Thank you for sharing this information. Could you please make a video that discusses mammograms during perimenopause and menopause? Is it necessary to have one each year even if there are no symptoms or family history? Thanks
How does this work when you are going through Perimenopause and your hormones are fluctuating on a daily basis? Taking HRT could swing hormone levels too high. How are hormone levels and dosages dealt with during this transitional time?
I had Testosterone pellets done ones. And that was it for me. It dhoot my Testosterone so high that my Hashimoto antibodies elevated drastically as well. I've had symptoms so I could tell that it must of been pellets, as I got a blood work done immidiatly for both Testosterone and TPo. Plus the surgical site waa so tender for the next 6 or so months. Never again.
Glad you brought this up. I was surprised when I recently discovered I had high cholesterol and insulin resistance. I see my doctor and specialists regularly, and this was news to me. I'm afraid to take Statin meds bc I already deal with chronic pain and am concerned about the possible side effect of muscle pain.
Check BRIA Ontario - it’s virtual clinic. You need to pay around 600 dollar for the RN to prescribe HRT. If you want free healthcare, waiting list is 1.5 years.
@Katepwe You got that right, and my doctor is a woman. However doctors have no problem giving HRT to men and young boys who transition. I guess they’re more woman than I am. 🤬🤬
Im on a mission to get drs to talk about the changes to digestiin and the effects of HRT on the gallbladder. I ended up in the ER after starting HRT and the dr and pharmaxist both told me theyd never heard of rhis before. It is indeed a side effect for both estrogen and progesterone.
Dang. I'm about to get my gallbladder out at the end of this month bc of gallstones. I was hoping HRT might be an option for some of my symptoms. I wonder how they'd effect things once my gallbladder is out. (I noticed your comment before I got a chance to start the video, btw)
Where can I get "Estriol"..?? You said you use Estriol and Hyaluronic acid to help under your eyes ..What is available, OTC..that you know of??? Thanks for your kind attention..
I started HRT in March of 2024. So, nearly six months on, I feel they have finally kicked in - sexually. The problem is: I want to have sex everday - maybe several times a day! However, the urge to have sex is there, but it hurts to have intercourse because there is not a lot of self lubrication. Buying all these extra lubricants that really don't work that great can be expensive. So the urge to have sex with my husband is great, but it's somewhat painful. Plus, I need to put him on male hormones too because he can get hard, but not like he used to. Ugh, the joys of sex when you're old. LOL Both my husband and I are in our early 60's.
@@drjenmd Well, I wish I knew what they are. HRT doesn't seem to work, K-Y jelly is useless. Trying Reveree - can't say it's a game changer either. I give up. I don't think there's anything out there that will help. 😞
@@spitfirekid1 Unfortunately, the "newness" of the effects of the hormones has tapered off. But, at least the hot flashes are gone. I don't care if we never have sex again. My husband is having hip problems so he doesn't seem to be bothering me for sex right now.
@ i’m sorry for your situation. Sex as an expression of love is so valuable to our well-being. Are you on vaginal estrogen cream? That greatly helped my wife with lubrication and took the pain away. We are both in our 60’s. Orgasm has a lot of health benefits that shouldn’t be overlooked. If that has to happen as a result of a solo effort I suggest you do what you need to do to get those benefits. There is a product called “succulent” by a company called COSARA that should do the trick in just a matter of minutes with great results. Take care of yourself and don’t feel guilty! Investigating whether your husband has low testosterone is a great idea. If his testosterone is less than 300 getting your husband on TRT is a great idea. It will benefit him greatly in many ways beyond quality of erections. Also, he could talk to a sex therapist about changing positions so he does not experience pain with his hip. Good luck to you both!
Thank you so much Dr Jen It was a very helpful; and educational video .. my issues I am suffering from very SEVERE hot flushes, sweating, sleepiness, and pains all over my body(pains of needles) esp when I am lying in bed(with night time) I talked to my Dr and he prescribes me Estradot hrt patches, Utrogestant capsules(100mg) and Adaflex tablets (sleeping pills) but I am so worried and scared of all the risks you told her, so please...help what I should do thank you
Can HRT be used for the first time for a 64 year old post menopausal woman? I still suffer with awful hot sweats, heart palpitations, anxiety and sleep disturbance as well as vaginal atrophy
Will HRT do anything to prevent me from looking like an old sea hag before its my time to? I'm 45, i see the signs of aging but I also look young, don't wanna lost that until I'm REALLY old ;) Thanks for this video, its easy to follow, and I am new to all this info....
@@drjenmdWhat if I feel "wired but tired"? Energy sounds both nice and awful. My male doc only told me it could increase my energy and libido. I could care less about libido, but if it could help other things and not make me feel "speedy" inside, it could be worth trying...
