heatherhirschm...
Grab your copy of my NEW MENOPAUSE book here: amzn.to/3N0YcEC
Check out my favorite vitamins, supplements, and other over-the-counter products listed on my Amazon Store: www.amazon.com...
💕Ready to reclaim your life at menopause? join my masterclass! the-menopause-...
Podcast: "Women's Health by Heather Hirsch" podcasts.apple...
Also, find me and follow me on:
Instagram: / hormone.health.doc
Facebook: / heatherhirschmd
Twitter: / heatherhirschmd
Pintrest: / heatherhirschmd
Course: the-menopause-...
Website: heatherhirschm...
Podcast: "Women's Health by Heather Hirsch" podcasts.apple...
Disclaimer: This is not direct medical advice. These opinions are my own and don't represent those of my institution. None of items are sponsored, however I am a participant in the Amazon Services LLC Associations Program, an affiliate advertising program designed to provide a means for us to earn fees by linking to amazon.com. You do not need to purchase directly from my link. Ultimately, all recommendations and opinions of products are my own.

[@mdcc279]

Hi, thanks for your educational videos! Is vaginal progesterone as effective as taking it orally. I'm on 100mg daily, continuous, but I think it's causing bloating. Thank you.

[@heatherhirschMD]

Yes you can also use vaginal progesterone. It is written as a nightly vaginal cream. This is prescription only!

[@casperinsight3524]

Curious to know of any side effects of a progesterone IUD, Appreciated Thx

[@niamhbyrne4036]

@@heatherhirschMD the question was is taking it vaginally as effective?

[@indigoldf]

Can the mini pill help?

[@DW...]

​@heatherhirschMD I'm confused 😮 55 postmenopause - found a doctor from NAMS - given 0.025 estradiol patch & 200 mg micronised progesterone capsules, Doctor said progesterone is calming, helps you sleep & so much more ....

[@spiritisalive1]

I have had a hysterectomy, but still have ovaries. I've had trouble sleeping for years. I have lived on unisom for about 2 years. A friend of mine who is a health care professional, was not thrilled that I was taking unisom long-term... Especially linked to first generation antihistamines causing dementia. 😬 She prescribed me progesterone. That was a game changer, I get great sleep now. And I don't wake up feeling groggy or hungover like I did with the unisom.

[@MrTurtluv]

I was just prescribed Progesterone. I’m peri-menopausal, 44, had a uterine ablation and tubal 10 years ago. I’m glad it works for you, I have high hopes it will help me with this depression, irritability, and sleep issues.

[@aguilarnicole23]

OH!! I could have written this comment myself!! I’m in my mid 40’s.. I too had a hysterectomy and still have ovaries! I also take Unisom, in tablet form. I am looking for help for my seep, anxiety issues 😩 How much Progesterone and how are you taking it?

[@sharang747]

I can’t sleep with orgesteine

[@ironmaidenfitness654]

I’m 50 and peri menopausal and only on Progesterone at present which has helped me with anxiety and sleep as it has a calming affect… aside from protecting the uterus I think it is very useful to be offered/get all our hormones back (including testosterone when needed).

[@escazucostar8180]

I’m 49 and going through the same symptoms of anxiety but I noticed I have skipped a period so when can I apply my progesterone compound cream since I’m already 3 weeks late.

[@ironmaidenfitness654]

@@escazucostar8180 I was using progesterone under doctor direction 8 years before menopause as it is the first hormone to dip - thus the anxiety

[@karicutler9246]

I absolutely think this is not true. It may be for some people, but I think it’s extremely dangerous to make a blanket statement that people without a uterus do not need progesterone. If it wasn’t for progesterone, I would be a crazy person. People watch these videos and depend on you for advice and it’s not just a one and done for everybody.

[@genderrebeljo3051]

Glad to hear this. Just started today !

[@ljay72]

I’m 52 and just started 200 mg micronized progesterone one week ago. I had incredibly bad insomnia, anxiety and panic that started at the end of a Covid illness. It has saved my life. I can now sleep through the night.

[@shenell1185]

You take progesterone the second half.of cycle (day 15 onward leading up to period). It's confusing she said 1-12. A cycle day 1 starts on your period (1st day bleed). Your not taking progesterone through your period.... your taking it leading up to your period.

[@truth-alwayswins]

The original OG’s need huge props too re: the subject of progesterone-Dr. John Lee and Suzanne Somers. Thanks to all who prioritize women’s hormonal health.💙

[@vanessayurrita3724]

Thank You for talking about us women that we still have our uterus!!!!!!

[@fluffernuttersand]

What happens when you have a uterus and estrogen makes you feel amazing but you have neurosensitivity changes to progesterone. ie: it makes you depressed/anxious even in small doses.

[@emilyhops2566]

If you dont take the progesterone, then you risk uterine cancer. What kind of progesterine are you on, because i didnt get on with utrogestan and so had the coil instead...

[@questioneverything1776]

I get this too! It’s awful! 😞

[@77Angeleyz]

@heatherhirsch I couldn’t handle the estrogen and progesterone. I made me feel so bloated. My OBGYN said I can take the progesterone alone. I am constipated a lot please help!

[@carlawalker7814]

love all of your videos. My question is concerning the progesterone 100mg.. Can this be taken 12 days of the month if you are on .1 estradiol patch twice a week? or would this only be for the the 200mg?

[@KatJ3st]

I was encouraged by my locum to switch from Progesterone to Provera but that stuff may be cheaper but it is more likely to increase my chances of breast cancer. But I LOVE my compounded estrogen!

[@questioneverything1776]

Definitely NO to provera! That’s the worst and should be off the market! Way more increased risk of stroke and clots, and mood disorders. Why in the world would any Dr recommend synthetic vs bioidentical hormone with proven little side effects

[@annepeterson2573]

Thank you, Heather. This is very helpful for me. I have had terrible insomnia since entering menopause at age 51.

