Felice Gersh
Felice Gersh
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HRT & Dense Breasts: When are they okay & when are they a risk for breast cancer? | Felice Gersh, MD
Dense breasts are such a misunderstood topic and so many women with dense breasts are inappropriately given the standard warning that dense breasts increase your risk of breast cancer. Today, I want to talk about the relationship between hormone replacement therapy (HRT) and dense breasts.
In this talk I cover common questions, including:
* How and why do hormones increase breast density?
* When are dense breasts a risk for breast cancer?
* The difference between normal and ultra dense breasts
* How is HRT protective against breast cancer?
Watch for my latest Instagram lives at
dr.felicegersh
I am a full time practicing doctor. I see patients in my office in Irvine, CA and worldwide via telemedicine. If you need more healthcare assistance than I can provide in a video series, please contact my office:
integrativemgi.com/​​
----- Contents of this video ---------------------------
00:00 - What is breast density?
01:45 - Breast anatomy and breast feeding
04:03 - Breast anatomy in older women
07:34 - Dense breasts in older women
08:22 - The role of inflammation in breast density
11:47 - Extremely dense breasts are a sign of inflammation
13:38 - Thermography and breast cancer screening
16:07 - Physiologic HRT and breast density
20:58 - HRT lowers your risk of breast cancer
24:35 - Breast cancer is mostly found in menopausal women without hormones
มุมมอง: 967

วีดีโอ

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ความคิดเห็น

  • @edievelenger3500
    @edievelenger3500 ชั่วโมงที่ผ่านมา

    I am 66 and have just started HRT because I didn’t know I should have been doing it for many years but hopefully better late than never. I have always been very healthy and maintain a lifestyle. I have dense breasts. What could be the cause of the inflammation? Can I change that?

  • @M-SFO-PDX
    @M-SFO-PDX 6 ชั่วโมงที่ผ่านมา

    Fascinating! Thank you, I learned so much from this video.

  • @mayal9606
    @mayal9606 8 ชั่วโมงที่ผ่านมา

    Been in menopause for the past 7 years. You don’t need hrt if you live balanced life. Tgere is nothing that needs to be supplemented or replaced. Your body will naturally adjust.

  • @lacincilla2533
    @lacincilla2533 10 ชั่วโมงที่ผ่านมา

    I am confused about whether I should stop HTR. I am 58 and have been on HTR for the past 10 years with extremely dense breasts.

  • @olderandwiser127
    @olderandwiser127 10 ชั่วโมงที่ผ่านมา

    It is important to clearify that insulin resistance is the root cause of cancer which is why cancer is also called Type 4 Diabetes.

  • @lauraolson7527
    @lauraolson7527 14 ชั่วโมงที่ผ่านมา

    It’s normal. It doesn’t required treatment.

  • @anne-louisegoldie
    @anne-louisegoldie 15 ชั่วโมงที่ผ่านมา

    Superb information and clear explanations, thank you so much💛 I wish the majority of doctors knew all these important truths, and helped instead of hindered their mid-life women patients. Why don't they? 🤔😭 You're great, Dr Gersh, thank you 😊xx

  • @beckyo489
    @beckyo489 16 ชั่วโมงที่ผ่านมา

    Started HRT finally after years of suffering. Mammogram last year indicated I had dense breasts. I'm 62. Very confused now.

    • @olderandwiser127
      @olderandwiser127 11 ชั่วโมงที่ผ่านมา

      Low carb is the answer. Plus avoid all plants high in oxalic acid. Follow Sally K Norton.

    • @lacincilla2533
      @lacincilla2533 10 ชั่วโมงที่ผ่านมา

      I am confused as well. I am 58 on HTR with extremely dense breasts.

    • @whiteleopard1713
      @whiteleopard1713 10 ชั่วโมงที่ผ่านมา

      Why she just explained your case here perfectly.

