You are NOT too old to start HRT | Felice Gersh, MD

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  • เผยแพร่เมื่อ 26 ธ.ค. 2024

ความคิดเห็น • 213

  • @nccrchurchunusual
    @nccrchurchunusual หลายเดือนก่อน +9

    Thx for talking about this. 60 yrs old- just started HRT. Would have started a long time ago had I found a dr to prescribe it- crimes against womanhood continues...

  • @alwaysinthepink
    @alwaysinthepink 21 วันที่ผ่านมา +3

    Thank you SO much! I couldn’t do the Equine derived stuff because I was aware of the suffering of the mares. But now I can start with the right products at age 76.

  • @medfam1929
    @medfam1929 6 หลายเดือนก่อน +33

    My body was rapidly breaking down only after 4 years of menopause and then found bioidentical estradiol and progesterone cream and they changed my life for the better. I am so thankful!

    • @christinelamb1167
      @christinelamb1167 4 หลายเดือนก่อน +3

      My body is also breaking down after 4 years of menopause! I'm seriously not doing well, and in constant pain.
      Are you taking estradiol tablets, or using cream? I just started on estradiol cream 4 days ago (of course no effect yet). I've been trying for 4 years to get someone in healthcare to take my symptoms seriously! I've become so debilitated I can hardly function anymore. They keep telling me this is just "normal" menopause.
      Your comment gives me some hope, but I need to find the right doctor to help me. No luck so far.
      How long did it take before you felt better? Did you have vaginal/vulvar pain, and did that get better?

    • @medfam1929
      @medfam1929 4 หลายเดือนก่อน

      @@christinelamb1167 I use estradiol and progesterone cream together! You need to take both, not just one or the other. What brand name did you buy? You have to be followed by a doctor for the pills with lab tests, blood work, etc. I do NOT have insurance. Pills are bad for the liver. Cream goes directly into blood stream and is NOT filtered through liver or kidneys. I do NOT recommend pills unless you have no other choice.

    • @amywaara4129
      @amywaara4129 2 หลายเดือนก่อน

      @@christinelamb1167try Winona. I just started and it helped immediately

    • @jessicahitchens6926
      @jessicahitchens6926 2 หลายเดือนก่อน +1

      You have a lot of research to do. You don't take E2 = Estradiol orally. You don't take Progesterone P4 orally either. You have to get your gut health in check and change your diet drastically. Your whole life will have to change. Stress levels have to lowered too. You had 10 years before the last bleed. Therefore you are actually 8/10 years in.. the changes happen in peri or the transition phase. Research and read and listen. No one can advocate for you.

    • @christinelamb1167
      @christinelamb1167 2 หลายเดือนก่อน +2

      @@jessicahitchens6926 I guess you're assuming I don't do anything on my own to improve my health? Maybe from my comment it sounded as if I'm relying on doctors to get me healthy? Believe me, when I say I've tried A LOT of things (supplements, diet, "stress reduction ", etc etc)! I'm actually pretty knowledgeable about these things, as well as having a medical background, and I'm ALWAYS researching and learning.
      I appreciate you taking the time to comment, but it was a bit condescending and presumptuous. Perhaps you didn't intend it that way? It's difficult to decipher tone and nuance in written words sometimes.

  • @saklan_territory
    @saklan_territory 4 หลายเดือนก่อน +14

    Thank you for providing clarity on the poor studies that made so many women fear HRT!

  • @ldav2006
    @ldav2006 6 หลายเดือนก่อน +19

    Thyroid and Breast cancer. 9 UTI'S in one year. On Evista 2yrs. now. Hot flashes driving me crazy. Urologist recommended Estradiol cream. Game changer. No UTI in a year. One chronic problem much better. Hope for women w/these problems.

  • @PinkShips-h9r
    @PinkShips-h9r 7 หลายเดือนก่อน +33

    I’ve been on HRT for over 35 yrs, I just turned 73. I had Hashimotos that turned into hypothyroidism. A female Dr I 1987 started me on it to protect my bones as a thin, white woman. I tried to go off about 8 yrs ago and felt awful, so went back on. Then took 2 days off a week but nope- went back to my 0.5/ 0.1 mg Estradiol and Norethindrone. I’m expecting to take it the rest of my life. Other than my thyroid, I’m in great shape.

    • @alicehendricks
      @alicehendricks 4 หลายเดือนก่อน +2

      Hashimotos is a form of hypothyroidism isn't it

    • @latinainwpb
      @latinainwpb 3 หลายเดือนก่อน +1

      Norethindrone is a progestin, you should get the REAL thing. I suggest a progesterone cream, the 2% ones are available at health food stores and online. There’s a Doctor who has his own line of 5% progesterone cream, he sells it mainly to people who have high adrenaline.

    • @Cluckkin
      @Cluckkin หลายเดือนก่อน

      @@latinainwpboral micronized progesterone- body identical and much more effective than creams

    • @Angelicnorth
      @Angelicnorth 18 วันที่ผ่านมา

      Thin women come in all colours

  • @Aki-wq6xh
    @Aki-wq6xh 9 หลายเดือนก่อน +18

    FALLEN IN LOVE WITH YOUR CHANNEL. Subscribing ❤

    • @gpants3633
      @gpants3633 7 หลายเดือนก่อน

      Me too. First time here. Won’t be my last, for sure.

  • @melinda6712
    @melinda6712 4 หลายเดือนก่อน +12

    Worked for a urologist who put women with chronic UTI on vaginal estrogen. So many happy women .

    • @wyleecoyotee4252
      @wyleecoyotee4252 4 หลายเดือนก่อน +1

      That helped me too. The vaginal is not systemic.