[@shirleykennedy1619]

I used to have it to and I would not take estrogen or progesterone I was worried but I got educated on it I had been in menopause six years and decided to try it I sleep like a baby now and feel so much better I use the estrogen patch and progesterone 12 days of the month

[@mariamunguia8863]

@@shirleykennedy1619 hi Shirley Are you still doing 13 days a month Does that mean you have a period? Just a question? Because the The cyclical for me would be terrible.

[@shirleykennedy1619]

@@mariamunguia8863 no I do not have one I’ve been on it for two months so far been in menopause for about six and half years

[@casperinsight3524]

@@shirleykennedy1619 Assuming the cyclical progesterone is cream format? Could you share what dose is effective for you and isn't causing any mthly bleeds. Much Appreciated ~ TY

[@ironmaidenfitness654]

@@casperinsight3524 progesterone is safe taken orally

[@escazucostar8180]

If I’m in perimenapose and I have skipped a period when do I take my bioidentical progesterone cream therapy if I have skipped my period? I’m struggling with anxiety due to the in balance of hormones. Please advise. Thank you.

[@melissac.8151]

Thank you for this educational video. I’m still a little lost on the differences (and risks or benefits) between medroxyprogesterone and micronized progesterone. I’m currently taking Prempro for early menopause (age 43) with multiple symptoms. The symptoms were rough and it seems to be helping but I also want to make sure I know that I’m taking the best HRT and know my options.

[@denise76]

Sure wish someone would answer. Feels like we can't get any help out here.

[@veronicamartin6977]

medroxyprogesterone acetate is a progestin. Micronized prometrium is considered safer. I learned this and made this switch.

[@TheShumoby]

Take only micronized progesterone. It's identical to the hormones you should be making

[@hea7055]

I can recommend Lara Briden's book The Hormone Repair Manual. She talks about this. Basically progestins are not progesterone, they're structurally different, so the body can't use them as well as body identical progesterone e.g. Utrogestan and Promethium, which are structurally the same as our body's natural progesterone. Therefore we tend to get less side effects and more benefit of taking body identical.

[@DW...]

​@denise76 Especially @ the end of the video - she states leave me questions below!!

[@susanbarell8652]

Hi Dr. Hirsch, I am post menopausal (age 62) with a uterus. For the past 5 years I’ve been getting more frequent UTI’s. My gynecologist gave me low dose antibiotics to take after intercourse, but I didn’t want to keep taking them. After being made to feel that I wasn’t cleaning myself properly, and drinking large quantities of cranberry juice, I learned through other KZbin doctors that the UTI’s are caused bc of the lack of estrogen. I discussed with my gynecologist, & she agreed to put me on Premarin vaginal cream, plus alternate with a lubricant suppository. I haven’t had a UTI in a few months now. But now that I’m watching your video, I’m wondering if I should be on oral estrogen&progesterone. Note, too, that I have a history of endometriosis in my early 20’s, but it was resolved via surgery and medication and I had 2 natural births. Could oral estrogen& progesterone combo be a better course of treatment? Thank you for your informative videos.

[@keelyjohnson2893]

Is it effective to take 100 mg progesterone every other night? I am thinking that 100 mg at bedtime is just a little much for me based on some symptoms. Will this still provide uterine protection? And will it still be able to work for the symptoms I wish to aid...ie sleep etc? Thank you for all your time and knowledge for all women

[@loveheals2828]

@@555_Lady_JB me too. looking for a solution

[@happymunchkin2812]

I heard from one very smart dr. Said, you don’t have to take progesterone when you take estradiol.

[@rosej9686]

​@happymunchkin2812 you do if you still have your uterus.

[@hea7055]

I've read that there are so many more benefits of progesterone than are talked about in this video. This comes from taking body identical progesterone not progestins. Lara Briden's book 'Hormone Repair Manual ' talks about this. Why aren't doctors looking beyond thinking the only benefit of taking progesterone in HRT is to prevent womb cancer?

[@naomimay82]

I will be starting progesterone this week. My doctor prescribed a pill and a cream; natural and from a compound pharmacy.

[@venessavuia]

How’s it going?

[@naomimay82]

@@venessavuia It was terrible!!!! I gained 15 pounds of water weight and started having heart palpitations. I had to quit the progesterone.

[@venessavuia]

@@naomimay82 holy crap! Did you have low progesterone to start? I just started today but just a cream. I was going to take it for a couple days but maybe I won’t.

[@naomimay82]

@@venessavuia My estrogen and progesterone were imbalanced. So maybe not so much low progesterone as it was high estrogen compared to how much progesterone I had. Basically, I need to bring the estrogen down a bit and/or progesterone up to fix the balance. I have just transitioned to a high fat diet. Fat is essential for hormone production. A high fat and high protein carnivore diet seems to be correcting the issues. I need to do another hormone test, but my periods have improved, which is a good sign that my hormones are correcting themselves.

[@venessavuia]

@@naomimay82 Oh wow! I'm glad its an improvement. Yes, I have read that when you need to mess with estrogen, that is when the weight may or may not be affected. Good tip with the fats! Thanks.

[@elenakurz1411]

I really don’t like taking Progesterone 100 mg OP. Makes me feel sleepy, very unmotivated almost depressed. I have heard about inserting a tablet intravaginally . Can you comment on this?

[@germanshepherdmom1143]

That’s what I was afraid of. Thanks for saying this.

[@diann3880]

I agree. Same

[@sherrychetakian895]

Same. It makes me feel awful.