    • @whiteleopard1713
      @whiteleopard1713 10 ชั่วโมงที่ผ่านมา

      ​@@lacincilla2533Why don't you do hormonal panel using urine and bloodwork with inflammation markers. Do you expose yourself to xenoestrogens in personal care products,perfumes "air fresheners "and all kinds of plastics (phthalates, parabens) they all contribute to toxic load.

    • @MaryBethMcCoy
      @MaryBethMcCoy 8 ชั่วโมงที่ผ่านมา

      There is no reason to be confused. This is an excellent presentation. The studies are clear. Women on HRT have lower rates of breast cancer than those who are not. It is better to replace lost hormones than not in most cases. Estrogen does not cause breast cancer and dense breasts are also not a root cause. What you should consider are other risk factors such as your lifestyle and whether or not you are insulin resistant. There are blood tests you can have, such as your fasting insulin level, which can help determine this, but overall, if you lead a healthy lifestyle, are not obese or diabetic, both of which cause inflammation and insulin resistance, you will most likely benefit by taking HRT, even if you have dense breasts. If you do insulin resistance, or are diabetic, you need to address that by modifying your lifestyle because both insulin resistance and diabetes are definite risk factors for cancer. Dense breasts do make it harder to evaluate a mammogram, but mammograms are not the end all and be all for breast cancer detection. It is a tool that may help in cancer detection, but it is not infallible or without its own risks. There are many false positives, and even if you don’t have dense breasts, mammograms often fail to detect cancer when it is there. The bottom line is you have to make an informed choice as to whether or not you believe HRT is right for you. It is an individual decision, but don’t be misled by some of the misinformation that many doctors who have not kept up with current research give you.

  • @JesusSaves7012
    @JesusSaves7012 16 ชั่วโมงที่ผ่านมา

    Hormone testing is too expensive for most women to keep an eye on estrone. How can we lower our estrone levels?

    • @anne-louisegoldie
      @anne-louisegoldie 15 ชั่วโมงที่ผ่านมา

      I'd like to know more about estrone too 😊xx

    • @olderandwiser127
      @olderandwiser127 10 ชั่วโมงที่ผ่านมา

      @@anne-louisegoldie fixaflash and womens health network are good resources.

  • @minatohid7855
    @minatohid7855 16 ชั่วโมงที่ผ่านมา

    Thank you for being so updated!

  • @jennifermoffitt7294
    @jennifermoffitt7294 18 ชั่วโมงที่ผ่านมา

    bio identical are still man made.... its not like we take them from our bodies...

  • @jennifermoffitt7294
    @jennifermoffitt7294 18 ชั่วโมงที่ผ่านมา

    well my gyn only prescribes rx for HRT (covered by insurance)... My insurance doesn't cover the bioidentical hormones.. am i not getting a benefit?

  • @kimberlybruno3256
    @kimberlybruno3256 19 ชั่วโมงที่ผ่านมา

    What is the optimal estradiol level to treat osteoporosis?

  • @denisesorenson4000
    @denisesorenson4000 วันที่ผ่านมา

    Doc, where and how do I find a providernear me who does cycle HRT?

  • @BLE000
    @BLE000 วันที่ผ่านมา

    That course she is speaking of is $2000.00. Oh my….

  • @bridgetb9899
    @bridgetb9899 วันที่ผ่านมา

    How do I know how much to take ? My Dr looked it up and started me on .780

  • @anne-louisegoldie
    @anne-louisegoldie วันที่ผ่านมา

    We're so far away from getting physiologic doses of oestradiol here in the UK. Doctors already get into such a flap about the tiny doses we're 'allowed '. Hot flushes and night sweats is the indication for prescribing here and there's no thought about the future. When we are 'allowed ' testosterone, this IS prescribed to put women back up to the normal range. I think that might be because they're male preparations, and they follow the male medical model, to prescribe to a physiological dose!! But not for our oestradial, we get a fraction of the pre-menopausal range. Interesting 😊xx

  • @denises.8500
    @denises.8500 วันที่ผ่านมา

    Thank you for all you're doing to educate us!!❤

  • @ednaarroyo5088
    @ednaarroyo5088 วันที่ผ่านมา

    Thank you so much for this video "shorts." My doctor prescribed me cycles of progesterone, but I was confused since the prescription says to take it from day 1 to day 12. I started both estradiol and progesterone on the first day of my period. I wasn't feeling 100% well and was wondering if the correct day to start the progesterone should be on day 14 after my period. I'll try starting this way next month. I'm 53 years old and still have my period, though it is lighter than before and includes spotting.

