Dr Mary Claire Haver answers YOUR menopause questions🤩
ฝัง
- เผยแพร่เมื่อ 10 พ.ค. 2024
- Find the transcript of this video (very helpful!) here: www.pennsmithskincare.com/pos...
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0:00 Intro
2:24 Why should women in perimenopause/menopause consider taking HRT?
3:47 Why are so many doctors so ill informed about HRT, why so much confusion, fear, uncertainty, and doubt around the topic of HRT?
7:32 What are the different options for HRT for women who live in the United States?
13:36 How are HRT estrogen and progesterone made?
14:04 Should a person use HRT if they have zero menopause issues?
15:20 Did a study came out recently about the correlation between night sweats and severe night sweats and heart attack?
18:43 I’ve heard that doctors should never give oral estrogen because it increases the risk of clots, Is that true?
20:06 Is it essential for all women who supplement with estrogen to also take progesterone?
20:28 If someone is in menopause, officially ie no cycle for over a year, is it safe to take progesterone alone without taking estradiol for its benefits such as sleep, etc?
21:30 Why would I need to take vaginal estrogen on top of regular HRT
22:27 Why is it that if you're using a facial cream with estradiol in it that that is not systemic, but you can use transdermal gel or whatever and it IS systematic?. What's the difference?
23:47 Can HRT reverse existing hair decline or just slow new decline?
25:34 What's the cause of waking between 2 and 4am nightly?
27:14 What is the importance go Magnesium?
28:51 What are the benefits and side effects of adding testosterone?
32:35 Birth control, pregnancy and HRT. Is it okay to take a low form of birth control? So that estrogen doesn't deplete?
33:13 Why do women gain belly fat during menopause?
34:20 This is a question on HRT dosing and duration. I've seen studies that have shown that HRT has the most benefits for about 10 years from the start of menopause. Is that true?
35:15 I know that there's a lot of people watching that are 10 years post menopause. Is there anything that they can do?
36:02 If I'm 42 and don't have any symptoms but want to prevent symptoms, what would you recommend?
37:38 What is the best moment to start or even to start thinking about HRT?
38:54 Here's a question about testing for menopause and symptoms of menopause. I think that this is important to address... is that you don't have to test for menopause.
40:35 Heart disease. What's the connection between heart disease and menopause?
41:51 What is the link between osteoporosis and menopause?
43:20 Are there any side effects of HRT?
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Disclaimer: This video is not intended to provide diagnosis, treatment or medical advice. Content provided on this TH-cam channel is for informational and entertainment purposes only. Please consult with a physician or other healthcare professional regarding any medical or skin related diagnosis or treatment options. Information on this TH-cam channel should not be considered as a substitute for advice from a healthcare/skin professional. The statements made about specific products throughout this video are not to diagnose, treat, cure or prevent disease. It is important that you check labels to determine if a product is right for you. Before starting any treatment at home consult a health care or skin care professional to determine if it’s right for you.
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I am 68. I begged, begged and begged for HRT. I wasn't sleeping, and I went bald. I was refused repeatedly because "it won't help much and the risks are too high." I took in print-outs of the actual research - which I am positive ended up in the trash. So, yeah. It's really upsetting to find out that, at 68 and 15 years post-menopause, I'll never be able to recapture the protective effects of the therapy I was denied. Definitely getting your book, Dr. Haver, so I can figure out what to do about it now!
I feel your pain sister! That almost happened to me. But luckily I was able to finally find someone to listen. I even went to a so-called "menapause specialist" who promptly took me off the estrogen my previous doctor had given me. So I was without estrogen for a couple of years until I felt so miserable that I literally broke down in front of my obgyn, who agreed to put me back on estrogen. Now, with an appointment coming up tomorrow, I am afraid she is going to try and take me off them. I'm going to be 63.
@@debgilbert3206 Just because it's "Natural" doesn't make it healthy! This is a real bigotry problem. If you are low in testosterone, they supplement with testosterone. If you are low in thyroid, doctors give you thyroid. But if you're low in female hormones, suddenly the risks are too high!? It's outrageous, Deb. I'll keep you in my prayers.