  • @susiefloosie8885
    @susiefloosie8885 7 หลายเดือนก่อน +19

    Thank you so much for all your information. I've never been on HRT after total HX 23 years ago. I'm 68 and going for it!

    • @binathere2574
      @binathere2574 5 หลายเดือนก่อน

      I just might join you.

    • @trishjackson2340
      @trishjackson2340 2 หลายเดือนก่อน

      Did you go on HRT, if so how are you doing?

  • @livelikeawinner4087
    @livelikeawinner4087 7 หลายเดือนก่อน +20

    Bioidentical hormones have given me my life back. I found a functional Dr almost two years ago. It was the best thing I ever did. I take estradiol and testosterone cream. Progesterone capsule before bed. I’ve never felt better. I have focus now, sleep better, more energy, body better, I never want to be without them. My Dr found through the blood work I was hypo thyroid and I’m on compounded dessicated liver and she discovered I’m pre diabetic. I think had I gotten on hormones sooner none of that would have happened.
    This video is wonderful. Thank you for sharing your wisdom. 😊

    • @cate499
      @cate499 6 หลายเดือนก่อน

      It wouldn’t have happened.

    • @michelle7710
      @michelle7710 6 หลายเดือนก่อน

      Where to get cream

    • @bondjane007
      @bondjane007 6 หลายเดือนก่อน

      I agree with U & this doctor. So many problems I now have R due to NOT being on HRT because doctors refused to give them to me & scared me into fearing I would die taking them. Well guess what I am dying faster NOT taking hormones.
      I have bone loss, bladder problems, eye problems, serious sleep disorders, brain fog & pain everywhere. I believe it is all due to loss of my hormones & not replacing them.
      I also have carotid artery plaque, pre-diabetes & of course 55 lbs of weight gain which makes walking very painful all the time..
      I also broke my back & had 1 hip replaced so it is all down hill for me to date.
      I wish I had found someone to put me on a safe HRT yrs ago.
      I have been taking Wild Yam, DHEA & Pregnenolone & some other supplements, but they didn't stop all the problems I now have.
      I fear because of the plaque I can't do the hormones.
      I am thinking maybe if I get the plaque removed I could go on hormones.
      It is a serious dangerous surgery I know, but without removing all that plaque I might not B able to go on any HRT.
      I could kick myself for not going on them against all the doctors I asked for it.
      It was also a money problem, rather a vast lack of money which prevented me from seeking HRT elsewhere.
      Now I wan to get HRT at all costs & will find the funds to do it if I can do it safely.
      It will most likely not B covered by my insurance, but I have to try something or it surely is a terrible slow degenerative death for me.
      I want to remain active & keep up with my mind & love of the arts.
      I still believe it or not look maybe 25 yrs. younger than my real age. Don't understand it, but glad & sad. Why U might ask? Because I look so good & feel so badly. People can't see all my health problems. I also have COPD, WMD & DMD ( eyes).
      I don't sleep well at all! I hate not getting 9 hrs. of quality sleep. I sleep maybe 3 hrs or 2 then have to get up to pee. Then back to bed in mucho pain & sleep maybe a few more hours & up again to pee. It goes on like that every night sometimes 4 times a night. Why? Because I am over weight & should B drinking 10 glass of water a day. I can barely do 8 glasses & usually 6 and still I must get up all night long to use the bathroom.
      I didn't even mention lass of my sex drive. Gone!
      And with the extra weight & low oxygen at night I am going on oxygen for sleep. I will have a ;long hose to my nose which I fear I will trip on going to the bathroom. 2, 3 4 times a night!!
      Then a fall & broken hip, or maybe ruin my new replaced hip parts! Who knows. It's crazy dangerous & damn depressing I don't have charge of my own body.
      And don't get me started with taking away the right for an abortion if a woman wants it!!
      I couldn't have one after I was raped, yes raped by my boyfriend's friend!
      Was told I was bill to have a baby. Guess what?? I couldn't deliver. The baby was head under my breast not down, so I was forced to have a C section. I was cut from my belly button straight down, No Bikini Cut! The doctor was a prick, pardon my slang. He even suggested I have my tubes tied so I wouldn't get pregnant again. I told him , R U crazy? I was raped!! I am being forced to have this baby. I will keep my baby especially after a horrific operation like a C Section. I was in the hospital 4 2 weeks. Was not given my baby at all for days. I was screaming where's my baby?? Where is my baby? I want my baby!!
      They turned a blind eye to my scrams.. On top of all that I got a violent reaction to the SULFERT drugs they were giving me! I almost died because they would give me anything for my aniflactic reaction to the drugs with out my doctor's permission & they couldn't find my doctor for some reason!1 I couldn't breathe!!
      They didn't seem to care.
      I did have a beauty baby. Was told she was the most beautiful baby in the nursery.
      I went & saw for myself. She was the most beautiful baby of them all. There were about 30ty babies there. I have a photo someone took of her at 17 hours old! Wow a perfect baby from a horrible event.
      Couldn't win in court with no DNA back then.
      Now it doesn't matter.
      I know where that prick is & all I would need is something he drank out of to do the DNA test, but he is in a city far from me.
      Now with all my health problems I can't go thereabout if I get in better shape with HRT I will go get his DNA. I will prove he raped me & is the father!
      He is a big shot in his city now. A doctor of phycology believe it or not.
      He has met my daughter. I told her where he was & she made an apt. to see him. She told he she told him she was his daughter. He was needless to say in deep shock! He admitted to her he was her father. Told her he tried to get me not to go for an abortion. What?? All he ver did was pay for my 1st. doctors visit with a check.
      I wish I had a copy of that check. I could prove he knew me. He had a fancy lawyer in court. He never went to court. The lawyer said he couldn't B the father of my baby because HE DIDN"T EVEN KNOW ME!!! WHAT?? He was friends of my boyfriend. He met me & knew me,biut back in the day without DNA & the JUDGE joy on the line. Mafa. The bailiff happened to B a friend of mine. Weird but true. He told me the JUDGE WOULD HAVE TO GO IN FAVOR OF THE MAN IN THIS CASE OR LOSE HIS JOB! So yea I lost. It was my word against his lawyer's word.
      NO DNA back then!
      DNA changed so much now..
      If I ever get the energy to go to the town that guy is living in. I will get his DNA & maybe make him pay somehow if I can even after so many many yrs..
      Way past the statute of limitations for sure, but the principal is what matters to me. I just need him to admit he raped me & is my daughter's father just to hear that other shoe fall once & for all.
      I think I need that to happen so I can close the book on it finally.
      For now it is still an open wound & a thorn in my side..
      Others don't understand why I won't let it go, but if they could understand how it is an unfinished story.. Well I can't let it go.. All stories do have an ending at some point..
      At least that chapter is closed.
      I need that for my inner peace of mind..
      So HRT if possible & I will B my old self again & can get back on my horse & ride like I use to!!

