We never even met and I feel like u r rooting for me. I love your brilliant brain! I feel like my mind is so sluggish compared to your energy, quick thinking and memory. Thank you!! ❤
Thanks for the education. I’m post hysterectomy and after your talks insisted on getting progesterone from my resistant doctor . My blood pressure lowered and became more regulated , my electrolytes normalized , my kidney function improved , I sleep better and feel overall much better. I’m going to go to cycling after this specific talk. Thank you !!!
Prometrium should be a micronized Progesterone (at least mine is in Canada), which is the body-identical good progesterone Dr. Gersh refers to. Just be sure to only take it Day 12-26 @@briana9833
I am over the moon to have found your channel! I only wish I had discovered you years ago. I had my one and only child at 36. To the surprise of my doctor and myself, I was post-menopausal by my next annual OBGYN visit, a year later. I tried traditional HRT then, but the debilitating migraine it caused scared me away from trying again, to my utter regret, as I was unprepared for the rapid deterioration of my bones, youth, body and femininity. (Goodbye libido). ☹️ Your videos have given me answers to questions I didn’t even know to ask. Thank you so much!
@@k8marlowe I waited for a long time on estrogen because of migraines, but do and did take testosterone and progesterone until recently I can now tolerate estrogen as biest.
Dear Dr. Felice Gersh ❤️ Thank you SO much for sharing your important knowledge about HRT to all of us women who suffer from hormone deficiency after menopause. Doctors in Denmark are largely unaware of HRT and they are even afraid to prescribe hormones even though there are new research around the World showing that HRT counteracts a host of age-related diseases in women who lack hormones !
Thank you doc! 🙏🏼 I truly hope that everyone, especially women now realize just how Progesterone is as important as Estradiol. I find that it typically overlooked.
Wow, I think this situation with the thyroid is exactly what happened to me. My progesterone was way low but dr treated me for low T3 and then the thyroid meds put me way out of whack. Thank you for your brilliance, Dr. Gersh!
I was blessed to work with Dr. Gersh for several years and this method worked well for me. My brain and body felt great. When I switched to another clinic because I moved I stopped the cyclic method and developed too many side effects to continue my therapy. I'm going back to this approach and hope to be able to work with Dr. Gersh again!
Hi, i have a question.... Dr . Gresh, mention to take the progesterone for 14 days, then stop. How many day s are you off before you start back? My doctor put me on 200 mg every night. Thanks for any help you can provide.
I had a hysterectomy and oophorectomy over a year ago and have been asking health professionals why progesterone wasn’t a part of my HRT if its benefits go beyond having babies. Not one had an answer. Thank you for this!
Thank you. The first doctor gave me this cyclic thing. and then i changed insurance went to see another doctor and she wanted to give me the progesterone every day (half the dose) and it did not seem right to me ... but obviously being doctors or nurses they did not want to hear it, when I drilled down.. so basically i take 2 progesterones (2x100) 12 days a month... ah... so glad I came across this video... !!! Thank you!... crazy that I pay so much money for healthcare and I have to DIY and I don't know anything ... Thank you for TH-cam. Thank you for your video...
Can you explain your routine please? When you cycle how much Estrodial for how long? Then day 12 do you start with 200mg progesterone or lower dose? How long for?
@@bjrgstre-mauger5398 I don’t cycle because that would bring back all the horrible pms I used to have. I take the progesterone at night and estrogen and testosterone in the am.
I am about to turn 70 and I have been on the Wiley protocol since I was 55 cycling and getting my period do take progesterone but it’s not a static dose of 200 mg. It slowly increases after starting on the 14th day. I have always exercised and eaten well, I feel like 1 million bucks. I am so grateful for you because you are one of the few doctors that understand cycling and the importance of hormone replacement therapy. Have you heard of the Wiley protocol and what do you think about it? Would love to know I have an identical, twin sister who’s done this exact same thing and we would, never go off these warm even at age 70 I get a four-day bleed😊
The WP gave me hair loss. Since stopping it, my hair has grown back. I also gained 20lbs with a suppressed thyroid function. I couldn't absorb 20% progesterone cream because the molecules were too large. 5% cream works. I wish it worked for me but it didn't.
@@essanjay8604 I could send you a picture of my progesterone packet, which shows specifically how much I’m taking each day if I could. Would that be OK?
Progesterone is great for skin! I am now 60. Became post menopausal at the age of 54. Have been on HRT (estradiol and progesterone) for 5 years now. My complexion is now the best that it has ever been. Yes, I take care of my skin, as far as using anti-aging products. Serums, exfoliants and creams. However, I still attribute my great complexion to the progesterone, because you just can't make this up. It's the production of collagen that is most apparent for me. The thick, elastic, skin that is always glowing. That is the magic of progesterone. It's also why pregnant women always have a beautiful glow due to their high levels of progesterone. It's great for hair growth as well.
Very important info, thank you! Louise Newson gives progesterone vaginal if oral is not tolerated. She said it is even possible to use the oral capsule off-label vaginally.
Gah. Thanks for the insomnia comments. I am on 300 mg Progesterone, and finally sleeping. Sometimes, I still wake up for a few hours, then go back to sleep for a couple of hours. I have severe insomnia after a job years ago, when menopause hit I stopped sleeping and my Trazodone no longer helped. My insomnia is that without Trazodone I would not sleep a wink. I am not post-menopause. After finally getting up to 300 mg progesterone I sleep again. I'm worried if I cycle I won't sleep. I'd love to hear feedback from anyone who is cycling and has insomnia.
I would say do what you need to do to feel ok. Insomnia is terrible and has all sorts of negative effects on your health. I sleep much better now that I take 100mg progesterone continuously. I would never consider cycling the progesterone! For one thing, if you are still in perimenopause, your uterine lining can get too thick in those two weeks without progesterone, and you could end up with very heavy periods.
@@ZsuzsaKarolySmiththen maybe taking DHEA would be a solution (depending on ones hormon levels) from which estrogen, progesterone and testosterone can be synthesized in the body, thus there will be a base level of these hormones.Then cycling will be more easy. Supplenting Melationin, 5 HTP, precursors of GABA, Ashwaganda helps for sleeping better and lowering Cortisol (Stress)
I agree with everything you say, other than trying to emulate a natural menstrual cycle. Surely, if you take progesterone continuously and in the right amounts to counteract the amount of oestrogen in the HRT, you could achieve better hormone balance than the ups and downs of our premenopausal years? And really who wants to have a menstrual cycle in their 60s, 70s, 80s and beyond?
@@lifewithmargot Not having to have a menstrual cycle anymore was a day of deliverance and freedom. It was one of the only things good to come from menopause. I am so thankful I have a wonderful female gynecologist in NC who specializes in all things peri-menopause and menopause.
This was absolutely excellent i really enjoyed it Ive been on hrt for many years now and recently been diagnosed with pmdd and I’m still in perimenopause so my menopause specialist has recommended that I take 400mg of progesterone every two weeks hopefully this will help me as I have been suffering for years with many symptoms.😊
A female GP insisted to me it was natural progesterone and i kept saying it’s a progestogen so she finally looked it up and then quietly said oh yes…they are so misinformed!
I was prescribed estradiol and progesterone by my doctor in the US. I had a partial hysterectomy a few years ago. I am now in Italy and 2 doctors have asked why on earth would my doctor prescribe progesterone if I no longer have a uterus? They say it’s dangerous. I’m so tired of all the conflicting information.