[@diann3880]

I read somewhere healthy 25 yr old produces 20 mg of progesterone a day. I’m in menopause making less of everything. All a bit confusing

[@christirose6813]

Me too. I've been talking it every other night. I don't feel much better. I'm thinking of trying it cyclical. I'm first year in menopause btw.

[@claudiamarkets9126]

Thanks for EXPLAINING the 2 ways of taking PROGESTERONE Prometrium instructions is explained as follows: 28 day cycle: from day 8 to day 21 for a 28-day cycle, 30 day cycle: from day 12 to day 25 for a 30-day cycle Could you please explain more about PROGESTERONE effects if taken daily ?!?

[@karenbraddock41]

So if you’re already menopausal, should you cycle P? Does it hurt to not have a bleed?

[@BreedaWillis]

Can you do a video on how to balance oral estrogen and thyroid hormones it’s impossible to absorb the estrogen taking thyroid hormone

[@heatherhirschMD]

Great idea. I have an older video on this (search though my videos) but about time for a new one.

[@sjordan7085]

For a 73yr old woman with uterine hyperplasia due to Estrogen Dominance, which dosage of progesterone works best to decrease size of uterus and stop bleeding? Will 200mg caps taken twice a day work? I noticed some women are prescribed 600mg daily, taken in two doses of 300mg twice a day. A D&C, histerscopy and another biopsy is in the process of being scheduled. Previous tissue sample was insufficient. Uterine ultrasound was stable at 24mm for six months while taking one 200mg cap daily, but uterus increased to 31mm last month. Another ultrasound is scheduled a month from the last one. Thank you for your informative videos Dr. H.. your knowledge is much appreciated!

[@pkstiever]

If you don't mind, how do you have estrogen dominance at 73? Is it from adipose tissue or some other route like pills or patch, etc.? Just trying to understand what our bodies are capable of doing so I know what to watch out for. I had a uterine laser ablation and it was the best thing ever in my mid 50s. No more bleeding!

[@reinadelmar11]

@@pkstiever I think estrogen dominance is a relative thing so all hormones can basically be tanked out but if the estrogen is still higher than the progesterone in the body it can create symptoms and yes it's stored in the tissues from what I've read.

[@Diana-mu9vd]

Do you like emerita progesterone cream? Applied nightly to help sleep?

[@sabrinatosi-creet3506]

HI Doc, thank you for all your videos.When you say to usr only FDA approve HRT do you also mean Bio Identical Hormone BHRT as well? Just to make sure I understand this correctly.Thank you kindly.

[@yorocco1]

I’m so confused. Everything I have read says that phytotherapeutic progesterone is best and safest because it is bioidentical. What does the FDA approve?

[@Maryzees1]

I started progesterone 200 mg about 2 weeks ago and I’m so sleepy all day with little to no energy. I take it 1x before bed. I am also on .25 mg estrogen patch. Will I get used to the progesterone? If so how long should it take before I ask for a lower dose? Anybody? Thanks! :)

[@JL76OH]

Good information. Came here to try to help my wife with her hormone changes. Thank you. Constructive criticism - The uptalk is a little distracting and disrupts the flow of information.

[@trinagreenfield5198]

Progesterone has many benefits for the body besides simply protecting the uterus.

[@mtntm5628]

I LOVE these videos…so informative and helpful. Can you please address taking progesterone post-hysterectomy to help with bloating from using an estrogen patch? (0.075 or, currently, 0.05). My doctor said it would help and I think it does, but then I read progesterone can cause bloating, so I’m confused. Do you approve of this use? Is 200 mg. preferred nightly (it does help with sleep!) or should I try to drop to 100 mg.? Thank you so much for all the help you provide those of us who are trying to navigate this phase of our lives. I feel so much better about the journey, now that I have more information.

[@tangoone4047]

Research Dr.John Lee on progesterone, not progestin.

[@jasminecommercemusic]

Would love a video discussing the current literature on the differences between how the micronized bio-identical progesterone pill behaves in the body vs synthetic progestins. From what I’ve been reading, there are pretty significant differences, yet you don’t focus on that in this video. There seems to be a LOT of misinformation out there and confusion about the differences between natural progesterone and progestin, and how the body reacts to the both.

[@carascottvo]

This is the main beef I have with this channel- thanks for bringing this up. She is a conventional OB/GYN, and they continue to recommend progestINS rather than progesterone, just like you said. I think it's probably the influence of pharmaceutical companies, and sadly, this will probably continue- they can't patent natural substances, so their products will never gain superiority over true bioidenticals.

[@Ladysash123]

Progestins is giving me a lot of side effects . I don’t like it. I’m pushing for a hysterectomy and I don’t understand why doctors try to tell ou what to do with your body when it comes to that. I live with these horrible side effects and it as to be damaging something else in my body. I have always been all natural and I hate progestin

[@maritpedersen77]

@@carascottvo i take bhrt from my OBGYN. Its body identical . Estrodile and microiniced progesteron. Theese are aproved and safe and they are not syntetic!

[@carascottvo]

@@maritpedersen77 Yes! I wish she'd talk about this!

[@onewomansjourney760]

Synthetic Progestins (made from horse urine!) have more side effects than USP Micronized Progesterone bioidentical made from plants (Prometrium). Safer than synthetics.

[@missanthropy5808]

Progestin and progesterone are not the same thing. At all.