  • @ivalani
    @ivalani 10 หลายเดือนก่อน +21

    I tried HRT for 6 months at age 59 - menopausal for almost 9 years. I understand the benefits and I wanted so badly to stay on it precisely for maintaining my future cognitive, heart and bone health. However I felt so awful on it - even though I was on 100% bio identical products (estradiol patch and micronized oral progesterone), I eventually couldn’t handle how bad I felt on it. I never went through traditional menopausal symptoms - didn’t have hot flashes or night sweats, but i actually got them on HRT! I had heart palpitations, swollen breasts and constantly felt jittery. The worst was probably aggravated GERD! Gained a lot of water weight and overall felt horrible. And that was on the lowest patch dose of 0.025 mg, so there was nothing else I could do, but stop it. I felt great almost immediately and now have been off it for a month and feeling like I got my life back. I don’t know why it didn’t work for me, but I suspect I have adapted being without estrogen for so long, that my body couldn’t handle it.

    • @NquiringT
      @NquiringT 10 หลายเดือนก่อน +7

      Maybe you didn't tolerate the progesterone. I didn't but was told I can try the I U D progesterone with no side effects.

    • @KatToupsMD
      @KatToupsMD 10 หลายเดือนก่อน

      @@NquiringT
      There is no progesterone in the Mirena IUD, just the endocrine disruptor for Progesterone, levonorgestrel.
      The Mirena increases breast cancer risk, along with acne, mood swings, and osteoporosis.
      Many women that don't tolerate commercial oral bioidentical Progesterone can do fine with compounded Progesterone. Sometimes they are reacting to the excipients in the medication.
      Occasionally we have to use vaginal Progesterone instead.

    • @theotherkangaroo
      @theotherkangaroo 9 หลายเดือนก่อน +4

      This is exactly why I don't want to mess with BHRT -- I never had the horrible symptoms of menopause like night sweats or hot flashes so I wouldn't be taking it to calm those symptoms. Feel like our bodies are warning us to leave this alone.

    • @elenanyhan4490
      @elenanyhan4490 9 หลายเดือนก่อน +28

      @@theotherkangaroo That is why I took it for only a few years. I was very active my whole life, running thousands of miles training for marathons, doing karate, skiing, mountain biking, and hiking. Never smoked, didn't drink much alcohol or soda and ate lots of calcium and leafy green vegetables. A little on the thin side.
      Two months ago, I had a very minor fall skiing, and suffered a compression fracture in my spine, incredibly painful, had a DEXA scan and I have osteoporosis in both hips and spine. After a lifetime of trying to stay active and healthy! Turns out the one of THE most important things HRT does is keep your bones strong. I wish I could go back in time and have kept taking it all along. My mother took it for years after a hysterectomy, and she played tennis until she was 80, and is now 92, still going strong. Do not let your skeleton down, get a bone scan (DEXA) and make sure your bones are healthy!

    • @123STEP23
      @123STEP23 9 หลายเดือนก่อน +3

      You only need estradiol NOT progesterone .. not estrone that’s why . See what your free testosterone level is you may need testosterone cream .

  • @marynow123
    @marynow123 9 หลายเดือนก่อน +16

    You are the best teacher. Thank you so much!!

  • @Sophie-qt5jx
    @Sophie-qt5jx 7 หลายเดือนก่อน +8

    Thank you dr Gersh, I discovered you because of the podcast you did with Louise Newson. You explain everything so well, I’m so glad I found you. ❤

  • @Aki-wq6xh
    @Aki-wq6xh 9 หลายเดือนก่อน +13

    Dear dr please give me some hope 😢 I am ten years past my ‘window of opportunities’ for HRt and I really want to start but that research that says it will INCREASE my risk for dementia scared me. I want to know I can still save just brain 😢

  • @kathryncothern3433
    @kathryncothern3433 2 หลายเดือนก่อน +1

    A very popular question…being over 60 and starting BHRT.
    My hormone doctor looks at each person individually and their health, and then determines yes or no. I asked him this specific question since my science brain was curious.
    Every woman needs to be their own health advocate to definitely go after their specific solution.
    My doctor defines menopause looking at length of monthly cycle ceasing and levels of Estradiol.
    My hormone doctor has taught me a lot over the past 9 years and now finding Dr. G, adds to all that.
    Thank you Dr. G!!! ❤

  • @claireperry7121
    @claireperry7121 หลายเดือนก่อน +3

    At 74 I’ve been on Estradiol and Progesterone for at least 15 years. I have been through the ups and down controversy with my Dr. over concerns caused mainly by the Women’s Health Initiative study but thanks to my statistics education was able to question study’s and work with my Ob/Gyn even though there was never absolute statistical certainty that HRT was a good thing. I listened to my body and was lucky enough that my Dr. supported that. Today, I have great skin, my moods have been stable over all these years, I am more flexible than my same age friends, and I have better overall health. I will always be on it. The only question I have is should I stay on the same dose I was on 5 years ago?