If progesterone makes the lining secretory, then how does it work to stop the lining from growing when you take it every day? How does the o keep it from thickening then?
Love your informative videos! Please do address the possibility of sleep issues for the 14 days you are off 200mg oral Progesterone. I would like to try the cyclical routine so I can tell if I am actually on enough Estradiol by having a small period. 0ne of my biggest issues I had before going on HRT was sleep disturbances (waking and not being able to go back to sleep for 1.5-2 hours....ugh!) I'm 57 been on HRT about 2 years with a lot of adjusting (basically due to my own research to get things under control) and now I seem regulated on .05 patch estradiol, 2mg testosterone bioidentical cream and I have been taking micronized 100mg Progesterone vaginally each night (was having an issue with frequent spotting but may have been that my estradiol was too high even though I was taking 200mg orally nightly). All seems good except I'm still having sleep issues. Dr. Gersh, what are your thoughts on using Progesterone off-label vaginally? Does that route help with sleep? I'm thinking it does not. Thank you so much!
I am doing cyclic HRT. The compounding pharmacy and my Dr. gave me 25 mg of progesterone nightly for the off progesterone days. That low dose helps me sleep and doesn't distrupt the cycling
New sub. I finally got on hrt after 10 years. I now have severe osteoporosis at 60. I'm on estrogel 0.06 Pms progesterone 100mg and vagifem. Can I take 200mg of progesterone for 15 days on and 15 days off. I've only been on hrt for a month. I'll bring up testosterone next visit see how that goes 🤔 I find what you're saying makes absolute sense.
How did it go? I just statted menopause. Its been 1 year with no period. I want to start HRT Im so scared. There is information overload. And I don’t know where to start. I am 49.
What are you scared about? You do thorough research for I'd say 3-6 months. Use your intuition listen to your body. You get information from everywhere. Read papers if you have to. You are your own advocate. The fear is probably low Estradiol/Estriol too.
@@ccasiano101yt7 Best to start with Estradiol transdermal gel so you can control how much you use. Start slow and see how you feel. Get micronized Progesterone, take it 12-13 days after starting Estradiol. Start with one capsule for 14 days. Journal how you're feeling each day. It takes a little while to start alleviating symptoms so give it time. If you still have meno symptoms, you can increase dose You have nothing to lose by giving it a try and so many health benefits to gain!
Hello Dr. Gersh. I have two questions. Isn't there some progesterone in the body all month? And, how can the progestone work on the thyroid, bones, etc. if only dosing for two weeks out of the month? Thank you for your videos.
A million thank yous! I have been told by my functional doc that I make sufficient T4 but very little T3 but lots of RT3. Can you talk about why we make RT3?
I am not getting enough estrogen. Was not taking progesterone. You are correct when It comes to following mother nature. Wouldn't it be cool to slowly dose up and down like a curve in the luteal phase with oral progesterone.
According not Dr Mary Claire Haver there is not a progesterone cream that is effective. It must be taken in pill for to work. She said don’t waste your money on creams.
I just saw your video about how oral progesterone gets turned into pregnenolone and not much progesterone is left. So how is there enough left to protect the uterus and other organs? Using it as a suppository gets much better absorption and bypasses the liver so stays as progesterone. No depression or sleepy side effects either. Why don’t you recommend that method?
I’m 73 & love your videos……I am on Estradiol .1mg……testosterone & 200mg progesterone each night. Should I take my progesterone for 14 days then break???
Thats what i did for 8 yrs. However now my dr put me on only .5 patch since I am restarting, and I notice the monthly bleed has not started after 13 days. Think the est dose is too low.
I love your videos!! After being in menopause for over 5 years..I just started BHRT as my Dr.'s and also I thought it would not be the best choice since I had family history of breast cancer both maternal grandma and aunt. I just started on estraiol patch 0.05 and 200mg progesterone and I already feel pretty good. My question is...should I buy cycling the Progesterone so soon? Thank you !!
I had my first oral dose of 100mg micronized progesterone cap last night and awful! It made me very wakeful, in pain, headache, nauseous and zero sleep. Made me want to run right back to my progesterone cream, but not sure how much I'm absorbing. Was using 150mg and 200mg was too much...made me so dizzy, nauseous etc at 200. The thing is my lab results only show 1.1 ng/ml ... Is topical progesterone really as bad as what I hear? What if it's the only way I can tolerate progesterone? Tonight I will try the capsule vaginally. If still a problem, rectally. If still a problem I will try compounded capsule. But if none of those sit well with me, how to proceed forward since I'm taking estradiol and testosterone compounded cream? Dr Gersh?? Thank you!
I had the same side effects when taken orally,headaches and nausea. I switched to taking it vaginally, as recommended by Dr. Louise Newsom , problem solved. I take 100mg continuously.
Please help. Do we use estradiol all the time, without any breaks? We add progesterone on the 14th day, okay. Then we don't take any hormones for 2-7 days?
Do you have any input on why some of us can't tolerate progesterone? I have attempted to use prometrium and it gives me anxiety and shortness of breathe. I am very sensitive to medications so I even squeezed out some of the medication and attempted it vaginally and then attempted rubbing one drop transdermally with the same result. Doesn't make sense especially if it's supposed to be body identical. I am 43 and in perimenopause with hypothyroidism for some background. Can't start estrogen without the progesterone because I have a uterus and this problem as holding me back from ever getting relief with estrogen
Thank you so much for sharing this invaluable information. Would it be possible to explain Fibroids and HRT. Even though I have terrible perimenopause symptoms using Oestrogen gel triggers my fibroids ( pressure in my bladder and discomfort) . I think I might be deficient in Progesterone and high in Estrogem. I wonder if I can use progesterone pills alone to balance this imbalance in my hormones. My doctor has no clue about this. Thank you.
Agree! There is another TH-cam OBGYN saying there is absolutely no scientific proof that cycling progesterone is helpful, but if there are studies, I would like to see them!
I don’t convert T4 to T3 well and am trying T3 only. Only recently did I learn about connection to sex hormones although I heard it was estradiol that matters. I no longer have a thyroid. I have been exhausted and not sleeping for over 40 years. It’s maddening!!
Thank you so much for all the info. But please let us know the dosage of progesterone for post menopausal women. Age 53. Just started 0.025 estrodiol patch. Got hysterectomy at age 42 with only one ovary intact. Please advise how progesterone and is it supposed to be for few days in the month or every day.
Please could you make a video about Merina coil. I have progesteron intolerance and my doc has recommended Merina but I am very concerned about its side effects and if it's beneficial properties. Thank you so much.
I had the marina coil for three months and I started getting excruciating headaches. I found out for some people it can cause increased intercranial pressure (ICP). I also had to sleep, propped up on a pillow after about two weeks of having it as for some reason it caused heartburn I never get heartburn ever of course it stopped when I had it taken out and believe me I did not want that in my body anymore. !!!
Thank you. Please provide more info on HRT after hysterectomy! I have been prescribed the ClimaraPro patch: Is that recommended for post menopaused women without a uterus?
How do you know what your optimal amounts are? I've been battling with the NHS for over 2 years for help. They just give me different HRT without ever doing a blood test. I feel like and experiment. I'm so tired of this journey. Its all just really confusing. I'm sorry, i know all of this info is great education into our bodies, but unless the health professionals will change and do things as you speak, millions of women are just being offered trial and error and not being given tests.