[@marynelson6339]

I am on hormone replacement therapy the pellet and I was told I wasn't in menopause but was told to take compound progesterone 200mg every single night so all month long but I am also trying to conceive again and my amh was low but for what I read amh isnt the same every month and i already have irregular cycles

[@dinaguarrasi9262]

Hi Dr Hirsch! I Totally appreciate all your knowledge and expertise! I am post-menopausal and on bio-identical HRT. It has been a real whirlwind trying to balance everything out over the last 2 years 😵‍💫 i came across your videos and decided to follow your suggestion to test whether i am currently estrogen dominant or intolerant to progesterone. Symptoms i continue to experience are engorged sore breasts and bloating. Ive started by testing estrogen. I removed the estrogen patch 2 days ago and am experiencing headaches…is that normal? Other than that my breasts seem to be a little bit less sore with a decrease in bloating. Should i test for more than 3 days or not given i have a slow metabolism? 😊

[@Samraian]

Hi Doc! Does progesterone helps to prevent the growth of febroid? I will wait wait for your response doc. I already subscribed to your channel

[@emmanate28]

Doc wants t put me on progesterone for my migraines and I’m absolutely terrified. I already have history of depression and struggle with fatigue. She didn’t even want to test me. What to do.

[@angienohl5328]

I just had a hysterectomy and my ovaries and cervix removed due to precancerous cells and heavy bleeding. My gyn just put me on Aygestin? Is that even needed?

[@73joannaob]

Hi Dr Heather, thanks for your great videos, so helpful. Can you please just clarify one thing. I am 47 and peri menopausal. I'm on HRT 50mcg patch of Estradot and 200mcg of Utrogesterone vaginally days 15 to 26 as I still get periods. I am so sensitive to Progesterone, it really effects my mood even when I take it vaginally, I'm just wondering if it's safe enough to take it every second day instead in order to lower the dose? Would that be enough to take it every 2nd day on days 15 - 26? Thanks so much!

[@paulawilkinson6341]

Am having really low mood since taking utrogeston. Now my doctor is saying that’s impossible that utrogeston helps lift mood . But am extremely low annso tired feel awfully flat all the time

[@blueberrydays5569]

I get unbearable mood from progesterone also...and it affects the effectiveness of my adhd meds to the point where it's intolerable..

[@sabrinatosi-creet3506]

@@paulawilkinson6341 you know yourself best, so if you think its giving you low mood it might be true for u, we are all different and things effect us in a different way . all the best to you

[@meganpatterson1653]

Great video. I’ve been told for years I’m estrogen dominant. I’m 45 and definitely in perimenopaus. Only prescribed progesterone (naturopath dr). Even though I’m “estrogen dominant” should I be taking estrogen

[@vanessasworder]

No you have enough estrogen

[@shenell1185]

That term (estrogen dominant) only means your progesterone is low in RELATION to your estrogen. It doesn't necessarily mean that your estrogen is high. And as we age.... your estrogen AND progesterone will decline further. In perimenopause, the 1st thing to decline is your progesterone, then your estrogen. That's why they use that confusing term

[@Everythingformy3kids]

Hi. I have a question. I just started Estrogel and progesterone. Do I take at same time together

[@rachelsaunders3308]

My last period was either December or January. Should I start taking two tablets every night before bed anyway?

[@peachesmcgee4795]

I started taking progesterone a couple of months ago and had the worst bleeding ever. I couldn't leave the house because of it. I'm now scared of taking it again.

[@rycelle76]

Im not taking any Estrogen im 48yrs old and still have my menstrual cycle but my Naturapath doctor prescribed me the progesterone pills. Is this ok?

[@ancestorbackforthelasttime]

This video is a little older so she may not see it. Dr Felice Gersh here on y/t answered a similar question

[@LosBlandons]

Thank you so much for all you do! I live outside the USA and my doctor here placed me on 1 mg estradiol and 2.5 mg MPA. Everything was going fine. I went to the USA and saw my OB/GYN there and she changed me to micronized progesterone because it is not synthetic, helps with sleep and is better for me. I started bleeding after 2 days and continued even after increasing to 200 mg. So she said to go back to MPA and that 2.5 mg is not too bad for me - but I don't want to take it if it is bad at all! Your thoughts would be greatly appreciated!

[@heatherhirschMD]

It would be FINE to go back to your original dose and formulation. Very safe.

[@MsKati30]

We have the same issue! Read my comment! Wow. Doctor upped my dose of progesterone (generic Prometrium) to 200mg when I began bleeding every two weeks and even through I took it at night started to have dizziness, headaches and breast pain! Crazy!!

[@TheShumoby]

​@@MsKati30I only take 50mg on the outer side of menstrual cup for 10 days on a cyclically.

[@DW...]

​@@heatherhirschMD postmenopausal (just started taking) Medroxyprogesterone 2.5 mg. I am hearing it won't help w/depression or sleep😢 IS that true??

[@annporter7359]

I like that you care as much about safety or more than relieving symptoms. 👍🏻🌺thank you

[@MrDandelio]

I’m 3 years PM, tried to balance naturally, but still not happy. Decided to try the lowest dose of estrogen patch to help me smooth hormonal fluctuations. The problem is my hormones go up and down WEEKLY, yes weekly, not monthly. Which means every week I have 1-2 days of ‘period, , 2-3 good days, 1 crazy ‘post ovulation drop’ day and 2 days of ‘PMS’. Im currently supplementing progesterone (oil) 3 days a week ( p.o. drop-pms) working with my natural rhythms. With the use of estrogen patch I will have to give my body more progesterone. Shall I continue it the same fashion or do u suggest otherwise? I strive to work with my body, not against it… FYI I’ve been using USP pure progesterone oil natural oil base that my sensitive body can tolerate.

[@lisaboxell670]

I noticed my face looks like its shrinki g and my eyes are sunken in and hips are smaller but no weightloss at 41. It seemed to happen overnight. My progesterone is 0.5 and estrogen is normal so dr gave me progesterone. Will this reverse the bone loss?