    • @suesmith2360
      @suesmith2360 หลายเดือนก่อน

      What dosage are you on

    • @claireperry7121
      @claireperry7121 หลายเดือนก่อน

      @ I am on .0375 mg Esrtadiol patch twice weekly.

    • @cilitagaspar2132
      @cilitagaspar2132 หลายเดือนก่อน

      Good for you to make that choice ❤. Have you been on the same dose all this time? Which dose are you on, patch,? And progesterone? I am trying this HRT now. Thank you for sharing

  • @janicea.4395
    @janicea.4395 8 หลายเดือนก่อน +12

    Fantastic explanation Dr Gersh! I went through menopause at age 40. Tests were taken as to the reason why which were inconclusive. I never went on hormones because of chronic migraines. Now I am 57 y/o and my migraines are under control. I recently went for a Gynecology appointment and asked about going on hormones. She said it was too late. Maybe I need to ask her again. I am fairly healthy, but do have osteoporosis.

    • @kjbrocky
      @kjbrocky 7 หลายเดือนก่อน +9

      Don't ASK your doctor, TELL her what YOU WANT!!

    • @jessicahitchens6926
      @jessicahitchens6926 2 หลายเดือนก่อน

      Gynaecologist aren't trained in this. You seem to give your power away.

  • @rachaelalbanese1851
    @rachaelalbanese1851 5 หลายเดือนก่อน +3

    Thank you for all you do in this space Dr Gersh! I’m so very grateful I found you and have been binge listening to you here on utube and on podcasts. I just turned 50, still cycling and will be starting my HRT journey with a practitioner this month!! I’m doing and have been doing “all the other things” to optimize my health (diet, exercise, spiritual health, etc), and HRT will be the final piece to round out my optimal health goals ❤
    Thank you again! 🙏💕

  • @kjbrocky
    @kjbrocky 7 หลายเดือนก่อน +31

    There is a lovely woman on TH-cam who has many teaching videos, and she says if you don't start HRT in time, then it's too late. That never made sense to me.

    • @jgriffin282
      @jgriffin282 7 หลายเดือนก่อน +16

      That is what my OB GYN told me at 67. I’m 71 and I still get hot flashes. I just wanted to be normal.

    • @eldoty9687
      @eldoty9687 5 หลายเดือนก่อน

      @@jgriffin282 I am 74 and started hormone cream this month because of hot flashes and night sweats. It was gone within 3-4 days. :) Your doctor just doesn't know. I have experienced in my long life, that doctors are more pharma driven than patient care.

    • @janetleephoto59
      @janetleephoto59 4 หลายเดือนก่อน +1

      Are her initials JG ?

    • @kjbrocky
      @kjbrocky 4 หลายเดือนก่อน +5

      @@janetleephoto59 Nope. Her initials are B. T.

    • @wyleecoyotee4252
      @wyleecoyotee4252 4 หลายเดือนก่อน +3

      Yes I've seen that as well. They say the receptors won't recognize the estradiol.

  • @debbiemarchbanks8538
    @debbiemarchbanks8538 หลายเดือนก่อน +1

    THANK YOU for this IMPORTANT INFORMATION!!

  • @picky682
    @picky682 6 หลายเดือนก่อน +3

    57 years old, 3 months into HRT and LOVING it! I'm taking it for bone health primarily but the other benefits are showing up. WOW.

    • @helenstewart3417
      @helenstewart3417 5 หลายเดือนก่อน

      Are you on two hormones

    • @cilitagaspar2132
      @cilitagaspar2132 หลายเดือนก่อน

      I am so happy for you. I started 2 months ago, I am 60 and 6 years pm, no changes so far..was hoping for better sleep at least!
      May I know the doses and form you are taking and what did you notice that changed.thank you

  • @faribahaiem5299
    @faribahaiem5299 9 หลายเดือนก่อน +12

    Hi Dr. Gersh. You're so wonderful. I always value your judgement. I'm 63 and starting bio-identical HRT. I'm on Bio-identical HRT. 0.375 of Estridal patch and 100 mg of Prometrium. I'm scared because I have minor plaque in my Aorta. Does Bio-identical hormones cause release of plaque?

    • @nccrchurchunusual
      @nccrchurchunusual หลายเดือนก่อน

      You should contact her for a telehealth apptmt.

  • @clarewalters5189
    @clarewalters5189 9 หลายเดือนก่อน +14

    My mum is 70, 15 years post menopause. She’s never been the same since going through the menopause both physically and mentally. I’m looking into HRT for her. I understand 10 years post is ok but what about 15 years plus? Advise would be much appreciated as I can’t find any information on 70 plus. Thank you 🙏🏻

    • @chrismcdonald3799
      @chrismcdonald3799 7 หลายเดือนก่อน +4

      Id be interested too

    • @christybenson9319
      @christybenson9319 7 หลายเดือนก่อน +6

      Dr. Gersh, please give more information for us post menopausal women. I feel like we need to know how to get on the wellbeing train. And enjoy the rest of our lives, feeling better. Thank you so much for your wisdom and knowledge.

    • @helenstewart3417
      @helenstewart3417 7 หลายเดือนก่อน +14

      I am 66, 11 yrs post. I've just started I'm on it a month. Never felt better.