I'm really sorry this is happening to you. Blood &/or saliva analysis is essential. What do they say when you ask for bloodwork? If whoever you are going to is utterly refusing to help you, it's way past time for another Dr. The problem with women's health & hormones is 'regular' Drs & HMO hacks cannot help you. Need a functional medical practitioner. The other issue is you may need to pay out of pocket for some things because depending on insurance they may not cover some appts, labs or therapies. Dr. Gersh is my Dr. she is amazing. Good Luck...
@@samanthareilly6968 yes yes, just keep trying to find the a doctor. New science and new information for women is showing up via the internet. Dr. Gersh, Dr. Anna Cabecca, Dr. Sara Gottfried, all can lead you to someone with knowledge in women’s health.
I didn’t want to start having a monthly bleed again after being two years post menopause when I started HRT in January however it makes so much sense to take progesterone cyclically which is what I decided to do and I definitely feel better since trying this method! Iv got a consultation with my doctor tomorrow with regards to adding testosterone to my hormone therapy because I feel it will help with my energy levels and getting things done that’s what I miss the most Iv become so lazy and procrastinate so much more than I used to I just can’t deal with tasks that require that umph!! Thank you Dr 🙏😊
I love Dr Gersh’s videos…..wish she could be my dr. However my dr has me on compounded testosterone & progesterone……& a progesterone pill 200 mg at bedtime. Do I continue using both progesterones or use just one…..I take pill at night & cream in morning. Now I’m out of the cream, & on Estradiol patch & take progesterone pill, I began bleeding a little when I wipe, but in a video by Dr.Gersh she said to celebrate cuz that means I have a proliferation of uterine lining which means my hormones are working as protection. Any advise I need to know?
Great info and thank you Dr Gersh. I am taking 100mg vaginally for 14 days and get a bleed for about 3 days. When I take 100mg orally for 14 days, I don't bleed....is 100mg vaginally with a bleed protective for my bones and other organ systems?? or should I take 200mg vaginally for 14 days?
@@maureenedwards8307 Good question & I had the same dilemma. I printed a graph of the rise & fall of Progesterone in a natural cycle so I decided to follow that: 100mg Day12-17 200mg Day 18-24 then back to 100mg I take it vaginally as well which for sure is helping with absorption
I believe it is because it doesn't become a metabolite when you take it vaginally as opposed to orally. It is far more concentrated when you take it vaginally and from what I have read some of it goes around the body in the circulation, but not a lot. I have no idea how much? But many people who don't like the groggy feelings and the mood swings when they take it orally will take it vaginally and they don't get that. My strategy is to take it vaginally it is smaller dose like about half of the hundred milligram capsule and to get the cream and put it on my skin. Hopefully that will give me more systemic wide progesterone as well as the sleep benefit that I do not get when I take it vaginally only. Heres hoping!
I’m 51 years old I’m in menopause for about a year… since then I’ve been searching and searching to find a good Doctor Who can teach me how to take the hormones ! I’m not a doctor my brother is a doctor but somehow I knew that I should not take the progesterone for 30 days… So let me ask you this… I should take the estradiol every day but only take the progesterone on the 14 day, and take the progesterone for14 day then stop. Did I understand right…? Greetings from Romania
I am about to start HRT , 2 years in with menopause. Trying to learn as much as possible myself. My GP prescribed oral Prempro before doing hormone blood tests(I suggested) so I decided to educate myself first then start the process. Looks like I would start with Estriol patch or cream(?) plus Progesterone oral, 2 weeks a month(?). Bleeding or spotting is worth it if it will help my overall health!
@@AS-yh6xu I found it best to get the Estradiol gel (instead of the patch) because you have more control over your dosing. I use a bit less Day 1-5 & more on day 6-21 & less again 22-28 (like a reg. cycle) depending also on how I feel of course. I take oral Progesterone (micronized) Day 12-26 I printed a graph of the rise & fall of Estradiol & Progesterone in a natural cycle (thank you Google) & this helped to figure it out & keep track. Whatever day you end up getting a bleed, make this your new Day 1 & stop the Progesterone until Day 12 It took me about 2-3 mos. to get a regular bleed after being on continuous HRT dosing. I definitely feel much better overall with the cyclic method!
Dear Doctor Gersh thank you for all the information. I had a partial hysterectomy very young at 45, and they also removed the fallopian tubes. I have been taking estradiol and progesterone every day. Could you clarify the recommended cycle for progesterone please 🙏 You recommended fourteen days and then stop to allowing bleeding, but when should I start taking the progesterone again ? After few days? Thank you 🙏
I started cyclic progesterone 4 months ago. I just had my labs done and my TSH is almost too low- I talk with my doctor soon, but I suspect she may be lowering my dose of thyroid medication in the coming months. I do take micronized progesterone pills, but I take them vaginally, which is an off label use, I know. I would love to know if the Doctor has any thoughts on this way of taking progesterone.
I've read when using vaginally the dosage is less as well as frequency to three times a week, but that's NOT when cycling micronized progesterone. Great question.
Progesterone is a miracle for the thyroid. Progesterone speeds up the conversion of thyroxine (T4) to triiodothyronine (T3), the active form of thyroid hormone. Adequate progesterone levels are essential for optimal thyroid function and can help counterbalance the potential negative impact of estrogen on thyroid hormone levels.
I read in a sleep disturbances article, that included perimenopausal women, that only if taken orally at night does it significantly help improve VMS and sleep.
What amount of progesterone do you give women in perimenopause orally and transdermal. How do you balance it optimal with estradiol? How would a balanced ratio look like in serum and saliva?
100-200 mg vaginally at night for 10-12 days. Others do 1-12 days. You need to apply Estradiol in the morning and if you need to up the Estradiol do it. You also need to be on good supplements daily. It supports your system. If you can't do the micronised do the cream if possible.
You have low levels of Progesterone by your late 30s early 40s. It decreases after 30 and nowadays it declines eve quicker due to pollutants and toxic meds etc.
I love that. Optimal balance of cyclical hormones. Actually I was optimal at the beginning of my bhrt 47 to 55 she dropped Estrogen then later she dropped progesterone. Then at 60 she cut my estradiol in half. Immediately my hair started falling out as became wirey. I've had problems ever since. I knew that since im 68 and she is legally to keep my estradiol to be be as low and my progesterone has been doubled. I've now started looking pregnant . I want to be like I was before. I am having hypothyroid issues which has just started to be normal again . My progesterone has Testosterone with it but my estradiol is separated. Does too much progesterone as to the level of estradiol cause belly fat like impregnate and does progesterone cause weight gain.,?
Go to someone else. You need Oestrogens... Even try a bio identicals cream with Estriol and Estradiol. Do lymphatic drainage on your abdomen. Try Organic Maca Powder daily. Take Magnesium Glycinate at night too. Unfortunately we all will change and be elderly.
Cut the Progesterone in half. Up thr Estradiol/Estriol. That's Estrone the belly. And the thyroid could be acting up again or its just water retention. So cut it back.
Im in perimenopause and still cycling regularly. My nurse practioner prescribed time released progesterone all month long. Does that sound right or should i only do the last 2 weeks of my cycle
I have an estradiol 0.075 weekly patch and take the 200 mg micronized progesterone capsule. I have been on a continuous regimen but can clearly see what you've explained about the benefits of a cyclical regimen. So, I would take the combination for two weeks, then continue with the patch only, for the rest of the month, correct? Then, begin with the estradiol and progesterone capsule on the first of every month? Thank you!
Following the question. Also, I’m confused, since some doctors recommend day one of your period and others they 14 after the period? Which one is the correct?