I am watching your video and you said there are two forms of progesterone. Oral or dermal. I am using the Marina Coil in my uterus for my uterus only. Suppose to have it in if tolerated 5 years although manufacturers nowadays are recommending that you can keep it up to seven years. I am symptom free but when my estrogen is low I do get back pain as if I was going to start my period and spotty blood. What's your views please?
I USED 10 MICROGRAM ESTRADIOL VEGIFEM , AND GEL , I AM 70 , ONE YEAR I WAS IN BURNING , AND SAFFAREIN , DRYNESS OF VEGINAL LAST FEWE MONTHS I AM BETTER .
Dr. Mary Claire Haver (she wrote The New Menopause book) says women with high blood pressure can go on MHRT. What is your reason for saying they cannot?
so what I said was uncontrolled high blood pressure not high blood pressure, if you have not had it evaluated and have cardio vascular risks then those need to be addressed first.
I started spotting 3 weeks into HRT after 1 year of no menstrual period. Also, I had bleeding in one eye. I was on the patch 0.05 mg & progesterone 200 mcg. Doctor advised to stop completely. I don’t know what to do. Wondering if I should go the compounded route instead?
They say it’s normal to spot during HRT google also states it and heard another Dr on TH-cam mention it. I was spotting during my menstrual as well but once I got on HRT it says that you might get spotting and even brownish bleeding but it’s also said that the thinkenibg of the lining occurs but the progesterone should help with endometriosis or cancers.
Can you talk about starting HRT at 61 years of age post-menopause, and the risks involved. My mother had uterine cancer, and other cancers, and dementia.
Uncontrolled blood pressure, coronary artery disease, a-fib that is at risk for clots needs to be discussed prior to HRT. It is not that you can not take HRT but understanding CV risks are important in the conversation.
@@drjenmd i might have to see a urogyn to possibly look into testosterone if i need that but i hope ins covers bioidentical but is synthetic dangerous for me? i was on low dose pill for the last 6 yrs for anemia
I’m on bp medicine and developed tinnitus last year that won’t go away. I started HRT 4 weeks ago, and within 48 hours my tinnitus got louder and became continuous, instead of off and on as it has been for a year. My gynecologist said it has nothing to do with HRT, but it went back to the way it has been, when I quit the HRT for a week. I restarted HRT and it’s screaming again. Are there any explanations for that?
Are you using cream or pellets ? Also progesterone to estradiol ratio needs to be correct . Are they even giving you bio identical estradiol? Or estriol? Estiol is only 1/8 strength if estradiol.
the exact levels for brain and bone are not established in the conventional medicine world, as HRT is not FDA approved for brain and bone health yet, although there is tremendous benefits. The current thought is estradiol between 50 and 100, check out JAMA article published this year on it.
If I was you, I’d go off it because however long you’re on it and then stop, your symptoms start again and continue for the length of time you were on it. No Dr tells you this. I found out the hard way. Please stop HRT!!
The most informative and specific video. Thank you!
which estriol cream do you use for bags under the eyes
Most informative video will share on my Instagram stories and with my friends ❤
Thank you for sharing this information. Could you please make a video that discusses mammograms during perimenopause and menopause? Is it necessary to have one each year even if there are no symptoms or family history? Thanks
How does this work when you are going through Perimenopause and your hormones are fluctuating on a daily basis? Taking HRT could swing hormone levels too high. How are hormone levels and dosages dealt with during this transitional time?
I had Testosterone pellets done ones. And that was it for me. It dhoot my Testosterone so high that my Hashimoto antibodies elevated drastically as well. I've had symptoms so I could tell that it must of been pellets, as I got a blood work done immidiatly for both Testosterone and TPo. Plus the surgical site waa so tender for the next 6 or so months. Never again.
Another great thing about HRT is that it lowers blood pressure and cholesterol levels.
Why am I developing high blood pressure and high cholesterol in peri/menopause?
Glad you brought this up. I was surprised when I recently discovered I had high cholesterol and insulin resistance. I see my doctor and specialists regularly, and this was news to me. I'm afraid to take Statin meds bc I already deal with chronic pain and am concerned about the possible side effect of muscle pain.
I recently heard this about the cholesterol levels too
Finding a provider is the biggest obstacle especially in Canada.
Check BRIA Ontario - it’s virtual clinic. You need to pay around 600 dollar for the RN to prescribe HRT.
If you want free healthcare, waiting list is 1.5 years.
100 per cent
@Katepwe You got that right, and my doctor is a woman. However doctors have no problem giving HRT to men and young boys who transition.