[@reinadelmar11]

I've noticed that some holistic doctors seem to recommend progesterone and DHEA but leave the estrogen out, saying that most blood tests won't show the ratio between estrogen and progesterone and that many women can be estrogen dominant because it's stored in the tissues. I have def. developed a "menopot" after a few short months of incorrect eating (so estrogen there?) I also never had hot flashes my entire peri menopause experience and thank God still do not. What I did have was severe body pain that felt like fibromyalgia and anxiety. I used to take a lot of chaste tree (that helps increase progesterone in the body, but not sure how!) I don't want to gain more weight, obviously, and my skin is already thinning, and sagging. I am using vag estrogen for vag atrophy right now, just started it. Also experiencing some hair loss and cold intolerance but have low thyroid conversion activity that I haven't treated yet either. Do you think that oral progesterone and DHEA would be an o.k. place to start or do you feel I need to replace estrogen too? Would the DUTCH test give me a clearer idea of hormone levels and ratios? For sure everything seems low but I think it's low progesterone symptoms I am mostly feeling. Vitex used to make me feel so good. Thanks!

[@1972Celeste]

I think I’ll ask to get my uterus removed so I can skip the progesterone and just take estrogen. 😂 Progesterone makes me so tired all day long 😫

[@heatherhirschMD]

Lol! Or consider and IUD!

[@MLion-t2f]

Progesterone breaks me out even thinking about it. No way theyre taking my uterus. Is there anyway to tolerate taking progesterone without getting acne? Higher estrogen dose?

[@MLion-t2f]

I like how i feel on pregsetrone and i have hellish insomnia, it helps but it gives me forehead acne that will not clear up, even with accutane.

[@casperinsight3524]

@@MLion-t2f I wish there was an online virtual assistant to answer these questions. Perhaps trying a different dose maybe lower may reduce your unwanted side effects or maybe try a different delivery system or type? Let us know what worked best ~ Cheers

[@aprilepp74]

My dr says I can insert the micronized progesterone caplets vaginally for the same benefits minus the sluggishness.

[@tibisayhuerta]

But... 😕 Was in 100mg Progesterone and it ended up being too little, but now I'm in Progesterone 200mg and it's too much. The only option to get 150mg is compounded and my doctor just asked me if I was okay with that so she can send the prescription. I said ok... 😕

[@MM-ie7mj]

Hi Dr Hirsch would it be ok to use a combination of MPA and natural progesterone just to get some natural in, offset the synthetic effects & also gain some uterine protective effects? Also what is considered a standard E2 patch dose 0.05, 0.075 ? Thank you !

[@reinadelmar11]

What's MPA?

[@Aki-wq6xh]

Really want to know the right proportion. How much progesterone to estrogen?? I have opted for using an Estrogen cream but do take Progesterone pills. But I need to work out the proportion!

[@SybilSheltonFord]

I’m on 100 mg of progesterone. If I want to take it cyclically, do I have to double the dosage for those 12-14 days?

[@pattylusal]

Is it safe to use Bioidentical Progesterone cream if I have uterus and I dont use estrogen....I use it to protect my breast and sleep well....But my question is if dosent affect my uterus lining?

[@nathanmartin4433]

If you’ve had breast cancer can you still have HRT

[@emilyhops2566]

I am 51 and have a regular period but have dreadful pmt and the periods are a bit heavy, but i manage them. I also have bad migraines which started about 4 yrs ago. I dont have any other symptoms except for anxiety, my dyslexia has got worse, a few palpatations, and bad dreams every night. I was prescribed estrogen gel and an oral progesterone tab every night. I didnt get on with it, i had very bad pmt and a zombie like feeling so i stopped the complete hrt after just 12 days. The dr has suggested a mirena coil as she said my migraines would go and my pmt would improve. But i'm scared! There seem so many side effects - hair loss? Weight gain? Just as bad pmt? Would i be better off with patches? Any advice gratefully received. Thank you!

[@alexandraferreira561]

Melhor fazer a reposição hormonal bioidentica..A Progesterona vai ajudar você a não ter efeitos da Tpm e é a primeira dos hormonios a declinar

[@alexandraferreira561]

I think in your case is better just for now using progesterone..If i knew it that befora, it was very helpful, I'm 52 and endometriosis ao mu periods were very long ,i only found about progesterone after google it..😘

[@marjoriemartinez9973]

Im 53 ..2 yrs post menopause..on Trt i feel amazing however, converting estrogen off the charts and i have low progesterone...what should i do

[@hannahkris6929]

Hello Dr Heather. Just discovered your channel thank you for sharing useful info about progesterone. I started HRT only about 18 months ago. 2 pumps of Esteadiol and 100mg oral Uyrogestan micronised. Every thing was fine for 11 months and then bleeding lightly almost every month. Had a hysterescopy and the doctor said endometrium has thinned out. I should take 200mg of Utrogestan. But inspute of increasing utrogestan everyday I have bleeding spotting unapire of decreasing estradiol to one pump. Spotting for 10 days now. Is this because of hysterescopy or increased utrogestan ?

[@tlichtlin]

Hello, I just came across your KZbin page, and I am enjoying all of your videos. I am at the end of perimenopause. I was using patch and progesterone. It was working well, but I still felt like I needed something more. I tried BHRT therapy, and it doesn't work for me. Too much uncertainty in levels and if it lasts 3 or 4+ months. Therefore I am letting it run out. So I can go back on patch and progesterone alone. I am starting to wake at night and have symptoms returning leg pain arms falling asleep. I am at the beginning of month 3 with pellets. Could this mean estrogen running is low, or could this be the testosterone? I'm unsure when to put the patches back on; I don't want to have too much estrogen before it's time. I am still not sure if I will use testosterone again. Do you have videos on testosterone for women? Thank you-your videos are very helpful.

[@spol9622]

I am menopaused and in early 50. My doctor told me to pearce 1 of the 2 promoterium capsules , press the oil out and apply it on the thin skin of the V. What is your take on this application in avoiding the progesterone traveling in the body?