Thank you dr, but I get the worst symptoms during the period stage I’m hoping to try this and would work to minimize these symptoms during cyclic system?
It does not if it is taken daily. I have been taking it daily for about six months and have never had bleeding. The doctor appears to be saying that it does if it is taken cyclically as she recommends.
Hi! Wonderful episode! My OB/gyn prescribed progesterone for me at 100 mg to take every day and since I’ve done that I haven’t had a period at all. It’s been about a year now. I would like to start taking it cyclically but I’m not sure if I should just start and pick 14 random days in a row and then 14 days off? Just not sure. Since I’m not getting a period anymore, I’m not sure where I am in my cycle at any given time. I am also 47 years old so there’s a possibility I could be in full menopause.
I take progesterone from day 1 to day 14 each month, I then stop from day 15 to day 30. Then I start progesterone again. Estradiol patch I use nonstop all month. Hope this helps.
@@Katepwe There are many benefits of doing the Progesterone cycling. There is one episode from doctor Gersh talking about this topic. You should watch it and then decide what’s best for you.
I love that. Optimal balance of cyclical hormones. Actually I was optimal at the beginning of my bhrt 47 to 55 she dropped Estrogen then later she dropped progesterone. Then at 60 she cut my estradiol in half. Immediately my hair started falling out as became wirey. I've had problems ever since. I knew that since im 68 and she is legally to keep my estradiol to be be as low and my progesterone has been doubled. I've now started looking pregnant . I want to be like I was before. I am having hypothyroid issues which has just started to be normal again . My progesterone has Testosterone with it but my estradiol is separated. Does too much progesterone as to the level of estradiol cause belly fat like impregnate and does progesterone cause weight gain. Doesn't progesterone cause fluid retention..
I was hoping you would talk some more about hysterectomies I had a complete hysterectomy and have struggled to find any information that helps nobody ever talks about it.
so when would you start progesterone if you still get a cycle would you take oestrogen for first 14 days on the first day of the bleed, then progesterone for 14 days
@@jessicahitchens6926 You are on angel! I totally agree with your information.. Day 1-30 Estradiol Day 1-12 progesterone am I right…? Olso when is the best tome to take testosterone? I’m 51 one year old Thank you SO MUCH
I had a full hysterotomy 10 years ago and now I am finally getting HRT which was not offered back when I had my procedure. Now I am 61 and I am suffering from having no hormones in my system and my Dr finally put me on estrogen and progesterone. I to feel so much better but then I had a break out of acene. Is this normal? I don't want to stop my HRT but my face really hurts
Hi, I had a total hysterectomy on my 19th birthday. (Melonsize teratoma ovarian cancer. Celebrating 51years cancer-free.) At 70 years old, can I take physiological dose, progesterone & estradiol, too? I have under active thyroid, chronic inflammation, osteopenia, and very dense breasts. Energy levels high and mentally strong & upbeat.
No... why would it be administered differently when you still have hormones? And cycles. It works with your cycle or mimics it if you no longer have it naturally.
Thank you for the information! Question when talking about dosing. I'm taking 200 mg but not in pill form. I'm taking it as a compounded cream. Is the pill form also from a compounding pharmacy? Or from a normal pharmacy so insurance covers its?
We never even met and I feel like u r rooting for me. I love your brilliant brain! I feel like my mind is so sluggish compared to your energy, quick thinking and memory.
Thank you!! ❤
Yes she is so intelligent and great at explaining. It's such a talent!
Thanks for the education. I’m post hysterectomy and after your talks insisted on getting progesterone from my resistant doctor . My blood pressure lowered and became more regulated , my electrolytes normalized , my kidney function improved , I sleep better and feel overall much better. I’m going to go to cycling after this specific talk. Thank you !!!
What kind of progesterone are you taking?. I have been prescribed prometrium and estrogen cream, but I am kind of afraid of side effects😢😢
@@briana9833 same as you micronised oral human identical progesterone
@@briana9833 I would be more afraid of effects of hormone deficiency which is linked to acceleration of chronic diseases
Prometrium should be a micronized Progesterone (at least mine is in Canada), which is the body-identical good progesterone Dr. Gersh refers to. Just be sure to only take it Day 12-26 @@briana9833
@@briana9833micronized progesterone is best
I am over the moon to have found your channel! I only wish I had discovered you years ago.
I had my one and only child at 36. To the surprise of my doctor and myself, I was post-menopausal by my next annual OBGYN visit, a year later.
I tried traditional HRT then, but the debilitating migraine it caused scared me away from trying again, to my utter regret, as I was unprepared for the rapid deterioration of my bones, youth, body and femininity. (Goodbye libido). ☹️
Your videos have given me answers to questions I didn’t even know to ask. Thank you so much!
Yea I've heard of that before. The body isn't able to reset itself after pregnancy. It's usually mid 30s to mid 40s range. Shocking when it happens.
@@k8marlowe I waited for a long time on estrogen because of migraines, but do and did take testosterone and progesterone until recently I can now tolerate estrogen as biest.
Thank you for fighting for us through the Women’s Health Initiative!! 💖💖💖
Dear Dr. Felice Gersh ❤️ Thank you SO much for sharing your important knowledge about HRT to all of us women who suffer from hormone deficiency after menopause. Doctors in Denmark are largely unaware of HRT and they are even afraid to prescribe hormones even though there are new research around the World showing that HRT counteracts a host of age-related diseases in women who lack hormones !
I have to compliment you on the way you look today doctor! ❤
Thank you for your helpful information!
I noticed how great she looks today too! ❤
So love your information and your amazing joyful personality. Your incredible knowledge goes without saying! Thank you! 💗
Thank you, Dr. Gersh! I was so excited to see that you’re in Irvine! Just contacted your office. ♥️
Thank you doc! 🙏🏼 I truly hope that everyone, especially women now realize just how Progesterone is as important as Estradiol. I find that it typically overlooked.
People whom know their stuff always said Progesterone was vital.
Wow, I think this situation with the thyroid is exactly what happened to me. My progesterone was way low but dr treated me for low T3 and then the thyroid meds put me way out of whack. Thank you for your brilliance, Dr. Gersh!
Another great video. Thank you, Dr. Gersh. Oh, and I i must say, you look terrific!
I was blessed to work with Dr. Gersh for several years and this method worked well for me. My brain and body felt great. When I switched to another clinic because I moved I stopped the cyclic method and developed too many side effects to continue my therapy. I'm going back to this approach and hope to be able to work with Dr. Gersh again!
Hi, i have a question.... Dr . Gresh, mention to take the progesterone for 14 days, then stop. How many day s are you off before you start back? My doctor put me on 200 mg every night.
Thanks for any help you can provide.
@@CJRenee. 2 weeks on 200 mg and 2 weeks on progesterone
@@auaticamazon Do you mean 2 weeks on 200mg progesterone and then 2 weeks of zero progesterone?
@@heidixxx2454yes
But estradiol continues
I had a hysterectomy and oophorectomy over a year ago and have been asking health professionals why progesterone wasn’t a part of my HRT if its benefits go beyond having babies. Not one had an answer. Thank you for this!
Thank you. The first doctor gave me this cyclic thing. and then i changed insurance went to see another doctor and she wanted to give me the progesterone every day (half the dose) and it did not seem right to me ... but obviously being doctors or nurses they did not want to hear it, when I drilled down.. so basically i take 2 progesterones (2x100) 12 days a month... ah... so glad I came across this video... !!! Thank you!... crazy that I pay so much money for healthcare and I have to DIY and I don't know anything ... Thank you for TH-cam. Thank you for your video...
