How to pick the right local estrogen for genitourinary syndrome of menopause

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  • เผยแพร่เมื่อ 15 มิ.ย. 2024
  • How to pick the right local estrogen for genitourinary syndrome of menopause // There are many ways to safely treat vaginal dryness, now called genitourinary syndrome of menopause. The safest and most effective treatment for vaginal dryness during and after menopause is vaginal estrogen. In this video, I walk you through how I help my patients make decisions on which type of vaginal estrogen is the best for them depending on their menopausal symptoms.
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    • How to pick the right ...

ความคิดเห็น • 45

  • @heatherhirschMD
    @heatherhirschMD  11 หลายเดือนก่อน +5

    Which type of vaginal estrogen worked best for you? Tell me and others below!

    • @popgems
      @popgems 11 หลายเดือนก่อน

      What about Estring?

    • @joannepigliavento7930
      @joannepigliavento7930 11 หลายเดือนก่อน +1

      Just started generic Estrace 2 weeks ago. If it doesn’t travel systemically, why can there be breast pain?

    • @zorymack3357
      @zorymack3357 11 หลายเดือนก่อน +2

      Good question!

    • @rosiet253
      @rosiet253 11 หลายเดือนก่อน +2

      @@joannepigliavento7930yes- I don’t get it. Hope it goes away.

    • @beatacz7662
      @beatacz7662 10 หลายเดือนก่อน +1

      I just ordered hydration ovals with estriol from Bezwecken brand, I hope gonna help relieve my symptoms.

  • @bethfuller4221
    @bethfuller4221 11 หลายเดือนก่อน +4

    Please keep sharing your great information!! Thank you for your channel!!

  • @junematte3441
    @junematte3441 หลายเดือนก่อน +1

    I have severe GSM and use all 3 in combo and it helps a lot. Also added a good probiotic and D Mannose. So much better

  • @bren4681
    @bren4681 11 หลายเดือนก่อน +1

    It is a great place for all things related to menopause. Thank you!

  • @janedoe7251
    @janedoe7251 8 หลายเดือนก่อน +1

    Thank you for the great videos! 😀

  • @sna7142
    @sna7142 11 หลายเดือนก่อน +6

    hello Dr. Hirsch,
    I've recently found your channel and have been learning a lot. Thank you for sharing your knowledge!
    Question - I heard from another gyn that taking progestetin in pill form (traveling throughout one's body) can offset the benefit of estrogen for the three diseases (heart, bones, Alzheimers). Thus, and IUD is recommended. Could you shed some light on this and research based facts? thank you.

  • @jennifermoffitt4635
    @jennifermoffitt4635 7 หลายเดือนก่อน +1

    i like the cream. just started using it.

  • @TwoSeasons3396
    @TwoSeasons3396 7 หลายเดือนก่อน +3

    Would you please do another video on Ovestin (Estriol cream) for the “ring of fire”

  • @lmmbchampion
    @lmmbchampion 11 หลายเดือนก่อน +3

    Do you have any thoughts on the Mona Lisa Touch or Micro needling in conjunction with estrogen suppositories?

  • @kristinpetersen5709
    @kristinpetersen5709 11 หลายเดือนก่อน +2

    Can just using estradiol cream 2x week lower cholesterol and help with overall pain? I have hair loss too. Ive had SO many tests trying to definitely know whats causing my muscle joint pain AND swelling in my left ankle. Nothing found. It would be great to think it might be hormones. My thyroid test came back normal as well.

  • @bridgetbeckert8655
    @bridgetbeckert8655 6 หลายเดือนก่อน +2

    What can i get name estrogen & where 2 purchase withoit prescription,till i see dr? Plz reply 🙏

  • @fan2807
    @fan2807 11 หลายเดือนก่อน +1

    Vitamin A as Aquasol helps me.

  • @TheresaEnglish
    @TheresaEnglish 5 หลายเดือนก่อน

    Which is better? Vagifem or Premarin?

  • @Dani-it7hz
    @Dani-it7hz 3 หลายเดือนก่อน +2

    How common is it for estrogen cream to cause burning? Should people persist using it? When does it stop? After 3 months?
    Ive read that many women stop the cream due to this issue.