  • @debrabutler7452
    @debrabutler7452 วันที่ผ่านมา

    Big Yes. Yes and Thank You

  • @ldav2006
    @ldav2006 วันที่ผ่านมา

    Thyroid and Breast cancer. 9 UTI'S in one year. On Evista 2yrs. now. Hot flashes driving me crazy. Urologist recommended Estradiol cream. Game changer. No UTI in a year. One chronic problem much better. Hope for women w/these problems.

  • @user-tn4ni8xn7c
    @user-tn4ni8xn7c วันที่ผ่านมา

    They can pry my HRT from my cold dead hands. The whole fear about breast cancer has been debunked if you research properly. You are just topping up the depleted hormones, not overdosing on it! Calm the panic people.

  • @lf9341
    @lf9341 วันที่ผ่านมา

    I'm on 0.375 patch and progesterone iud. Estrodial gave me melasma, so I don't want to take anymore. Should we be taking testosterone? Some doctors are all about it, but not mine.

  • @GoOutside321
    @GoOutside321 2 วันที่ผ่านมา

    I don’t know what the problem is; I’m vegan, I exercise, I sleep 8 hours, I work, I keep my life low stress; take care of the BASICS FIRST people, and I feel great

    • @Vermontist1
      @Vermontist1 2 วันที่ผ่านมา

      Which is unrelated to the content of the video.

  • @staceywebb7740
    @staceywebb7740 2 วันที่ผ่านมา

    I just started three weeks ago getting hormones and I feel like me again.

  • @silviebreber1523
    @silviebreber1523 2 วันที่ผ่านมา

    Stop being a drug pusher.

    • @FeliceGershMD
      @FeliceGershMD 2 วันที่ผ่านมา

      I provide information - replacing missing hormones is not pushing drugs. Individuals can make up their own minds - I simply want to provide informed decision-making. I wish all the best with your healthcare decisions - whatever they may be!

  • @anne-louisegoldie
    @anne-louisegoldie 2 วันที่ผ่านมา

    'But you have to have enough.' And that's the key. HRT doses are very low 😊xx

  • @cynthiaforequity
    @cynthiaforequity 2 วันที่ผ่านมา

    2024 and we know little, why?

  • @silviebreber1523
    @silviebreber1523 2 วันที่ผ่านมา

    Don't mess with Mother Nature. It is not an illness. 😊

  • @wicketuma444
    @wicketuma444 2 วันที่ผ่านมา

    The adverse side effects of man made hormones far outweigh the benefits

  • @angelathomas9238
    @angelathomas9238 2 วันที่ผ่านมา

    No hormones = migraines 90% gone. 😅

  • @MusicLover-ui9sm
    @MusicLover-ui9sm 2 วันที่ผ่านมา

    You and others on TH-cam can say that women can take HRT But 99.999 percent of all doctors say no at age 60 The doctors need to be educated Even if we know the truth It will not matter Most doctors don’t know anything about HRT And those that think they know Will not help women

  • @heathergasol569
    @heathergasol569 2 วันที่ผ่านมา

    I gained 11 pounds in 8 months since starting estradiol. I haven’t changed my eating patterns or exercise routine so the ONLY thing different is the estradiol 0.05 mg patch. I’m 61.

  • @Shellbee22
    @Shellbee22 2 วันที่ผ่านมา

    NO WOMAN should be taking 25…50 😳😳😳😳 absolutely not !!! start with 2.5 or 5…that’s it !!!