    • @gloriasaliba3395
      @gloriasaliba3395 2 หลายเดือนก่อน

      @@helenstewart3417 that is wonderful, can you please share what you are taking and the dosage?

    • @jessicahitchens6926
      @jessicahitchens6926 2 หลายเดือนก่อน

      She is actually 20 plus years deficient. It happens during the transition period. A lot of damage is done. Most women have no idea how serious it is. Especially the ones with no symptoms. Her brain shrunk.. hormones are vital. You don't function properly and actually die...it fan be a long drawn out decline or a quick one. Depending on the woman.

  • @linzarzar6992
    @linzarzar6992 7 หลายเดือนก่อน +2

    Thank you so much .I am finding good answers to my questions through you.

  • @Angelicnorth
    @Angelicnorth 18 วันที่ผ่านมา

    Use everol conti patch convenient and minimal side effects, natural menopause at 32 hrt until 39 stopped due to scare started again at 56 never too late x

  • @cheryllewis1697
    @cheryllewis1697 10 หลายเดือนก่อน +8

    The HRT that I used prescribed by an MD made me feel horrible, painful breasts, GERD, body pain. BUT, the HRT that I have used for the last 10 years, I am 66, prescribed by an ND, my Naturopathic Physician, has been wonderful. The MDs insist that it's all the same, but it isn't. I don't talk to any more MDs about hormones, only Naturopathic Physicians who specialize in HRT. I'm on Medicare now which doesn't contract with any NDs in my area, If I needed to, I would go out of pocket to consult with a Naturopath.

  • @oldgloryhillfarmturtlewoma9132
    @oldgloryhillfarmturtlewoma9132 6 หลายเดือนก่อน +4

    When I was 33 years old, I had my normal monthly period…and then I didn’t. Never had another one. Never had any “symptoms”, nothing. It was as if I’d never had a period. I had 3 children, each 5 years apart (by choice), have not had a hysterectomy, UTI’s or any female complaints. People meeting me for the first time think I’m in my 50’s, I’m 78. I’ve been thinking about HRT because I’d like to keep on keepin’ on as long as possible. I’m a widow of 6 years, been married since I was 18. I’m enjoying my life alone. Don’t know how to go about asking a Doctor about HRT. I haven’t seen a doctor since my last pregnancy in 1975. How do I do this?

    • @binathere2574
      @binathere2574 5 หลายเดือนก่อน +3

      Don't ruin yourself with HRT. It sounds like you are doing just fine. Keep up your B vitamins for energy and especially B12. Eat well keep yourself nourished. It's a known fact that low energy is what leads to the body getting old and shutting down.
      Oh and drink enough water and good sleep.
      I'm 69 female and had a few health challenges. I've been my own doctor and nursed myself though some major health challenges. Done a ton of research.
      Be well lovely lady.

    • @nccrchurchunusual
      @nccrchurchunusual หลายเดือนก่อน

      Old Glory, Dr Mary Claire Haver from Galveston Texas has YT channel and mentions several newer studies. I printed them & gave them to my dr.

  • @Keetcha100
    @Keetcha100 3 หลายเดือนก่อน

    This video gives me so much hope! Thank you for sharing this vital information.

  • @empresslove2120
    @empresslove2120 7 หลายเดือนก่อน +3

    I think estradiol can have a negative impact if your dose is to low, It’s a game of trial and error finding the sweet spot however our body will talk to us when we are on the correct amount if we have a monthly bleed after introducing the progesterone two weeks after starting the oestrogen to create the ebb and flow of a normal cycle then your most likely on a good dose. If you don’t have a womb then I’d imagine you just increase the dose of oestrogen under doctor supervision until any negative side effects disappear.

    • @LeighClark-zf8oi
      @LeighClark-zf8oi 6 หลายเดือนก่อน +2

      I agree with you about the dosage. I didn’t feel good until my estradiol and testosterone were balanced. I switched from labial cream to estradiol patch and felt the difference in a week!

  • @mrsconnelly0206
    @mrsconnelly0206 3 หลายเดือนก่อน

    Dr. Gersh ….. I am encouraged…. and now need to find a doctor in my area (greater KC area)….. Do you have a list of doctors who are ‘like thinkers’ ?

  • @BookHen-xn2bh
    @BookHen-xn2bh 3 หลายเดือนก่อน +1

    I am about ten years into menopause. I have never had a hot flash or any of the typical symptoms, I just stopped having a period. I have been very fortunate. But I wonder if HRT would help me in other ways. I am unsure if I should ask my doctor or not.

  • @AliciasHealingChannel
    @AliciasHealingChannel 9 หลายเดือนก่อน +5

    How can MDs not prove clinical studies? Aren’t they experimenting all day with thousands of patients in their clinic every day? That’s the most important and most accurate data?

  • @nohemiwest-phelps534
    @nohemiwest-phelps534 10 หลายเดือนก่อน +6

    Dr Gersh, my mother is 83 yrs and has dementia but is still early enough that she still recognizes everyone etc...however her doctor put her on estrodiol cream to try to reduce UTIs and then I had the thought that maybe BHRT could help her for better quality of life but every doctor I have consulted said its too dangerous. Is it too late for her being in her 80s?

    • @VivSees
      @VivSees 7 หลายเดือนก่อน +1

      She literally addressed your exact questions.

    • @helenstewart3417
      @helenstewart3417 7 หลายเดือนก่อน

      It may well help her

    • @astralartist4
      @astralartist4 21 วันที่ผ่านมา

      Gosh - I would want to take the risk at that age and situation. There are some anti-aging drs that would maybe try starting a very low dose patch to see how body tolerates it - and ive been told transdermal holds no clot risk - only the oral type does. My mother started having memory difficulty gradually around 85 and I often wondered if the hrt would have kept her more youthful. (She never took any form of hrt)

  • @jackiemansfield8325
    @jackiemansfield8325 หลายเดือนก่อน

    Could I start taking Hormones after 16 years without a period? Im 64 now.