I guess they’re more woman than I am. 🤬🤬
I'm in BC
Im on a mission to get drs to talk about the changes to digestiin and the effects of HRT on the gallbladder. I ended up in the ER after starting HRT and the dr and pharmaxist both told me theyd never heard of rhis before. It is indeed a side effect for both estrogen and progesterone.
Thanks for sharing this.
Dang. I'm about to get my gallbladder out at the end of this month bc of gallstones. I was hoping HRT might be an option for some of my symptoms. I wonder how they'd effect things once my gallbladder is out. (I noticed your comment before I got a chance to start the video, btw)
Where can I get "Estriol"..?? You said you use Estriol and Hyaluronic acid to help under your eyes ..What is available, OTC..that you know of??? Thanks for your kind attention..
there is a product called M4 by my alloy who sells it, I get mine through a compounded pharm, need a script from your dr.
@@drjenmd Yes I know of that M4 Alloy product and Musely(??) ..I'm really wanting just OTC walk in availability.. But, thanks for responding anyway..
I got some otc at a compounding pharmacy.
I had to stop I got hormone positive breast cancer . Now on anti hormones daily . They are a battle 😢
I started HRT in March of 2024. So, nearly six months on, I feel they have finally kicked in - sexually. The problem is: I want to have sex everday - maybe several times a day! However, the urge to have sex is there, but it hurts to have intercourse because there is not a lot of self lubrication. Buying all these extra lubricants that really don't work that great can be expensive. So the urge to have sex with my husband is great, but it's somewhat painful. Plus, I need to put him on male hormones too because he can get hard, but not like he used to. Ugh, the joys of sex when you're old. LOL Both my husband and I are in our early 60's.
Pain during sex? There are options.
@@drjenmd Well, I wish I knew what they are. HRT doesn't seem to work, K-Y jelly is useless. Trying Reveree - can't say it's a game changer either. I give up. I don't think there's anything out there that will help. 😞
How are things now 2 months later?
@@spitfirekid1 Unfortunately, the "newness" of the effects of the hormones has tapered off. But, at least the hot flashes are gone. I don't care if we never have sex again. My husband is having hip problems so he doesn't seem to be bothering me for sex right now.
@ i’m sorry for your situation. Sex as an expression of love is so valuable to our well-being. Are you on vaginal estrogen cream? That greatly helped my wife with lubrication and took the pain away. We are both in our 60’s.
Orgasm has a lot of health benefits that shouldn’t be overlooked. If that has to happen as a result of a solo effort I suggest you do what you need to do to get those benefits. There is a product called “succulent” by a company called COSARA that should do the trick in just a matter of minutes with great results. Take care of yourself and don’t feel guilty!
Investigating whether your husband has low testosterone is a great idea. If his testosterone is less than 300 getting your husband on TRT is a great idea. It will benefit him greatly in many ways beyond quality of erections. Also, he could talk to a sex therapist about changing positions so he does not experience pain with his hip.
Good luck to you both!
Thank you so much Dr Jen It was a very helpful; and educational video .. my issues I am suffering from very SEVERE hot flushes, sweating, sleepiness, and pains all over my body(pains of needles) esp when I am lying in bed(with night time) I talked to my Dr and he prescribes me Estradot hrt patches, Utrogestant capsules(100mg) and Adaflex tablets (sleeping pills)
but I am so worried and scared of all the risks you told her, so please...help what I should do
thank you
please discuss this with your doctor, they can give you the risks, benefits of hrt and you can decide if this is right for you.
I want to use Estrogen cream, no progesterone. My doc says I have to use together for balance. Thoughts?
If you have a uterus and are taking estrogen you must use progesterone but speak to your dr about your health specifically
Thank you for the video. Do you think estriol is also ok to use as well as estradiol?
yes, some options for HRT include estriol/estradiol something called bi-est
@drjenmd ,would be really great if you can make a dedicated video on estriol. Thank you!!
it is ok to use estriol, or estradiol depends on you and your doctors decision.
Can HRT be used for the first time for a 64 year old post menopausal woman? I still suffer with awful hot sweats, heart palpitations, anxiety and sleep disturbance as well as vaginal atrophy
I wish you would talk about Duavee as an option- FDA approved and particularly wondering what you think of it.
I will make a video, great idea
Will HRT do anything to prevent me from looking like an old sea hag before its my time to? I'm 45, i see the signs of aging but I also look young, don't wanna lost that until I'm REALLY old ;) Thanks for this video, its easy to follow, and I am new to all this info....
What is the purpose of testosterone?
Testosterone has benefits for brain, heart, energy, libido, many....
@@drjenmd thank you.🙏
@@drjenmdWhat if I feel "wired but tired"? Energy sounds both nice and awful. My male doc only told me it could increase my energy and libido. I could care less about libido, but if it could help other things and not make me feel "speedy" inside, it could be worth trying...