    • @Sabrina-fn9gc
      @Sabrina-fn9gc 3 หลายเดือนก่อน

      Yes Dr. can you please answer this concern when starting the vaginal estrogen cream. Thank you

  • @tammymorris5723
    @tammymorris5723 11 หลายเดือนก่อน +1

    I cant use estradiol for GSM, i am allergic to the parabens, what would you suggest i use since i cant use the creams, i mean i cant breathe, the itching is severe the not being able to breathe is severe, hives are terrible, i break out, what do you suggest? I have been to my GP, AND 2 different urogynecologist

    • @joannepigliavento7930
      @joannepigliavento7930 11 หลายเดือนก่อน +2

      Have you heard of doctor formulated Julva? It’s vaginal DHEA. That may help 😀

  • @ninjarokitBOB
    @ninjarokitBOB 11 หลายเดือนก่อน +2

    I want to restart HRT as I took it from age 51 to 55. Menopausal symptoms and GSM have resurfaced. I just turned 61, and gyn said no. I do not have any contraindications. Hypothetical, what would you do for this patient? I am using Premarin, yet I would like to restart a patch.

    • @TheShumoby
      @TheShumoby 7 หลายเดือนก่อน +1

      Get a new gynecologist

  • @joannepigliavento7930
    @joannepigliavento7930 11 หลายเดือนก่อน +1

    So, it may take 3 months to see improvement on Estrace?
    Can you please confirm No Progesterone required? I’m hearing mixed messages. Thanks very much Dr. Hirsch!

    • @heatherhirschMD
      @heatherhirschMD  11 หลายเดือนก่อน +6

      NO progesterone needed with local vaginal estrogen

    • @joannepigliavento7930
      @joannepigliavento7930 11 หลายเดือนก่อน +1

      @@heatherhirschMD Thank you!

  • @rhondajones8678
    @rhondajones8678 3 หลายเดือนก่อน

    This is definitely me! I’m 62 and have UTIs every 3 months. So many antibiotics. The estradiol cream caused extreme itching/burning and yeast infection. I don’t want oral or systemic estrogen due to fear of cancer. Help!!

    • @Dani-it7hz
      @Dani-it7hz 3 หลายเดือนก่อน

      I read that the burning is common when you first use the cream. It can last several weeks. I'm wondering if the Dr would comment on that and any solutions.

    • @bethmbuchanan
      @bethmbuchanan 15 วันที่ผ่านมา

      I had extreme itching above my knees. Looked like hives. It went away after about a week or two.

  • @mdaze9753
    @mdaze9753 11 หลายเดือนก่อน +4

    I use Estrace vaginal cream. Good RX always has a coupon for this.

    • @aprilepp74
      @aprilepp74 2 หลายเดือนก่อน

      Can you get this over the counter?

  • @maryjoobrienmoulding6298
    @maryjoobrienmoulding6298 11 หลายเดือนก่อน +2

    I use it and it is very good. But! I went for more at the pharmacy they wanted to charge me $93 for a tube! I Will not pay that so will have to see. Last time it was maybe $15 I can’t remember. I need to find away. it helps with so much. I even have had a blood clot and still use it. Crazy.

  • @AnneS508
    @AnneS508 11 หลายเดือนก่อน +1

    Have been on vagifem for several years for GSM but am presently being treated for breast cancer. My oncologist says I should come off it. I know there was a recent Danish study that indicated increased recurrence in women on aromatase inhibitors and localized estrogen. Can you please share your thoughts on vaginal estrogen in women on aromatase inhibitors? Thank you!!!

  • @orlamcleish1306
    @orlamcleish1306 4 หลายเดือนก่อน

    Hi, can I use non latex condoms safely with Vagifem? X

  • @amyhuerta9580
    @amyhuerta9580 11 หลายเดือนก่อน +1

    Intrarosa

  • @aprilepp74
    @aprilepp74 3 หลายเดือนก่อน +1

    What about vaginal ESTRIOL?