@lindacgrace2973 thank you 🙏
I’ll be thinking of you Deb!!
Same thing happened to me. I was offered valium before estrogen! Finally I got referred to one of the top Drs in Australia (professor Eden) who treats women (even those with cancer) who are on HRT. He said he wants to sue the authors of the 2002 study that said HRT was too dangerous for women. He said it was a very badly designed study and it is STILL impacting women negatively. But general physicians still abide by it.
I am a 62 year old breast cancer survivor (at 34, cancer free since 1997). This information has brought me to tears. I always thought HRT was not possible. I am going to make an appointment immediately to discuss all this info with my doctor. I have everything you have mentioned and it has been going on nearly 20 years!
26 years cancer-free is amazing! ❤️
If you have any bladder or vag symptoms, know that you can use RX vaginal estrogen. It’s important in the long-term prevention of chronic UTIs. There are many women in nursing homes because of damage to their brain done by chronic UTIs. It’s called delirium. Delirium is like a ‘brain fever’ that happens during severe infection and sepsis. This happened to my mom.
Dr. Haver is a total rock star!! Thank you for all the hard work you are doing on behalf of us menopausal gals❤
Dr. Haver, thank you! I’m 77 and could have used this info some years ago. You’re doing beautiful work to help women.
I am 36 years old and this information is INCREDIBLE!!! I want to be informed as I get closer to this transition. I’m going to share this with ALLL my friends!!!
Only half way through video but don’t want to forgot to comment on some things for clarification. First, she’s doing a pretty good job of explaining things overall 👏🏻
I’ve been treating Menlo and perimeno women for over 25 yrs so she has more time to fine tune and learn.
1. Progesterone and progestin are NOT the same thing. Progesterone is what the body makes and is needed for fertility. Progestin tricks the brain into thinking you are pregnancy so you don’t ovulate.
3. Oral contraceptives with progestin prevent pregnancy. Progesterone helps pregnancy.
4. Oral contraceptives reduce ovarian cancer because it stops ovulation and activity of ovaries
5. Compounding pharmacies are NOT unregulated. They must follow compounding regulations. The reason why conventional docs are still poo pooing compounding pharmacies is indoctrination. When WHI study came out and MDs pulled all their HRT, Wyeth (makers of Premarin and prempro) lost an enormous amount of $$$$. Since then BigPharma has been in a mission to crush compounding pharmacies in a variety of ways WITH the help of the FDA (FDA is funded >45% from big Pharma as high as 75%)
6 related to above: as MDs stopped hormones, women turned to compounding pharmacies for their bio identical
Hormones.
7 Progestin was what increased cancer risk the MOST in the WHI study not progesterone.
8 outside of US, estriol is frequently used. It is an estrogen that does not have metabolites that can turn into more carcinogenic estrogens in individuals with predisposition to metabolize estrogens with more difficulty. Estriol also has studies on bone density, brain health including impact on patients with MS (multiple sclerosis)
9 You will likely not hear about estriol on US because it can NOT be patented. No bio identical molecule can be patented or “approved by the FDA”. Estradiol is bio identical BUT the delivery system of a patch is patented and so FDA can approve it. Don’t be mislead by BigPharma on something being safe or unsafe because of the FDA. Most consumers do not know the nuances I briefly mentioned above.
Lastly, because I can’t put 25 yrs into a post, estriol vaginal cream is excellent at promoting vulvar health (climax, elasticity, moisture) and does not bind strongly to breast tissue like estradiol does. (FYI Im not against estradiol and do use it. There is just a lot more to hormone therapy.)
Again, she has done a great job in this video educating women about hormones 👍🏻👏🏻👏🏻👏🏻
And excuse all of the typos!
I had a collapsed vertebrae at the age of 40. Went to a neurosurgeon and he told me I have the bones of a 60 year old. No one spoke to me about the connection with menopause. Now at 45 I realised I am perimenopausal, and only now finding out about the correlation. All drs need to know this. That neurosurgeon should have told me to get my obgyn to put me on hrt.
