Postmenopausal vaginal estrogen myths ... debunked by a menopause doctor!
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- เผยแพร่เมื่อ 19 มิ.ย. 2024
- Postmenopausal vaginal estrogen myths ... debunked by menopause doctor! // Have you been prescribed postmenopausal vaginal estrogen but are worried about its safety? Perhaps you have read some concerning things online? In this video, I debunk the most common questions and myths about vaginal estrogen products that I encounter online or with my patients. You might be surprised at a few of these!
#Menopause #HeatherhirschMD
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Video's to watch next!
How to treat Vaginal Symptoms of Menopause: • How to treat genitouri...
All About Vaginal Estrogen: • VAGINAL ESTROGEN: HOW ...
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• Postmenopausal vaginal...
What myth (or answer) surprised you the most? Tell me below!
I have had a doctor tell me I wasn’t a candidate because I have migraine with aura. But if it’s action is not systemic I don’t see the problem.
Thanks for the info-seeing my gyno for the first time since hysterectomy-not done by her, done by an oncologist due to abnormal cells
hello doctor, i have a question after a transvaginal mesh removal i now have urinary retention, i always have 200ml residual so im using 6 catheters a day, urologist recommended Premarin 3 times a week, i am 69 and I have been having UTIs because of self cath, my question is does Premarin cream in my vagina and urethra can cause me more UTIs because of cross contamination? my urethra suffers because of self cath, should I also use vaginal probiotics because of taking some many antibiotics because of UTIs?
Will it help on the outter instead of inner??
That it would cause blood clots and put me at risk for breast cancer! I was DENIED my estradiol vaginal cream! Another doctor said I could not get ANY future HRT unless I had mammograms every 6 months!!!
Another infuriating issue is the fact that many doctors will hold a woman's vaginal estrogen cream "hostage" unless she submits to a mammogram. I want to have the right to refuse and decide when or if I want a mammogram! Also, there should be a worldwide class action lawsuit against the WHI researchers who have essentially brought quality care of women to a standstill for 20 years now due to their inferior "study".
Thumbs up to the part about the WHI. They did a horrible disservice to women.
@@mtntm5628 The WHI's flawed so called "study" is still having a negative impact on women two decades later! My point regarding mammograms is predicated on the fact that vaginal estrogen cream has no risk of breast cancer therefore, prescriptions should not be held as a condition of getting a mammogram.
This is a crime I agree!!
Dr. Phillip Sarrell at Yale attributes over 10k deaths of women who had hysterectomy’s and quit HRT cold Turkey due to study. 10,000 mothers, sisters, daughters,,, who probably underwent needless surgery to boot. CRIME.
Yes. My Dr also wanted me to get a Colonoscopy and a Lung Cancer screening. Since I didn’t comply with that I got no HRT. She playing around with my life!
I use it on my face as well, yes... and has made a huge improvement on my turkey neck and face tightening 🤟
Perfect timing! You have great videos! And thank you so much for including pics of studies. I'm compiling them for my upcoming dr. visit after she used a disparaging tone with me when I asked for vaginal estrogen during my first visit and put the issue off to this 2nd visit 😡.
I love myth busting videos! It's unbelievable some of the things i've heard! Thanks for clearing this all up for us, its very appreciated.
Hope you're well, Liv
Thank you for all of this very needed information. I have used some of this newly acquired knowledge to help convince my doctor to write me a prescription for vagina estrogen, and it wasn’t easy. A little like the dark ages when it comes to some doctors being very forward with their patients about what really can/will occur to our bodies, aside from the typical hot flashes, sweats, and such, during menopause.
Thank you. This information is so helpful!
Thank you! Very informative!❤
Great video Dr. Hirsch. Are there brands of systemically-delivered progesterone that you can recommend?
If they don’t travel systemically how do they cause sore breasts? That doesn’t make sense.
That's low progesterone.
Oh my gosh, I’m so happy to have found your channel!!!!! I’ve been binge watching and learning so much. I picked up a prescription for Vagifem two weeks ago but have been terrified to use it. Now I’m actually excited to get started!! I wonder, though, whether or not that two week loading phase is necessary. I’d rather just start with the two days per week as my symptoms are not that far advanced. Thank you so much for your content!!