  • @denisesorenson4000
    @denisesorenson4000 6 หลายเดือนก่อน +1

    Doc, where and how do I find a providernear me who does cycle HRT?

  • @wyleecoyotee4252
    @wyleecoyotee4252 4 หลายเดือนก่อน

    I'm 61 and my family doctor and NP told me i'm too old. Was told the estrogen receptors are inactive.
    I also read that starting HRT late can actually bring on cancer and dementia faster.
    Furthermore my mother had uterine cancer and dementia.

    • @cymanthafredrickson8210
      @cymanthafredrickson8210 3 หลายเดือนก่อน

      Google Dr. Mosconi's latest research `2024 regarding estrogen receptors activity in the brain. EXCELLENT news.

    • @LeanneTorio
      @LeanneTorio 19 วันที่ผ่านมา

      I am 64 just started the patch but was too high dosage my breasts were so sore... So the receptors working. Cut back dosage and feel better.

  • @user-xs9835
    @user-xs9835 10 หลายเดือนก่อน +4

    Please tell me if its worth to buy Prometrium vs micronized Progesteron? The first one is more expensive and my insurance does not fully cover it. Thank you!

    • @KatToupsMD
      @KatToupsMD 10 หลายเดือนก่อน +15

      MD here: Micronized Progesterone is Bioidentical Progesterone, and as long as you don’t have reactions to any of the other ingredients, you’ll be getting the same thing as brand-name Prometrium.
      In the “old days“, some of the Bioidentical progesterone formulas contained things like peanut oil that some people reacted to. But they’re no longer doing that. So almost all of my patients, including my very sensitive patients, tend to do fine with Generic micronized Progesterone.
      There is also the option to get micronized progesterone made at a compounding pharmacy. This would be an option if for any reason, you did not tolerate Generic micronized progesterone.

    • @user-xs9835
      @user-xs9835 10 หลายเดือนก่อน +2

      @@KatToupsMD
      Thank you very much!

    • @Aki-wq6xh
      @Aki-wq6xh 9 หลายเดือนก่อน

      @@KatToupsMDdo you think I can use enough Crinone to replace the P- needs? ❤thank you so much MD!

    • @KatToupsMD
      @KatToupsMD 9 หลายเดือนก่อน

      @@Aki-wq6xh
      I wasn't familiar with Crinone, so I looked it up and asked and Gyn friend of mine.
      She said it is micronized Progesterone so it is a Bioidentical form.
      But she said she was never able to get it covered by insurance except for infertility and in vitro fertilization.
      She said in the past it was quite expensive, but she hasn't bothered to try in recent years since it was always denied for menopausal use.

    • @cilitagaspar2132
      @cilitagaspar2132 หลายเดือนก่อน

      Prometrium is the micronize one

  • @katniss4670
    @katniss4670 3 หลายเดือนก่อน +1

    Have you personally seen measurable cognitive and heart benefits in late start ( 10+ years) in the women who you counsel ?

  • @JovialBuchanan
    @JovialBuchanan 3 หลายเดือนก่อน

    I changed from transdermal estrodial patch to the oral Estrodial form with progesterone. The patch was giving me bad rashes😢.

  • @kath2142
    @kath2142 2 หลายเดือนก่อน

    Why is my dr who has a "menopause specialist" credential behind her name telling me the opposite info? ugh. She's reluctant to prescribe the estrogen patch due to my age, and she said "even though the WHI study was flawed, many of the older women ended up having serious medical issues whereas the younger women didn't ". I knew she was giving me inaccurate info, but didn't want to argue w/ a doctor. It's difficult to know which drs will be open to prescribing HRT for me at 66. Help:(

  • @mojavewolf1
    @mojavewolf1 8 หลายเดือนก่อน +4

    Is Estradiol and Progesterone bad ? Is that what you’re saying ? Confused 🤔
    I am 69 almost 70 and have no uterus and one ovary . I started menopause in my forties .

    • @VivSees
      @VivSees 7 หลายเดือนก่อน +8

      No, she’s saying it’s absolutely ok to start late and in fact no harm.

    • @lindaquach5736
      @lindaquach5736 4 หลายเดือนก่อน

      No she is saying the pill form of estrogen is bad because that goes thru the liver, potentially causing blood clots. That was what was used in the Women's Initiative Study. The healthy proper version that was not used in the study is the Estradiol skin patch and the vaginal cream.

    • @VivSees
      @VivSees 4 หลายเดือนก่อน

      @@lindaquach5736 No. Non bio identical estradiol and progestin were used during the WHI study versus today’s bio identical estradiol and progesterone.
      The method of hrt delivery was not the focus/concern of the WHI. The type of hormone/substance i.e. Premarin and progestins vs bioidentical estradiol and progesterone.

  • @VikkiSalari
    @VikkiSalari 4 หลายเดือนก่อน +2

    If you have had a hysterectomy do you still need progesterone?

    • @CriticalLinker
      @CriticalLinker 4 หลายเดือนก่อน

      No, you don't. The progesterone is only taken to prevent the lining of the uterus from developing cancer, so it's not necessary if there's no uterus to protect.

    • @VikkiSalari
      @VikkiSalari 4 หลายเดือนก่อน

      @@CriticalLinker I understand other functions and the body has progesterone receptors.

    • @CriticalLinker
      @CriticalLinker 4 หลายเดือนก่อน

      @@VikkiSalari Yes. It seems progesterone aids sleep and respiration, so low levels may play a part in the insomnia and increased incidence of sleep apnoea associated with menopause. I'm considering taking it myself to improve my sleep.