Does testisterone also makes your hair grow on your head, cuz thats positive if you lost it deu to menopause
I am watching your video and you said there are two forms of progesterone. Oral or dermal. I am using the Marina Coil in my uterus for my uterus only.
Suppose to have it in if tolerated 5 years although manufacturers nowadays are recommending that you can keep it up to seven years. I am symptom free but when my estrogen is low I do get back pain as if I was going to start my period and spotty blood.
What's your views please?
I USED 10 MICROGRAM ESTRADIOL VEGIFEM , AND GEL , I AM 70 , ONE YEAR I WAS IN BURNING , AND SAFFAREIN , DRYNESS OF VEGINAL LAST FEWE MONTHS I AM BETTER .
Dr. Mary Claire Haver (she wrote The New Menopause book) says women with high blood pressure can go on MHRT. What is your reason for saying they cannot?
so what I said was uncontrolled high blood pressure not high blood pressure, if you have not had it evaluated and have cardio vascular risks then those need to be addressed first.
Just want to know.....why when a women who are HRT given estriol..when diagnose with cancer drs immediately stop it
in the US, the guidelines set by many organizations state no systemic HRT when diagnosed with breast cancer.
I started spotting 3 weeks into HRT after 1 year of no menstrual period. Also, I had bleeding in one eye. I was on the patch 0.05 mg & progesterone 200 mcg. Doctor advised to stop completely. I don’t know what to do. Wondering if I should go the compounded route instead?
You will need to discuss with a doctor your best option.
I would see a menopause expert to assess your risks and find the right option for you
It's probably because you need to take your progesterone with food for it to work. When you don't, it causes bleeding.
Try that❤
They say it’s normal to spot during HRT google also states it and heard another Dr on TH-cam mention it. I was spotting during my menstrual as well but once I got on HRT it says that you might get spotting and even brownish bleeding but it’s also said that the thinkenibg of the lining occurs but the progesterone should help with endometriosis or cancers.
Can you talk about starting HRT at 61 years of age post-menopause, and the risks involved.
My mother had uterine cancer, and other cancers, and dementia.
yes, great idea, will do a video on this
Having AFib is considered heart disease? I just received rx for HRT…should I be concerned? Thank you
Uncontrolled blood pressure, coronary artery disease, a-fib that is at risk for clots needs to be discussed prior to HRT. It is not that you can not take HRT but understanding CV risks are important in the conversation.
@@drjenmd thank you. Will speak with my cardiologist prior to start.
@@drjenmd. Is this the patch or oral? I thought with patch there was no known risks
Do you require a mammogram to prescribe hrt?
How much do you charge for a consultation?
I use insurance, licensed in CA, MO, MT, AR, TX, VA, WA, NV soon Florida
No I do not require a mammogram
my dr only prescribes synthetic
There are plenty of us that can prescribe bioidentical if you are looking for that
@@drjenmd i might have to see a urogyn to possibly look into testosterone if i need that but i hope ins covers bioidentical but is synthetic dangerous for me? i was on low dose pill for the last 6 yrs for anemia
I’m on bp medicine and developed tinnitus last year that won’t go away. I started HRT 4 weeks ago, and within 48 hours my tinnitus got louder and became continuous, instead of off and on as it has been for a year. My gynecologist said it has nothing to do with HRT, but it went back to the way it has been, when I quit the HRT for a week. I restarted HRT and it’s screaming again. Are there any explanations for that?
Are you using cream or pellets ? Also progesterone to estradiol ratio needs to be correct . Are they even giving you bio identical estradiol? Or estriol? Estiol is only 1/8 strength if estradiol.
the type of hrt and dosage matters
@@drjenmdEstradiol .0375 patch and Progesterone 100 mg
I could not concentrate due to the added music…
Now you've said it I can't either!!
Just turn off sound and use CC (closed captioning).
Low estradiol can make concentration more difficult perhaps you are low ?
can this cause cancer
I’m 55 been on HRT for about 4 years. What level should estrogen be to get all the benefits heart brain and bones?
the exact levels for brain and bone are not established in the conventional medicine world, as HRT is not FDA approved for brain and bone health yet, although there is tremendous benefits. The current thought is estradiol between 50 and 100, check out JAMA article published this year on it.
@@drjenmd JAMA articles may not be accessible to the general public.
If I was you, I’d go off it because however long you’re on it and then stop, your symptoms start again and continue for the length of time you were on it. No Dr tells you this. I found out the hard way. Please stop HRT!!
Do you think HRT (bioidentical) would be beneficial for every woman (40's and up) or just those having moderate to severe symptoms?
It's best to start in peri menopause ..before is not necessary cuz we are still "normal"😂
I also use coffee enemas and herbal enemas.