[@ILfarmgirl1970]

Interesting. Progesterone causes dizziness for me, so I stopped taking it orally and every three months (of which Dr. Heather was not a fan, but did not explain why...) I pop one of my 200 mg capsules and spread it on my inner thighs, lowet abdomen, or forearms. I do this for 14 or 15 days every third month, so two and a half months period free. Have never tried spreading it in my pelvic floor area. I wish I knew the reasons Heather prefers monthly applications. If you watch any of her videos where she answers your question or mine, please let me know and I will do the same for you!

[@Ishtanara]

@@ILfarmgirl1970 It has peanut oil as a carrier and will not be absorbed transdermally

[@ILfarmgirl1970]

@@Ishtanara I have heard that before, but it evidently does absorb into my skin because it causes me to begin my period. As I think of it, when the solution comes out of the capsule, the cream part is separated from an oily substance. (Haha needs an egg to emulsify. ) So, maybe that is why it does work?? I appreciate your kindness in trying to help, though. It is about time for my annual appointment, so I will ask my doctor why she recommended it to me and why there may be concerned.

[@AprilLovesDIY]

I thought it was the opposite. The reason why you go with compound is because you can get lower levels and because you could be getting something that’s way too strong because they make certain strength.

[@Everythingformy3kids]

Hi I just started estrogel and progesterone do I take them both at the same time

[@empresslove2120]

In your opinion is it better to take progesterone two weeks on two weeks off to mimic our natural cycles even during menopause? Dose progesterone continuously effect our Estradiol levels meaning we would need a higher dose to counteract this effect? ☺️ many thanks for sharing all your knowledge 💐🙏

[@melb.6617]

Hello, I’ve had an US showing ET to be 30mm. Had uterine biopsy which showed polyp fragments but no hyperplasia. Doctor says I should have mirena put in. They don’t seem to be , concerned with the 30mm number. I am in early peri menopause since FSH is 27. Does men sound like the right plan? And is 30mmET normal?

[@deiabru7410]

Thank you for such an informative video. I am in perimenopause and was prescribed only progesterone. You mentioned the main purpose of progesterone is to protect your uterus from cancer but I am not taking estrogênio yet. What would be the benefit of taking progesterone without estrogênio? It did help with insomnia but I also noticed my periods became more frequent. Thank you from Brazil

[@heatherhirschMD]

It can help with sleep and sometimes women find overall its beneficial. If you aren't getting much benefits then you might not need it, or there may be benefits of adding estrogen.

[@francisivanperez8283]

Now on perimenopause, woth insomia, anxiety, and depression, anxios, tje on problem is i have fatty liver is it ok for me to take estrogen, and progestreron?

[@skitchyjohnson]

​@@francisivanperez8283were you able to find a health care specialist to help you? I've never heard of fatty liver being a reason but to take estrogen. I would think it would help you improve your overall health with diet. I hope you've been able to get relief since you posted this question a year ago.

[@112nickytaylor]

I had a complete hysterectomy and ovaries removed. I am taking estrogen but was also given progesterone to help with balancing / sleep/ and water retention. But now I am listening to your videos about progesterone causing water retention? Is it worth me taking ? And I was also recently given Vaginal testosterone, mine is severely low/ non existent. Is that ok?

[@AmeliaAcres]

I’m in the same boat and wondering the same thing!

[@112nickytaylor]

I didn’t like the way I felt on the progesterone so I didn’t continue it. Hope you are feeling ok

[@veronicautter3916]

Yes, I had a partial hysterectomy, my dr gave me progesterone too, well I’m not going to take it, I’m just taking estradiol patch and testosterone

[@leburpburpie]

Is 100 mg for 14 days ever prescribed or only continuous?

[@sheriu7167]

Afaik peri (2 weeks on 2weeks off) post menapause continue to take both.

[@casperinsight3524]

For clarification, If I'm understanding correctly, if uterus is intact one must take progesterone to balance estrogen to prevent uterine cancer. Bcuz progesterone cause uterine lining to shed, can one expect to bleed mthly for life?

[@rosej9686]

No. I'm taking both and never bleed.

[@casperinsight3524]

@@rosej9686 Interesting and confusing 🤓

[@amandagreene367]

I take micronized progesterone from Barbara Hoffman called Menopause moisture cream. I had a Hysterectomy and kept my ovaries. I use it at night for insomnia. I’m working 3 more years in Law Enforcement on rotating shifts. I don’t take any HRT and I also, take Melatonin with it before bed. I take Vitamin D3/K2 and Zinc!!! Is this okay?! I deal with the hot flushes.

[@mandybassi8790]

I mistakenly took progesterone one night earlier than scheduled. I tried washing out and letting it leak out by standing as much as I could. (It was inserted vaginally) Would that be an issue for taking it one day early or am I ok? I’m a little nervous!

[@sherrymiller8167]

Had a uterus oblation when I was 37. I haven’t had a period since I’m 54 years old can’t lose my stomach for anything. I am healthy. I exercise maybe I should work out more but I’m Always moving. Getting very moody at times I feel like I’m in a day going to fog. I don’t know how to explain it, but I’m not here, but I am. Only getting a couple hours. I might sleep doctor just put me on a very low dose of estrogen and progesterone. I pray this helps

[@jenniferfigura1609]

Im 42 and blood work showed my progesterone is low. Is it ok to take daily. It helps me sleep so much better

[@nicolewisniewski4045]

When taking progesterone separately, and being perimenopausal not having a period regularly, how do you determine when days 1-12 are? Thank you!!!!

[@lilibetholmedo8395]

Could I use this if I had a total hysterectomy. Would it be harmful if I used combipatch?