    • @bluejean-1968
      @bluejean-1968 วันที่ผ่านมา

      ​@@CriticalLinkerYes, we do need progesterone cream if we don't have a uterus. There are progesterone receptors all over our body.

  • @222dyan
    @222dyan 6 หลายเดือนก่อน

    Hello amazing info, thank you. Is BiEst better than no estrogen at all?

  • @angelas.9717
    @angelas.9717 5 หลายเดือนก่อน

    @14:00 ... Important info regarding estrogen receptors: Not just in the vagina!

  • @LeanneTorio
    @LeanneTorio 19 วันที่ผ่านมา

    I am 64 just started Estradiol Climara 3.6 patch. Abalation 10 years ago... Do I need progesterone?

  • @DianeRetton
    @DianeRetton 3 หลายเดือนก่อน

    What about hormone driven breast cancer

  • @VikkiSalari
    @VikkiSalari 4 หลายเดือนก่อน

    The estrogen cremes you get from a pharmacy are made from what material?

  • @againsteveryoneswill1923
    @againsteveryoneswill1923 3 หลายเดือนก่อน +1

    I've read the comments about women who had problems with the patch and I am one of those. I know other women who've had issues with them. Also had trouble with oral progesterone. Progesterone cream doesn't bother me. I think there must be something else going on with the patch that causes women to have issues. I don't know why someone doesn't make a higher estradiol cream than bi-est. Does anyone know? When I use bi-est I feel better. It may not be helping my bones but my brain feels better. I hate those patches.

    • @jessicahitchens6926
      @jessicahitchens6926 2 หลายเดือนก่อน

      They do its called Estradiol transdermal gel. You get it on prescription. The patches have an adhesive on them that some women are allergic to. I don't think they are the best to use longterm.

    • @againsteveryoneswill1923
      @againsteveryoneswill1923 2 หลายเดือนก่อน

      @@jessicahitchens6926 I was hoping for something that wasn't prescription. Obviously there is estradiol in over the counter bi-est. So is there a "law" against having higher dosages of it in an over the counter product? I've searched around a little bit but haven't been able to find the answer.

  • @ozarkcyn1
    @ozarkcyn1 3 หลายเดือนก่อน

    How does estradiol convert to estrone just because its in pill form ans not applied to skin?

  • @janmartell9792
    @janmartell9792 7 หลายเดือนก่อน +1

    I'm 66 and have been in bio identical hormones for 10 yrs. I had to switch Drs and went from capsules to cream. When I switched to creams my hot flashes came back even though the Dr says my levels are good. Any ideas why this would be with the cream?

  • @susanhorton9492
    @susanhorton9492 7 วันที่ผ่านมา

    i cant find a doc who will give it i have medicare they still have old fashioned thinking

    • @bluejean-1968
      @bluejean-1968 วันที่ผ่านมา

      Go to Ona's Naturals website. Their 5% progesterone is amazing and just as potent as compounded. Also, they sell estradiol cream that also is wonderful. One mg per pump.

    • @bluejean-1968
      @bluejean-1968 วันที่ผ่านมา

      Don't get anything higher than 5%. It won't absorb into the skin.

  • @bondjane007
    @bondjane007 2 หลายเดือนก่อน

    Do U think Bio-identical hormones help reduce plaque in the carotid arteries or any arteries for that matter??

  • @VikkiSalari
    @VikkiSalari 4 หลายเดือนก่อน +1

    The estrogen cremes I obtain from a compounding pharmacy are made from soy like the patches. Not human estrogen but same identity.

  • @ozarkcyn1
    @ozarkcyn1 3 หลายเดือนก่อน

    Well one day we WILL be able to turn the clock back!

  • @bondjane007
    @bondjane007 2 หลายเดือนก่อน

    Would taking hormones also help with Blatter issues etc.? I think it would!

    • @debbiemarchbanks8538
      @debbiemarchbanks8538 หลายเดือนก่อน

      From what I’ve heard Estradiol vaginal cream halts urgency, frequency and recurrent UTI’s.

    • @bondjane007
      @bondjane007 หลายเดือนก่อน

      @ Sounds like a plan

  • @christinemunger7054
    @christinemunger7054 5 หลายเดือนก่อน

    But what if I just finished treatment for breast cancer last year and my oncologist/ObGyn has me on letrozole to suppress estrogen?!

  • @BeachBalance
    @BeachBalance 4 หลายเดือนก่อน

    Dr. Gersh is estradiol acetate ring bio identical?? I had a complete hysterectomy with both ovaries removed at age 31. I have been on .05mg for years, several months 1mg ring dex scan continues to worsen. I am concerned I’m not getting enough or the right type estradiol.

  • @tonyawhitten5199
    @tonyawhitten5199 7 หลายเดือนก่อน +5

    I cannot take it anymore due to DCIS they foun'd in my breast. I feel like I have aged 10 years in the last one year. What are women like me supposed to do? If the tumor is gone due to surgery and radiation treatment, why I be on it again. There is something to be said about protecting your bones, heart , skin, hair and nails etc. (quality of life) I feel like an old prune. I was active and strong and now I feel weak and old.

    • @janetleephoto59
      @janetleephoto59 7 หลายเดือนก่อน +1

      Get the book Estrogen Matters co authored by an oncologist Bioidentical estrogen and progesterone are breast protective.

    • @snowps1
      @snowps1 5 หลายเดือนก่อน

      Having breast cancer doesn't automatically rule out hrt.