Results?
@gfitfitnessstudio please share your experience! Thank you! 😊
@@SofiNme365 Hi! I was using Vagifem for better part of a year. It worked - a little - but when I finally got in to see a gynaecologist I requested the cream rather than the tablet. In Canada we only have estrone cream (as opposed to estradiol). In addition he prescribed Tibella for me to address my low hormone levels. I’ve been using the cream/Tibella combination for about 2.5 months now and I’m having a lot of success with it.
Can vaginal estradiol or the estradiol patch actually cause bladder symptoms from retention to then being over active and painful?
I love this video and hope it will lead other women to the relief of vaginal estrogen. After starting a new medication to treat a chronic illness, I suffered constant bladder and yeast infections. My urologist said the new medication had “tipped me over the edge” and was causing the infections because my estrogen was so low post-menopause. Vaginal estrogen was life-changing. I haven’t had a bladder or yeast infection in years and will never willingly give up this medication. Thank you for being such a great source of education.
Hello..can u pls help me clearing my doubts....i m scared to use this cream..how long are u using this..are u using everyday?
Thank you so much for sharing your experience!🙏🏾
Following
Great video!
Is vaginal estrogen ok if you have an ovarian cyst?
Good video - wondering though, can vaginal estrogen travel to the ovaries? Specifically am concerned if we have endometriomas on ovaries, wouldn’t want vaginal estrogen to be able to reach those and “feed” the endometriosis, making it worse. Thanks.
Thank you 😊
My ob gyn said the same thing as you. These disclaimers on the box are for company liability reasons. Again, doesn't affect you systemically as Dr said, only affects the vagina.
Thank you
Thank you so much! Can you do a video speaking about how deal with HRT for post menopausal women who need a benign hysterectomy? How to taper before and when and how to begin again after getting surgery? I would love to hear your opinion. ❤️
What is HRT?
@@sheilasaunders3338 Hormone Replacement Therapy.
I'm so disappointed in my gyn who believes that too much vaginal estrogen can be dangerous. Why the heck aren't gynecologists trained so they underarms the needs they prescribe!! And yes, I'm not staying with this gyn.
I was very excited to start using vaginal estrogen due to bladder pain and incontinence. It worked wonderfully for those issues HOWEVER my endometrium lining started to thicken. I had an ultrasound and then a biopsy ( currently waiting for the results 🤞)
Results?
Any side effects related with headaches since l suffer of migraines?
my ob-gyn gave me 0.03mg estriol as vaginal suppositories, to use topically. is it any good? i hope there is no risk because it is not estradiol.
Thank you. Estradiol is the best thing that happened to me. I use it vaaginally, once a week and that works. Now can you talk about low progesterone? Thanks again.
Thx so much. I’m tossing the crappy applicator & using a finger of estradiol cream for 14 days for a small dry spot, .5 gr feels way too much….what say you?
This doctor actually recommends it,th-cam.com/video/gc24lLNfoLc/w-d-xo.html
Is it okay to use vaginal eatradiol tablet (Vagifem) AND an estradiol estradiol vaginal cream to put on the outside tissues? Is that too much estrodial and would using both cause endometrial cancer?
WHY does my gyno NOT know this! She refuses to give me estradiol vaginal cream because I’m on a .05 estradiol patch and using Vagifem vaginal tablets…
I only want to apply the cream on the outer tissues because I’m not getting relief with the tablets alone.
Is the estradiol vaginal tab supposed to be prescribed starting at once a day for 14 days? My provider prescribed twice a week and it's been a couple of weeks and I feel like I could use the 14 day starter to kind of get things going.....
I am on the Femring, I replace it once a month rather than every 90 days. I also added a boost of 0.3 premarin pill, as I was manifesting more symptoms.
Is using two types of HRT okay?? I fee good right now. Thank you for your time, you are amazing🙌🏻♥️
I was in femring and it wasn’t enough. My estrogen levels plummeted. I’m not surprised you needed the pill too. It’s safe. Are you still feeling ok?