  • @alexandraferreira561
    @alexandraferreira561 2 วันที่ผ่านมา

    True,so simple if doctors give HRT, I'm on 19 days, I'm feeling alive again🤍🙏

  • @autumnpendergast9151
    @autumnpendergast9151 3 วันที่ผ่านมา

    When your eggs run out, your eggs run out.

  • @TwoSeasons3396
    @TwoSeasons3396 3 วันที่ผ่านมา

    We are lucky in Australia that we do not have to go to a compounding pharmacy for testosterone. We have a body identical cream specifically for women called Androfemme which is approved by the TGA - equivalent to your FDA. I think you can get it in the UK too.

  • @blueberrydays5569
    @blueberrydays5569 3 วันที่ผ่านมา

    Wonderful thankyou!❤

  • @ednaarroyo5088
    @ednaarroyo5088 3 วันที่ผ่านมา

    I have a question regarding a 53-year-old woman who is experiencing spotting /light bleeding during her "period" cycle. Would a 12-day cycle of 0.01 mg estradiol and 200 mg progesterone be more effective than a 30-day cycle in managing this issue?

  • @debrabutler7452
    @debrabutler7452 3 วันที่ผ่านมา

    I will die with my Estradiol patch. I am 68 and I stop the struggle.

    • @lauraolson7527
      @lauraolson7527 14 ชั่วโมงที่ผ่านมา

      How do you know that’s not because you are on it and that you wouldn’t have stabilized without it?

  • @briana9918
    @briana9918 3 วันที่ผ่านมา

    Is giving hormones not like blocking the natural ageing process? It sounds dangerous

  • @iot577
    @iot577 3 วันที่ผ่านมา

    It's a natural part of the life cycle of a woman. Do not mess with mother nature.

  • @frisco61
    @frisco61 3 วันที่ผ่านมา

    Considering that since the beginning of time women have gone through menopause the way nature intended, I think I’ll pass on some crazy drugs. Just because you can, doesn’t mean you should.

    • @iot577
      @iot577 3 วันที่ผ่านมา

      Hear, hear. Don't mess with mother nature.

  • @nath212
    @nath212 3 วันที่ผ่านมา

    "There is nothing they can do" good to hear her accept her limitations. But let's not make that everyone's reality, there are plenty of possibilities of support when you know where to look.

  • @Sad_bumper_sticker.
    @Sad_bumper_sticker. 3 วันที่ผ่านมา

    Ignoring that most 2023 hormonal health Medical Conferences focus on balancing cancer and other sides effects of hormone replacement therapy and supplementing hormones before or during menopause

  • @oli230
    @oli230 3 วันที่ผ่านมา

    It makes me laugh when post menopausal women say they need to balance their hormones. Lol, what hormones? If you are suffering debilitating symptoms consider getting HRT.

  • @carynnwolff110
    @carynnwolff110 3 วันที่ผ่านมา

    It's not a deficiency... its a change of life... the body no longer needs them..

  • @justYouJesus1God
    @justYouJesus1God 3 วันที่ผ่านมา

    So how much are we supposed to take then of estradiol 1.0 would that make me bleed? And then progesterone you're saying that it'll counteract with the estrogen. Are we not supposed to take that every day. I still can't sleep, am I taking adequate estradiol on the Dottie patch? That doctor I have does not know anything and maybe she agreed to the 05 because she doesn't know anything I don't know either

  • @lizeggar2421
    @lizeggar2421 3 วันที่ผ่านมา

    Only if you are suffering from debilitating symptoms. I was and took HRT fir twenty odd years but then I got breast cancer and have had to stop the hrt. The hot flushes are bad, but better than cancer.

  • @justYouJesus1God
    @justYouJesus1God 3 วันที่ผ่านมา

    I am using the Dottie patch.05 and Progesterone 100 MG but I don't really get sleep, my hair still falls out, I haven't lost weight probably gained a few pounds. How much more should I go up to be able to get a good night's sleep? Do I need to up my estrogen or up my progesterone to 200 mg. That's what I don't know the doctor was hesitant to even give me the patch and so she probably figured when I said .05 she's like okay but I really haven't noticed it doing anything