I’ve heard of women this young having osteopenia. Some get it from Depo-Provera. 💔❤️🩹❤️
I am in HRT for 2 years now, my quality of life is GREAT AND BETTER in everyway !!! Thank you Penn and thank you Dr Haver
Hi Georgina! How did you do as far as weight gain or with your HRT? Did you have to get any HRT adjustments before it finally worked for you? Thanks!
@@ms.t8313 it took me 1 year to get balanced until then I lost 10 pounds, for example my estradiol is 200 and progesterone 20 , progesterone has to be 10% of your estradiol to be balanced , it takes a lot of patience and of course I am eating healthy and working out 3 or 5 days a week . But before being balance I was eating healthy and working out and was not able to lose any pound .
I feel so blessed with all this information ( that’s come my way in the last 5 years) from all these phenomenal, female doctors on TH-cam and their insight has made me a happy, healthy and vibrant 50 something woman. I lift weights ( resistance training) eat a great diet (free of overly processed foods ) and I’m on bio identical hormones! Life can be sooooooo great in your second half!❤
I wish I would have seen this video much sooner as I only started HRT a month ago and I’m 61. This is the best video ever! ❤
I have been on HRT (Pill Form) Estrogen and Progesterone for 14 years. I started as soon as my period ended. I feel great being on it. I'm now 63, and my skin looks like I'm 45. It does make a difference in how you feel AND how you look. The best way to find out what your body needs is to have your hormones checked through bloodwork. Then your doctor will know the exact dosage to give you.
So were yr hormones off right when u quit yr period? According to my bloodwork, progesterone low and estrogen high🤷🏼♀️
@@tracyC7414 I'm sure they were off, because the hot flashes were very bad at that point.
@@tracyC7414 High estrogen in relation to progesterone is called 'estrogen dominance'. This is very common in perimenopause.
Not really ,I had two hormonal tests, and one shows I'm postmenopausal the other that I'm perfect ! Depends on the cycle we are in
I am 61 now and had a hysterectomy in 2016. I can't tell you how IMPORTANT this information is for women. My doctor took me off of estradiol because of the "risks". I had no idea what the estradiol meant to my system. I am in a fog, I can't think, I can't sleep, hot flashes. Personally, I lost half the volume of my hair. This is all so heartbreaking. I have begged my doctor to keep me on estradiol. She has me on a tiny dose that she will not refill. I did my research and found much information re the importance of HRT but she will not budge. I cannot express what this video has meant to me. I Thank you Dr. Clare, I thank you Penny from the bottom of my heart. The information you have given this community is priceless. Please ladies, no matter how young you are this information is vital for every one of us.
Gotta go.
I'm off to fight for my estradiol.
Thank you, thank you, thank you!!!!
Sending you strength! Is it possible to change doctors? I have a fantastic, informed doc and she’s changed my life. On HRT 2 years and feel like my old self again (but wiser 😉)
I’m sending you strength as well!!! Don’t stop until you get what you need!!
If your doctor won’t, consider another resource. You got this!!
@DianaRowanBrightWay who is your doctor?
This is my story,too.
Long-story short, my dr will not put me back on HRT due to the “risks”. Im looking for a different doctor but how do I know the new Dr won’t do the same thing. So frustrating.
@@jenniferegan2358 I can only imagine how frustrating it is. Can you look at doctor profiles before choosing a new one? Here's my doctor's profile, which made me choose her since she mentions using both both allopathic and alternative options mydoctor.kaiserpermanente.org/ncal/providers/antonianicosia
This video will probably take a few times watching to all sink in. Menopause brain fog n fatigue got me 🤯
Great info!!! Thank you!!!
I am 59 and have been taking care of everybody else for years.
Now that my kids have all left home, and I care for my 92yo mom, I’m Exhausted a lot of the time. I walk a lot, watch my diet ,yet have started with this belly fat thing…..WTH!!?
I tried to bring up HRT at my last Dr. Appt and was ignored!