I was on Premarin and not only got breast cancer but also developed a meningioma brain tumor so I think she’s full of shit!
im not post menopause but i am late peri-can i still use vag. estrogen?
What about using it for postpartum? My daughter-in-law had a lot of pain, discomfort, and dryness for almost a year after giving birth. I have heard that it can be very useful for this. But I can’t really find a good video on that. Any info would be great. Thanks!
With the estradiol the doctor prescribed it has methylparaben and propylene glycol etc…. that concerns me can you get this type of estrogen at a compounding pharmacy
Yes. I found a compounding pharmacy that omitted the alcohol on the product and uses olive oil instead
Can you use it in conjunction with oral estrogen?
I’m 27 and my doctor wants to start me on topical eostrogen because I have chronic perineal, vulva and clitoral fissures for at least 10 years. I also have chronic cystitis since I had a baby last year and had a urethral tear. I also have zero libido for 3 years. Is this safe at my age and what about the side effects???
Did you find out?
You can get it online after speaking with a doctor - $59
could you elaborate? I'm looking for info for exactly that. ty
@@kanah1 Google "Interlude vaginal estrogen cream" and it will take you to the website where a doctor will ask you some questions and give you info. I was getting it from my personal doctor before but got tired of the frequent (expensive) office visits. The brand, tube, instructions, I get from Interlude are all exactly what my doc was prescribing. Best of luck.
But why when you look for info about it they tell you all those terrible effects like breast cancer , etc and my doctor mention it a while ago and the I got prescribed with it
I suffered an early menopause and I have been on HRT for 10 years. I tried all HRTs, I mean ALL and had adverse reactions to most. I did the best on the equine estrogens, but I did not like oral route risks. So I use the equine vaginal cream on my wrists, about half the full dose, every day, topically and I have enjoyed all of the benefits of systemic HRT. I feel great. So, I am not sure if I agree with the fact that they do not travel systemically, but that is just my own personal experience. I could not tolerate estradiol over time...
I think topically on wrist ends up in your bloodstream…..could be wrong..not sure
@@jaymevogl4338 yes it does. You are correct.
@@kali542 Merhaba. Bilekten kullanmak aynı etkiyi veriyor mu? Diğer türlüsü çok zor oluyor
@@Lifee4224 yes for me it does. I’ve been on this technique for over 2 years.
@@kali542 Thank you very much
Has anyone gotten headaches from vaginal estradiol? I used to get migraines for decades on Estradiol birth control pills….almost never do anymore…I’m 58 post menopausal….but recently started vaginal estradiol and have been getting headaches….could be psychosomatic because of the fear of them coming back. They were debilitating and I had them 15 days out of every month for decades….just curious if this is possible because I know it’s not a systemic distribution
I found I got headaches when I first used my full prescribed dose of V Estrogen that was conjugated equine. I backed off the full dose and then got prescribed a different formulation that was not conjugated equine. Great results and no headaches.
Thank you for your information. But I feel our medical system mostly run by men doesn’t really address women’’s health care, especially post menopausal women. Even if our doctor prescribes vaginal estrogen, the cost is out of sight. My point is, a women’s body needs estrogen in some quantity or our bodies just decay as we age. It is just difficult for women to get the help they need from our medical system.
I had a blood clot about 12 yrs. ago. My Dr. says No estradiol my uro says it will help for UTI's I'm torn ???
1 gram of estridol cream twice a week for one year would equal only 1 estrogen pill. That's a fact. My Urologist/ Gynecologist informed me of that.
I discovered ESTRIOL,almost 25 years ago. The only way I could get it was thru a naturopath. Thank goodness I did. It works great. My mother suffered from vulvadynia. It was painful for her, and at that time, I didn’t know about Estriol. When I started to experience the nerve pain, my naturopath had it compounded for me. It worked great. I’ve never had a positive mammo, colonoscopy, or any other scare. Just saying, it really does work, and I do my regular cancer screenings like everyone should.
That's truly amazing..
Is it the otc Estriol that you are using?
@@Guddilove801 no, prescribed by my internist now. 20 years ago, they wouldn’t prescribe it. Now he will.