[@skb2154]

Im 52, menopause symptoms and no libido. Still haven't gone a full year without a cycle so Im not post-m yet. I do have some fibroids...OBGYN prescribed 1 mg estradiol and 200 mg progesterone (prometrium) capsule. Scared to take the leap and take the 200mg of progesterone cause a progesterone cream in the past gave me irritability and anxiety. Do you think this is a good combination to try? (1 mg estradiol daily plus 200mg progesterone daily?) would like to have my libido back along with my husband lol

[@casperinsight3524]

It couldn't hurt to try, if it doesn't work you can adjust your script to find what works best for you ~ Cheers

[@jlaadriano4546]

Dear Doctor?I'm on proglyton for the past 5yrs.,unfortunately moving out from another place and this is not available here in saudi arabia,all my symptoms came back and found this climen contraceptive pill and found it helpful for my night sweats and all day hot flashes,it's difficult to find a an excellent specialize doctor for menopause,I went to see another doctor and he prescribed for me premarin and I'm hesitant to take it for I still have my uterus ,Will you kindly help me whats bests HRT should I take,Highly appreciate with ur kind advice please thank you

[@LP-fw3wl]

Hi Dr Hirsch, what do you suggest HRT treatment for perimenause insomnia if they also have acne, is progesterone a good choice, i heard it can make adult acne worst? Which eostrgen/progesterone combination would you recommend for this ?

[@heatherhirschMD]

usually acne flares due to testosterone, so that is what I would avoid. Often times with hormone therapy acne gets better as your body is less stressed due to the terrible symptoms.

[@ladytemjad]

Thx for this info!!! You rock❤️ what about the combipatch? Is this a good option?

[@heatherhirschMD]

The combipatch is excellent I use it often!

[@ladytemjad]

@@heatherhirschMD thank you for responding! I appreciate all you do! Will I cause bleeding? Don’t want that to happen!

[@cindiminer9668]

I’m 60 do I need testosterone? Had a hysto so no uterus and take estrogen

[@ilyanna67]

This is a 2 part question Dr Hirsch. 1. My NP prescribed oral progesterone ALONE for post hysterectomy/oophorectomy for hot flashes and no sleep. She says I don't need estradiol. Should I be concerned about taking this medication on it's own? 2. I know you practice in NYC. Do you take insurance? I would love to transition to you as a patient.

[@rosej9686]

That's backwards. You need estradiol after a hysterectomy, NOT progesterone.

[@kellymallory9007]

What dose of progesterone do you recommend with estrogen 2.5

[@TracyW-me8br]

I want to ask my gynecologist about the progesterone only pill to lighten my heavy periods. Does that work?

[@TracyW-me8br]

I am 48, almost certainly in perimenopause

[@sherrymiller8167]

Had a uterus oblation when I was 37. I haven’t had a period since I’m 54 years old can’t lose my stomach for anything. I am healthy. I exercise maybe I should work out more but I’m Always moving. Getting very moody at times I feel like I’m in a day going to fog. I don’t know how to explain it, but I’m not here, but I am.

[@angm5266]

Post menapause go 6 years starting progesterone I heard one dr to take a week off of progesterone is that ok?

[@carriespackman762]

I always went to a gynecologist once a year for my physical and my primary doctor once a year well when I was 52 my gynecologist died so I just had everything done at primary I asked him every year about HRT because my grandmother wore a patch til the day she passed at 101 because her doctor believed it protected her bones and heart I should have been stronger in my feelings because he always said no ...now I’m 66 in good health on no medications but I wonder if I’m too late to the game I have some osteoporosis even though I walk 5 miles four days a week and do hot yoga twice a week ...thank you

[@eatmeatandliftweights5754]

Walking and yoga are good but do not do much for bones, you need weight lifting.

[@itsme_shanti]

There are medications to increase bone density which you should be taking because you're at risk for a broken hip. To find out if you can still take estradiol you should get you heart/arteries check, if there's no hardening you may still be able to otherwise you won't. But in the short term get your bone density checked and start bone treatment. Some treatment are once/ month, others twice/month. It's NOT DAILY. Your grandmother was lucky to get such excellent care

[@suzyshoemaker7804]

@@itsme_shanti Don’t go to your primary care doctor for gynecological needs! NOT the same at all!!

[@suelasancar5693]

Hello can you please help me? I haven't got uterus, but the cervix and overials are there. My question ist, does I need progesteron?

[@SRNath20]

Hi. I was diagnosed with adenomyosis and given progesterone tabs. But my side effects is bleeding or spotting everyday . It has definitely changed my lifestyle and would like to know if it is normal and if there is another options I should be looking into.

[@tangoone4047]

look into rhymtic dosing and try a cream. Dr John Lee, Dr. neil Rouizer, Dr. Mark Gordon, Angje Nicbols RN

[@Souldesouse]

If progesterone IUD works locally, why is it recommended if progesterone cream or pill has other benefits?

[@MsKati30]

Progesterone or progestin? Which is better? When my doctor switched me to the patch 0.075 and generic Prometrium, I began bleeding ever two weeks. Originally I was on oral estradiol 1mg and 2.5 mg of Progestin. I was switched because my new doctor said that progesterone is always better than Progestin. Any advice on this? I took a hormone break for a month and then had my levels drawn again- I went from total estrogens being over 1200 down to 60 with undetectable progesterone levels. Understandably, I feel miserable again.

[@carascottvo]

You found yourself a great doctor- lucky duck! I'm still looking for one that recognizes the importance of the difference between progestin and true progesterone!

[@joannehenton4610]

Why do docs rarely acknowledge mood issues - progesterone is surely calming and it tanks in 40’s. It’s not just for sleep surely. If we had good progesterone when younger - surely we need to mimick good levels. On 2 pumps o estrogen my confidence notably drops. Even experts miss confidence and depression.