I need a new dr.
I wish I lived in Texas!
Being invisible is awful. 🫥
So happy to see this age group addressed at last for women.
I hope you are able to find a doctor who will listen to you!!! Sending hugs 😊
Thank you both so much!❤
What a PROFOUNDLY important discussion this was. Your gratitude at the end toward the Dr was so sincere and I want to give those exact same deeply appreciative words to you, Penny. This takes your service to your audience to an entirely different level. Your “normal” videos…informative, lighthearted and fun as they are, serve a real purpose for us, but these are life-changing, life-affirming and most importantly, life-SAVING conversations that no one (or few) is having. So THANK YOU, Penny for caring about your own health and wellness as well as ours, and shining a light on such a shadow-ridden topic. Sending love and HEALTH! ❤️
🥹🥹🥹
Thank you for taking the time to say this, you made my day!
I started the patch and progesterone and within about a month I had mild bleeding. I freaked out and stopped and I was put through the most painful procedure I have ever had in my life - that biopsy! The whole experience felt punitive for some reason. I felt really alone. Thanks for the clarification for others so they are not rushed to biopsy.
OMG Penny thank you, so much, I am in tears, literally. My mom is a breast cancer survivor too. Yes we have a huge gap in the medical literature on menopause and in training in addressing this part of women's health. The politics in this and the way we perceive women in society is such a factor in all of this. This presentation and just down to earth talk is just going to be so far reaching for so many women. Expecially to all of us in this amazing group as we support eachother in our journey in our health and well being!!! Thank you!! Love you Penny!!!!!
I am going through treatment right now for breast cancer and it's kicked me into menopause but I am 42
OMG! Thank you so much for this!
Thank you for interviewing her. This was great!
Thank you Penn and Dr. Mary Claire Haver!!!!
Many thanks! Such a great discussion. ❤
Thank you for the great info!
Such an important topic! I am so glad we are finally talking about this phase of life women experience for 3 or 4 decades! I was so lost and confused when I first entered peri-menopause and then menopause. Thank you for this conversation. 💕💜
So Truly THANKFUL to you two amazing ladies!!
Absolutely huge thank you to both of you ❤❤
Not close to menopause, but I’m really loving this discussion. Feels like women are just supposed to be quiet and endure the difficult effects of menopause on their own once they’re no longer in their childbearing years. Hard not to feel that this lack of education and research is misogynistic.
I completely agree.
Thank you both.
Thank you!! Can’t wait to get your book!!
Best video ever!!❤ thank you to both of you!!
Thank you for providing such great educators on your channel and thank you Dr. Haver for helping women with such a huge issue!
Thank you for taking the time to share this valuable information for all of us!
Thank you so much for this video😊
This was amazing! Thank you so much. I’ve been on bio-identical HRT for a year now and it has made a world of difference. Went into menopause at 43. I was one of those that was misinformed regarding HRT and was very hesitant to try it. I wasted 5 years and most of my 40’s suffering through all the symptoms of menopause, till the depression portion just drove me to try HRT. I love it and I got to do my 40’s in my 50’s because of it. Lol. Don’t suffer through menopause. 💖
Thank you so much for doing this. This is such a confusing and rarely discussed topic. This was super helpful!!!!!
Excellent information. Thanks to both of you for your work and inspiration!
More of this please ❤
Thank you Penny for having Dr. Haver on. I’m 51 and feel this was very needed information. Thank you both!
This video is so incredibly informative and helpful! Thank you and Dr. Haver for looking out for us!
Thank you so much for taking the time to do this!!
You are so welcome!
Very many thanks Penny and Dr. Haver! So much precious information and care. I will need to listen to this over and over. I appreciate you both, greatly.
I AM ANGRY SAD AND CRYING RIGHT I HAVE BEEN A SINGLE PARENT TRIED MY BEST NEVER PUT ME FIRST I AM 66YO NEVER REALLY TOOK CARE OF ME AND NOW BASICALLY HEAR IT IS TO LATE FOR MY PROTECTION…. SO VERY SAD AND FOR EVERY OTHER WOMAN WALKING IN MY SHOES… ❤️❤️❤️🙏🏽🙏🏽🙏🏽
Thank you Dr. Haver and Penn. This information was so helpful for me.