Breast cancer is discussed. I had a systemic cancer in my uterus.
From vaginal estrogen?
For me it does get into my system. I have tried several kinds of vagina estrogen and always have side effect ranging from tinnitus and migraine from vagifem and mucus in my throat and reflux from ovestin. Do know where to go from here on out of options.
Thanks for sharing. Follow your intuition and stop using it. Doctors generalize that it doesn’t go into your system but you have to decide on your own if it’s safe for you.
Can you use vaginal estrogen while on your menstrual cycle or spotting
What’s so frustrating my Dr prescribed Estriol 2mg for my vaginal dryness. My Dr also said progestrone is not needed. Then I looked up the medication and it is saying Estriol is not FDA approved. This is confusing. Plus using this medication I’m getting mild cramping just like I was still menustrating.
Change doctors! Estradiol is the only estrogen that will help.
Yes, change doctors. And if it’s a cream you were prescribed, it is measured in grams, not milligrams. 2 grams might be a bit too much. That could be why you are having some cramps. The usual dose is .5 or 1 gram.
@@ivalaniI did tell my Dr Estridiol in the beginning. She not listening. Just doing what she wants.
I'm curious. If estriol "doesn't work" then why would it cause cramps?
I tried Estradiol. Unfortunately, I had a weird allergic reaction to it. A sore throat & loss of voice for 2 months. I know that sounds crazy, but it’s true. At first, I thought it was seasonal allergies or a cold, but it wouldn’t go away, even after taking medicine. It wasn’t until I stopped the Estradiol that my throat got better. My dr switched me to Imvexxy which has been a game changer. I have vaginal atrophy, & Imvexxy works like a charm. The biggest concern I have with this drug, however, is the risk of getting endometrial cancer. My dr told me Imvexxy doesn’t cause cancer, but the worry is always in the back of my mind. Can you get endometrial cancer from Imvexxy or not?
Hi doctor
You did not mentioned anything about the endometrium???
You mention it does not go to other parts of the body but does that include the uterus, seeing as the estrogen is right there? I thought I read something about may not be good if you have endometriosis, is that true? I have no symptoms of endometriosis that I know of but years ago I had an ovary removed due to a large cyst, and the doctor after said I had endometriosis after removing it. Is it still safe to take vaginal estrogen if a person has endometriosis? Also does endometriosis go away after a woman has gone into menopause? Love your videos, you are a life saver!
Did you find out?
It is beyond ridiculous that there is no medical consensus. I have been on estradiol cream for three weeks and it is from your words, not supposed to be systemic, and I just got off the phone with my Doctor who said it is systemic. I started with feeling like I got my period last night although it’s very spotty bleeding but the rest of my body feels like I’m on my period.
And so between this and the controversy over pellets were some doctor say yes, and some say no, I don’t think there’s been enough science for anyone to know or say that a certain delivery system is inferior. Point is, I don’t think there’s myths when it comes to things like this if it’s happening in real time to a person. All of our bodies are different.
I've taken a low dose vaginal estrogen and my hot flashes came back as well as my thyroid swelled. I don't believe that it is Not systemic. Id use progesterone.
Thanks for sharing!
I started using vaginal estrogen two days ago, my question is: once I’m done with the first package, do I need to keep using vaginal estrogen for the rest of my life? My Dr didn’t explain anything about it to me so I’m trying to figure things out by myself. Thank you
Yes you will have to use vaginal estrogen for the rest of your life if you want to prevent all the vaginal problems after menopause. Your body will never produce estrogen anymore.
Just include it in your routine. You certainly put cream on your face and body, you care for your hair and hands, so include your vulva and vagina as well.
I use estrogen cream twice a week and it has improved the tissue very much. No burning or itching anymore, the tissue is moist and healthy. But it will take about three months of usage until you will see and feel the results.
@@sabine1768 Thank you so much🙏
Thank you so much!🙏🏾
@@sabine1768Merhaba. Menopoz için haftada 2 vajinal krem yeterli mi? Yoksa östrojen banti da kullanmalı mıyız? Teşekkürler
@leonina72 how are you doing? Are you still using vaginal estrogen?