What day do you start progesterone? And when do you stop? I need to start cycling ASAP. Thank you ❤
@@sbc8730don’t you just love those who lost a question expecting a reply but don’t respect nor appreciate when their asked a question 🙃
So are u nowctaking it the 12-14 days a month?
Can you explain your routine please? When you cycle how much Estrodial for how long? Then day 12 do you start with 200mg progesterone or lower dose? How long for?
@@bjrgstre-mauger5398 I don’t cycle because that would bring back all the horrible pms I used to have. I take the progesterone at night and estrogen and testosterone in the am.
Forget about your skin that it's amazing. I'll do anything you do just to have your brains agility and memory, especially at your age omg!! ❤❤❤😊🙌🏼🙌🏼
Dr. Gersh, I wish you could clone yourself a million times over; you are a gem!
I am about to turn 70 and I have been on the Wiley protocol since I was 55 cycling and getting my period do take progesterone but it’s not a static dose of 200 mg. It slowly increases after starting on the 14th day. I have always exercised and eaten well, I feel like 1 million bucks. I am so grateful for you because you are one of the few doctors that understand cycling and the importance of hormone replacement therapy. Have you heard of the Wiley protocol and what do you think about it? Would love to know I have an identical, twin sister who’s done this exact same thing and we would, never go off these warm even at age 70 I get a four-day bleed😊
Is the bleed heavy ?
The WP gave me hair loss. Since stopping it, my hair has grown back. I also gained 20lbs with a suppressed thyroid function. I couldn't absorb 20% progesterone cream because the molecules were too large. 5% cream works. I wish it worked for me but it didn't.
Can you elaborate a little on how you increase your dose of progesterone?
@@essanjay8604 I could send you a picture of my progesterone packet, which shows specifically how much I’m taking each day if I could. Would that be OK?
@@Leamoyer well my bleed varies. But mostly it’s 4 to 5 days and I do have a couple of days that is moderate and then it dies off. Hope that helps.
i am so intrigued by the cycling of HRT. so little doctors talk about this. Thank you for this information !
So helpful and logical! Thank You!!!!!!
Thank you ! You are amazing doctor!
Progesterone is great for skin! I am now 60. Became post menopausal at the age of 54. Have been on HRT (estradiol and progesterone) for 5 years now. My complexion is now the best that it has ever been. Yes, I take care of my skin, as far as using anti-aging products. Serums, exfoliants and creams. However, I still attribute my great complexion to the progesterone, because you just can't make this up. It's the production of collagen that is most apparent for me. The thick, elastic, skin that is always glowing. That is the magic of progesterone. It's also why pregnant women always have a beautiful glow due to their high levels of progesterone. It's great for hair growth as well.
Nice video yes it helps the health feel relaxed and content❤
Very important info, thank you! Louise Newson gives progesterone vaginal if oral is not tolerated. She said it is even possible to use the oral capsule off-label vaginally.
Thank you Felice, you're awesome.... ❤
Love your videos, you are the best doctor❤❤❤
Gah. Thanks for the insomnia comments. I am on 300 mg Progesterone, and finally sleeping. Sometimes, I still wake up for a few hours, then go back to sleep for a couple of hours. I have severe insomnia after a job years ago, when menopause hit I stopped sleeping and my Trazodone no longer helped. My insomnia is that without Trazodone I would not sleep a wink. I am not post-menopause. After finally getting up to 300 mg progesterone I sleep again. I'm worried if I cycle I won't sleep. I'd love to hear feedback from anyone who is cycling and has insomnia.
I would say do what you need to do to feel ok. Insomnia is terrible and has all sorts of negative effects on your health. I sleep much better now that I take 100mg progesterone continuously. I would never consider cycling the progesterone! For one thing, if you are still in perimenopause, your uterine lining can get too thick in those two weeks without progesterone, and you could end up with very heavy periods.
I had that same kind of insomnia for years. It wasn’t until I got my estradiol levels up to a high level (300) that it got much better.
@@ZsuzsaKarolySmiththen maybe taking DHEA would be a solution (depending on ones hormon levels) from which estrogen, progesterone and testosterone can be synthesized in the body, thus there will be a base level of these hormones.Then cycling will be more easy. Supplenting Melationin, 5 HTP, precursors of GABA, Ashwaganda helps for sleeping better and lowering Cortisol (Stress)
You mean peri or transition. Meno pause is cessation of menses.
@@jessicahitchens6926 i had only 2 1/2 months not my period, then it came every 2 weeks for 2 months, and now every 3 week, days increasing
I agree with everything you say, other than trying to emulate a natural menstrual cycle. Surely, if you take progesterone continuously and in the right amounts to counteract the amount of oestrogen in the HRT, you could achieve better hormone balance than the ups and downs of our premenopausal years? And really who wants to have a menstrual cycle in their 60s, 70s, 80s and beyond?
Thank you! I'm like what is she talking about!
I don’t want it back for sure
@@lifewithmargot Not having to have a menstrual cycle anymore was a day of deliverance and freedom. It was one of the only things good to come from menopause. I am so thankful I have a wonderful female gynecologist in NC who specializes in all things peri-menopause and menopause.
The goal is to emulate well being of younger years. It mimics what nature has done for eons.
It will increase risk of breast cancer , as number of cycles does and it was shown in research as well.
This was absolutely excellent i really enjoyed it Ive been on hrt for many years now and recently been diagnosed with pmdd and I’m still in perimenopause so my menopause specialist has recommended that I take 400mg of progesterone every two weeks hopefully this will help me as I have been suffering for years with many symptoms.😊
Thankyou !!!! ❤
Doctors can’t seem to agree on if progesterone should be continuous or cycle.
Please talk about the synthetic progestin in IUDs. We women have been misinformed about it being like progesterone.
A female GP insisted to me it was natural progesterone and i kept saying it’s a progestogen so she finally looked it up and then quietly said oh yes…they are so misinformed!
I don't listen to them. I would never get a device in that region. It's insane. You have no control at all..
Such great information, thank you!
Thank you very much ❤! You have saved my life!!!!❤❤❤
I was prescribed estradiol and progesterone by my doctor in the US. I had a partial hysterectomy a few years ago. I am now in Italy and 2 doctors have asked why on earth would my doctor prescribe progesterone if I no longer have a uterus? They say it’s dangerous. I’m so tired of all the conflicting information.
I wish you were in SC.
How do you recommend taking progesterone when you don’t take estrogen?
If progesterone makes the lining secretory, then how does it work to stop the lining from growing when you take it every day? How does the o keep it from thickening then?
You are great!!!! Thank you!!!
Love your informative videos! Please do address the possibility of sleep issues for the 14 days you are off 200mg oral Progesterone. I would like to try the cyclical routine so I can tell if I am actually on enough Estradiol by having a small period. 0ne of my biggest issues I had before going on HRT was sleep disturbances (waking and not being able to go back to sleep for 1.5-2 hours....ugh!) I'm 57 been on HRT about 2 years with a lot of adjusting (basically due to my own research to get things under control) and now I seem regulated on .05 patch estradiol, 2mg testosterone bioidentical cream and I have been taking micronized 100mg Progesterone vaginally each night (was having an issue with frequent spotting but may have been that my estradiol was too high even though I was taking 200mg orally nightly). All seems good except I'm still having sleep issues.
Dr. Gersh, what are your thoughts on using Progesterone off-label vaginally? Does that route help with sleep? I'm thinking it does not.