Thank you ladies! Great information! ❤
Thank you Penny and Dr Haver. This information is life changing and very different to the medical opinions here in South Africa.
This was amazing. I loved this discussion. And the information was much needed. ❤❤❤❤❤
Such great and much needed information.. thank you both so much for sharing the wisdom.
Wonderful video Penny! Dr. Haver is an excellent resource on menopause and HRT. Thank you so much for sharing.
Thank you so much for this video!! I love you and Dr. Haven a ton!! Both of you are making a difference for women❣️ I’m forever grateful for all that you both bring to your channels ❤🙏
Fantastic information! Thank you for sharing your knowledge.
Thank you, thank you Dr Mary
A Very captivating plus very important video. Thousand thanks!!🌹🌹🌹
Thank you both so much for doing this. We need more medical professionals like her.
I so very much appreciate you for being here !
Thank you so much this was so so helpful
Glad it was helpful!
This was the most helpful informative video I have seen. Thank you!!😊
Glad it was helpful!
Thank you so so much for this video. I will definitely check out Dr. Haver’s book and program. I’ve had a touch time physically and mentally with menopause and feel
so comforted to have such powerful advocates like you and Dr. Haver fighting for us to get the well-informed medical care we need. I appreciate both of you!
Thank you! Thank you! Thank you! So informative. Loved it and learned so much.
Thank you both for this excellent info! So encouraging and empowering to prioritize the underlying root causes behind the many external efforts we make.
Thanks so much! So informative!
Thank you! Thank you! Thank you! I’m 61 and going to my Gyn tomorrow. I never have any questions and now I have a bunch of things I never thought of to discuss with her. I am excited to follow Dr. Havrer and be more educated.
Great Video. Will definitely start following Dr. Haver
I have learned so much and can listen to her over and over. . My menopause hero . She is so authentic.I believe in her.
Thank you both!!!!! An amazing video!!!!!❤
"We gaslight Ourselves" So true.. Dr. Haver is right! Seems like so many "Specialists" have been too. Thank you for bringing this massively important subject and fabulous Dr. Haver to your viewers Wonderful Penny!!! Now, I need to get to her : ) Interesting. at age 57, I thought I was seeing an "expert", and now I have to wonder. Just the Pat on the back with a "Ahhh you're alright" after I complain about all of the issues associated with Menopause, throws some vaginal cream at me and that's it. I've actually been pretty good at researching so many subjects about health over the years. Yet, here I am.. at a loss. I've asked about my endometrial ablation she did years ago as well, and if this affects me.. "Ohhhh you're alright" with a pat on the back. The Sahara desert has come to visit now as well. I need to move on.
Thank you all for the best tips for menopause
Loved this video and the doctor was so on her game. The information was very helpful and answered some questions I had.
Two amazing women in one podcast. Thank you 💖
Love her. Her you tube channel and website has a wealth of information.❤
This was so helpful! Thank you one thousand times for this conversation!
Phenomenal interview.
Just listened! This was amazing! I have been following Dr. Haver for over a year. This discussion is succinct and answers so many questions. Thank you for sharing.
Dr Haver so easy to understand and encouraging, knew exactly what I needed to ask for and got my HRT😊 thank you xx
This was so well done! I’m going to share this with all of my friends.
Thank you so much 🥰
Great interview with the lovely Dr Mary thanks. 😊
Thank you for this important information! I’m a week away from going to my appointment to ask to begin HRT. I’m devouring your info so that I may be well informed when I advocate for myself! Again, thank you to you both😊
This is the most informative video I have seen yet about menopause!
So glad!
Dr Haver is amazing! I got her book.