Anybody else wants to share their experience? Thanks.
Why is it that every single time I use estriol vaginal cream I sleep really good?
Estriol is nice lol. Low estrogen is a nightmare for sleep
Is it true that women should abstain from sexual intercourse for 24 hrs. after inserting a vaginal estrogen tablet - ie, vagifem?
False! It's fine just your preference!!! Wont hurt anyone!
If I'm using vaginal estrogen and still have my uterus, do I have to take anything to protect my uterus?
My dr gives me progesterone along with the estrodial because I still have my ovaries
why are you not addressing endometrial cancer from vaginal estrogen?
Please tell us more. Thanks.
Can they help with melasma, as i m 43, and my sis advised me to use it for atleast three months, as hormonal imbalance due to age causing it, and that this can help it, as she is 47 and it helped her in her melasma to some extent. I m lil apprehensive whether to use it before menopause, as my periods are regular. And i am hypothyroid and on thyronorm 62.5
I am using estradiol vaginal cream and I have so much bloating, gas and loose stool. Are those side effects of it?
No
No, but those are symptoms of parimenopause, postmenopause without using HRT.
Thank you Now I fee more safe to use vaginal östrogen
Does it cause weight gain
My doctor said all these creams affect you. Nothing is without risk.
I would ignore any doctor who told me to ignore an FDA black box warning.
leaving the group since you dont know about my therapy nor have an opinion. It bothers me that I cant get anyone to answer me about what hormone replacement I use. I inject estradiol and testosterone monthly since my hysterectomy 18 years ago. I want to know if it is harmful and I cant get any answers from anyone
I had a hysterectomy 15 years ago. I was told by my gyn that vaginal estrogen is safe since it stays locally in the vaginal area but I personally haven't used it cuz I have health anxiety so I get scared of taking meds... But now that I am 55 years old I would like to start using it for dryness and atrophy which is very common in woman at my age or even younger. I like to watch Utube videos to get information on different topics, but I don't want to ask for medical advise from a medical physician via utube because since they don't know my medical history it's a liability for them to respond but I do understand how you feel. I hope you get some clarity soon. 😊
I don't know if it helps but stopping the hrt would be more risky than being on the meds especially to your bones. It also depends on your age if your of a premenopause age it's beneficial but after a menopausal age you may be able to stop or decrease it over time and go through menopause without much harm (I would discuss this with your doc first though). If you have a doc you talk with regularly I'd talk to them or see a hormone specialist who should be able to answer your questions. This may sound weird but the ones who would know the most about these hormones meds would be drs who mostly work with Trans patients as they're the ones who prescribe them the most and specialize in these specific kinds of hormones. If you decide to go through menopause/stop the meds then an gyn/dr specializing in menopause would probably be the best. I wish you luck ^^
Obligatory not an MD just a naurodivergent individual with a medical fixation so I have a tendency to read a lot of medical literature and wanted to be a Dr (life got in the way of that).
@@ThanatosMist very interesting, I might look up that specialist myself, would this be like an endocrinologist?
@@utube0372 I believe so. Some endocrinologist specialize it working with Trans patients and HRT since these can come with unique circumstances
Your more likely to find them in larger cities as many endocrinologist you find in small towns tend to deal more with diabetic patients or thyroid patients than necessarily HRT (they will still know about HRT and be able to prescribe it but more than likely they would have less experience with it)
@@ThanatosMist My primary care provider prescribed me the orally estrogen pills and also the estrogen cream but a few years ago when I had tried taking these I got very sick with palpitations
And my thyroid levels went out of wack so I had to stop but now she is recommending I try it again.... So I'm scared to try estrogen again... Actually I don't have hot flashes just the dryness down there lol I'm 55 years old, but I would love to actually find something natural for that issue instead of taking estrogen so I was going to take your advice and seek that specialist to ask them, do I realllly need to take oral estrogen to prevent heart attacks... And all that stuff they claim will happen if I don't start estrogen 🙈😭
What is with that stupid annoying background sound!!!??? Irritating AF!
And doctor
For how long can we use the vaginal cream??