Thank you so much!
I am doing cyclic HRT. The compounding pharmacy and my Dr. gave me 25 mg of progesterone nightly for the off progesterone days. That low dose helps me sleep and doesn't distrupt the cycling
Sometimes I use a lower dose on the off weeks or cream if they have insomnia or anxiety on the off days
Do you do this Dr. Gersh?
New sub. I finally got on hrt after 10 years. I now have severe osteoporosis at 60. I'm on estrogel 0.06 Pms progesterone 100mg and vagifem. Can I take 200mg of progesterone for 15 days on and 15 days off. I've only been on hrt for a month. I'll bring up testosterone next visit see how that goes 🤔 I find what you're saying makes absolute sense.
How did it go? I just statted menopause. Its been 1 year with no period. I want to start HRT Im so scared. There is information overload. And I don’t know where to start. I am 49.
What are you scared about? You do thorough research for I'd say 3-6 months. Use your intuition listen to your body. You get information from everywhere. Read papers if you have to. You are your own advocate. The fear is probably low Estradiol/Estriol too.
@@ccasiano101yt7 Best to start with Estradiol transdermal gel so you can control how much you use. Start slow and see how you feel. Get micronized Progesterone, take it 12-13 days after starting Estradiol. Start with one capsule for 14 days. Journal how you're feeling each day. It takes a little while to start alleviating symptoms so give it time.
If you still have meno symptoms, you can increase dose
You have nothing to lose by giving it a try and so many health benefits to gain!
Hello Dr. Gersh. I have two questions. Isn't there some progesterone in the body all month? And, how can the progestone work on the thyroid, bones, etc. if only dosing for two weeks out of the month? Thank you for your videos.
I've noticed she doesn't answer questions on her videos.
She has courses you can signup for. Click the "more"
What happens to the receptor sites if you use progesterone every day?
A million thank yous!
I have been told by my functional doc that I make sufficient T4 but very little T3 but lots of RT3. Can you talk about why we make RT3?
Enjoyed your video.
What about if you want sleep consistency. It helps me sleep so well.
yeah i was thinking the same... it's like you're only sleep ok half the month...
Magnesium Glycinate at night. Melatonin.. Even try Indian Ginseng..
I am not getting enough estrogen. Was not taking progesterone. You are correct when It comes to following mother nature. Wouldn't it be cool to slowly dose up and down like a curve in the luteal phase with oral progesterone.
What is a good brand in progesterone cream?
According not Dr Mary Claire Haver there is not a progesterone cream that is effective. It must be taken in pill for to work. She said don’t waste your money on creams.
I have endometriosis, so bleeding is not a good thing for me. Continuous progesterone is what was recommended
Same as me ,I've also endometriosis can u plzz tell me do u take progesterone vaginally or tropical cream?
Exact questions I had ❤❤❤
I just saw your video about how oral progesterone gets turned into pregnenolone and not much progesterone is left. So how is there enough left to protect the uterus and other organs? Using it as a suppository gets much better absorption and bypasses the liver so stays as progesterone. No depression or sleepy side effects either. Why don’t you recommend that method?
Please direct me to info/reasoning on how this works if no uterus? What/where does progesterone proliferate when no uterus? (Ovaries intact)
Is it safe to take 100mg continuously and have no period?
I’m 73 & love your videos……I am on Estradiol .1mg……testosterone & 200mg progesterone each night. Should I take my progesterone for 14 days then break???
Thats what i did for 8 yrs. However now my dr put me on only .5 patch since I am restarting, and I notice the monthly bleed has not started after 13 days. Think the est dose is too low.
I love your videos!! After being in menopause for over 5 years..I just started BHRT as my Dr.'s and also I thought it would not be the best choice since I had family history of breast cancer both maternal grandma and aunt. I just started on estraiol patch 0.05 and 200mg progesterone and I already feel pretty good. My question is...should I buy cycling the Progesterone so soon? Thank you !!
Your progesteron is orally or in Cream??
@@anaf9314 Oral 200mg every night
@@anaf9314 Orally I take 200mg every night
@@anaf9314 Progesterone is oral 200mg every night
Yes you should by cycling it from the beginning. There's no reason to be on continuous.
What are your thoughts on wild yam cream? How does one know when to start the progesterone if the cycles are irregular or nonexistent?
I had my first oral dose of 100mg micronized progesterone cap last night and awful! It made me very wakeful, in pain, headache, nauseous and zero sleep. Made me want to run right back to my progesterone cream, but not sure how much I'm absorbing. Was using 150mg and 200mg was too much...made me so dizzy, nauseous etc at 200. The thing is my lab results only show 1.1 ng/ml ... Is topical progesterone really as bad as what I hear? What if it's the only way I can tolerate progesterone? Tonight I will try the capsule vaginally. If still a problem, rectally. If still a problem I will try compounded capsule. But if none of those sit well with me, how to proceed forward since I'm taking estradiol and testosterone compounded cream? Dr Gersh?? Thank you!
I had the same side effects when taken orally,headaches and nausea. I switched to taking it vaginally, as recommended by Dr. Louise Newsom , problem solved. I take 100mg continuously.
Please help. Do we use estradiol all the time, without any breaks? We add progesterone on the 14th day, okay. Then we don't take any hormones for 2-7 days?
Do you have any input on why some of us can't tolerate progesterone? I have attempted to use prometrium and it gives me anxiety and shortness of breathe. I am very sensitive to medications so I even squeezed out some of the medication and attempted it vaginally and then attempted rubbing one drop transdermally with the same result. Doesn't make sense especially if it's supposed to be body identical. I am 43 and in perimenopause with hypothyroidism for some background. Can't start estrogen without the progesterone because I have a uterus and this problem as holding me back from ever getting relief with estrogen
The same thing.
Are you allergic to the excipient of peanut oil that Prometrium has? I am and needed my micronized progesterone compounded with olive oil.
@@DeniseTG13 nope! Eat peanut butter alot
I’m not allergic to peanut either but the side effects of the oral progesterone micronised 100 mg ( promethium) makes me ill.
@@shannasemel4805 did you know if promethium brand is the same as progesterone4 she’s talking about?
Could progesterone help my body clear tiny uterine polyps? I am premenopausal. 🙏🏼❤️
Also insulin should be OK, resistance to insulin is a factor of growth.
Thank you so much for sharing this invaluable information. Would it be possible to explain Fibroids and HRT. Even though I have terrible perimenopause symptoms using Oestrogen gel triggers my fibroids ( pressure in my bladder and discomfort) . I think I might be deficient in Progesterone and high in Estrogem. I wonder if I can use progesterone pills alone to balance this imbalance in my hormones. My doctor has no clue about this. Thank you.
I would love to read this research, can you please link us to the studies or the authors? Thank you ❤
Agree! There is another TH-cam OBGYN saying there is absolutely no scientific proof that cycling progesterone is helpful, but if there are studies, I would like to see them!
I don’t convert T4 to T3 well and am trying T3 only. Only recently did I learn about connection to sex hormones although I heard it was estradiol that matters. I no longer have a thyroid. I have been exhausted and not sleeping for over 40 years. It’s maddening!!
Thank you for this information. I which 14 days in the menstrual cycle ? I hope you see me question, thank you.
Can I still take DHEA and pregnenolone everyday?
What about bleeding with the use of a pessary?
DR John R Lee already tlked abut progesterone given only topical (cream). Dr. Gersh has a video on that. I'll watch it now.