Thank you so much for your amazing channel!! This was so informative! I'm 42 and definitely noticing changes. This has helped so much to shine a light for me. Ordering books right now!❤
I am 50 years old, always into sport, slim, healthy and peri menopause hitted me so badly , i felt i lost myself , my life and almost my mind . I am about to consult my doctor about ways to handle it . Thank you for making this video.
Get Dr. Christiane Northrup's book! She addresses the emotional part of perimenopause as well as menopause.
Same here. I'm 48, and since October, I started going rapidly down the hill .My lower back pain is horrible ,my muscles like I'm all stiff 😫 mentally. I'm all over the place is so hard 😢
You titled this appropriately and I am grateful for you! This was by far the most important video I believe I have been exposed to in a VERY long time. Thank you for introducing me to this doctor and her wealth of information. Your questions were spot on and I already ordered her book. Grateful. Please keep speaking up for women facing these issues. So many in the appropriate fields are silent!!!!❤❤❤
I so enjoyed this! I am (almost) 55yo and began HRT earlier this year. I had been feeling a little uneasy about my decision to begin HRT, but this interview put my mind at ease. Thank you!
Thank you for having Dr Haver on your channel! She is wonderful, I wish there were more Ob/GYN drs like her! So much great information!
She is such an incredible, beautiful woman!!! You are sooooo appreciated ❤😊
Thank you so much for this discussion!
So informative. I have started following Dr Haver wished l lived closer to her practice . Thank you again 🙏🏼
Thank You Penn & Dr. Haver 💐 I learned something new today. I’m telling you; it’s truly like talking to our children about puberty. This is our second wave. I’ll be the BIG 50 in Jan but haven’t had any perimenopausal symptoms. This is a huge informative video. I’m saving 💐🫶🏼💐
Thank you Dr Mary
Fantastic job everyone!....HRT gave me my life back, mother's nature fountain of youth ❤
Love this conversation!! Thank you for hosting it Penny.
Thank you for being here! 💙
Incredibly informative! Thank you both for this important video! I have to go watch it again so I can take notes! 🧐💕
Thank you! Also, just so you know, we transcribed the whole convo and put it up on my blog 😊 www.pennsmithskincare.com/post/menopause-and-hrt-questions-with-dr-haver
Can't wait till she comes back!❤
As a PA-C this is one of the most informative discussions I have ever seen regarding HRT providing evidence based solutions. Thank you Dr Haver.
What a great informative Q&A on this very important health issue that effects every single women (millions!) who goes through menopause. It’s truly mind blowing that this is not addressed nationally and that the only doctors and women who are educated in any way are those that seek to find the information on their own. I am so thankful to people like Penny and Dr. Haver who help to educate women on this topic. I am a Mammographer and this topic comes up all the time with many patients who are struggling to accept the miserable symptoms that they are having from menopause. I will definitely be mentioning this Q&A in the future to my patients if they care to educate themselves. Thank you Penny and Dr Haver.
Great conversation and so much info that Dr. Haber shared. Unfortunately, I didn't get on HRT and I'm about 15 years post Menopause and developed Osteoporosis and have Thyroid issues. Been able to get stronger with changing my diet, but I'm still a work in progress.
I started on the patch in my late 40’s and I’m so glad that I did.. I’m 63 now and doing well, still. 6.5 yrs out from OC. Thanks so much for inviting this knowledgeable doctor on to further educate us! I wonder if she knows my MD/menopause specialist Dr Diane Bitner.
Great video! I've been following Dr Haver since last year. I'm happy more people are talking about this and more informed. I experienced perimenopause in 2021 and have been educating myself since.
Love this. I'm 67 retired RN. I am about to see a uro gyn next week to get to the bottom of some issues. I also have a family member with PCOS who has been on the pill for years.
This was the most amazing video I’ve ever watched on TH-cam! Thank you!
Thank you so much!! 🥰
She’s a rockstar! Love everything Dr Haver is doing for the cause💕
Thank you for this discussion . I am 57 and consider myself lucky that I have only had sleep issues but lack of sleep is pretty major. I will be asking my doctor for hrt. Thank you to you both,
Thank you so much for this informative video!