    • @creative1able
      @creative1able 3 หลายเดือนก่อน

      It’s ok to have lines and wrinkles. They have their own beauty. We can think outside the box. What makes you weak? I have anemia right now and I continue to exercise moderately for strength. It feels good to open a heavy store door in one pull! You are beautiful and strong! Ageism weakens people and it’s proven.

    • @LynnFronk
      @LynnFronk 3 หลายเดือนก่อน +1

      Dr. Susan Hardwick-Smith is another wonderful resource. She is such a believer in the protective factors with HRT that she said if she were diagnosed with breast cancer, following treatment, so would go right back on hormone replacement therapy.

  • @MusicLover-ui9sm
    @MusicLover-ui9sm 6 หลายเดือนก่อน +12

    You and others on TH-cam can say that women can take HRT
    But 99.999 percent of all doctors say no at age 60
    The doctors need to be educated
    Even if we know the truth
    It will not matter
    Most doctors don’t know anything about HRT
    And those that think they know
    Will not help women

    • @sparker7768
      @sparker7768 2 หลายเดือนก่อน

      There are menopause specialists online, who can direct you to menopause specialists in your area. No, I don't have a link at this moment, but the info can probably be found doing a short, pointed search.

    • @jessicahitchens6926
      @jessicahitchens6926 2 หลายเดือนก่อน

      Ne negative see where it will get you..that's lack of hormones= negativity and despair.

    • @jessicahitchens6926
      @jessicahitchens6926 2 หลายเดือนก่อน

      Be*

    • @LeanneTorio
      @LeanneTorio 19 วันที่ผ่านมา

      Some man doctor knows nothing!!

  • @margaretsledziewski
    @margaretsledziewski 7 หลายเดือนก่อน +1

    Will transdermal estrogen impact levothyroxine (replacement doses) and vaginal products? If so what amount of an increase in thyroid medication is required to use it?

    • @cilitagaspar2132
      @cilitagaspar2132 หลายเดือนก่อน

      I am taking Levothyroxine+thyronnine, for years. I have also been using vaginal estriol it has not affected my blood test s. I am now starting HRT, don't know yet, but is seems that is not affecting it either.

  • @julieellis6793
    @julieellis6793 3 หลายเดือนก่อน

    Dr. ,do you use estradiol on your face? You have a nice complexion.

    • @LeanneTorio
      @LeanneTorio 19 วันที่ผ่านมา

      Yes, she does she explains in another video

  • @gina888warhol1
    @gina888warhol1 6 หลายเดือนก่อน

    I have a question what estrogen creams are available for the face?? I’m on the patch and vag cream,but I don’t want to put that on my face? Is there a micronized estrogen face cream??

    • @evapedersen9397
      @evapedersen9397 3 หลายเดือนก่อน

      Estriol cream should be fine on face.

    • @jbirdie30
      @jbirdie30 3 หลายเดือนก่อน

      Mix tiny amount of the vaginal cream with your regular preferred face cream. Or there are (pricey) products made by online companies like Alloy.

  • @lilditty2172
    @lilditty2172 5 หลายเดือนก่อน +1

    I'm 63 and Dr just put me on 1x mo injection. Literally one week ago. I can't even look at my breast's they are so tender and abdominal cramps from hip to hip. How long does this last.

    • @LeanneTorio
      @LeanneTorio 19 วันที่ผ่านมา

      I think too high dose... My breasts so sore on a high dose but cut down and viola better

  • @AH-cy4md
    @AH-cy4md 7 หลายเดือนก่อน +3

    Interesting
    Sounds like you recommend HRT for the rest of one’s life, or do you just have women taking it for a limited time?
    I guess if one has unknown estrogen positive cancers or other unknown cardiovascular issues, then the HRT could fuel negative outcomes 🤔

    • @Sophie-qt5jx
      @Sophie-qt5jx 7 หลายเดือนก่อน +1

      Everything has risks and benefits. Just don’t let a small risk scare you.

  • @KKKKAAAARRRRYYYYNN
    @KKKKAAAARRRRYYYYNN 4 หลายเดือนก่อน +2

    15:39 Estradiol on the he skin reduces wrinkles.

  • @barbthompson1803
    @barbthompson1803 3 หลายเดือนก่อน +1

    Dense breasts. 69 years. My mom had breast cancer at 52 and died at 90 from other causes. My doctor said HRT can cause dense breasts. End of conversation. Find a different dr?

  • @fatimafreire2841
    @fatimafreire2841 7 หลายเดือนก่อน +2

    ❤❤❤❤😊

  • @hennienewman8062
    @hennienewman8062 6 หลายเดือนก่อน

    I am on vagivem for 1 week, now one more week every day then 2x a week.
    I am 75 and have never taken HRT
    My question is can you have intercourse while on it?

    • @wyleecoyotee4252
      @wyleecoyotee4252 4 หลายเดือนก่อน

      Vagifem is not systemic. It's not in the same category as HRT. Yes you can have intercourse.

    • @cilitagaspar2132
      @cilitagaspar2132 หลายเดือนก่อน

      Yes you can

  • @medfam1929
    @medfam1929 2 หลายเดือนก่อน

    I'm not sure who you are replying to. I have no clue what you are talking about.

  • @jbonomo9
    @jbonomo9 4 หลายเดือนก่อน

    @jbonomo9
    0 seconds ago
    I am 76, have osteoporosis, muscle loss, vaginal atrophy. When I hit menopause, I was told hormones are too risky. I have high bad cholesterol. I have been prescribed a low dose estradiol patch, 100 mg oral micronized oral progesterone, and vaginal estrogen cream. The dr. does not have pellets available.I told the dr. recent blood test found high LDL 147, HDL Cholesterol 64, overall Cholesterol high 223. I'm worried about the oral progesterone and risk of releasing plaque. Should I be?