[@lizdemoss7630]

If you don’t have a uterus do you need progesterone post surgical menopause

[@ancestorbackforthelasttime]

There’s a really good channel explaining this Felice Gersh

[@lizdemoss7630]

@@ancestorbackforthelasttime thank you so much

[@lisamariestarcher1365]

I’ve had a hysterectomy and started taking Prometrium 200mg a year ago but recently started getting hot flashes during the night and waking at 2am. Is 300-400mg ok to take since it seems to really calm the flashes as well as helps my sleep to be sound. Thank you

[@nattyyonks]

Are you taking estradiol as well? If you aren’t you should add it (through the skin), if you aren’t you should cycle the prometrium to 12 days of the month only as daily prometrium down regulates the estrogen receptors. (Doctor here)

[@lisamariestarcher1365]

Yes, taking an Estrogen patch twice a week. If I’m over 50; can I take the Prometrium nightly for the sleep benefits along with all the others. Thanks again!

[@angieflowe3925]

I am in peri menopause just starting to have irregular periods. The only symptoms I’ve had so far is vaginal dryness. I got an estrogen cream for that..and I’ve had hot flashes twice for a few weeks and they went away. My question is if I want to take HRT for the heart bone and brain benefits should I go ahead and get started? ..even though my symptoms are very minimal so far. I’m 51 btw. I keep thinking I don’t really feel bad so far will hormones side effects make me feel worse?

[@itsme_shanti]

Menopause Taylor addresses this on her channel. I'm peri- Menopause and looking at why I need progesterone because Estrogen helps a lot.

[@suzyshoemaker7804]

@@itsme_shanti IF u have a uterus, you HAVE to take progesterone (so you don’t get uterine cancer)

[@caroline-s]

I know this is one month old, but maybe you will see it. I'm 51, postmenopausal and my ob put me on the estradiol patch .05 twice a week and progesterone pill of 200 ml nightly. I feel awful. Hot flashes and night sweats are gone but now I have severe anxiety, muscles aches and head aches, plus occasional dizziness. I'm seeing my dr in 2 weeks. Do you think I'm getting too much of one or both meds?

[@heatherhirschMD]

I am not sure. Perhaps have your estrogen levels checked, ideally between 30 - 50. Perhaps too much progesterone, the micronized natural progesterone can cause dizzyness and should be taken at night!

[@caroline-s]

@@heatherhirschMD thank you. Thanks to your video's I discovered that the pellets my Dr. was pushing are bad and found a Dr from menopause.org. I canceled my appointment and will see this new Dr. in 3 wks. Until then I am stopping my htr. Hopefully this new Doctor can help me troubleshoot. Have a nice Thanksgiving ❤

[@heatherhirschMD]

Wow! Wonderful Caroline I hope you have a great experience!

[@caroline-s]

@@heatherhirschMD me too. I have hypothyroidism and I need someone who knows how to balance that with my menopause. I'm glad I followed my gut and refused the pellets. But mostly I'm greatful I found your channel ❤

[@casperinsight3524]

@@caroline-s Interested in why pellets are not beneficial in your opinion as my situation sounds similar .Appreciated, thx

[@daleparrish2046]

Ive been in menopause for 10 years. I have an intact uterus and just started using premarin cream. Should I be taking progesterone too?

[@heatherhirschMD]

Absolutely if taking oral Premarin - and for anyone who has been taking estrogen alone and has a uterus, I would also recommend getting an ultrasound to check the lining of the uterus for the health status of your uterus. Now if you’re just using estrogen cream in the vagina then you don’t need to take a progesterone! Confusing I know!

[@daleparrish2046]

@@heatherhirschMD Im inserting the premarin 2x a week with an applicator. I did just have a ultrasound on my uterus and it looks like its at an 8mm. Im going on Thurs 1/28 to have a endometrial biopsy done. Can you tell me what thickness it should be?

[@mvenero17]

@@daleparrish2046 Hi. I just have the same situation. Now my GYNECOLOGIST want me to go hysterectomy with out biopsy. Can you tell me your experience?

[@lisanelson6635]

Hi. I’m 51 with an intact uterus and am feeling menopausal. Period hasn’t stopped, but it’s irregular. My ob/gyn prescribed me a 12 day dose of oral 200 mg progesterone to basically get me back on track with my periods and make sure I shed everything. However, I am not taking estrogen. Is this an issue?

[@itsme_shanti]

Estrogen seems to be more beneficial to our health overall. Menopause barbie/barbie Taylor's channel here on KZbin address it in detail. You're peri-menopausal if you're getting symptoms but still having a cycle.

[@theusefulblogschanel2069]

I HAVE IRREGULAR PERIODS , I AM 45 YEERS OLD , I HAVE DEVELPED DRY EYES, 0 LIBIDO, CAN I TAKE PROGESTERONE TO FIX MY PROBLEM PLEASE HELP

[@parisgirl3090]

What if you are in menopause and you used to have fibrocystic breasts when you were younger and now on bio identical estrogen and prometrium and the old dense breast symptoms are coming back. Sucks because all the other meno symptoms cleared up on the hormones I feel I need off of it all. My specialist moved me to my dr and she doesn’t know what to do. Ugh

[@widowswatch6610]

I am taking NPC NATURES PRECISE CREAM is this stuff bad for you,? It shocks me it helps me sleep. I DONT LIKE TAKING ANYTHING MY MOM AND GRANDMOTHER NEVER DID.

[@coraliarivas1863]

Hi would love to talk to in my cell in person I live in Fontana CA ihave if lot problem with menosoause I'll try syntetichomontherapy didn't work for me and now in trying biodentical h an i still don't feeling good don't know what to do .please respond thankyou coralia Rivas

[@Ladysash123]

The side effects are so bad . I’m on provera and it’s horrible. Is there anything else I can take