How come when progesterone rising before period causes insomnia? But when you take a progesterone pill it helps sleep?
That's the Estradiol as well.. the two start to crash.. that's why you feel like crap.
Just to confirm, you are saying that the progesterone would be taken for 14 days and stopped for 14 days, correct?
that's correct
Thank you so much for all the info. But please let us know the dosage of progesterone for post menopausal women. Age 53. Just started 0.025 estrodiol patch. Got hysterectomy at age 42 with only one ovary intact. Please advise how progesterone and is it supposed to be for few days in the month or every day.
Please could you make a video about Merina coil. I have progesteron intolerance and my doc has recommended Merina but I am very concerned about its side effects and if it's beneficial properties. Thank you so much.
Don't get it. Its Progestin not Progesterone
You have no control over it. It's also painful to insert and expensive.
Micronized Progesterone is also available in a vaginal capsule. Not sure what country you're in but it does exist
I had the marina coil for three months and I started getting excruciating headaches. I found out for some people it can cause increased intercranial pressure (ICP). I also had to sleep, propped up on a pillow after about two weeks of having it as for some reason it caused heartburn I never get heartburn ever of course it stopped when I had it taken out and believe me I did not want that in my body anymore. !!!
Thank you. Please provide more info on HRT after hysterectomy! I have been prescribed the ClimaraPro patch: Is that recommended for post menopaused women without a uterus?
I get climera patch and take progesterone tabs at night. I think climera pro is a progestin which is an endocrine diseuptor and NOT progesterone
How do you know what your optimal amounts are? I've been battling with the NHS for over 2 years for help. They just give me different HRT without ever doing a blood test. I feel like and experiment. I'm so tired of this journey. Its all just really confusing. I'm sorry, i know all of this info is great education into our bodies, but unless the health professionals will change and do things as you speak, millions of women are just being offered trial and error and not being given tests.
I'm really sorry this is happening to you. Blood &/or saliva analysis is essential. What do they say when you ask for bloodwork? If whoever you are going to is utterly refusing to help you, it's way past time for another Dr. The problem with women's health & hormones is 'regular' Drs & HMO hacks cannot help you. Need a functional medical practitioner. The other issue is you may need to pay out of pocket for some things because depending on insurance they may not cover some appts, labs or therapies. Dr. Gersh is my Dr. she is amazing. Good Luck...
@@samanthareilly6968 yes yes, just keep trying to find the a doctor. New science and new information for women is showing up via the internet. Dr. Gersh, Dr. Anna Cabecca, Dr. Sara Gottfried, all can lead you to someone with knowledge in women’s health.
I didn’t want to start having a monthly bleed again after being two years post menopause when I started HRT in January however it makes so much sense to take progesterone cyclically which is what I decided to do and I definitely feel better since trying this method!
Iv got a consultation with my doctor tomorrow with regards to adding testosterone to my hormone therapy because I feel it will help with my energy levels and getting things done that’s what I miss the most Iv become so lazy and procrastinate so much more than I used to I just can’t deal with tasks that require that umph!! Thank you Dr 🙏😊
I love Dr Gersh’s videos…..wish she could be my dr. However my dr has me on compounded testosterone & progesterone……& a progesterone pill 200 mg at bedtime. Do I continue using both progesterones or use just one…..I take pill at night & cream in morning. Now I’m out of the cream, & on Estradiol patch & take progesterone pill, I began bleeding a little when I wipe, but in a video by Dr.Gersh she said to celebrate cuz that means I have a proliferation of uterine lining which means my hormones are working as protection. Any advise I need to know?
@@doodieevanshenagan3330progesterone stops the bleeding. I do cream and pill twice a day. You also may not be optimal on your estradiol.
I get sedated and groggy with cream. It does seem to effect my blood levels.
What mg of progesterone should we take during menopause for those two weeks while on estrdia patch high mg 75
Great info and thank you Dr Gersh. I am taking 100mg vaginally for 14 days and get a bleed for about 3 days. When I take 100mg orally for 14 days, I don't bleed....is 100mg vaginally with a bleed protective for my bones and other organ systems?? or should I take 200mg vaginally for 14 days?
This is very interesting
The oral route creates dangerous metabolites. Intravaginally goes directly to blood stream.
Great question!!!?!!!
@@maureenedwards8307 Good question & I had the same dilemma. I printed a graph of the rise & fall of Progesterone in a natural cycle so I decided to follow that: 100mg Day12-17 200mg Day 18-24 then back to 100mg
I take it vaginally as well which for sure is helping with absorption
I believe it is because it doesn't become a metabolite when you take it vaginally as opposed to orally. It is far more concentrated when you take it vaginally and from what I have read some of it goes around the body in the circulation, but not a lot. I have no idea how much? But many people who don't like the groggy feelings and the mood swings when they take it orally will take it vaginally and they don't get that. My strategy is to take it vaginally it is smaller dose like about half of the hundred milligram capsule and to get the cream and put it on my skin. Hopefully that will give me more systemic wide progesterone as well as the sleep benefit that I do not get when I take it vaginally only. Heres hoping!
I’m 51 years old I’m in menopause for about a year… since then I’ve been searching and searching to find a good Doctor Who can teach me how to take the hormones !
I’m not a doctor my brother is a doctor but somehow I knew that I should not take the progesterone for 30 days…
So let me ask you this… I should take the estradiol every day but only take the progesterone on the 14 day, and take the progesterone for14 day then stop.
Did I understand right…?
Greetings from Romania
I am about to start HRT , 2 years in with menopause. Trying to learn as much as possible myself. My GP prescribed oral Prempro before doing hormone blood tests(I suggested) so I decided to educate myself first then start the process. Looks like I would start with Estriol patch or cream(?) plus Progesterone oral, 2 weeks a month(?). Bleeding or spotting is worth it if it will help my overall health!
@@AS-yh6xu I found it best to get the Estradiol gel (instead of the patch) because you have more control over your dosing. I use a bit less Day 1-5 & more on day 6-21 & less again 22-28 (like a reg. cycle) depending also on how I feel of course. I take oral Progesterone (micronized) Day 12-26
I printed a graph of the rise & fall of Estradiol & Progesterone in a natural cycle (thank you Google) & this helped to figure it out & keep track.
Whatever day you end up getting a bleed, make this your new Day 1 & stop the Progesterone until Day 12
It took me about 2-3 mos. to get a regular bleed after being on continuous HRT dosing. I definitely feel much better overall with the cyclic method!
Dear Doctor Gersh thank you for all the information. I had a partial hysterectomy very young at 45, and they also removed the fallopian tubes. I have been taking estradiol and progesterone every day. Could you clarify the recommended cycle for progesterone please 🙏 You recommended fourteen days and then stop to allowing bleeding, but when should I start taking the progesterone again ? After few days? Thank you 🙏
14 days on progesterone 14 days off progesterone and repeat
So are you saying that you'll still get a period in menopause with 14 day progesterone?
I started cyclic progesterone 4 months ago. I just had my labs done and my TSH is almost too low- I talk with my doctor soon, but I suspect she may be lowering my dose of thyroid medication in the coming months. I do take micronized progesterone pills, but I take them vaginally, which is an off label use, I know. I would love to know if the Doctor has any thoughts on this way of taking progesterone.
I've read when using vaginally the dosage is less as well as frequency to three times a week, but that's NOT when cycling micronized progesterone. Great question.
Progesterone is a miracle for the thyroid.
Progesterone speeds up the conversion of thyroxine (T4) to triiodothyronine (T3), the active form of thyroid hormone. Adequate progesterone levels are essential for optimal thyroid function and can help counterbalance the potential negative impact of estrogen on thyroid hormone levels.
I read in a sleep disturbances article, that included perimenopausal women, that only if taken orally at night does it significantly help improve VMS and sleep.
What amount of progesterone do you give women in perimenopause orally and transdermal. How do you balance it optimal with estradiol? How would a balanced ratio look like in serum and saliva?
100-200 mg vaginally at night for 10-12 days. Others do 1-12 days. You need to apply Estradiol in the morning and if you need to up the Estradiol do it. You also need to be on good supplements daily. It supports your system. If you can't do the micronised do the cream if possible.
You have low levels of Progesterone by your late 30s early 40s. It decreases after 30 and nowadays it declines eve quicker due to pollutants and toxic meds etc.
Dutch test and some bloods. Bloods won't be that accurate.
1-14 days* typo
@@jessicahitchens6926 thank you 🙏
I love that. Optimal balance of cyclical hormones. Actually I was optimal at the beginning of my bhrt 47 to 55 she dropped Estrogen then later she dropped progesterone. Then at 60 she cut my estradiol in half. Immediately my hair started falling out as became wirey. I've had problems ever since. I knew that since im 68 and she is legally to keep my estradiol to be be as low and my progesterone has been doubled. I've now started looking pregnant . I want to be like I was before. I am having hypothyroid issues which has just started to be normal again . My progesterone has Testosterone with it but my estradiol is separated. Does too much progesterone as to the level of estradiol cause belly fat like impregnate and does progesterone cause weight gain.,?
Go to someone else. You need Oestrogens... Even try a bio identicals cream with Estriol and Estradiol. Do lymphatic drainage on your abdomen. Try Organic Maca Powder daily. Take Magnesium Glycinate at night too. Unfortunately we all will change and be elderly.
Cut the Progesterone in half. Up thr Estradiol/Estriol. That's Estrone the belly. And the thyroid could be acting up again or its just water retention. So cut it back.
Im in perimenopause and still cycling regularly. My nurse practioner prescribed time released progesterone all month long. Does that sound right or should i only do the last 2 weeks of my cycle
I have an estradiol 0.075 weekly patch and take the 200 mg micronized progesterone capsule. I have been on a continuous regimen but can clearly see what you've explained about the benefits of a cyclical regimen. So, I would take the combination for two weeks, then continue with the patch only, for the rest of the month, correct? Then, begin with the estradiol and progesterone capsule on the first of every month? Thank you!
Great question, I need the answer to this too!
I would like to try cyclical but I am afraid that without progesteron my sleep will be totally disrupted.
I feel the same @@user-xs9835
Following the question. Also, I’m confused, since some doctors recommend day one of your period and others they 14 after the period? Which one is the correct?
@@user-xs9835 me to , love the sleep.. I take melatonin to help me. I’m going to try cycling too
So we get our period again in menopause with the cyclical progesterone?
You get a withdrawal bleed - for me it's nothing like my natural period - lighter and painfree - usually over with in a couple of days.
@@essanjay8604 ah okay thanks
Thank you dr, but I get the worst symptoms during the period stage I’m hoping to try this and would work to minimize these symptoms during cyclic system?
Does progesterone make you continue to have periods when you would otherwise have stopped?
It does not if it is taken daily. I have been taking it daily for about six months and have never had bleeding. The doctor appears to be saying that it does if it is taken cyclically as she recommends.
Hi! Wonderful episode! My OB/gyn prescribed progesterone for me at 100 mg to take every day and since I’ve done that I haven’t had a period at all. It’s been about a year now. I would like to start taking it cyclically but I’m not sure if I should just start and pick 14 random days in a row and then 14 days off? Just not sure. Since I’m not getting a period anymore, I’m not sure where I am in my cycle at any given time. I am also 47 years old so there’s a possibility I could be in full menopause.
I take progesterone from day 1 to day 14 each month, I then stop from day 15 to day 30. Then I start progesterone again. Estradiol patch I use nonstop all month. Hope this helps.
I no longer menstruate and use progesterone every night. After entering menopause I’m not sure there is any reason to use it cyclically.
@@Katepwe There are many benefits of doing the Progesterone cycling. There is one episode from doctor Gersh talking about this topic. You should watch it and then decide what’s best for you.
Take the moon cycle and adopt your hormone intake to it.
@@Katepweshe explained why. Taking them together is like trying to drive with your foot on the accelerator and other on the brake.
19:10 thyroid T4 is modulated by progesterone
Hi Doctor, can you refer me to the name of the video that talks about the IUD? I cannot find it.
I love that. Optimal balance of cyclical hormones. Actually I was optimal at the beginning of my bhrt 47 to 55 she dropped Estrogen then later she dropped progesterone. Then at 60 she cut my estradiol in half. Immediately my hair started falling out as became wirey. I've had problems ever since. I knew that since im 68 and she is legally to keep my estradiol to be be as low and my progesterone has been doubled. I've now started looking pregnant . I want to be like I was before. I am having hypothyroid issues which has just started to be normal again . My progesterone has Testosterone with it but my estradiol is separated. Does too much progesterone as to the level of estradiol cause belly fat like impregnate and does progesterone cause weight gain. Doesn't progesterone cause fluid retention..
I was hoping you would talk some more about hysterectomies I had a complete hysterectomy and have struggled to find any information that helps nobody ever talks about it.
You still need Progesterone don't listen to docs saying just Estradiol and Testosterone.
so when would you start progesterone if you still get a cycle would you take oestrogen for first 14 days on the first day of the bleed, then progesterone for 14 days
The Estradiol is all month. The Progesterone is 1-12 days or thereabouts.
@@jessicahitchens6926
You are on angel! I totally agree with your information..
Day 1-30 Estradiol
Day 1-12 progesterone
am I right…?
Olso when is the best tome to take testosterone?
I’m 51 one year old
Thank you SO MUCH
I had a full hysterotomy 10 years ago and now I am finally getting HRT which was not offered back when I had my procedure. Now I am 61 and I am suffering from having no hormones in my system and my Dr finally put me on estrogen and progesterone. I to feel so much better but then I had a break out of acene. Is this normal? I don't want to stop my HRT but my face really hurts
Hi, I had a total hysterectomy on my 19th birthday. (Melonsize teratoma ovarian cancer. Celebrating 51years cancer-free.)
At 70 years old, can I take physiological dose, progesterone & estradiol, too? I have under active thyroid, chronic inflammation, osteopenia, and very dense breasts. Energy levels high and mentally strong & upbeat.
What about progesterone in perimenopause? Should it be administered differently?
No... why would it be administered differently when you still have hormones? And cycles. It works with your cycle or mimics it if you no longer have it naturally.
☹️info on HRT after hysterectomy please!
Yes please thank you for asking this question
She said she doses as if you have uterus. Keep a calendar. 2 weeks on progesterone then 2 weeks off and continue
she mentioned it at the end...she says she treats the same
It would help greatly to hear your view on progesterone for women on Tamoxifen, please. Thank you.
Thank you for the information! Question when talking about dosing. I'm taking 200 mg but not in pill form. I'm taking it as a compounded cream. Is the pill form also from a compounding pharmacy? Or from a normal pharmacy so insurance covers its?
Compounded is bioidentical and better because it helps bind to receptors
The absorption of the large molecule progesterone through skin is low. Oral dosing is optimal for micronised progesterone