TREATING PERIMENOPAUSE SYMPTOMS IN YOUR 40'S TO FEEL AMAZING
ฝัง
- เผยแพร่เมื่อ 20 ก.ย. 2024
- TREATING PERIMENOPAUSE SYMPTOMS IN YOUR 40S TO FEEL AMAZING//. Treating perimenopause should be considered when perimenopause is filled with symptoms such as perimenopausal hot flashes, perimenopause anxiety or depression, or irregular bleeding. You can treat perimenopause with hormone replacement such as with birth control pills or with hormone therapy. Learn how treating perimenopause steadies your hormone levels and helps you thrive in perimenopause and prepare for the menopause transition!
--------------------------------------------------------------------------------------------------------------------------------------------
GRAB YOUR FREE HORMONE HEALTH GUIDE: view.flodesk.c...
---------------------------------------------------------------------------------------------------------------------------------------------
I see patients in my private telemedicine practice in 8 states! (CA, NY, MA, NH, RI, FL, OH and AK) and you can book here: heatherhirschm...
Got a quick burning question? Ask me here: www.realdocai....
💕Ready to reclaim your life at menopause? join my masterclass! the-menopause-...
Podcast: "Women's Health by Heather Hirsch" podcasts.apple...
Check out my favorite vitamins, supplements, and other over-the-counter products listed on my Amazon Store: www.amazon.com...
Say hi on social media!
Instagram: / hormone.health.doc
Facebook: / heatherhirschmd
Twitter: / heatherhirschmd
Pintrest: / heatherhirschmd
Course: the-menopause-...
Website: heatherhirschm...
Podcast: "Women's Health by Heather Hirsch" podcasts.apple...
Watch these video's next!
Weight loss at Menopause: Rev your metabolism: • WEIGHT LOSS AT MENOPAU... with Kim Schlag
Midlife and Menopause Product Review: • Midlife and Menopause ...
Debunking The Top 5 Menopause Myths: • Menopause Myths: Debun...
Why Pellet Injections are Harmful: studio.youtube...
As always, this is not meant to be direct medical advice, my videos are for educational purposes only. These options are my own.
Disclaimer: This is not direct medical advice. These opinions are my own and don't represent those of my institution. None of items are sponsored, however I am a participant in the Amazon Services LLC Associations Program, an affiliate advertising program designed to provide a means for us to earn fees by linking to amazon.com. You do not need to purchase directly from my link. Ultimately, all recommendations and opinions of products are my own.
Does a Mirena IUD work similarly to BC tabs in perimenopause? I am guessing not because it releases only progesterone and not estrogen, right?
You are right in thinking it is different. Check out my video on why to use and IUD in Perimenopause, that might help you better understand the differences.
Oh yes-I had this question as well. Thank you for asking and, Doctor, thank you for answering. 👍👍
If I have the Mirena, can I also take bc like seasonique at the same time?
I am in peri menopause, and have had back-to-back IUD’s (Mirena) since 2014. I haven’t noticed any improvements. In fact, I went from no periods, now periods every 2 weeks. 😭
It’s refreshing to know I’m not alone and not crazy and that it isn’t in my head because it happened all of a sudden and although it’s the early peri menopause I cant imagine going through this for 10 years 😫gulp
I’m hitting this now and did t realize what was happening with me. I have crazy panic attacks, irritability, and insomnia. So miserable!
So much irritability, its insane. Never had any PMS before I turned 40.
Me too same here. I'm having insomnia
I have anxiety, panic attacks, mood swings and crazy dizziness and fatigue 😢
It hit out of nowhere. One day I was fine and then all of a sudden I’m having all the same symptoms you just described. I went from being able to sleep well and feeling calm to anxiety panic attacks and insomnia. I didn’t even think it was possible for it to be a rapid change like that. Actually I don’t know if that’s possible
The same happened with me 😭
I just turned 44 .My periods were always on spot ,but from this April suddenly I started having hot flashes, night sweats and disturbed sleep. All together was very overwhelming and emotional for me .I had always taken care of my health and mom had her perimenopause at 48 and hit menopause at 53.This unexpected drama has hit me hard. I did my blood test and it's shows I am in premenstrual phase. But my periods is delayed by 5 days ,going through cramping . Feels like I have been hit by a wrecking ball
Thank you so much for helping women in menopause! I hit the menopause symptom jackpot and have every symptom! I’m 48 and started perimenopause around 44 it’s been rough! Bc did not work for me it made all symptoms worse. I had the iud put in (Merena) and it’s been 3 months and is so much better. It has not been helping my complete loss of libido. I’m sharing my experience on my channel to bring awareness to this highly neglected transition women go through! It needs to change so we have support and do not have to feel alone!❤️😘🙏🙏🙏 I’m so thankful for you!! I have subscribed ❤️❤️
What's your channel. I am also having horrid symptoms😔
Thanks for talking about birth control being a good option. I’ve been on a continuous pill for many years and at 49, have had very few symptoms. My doctor encouraged me to stay on it for as long as I can and I’m so glad she did.
Nothing about diet and exercise? Just straight to the hormon therapy and birth control!? No thank you!! There's way better advice out there ladies! So much more new research!
I was fine then boom overnight I feel like a different person. I’ve never had PMS issues before 40. I have anxiety & just started with the insomnia. Constantly worrying and overthinking. I just don’t feel like myself 😢
I am only 42 (just turned) I am 7 months no period and have had a lot of symptoms which I have managed. I am struggling most with lack of libido. I want my healthy lifestyle back with my husband. 😢
Girl I myself
Yoni stones!
Me too! My naturopath says to read the book “estrogen matters” and that study that hormone therapy is actually beneficial if done right, and he’s super natural minded.
Very happy to have found you. Great Dr.. There is very little information out there for women going through peri menopause. New subscriber. Blessings. 😊
Thank you very much for sending this lovely message so excited to have you in the community!
Has anyone gotten horrible symptoms like 10-14 days before their period. Fatigue, cold sensitivity, and just feeling awful. If so, what do you do to help your symptoms besides BC?How old were you when you started with these symptoms? How do you know your definitely in perimenopause?
I do. I did the terrible non eating diet life in my teenage to just before 30s so I have a lot of issues started happening in my already 32 ish and got worse in 40s. I am 44 now and boy...I have so much worse everything...almost always having pms symptoms for good 2 weeks then probably feeling somewhat normal for about one week.. When I didn't know anything better what the hell happened to me almost feel so sudden around my mid 30s, countless doctor visits and tests started no joke..Well I am aware now that I have been suffering from perimenopose since my 32ish. It's on and off of terrible situations but over all you have not having any same body situation that you had in 20s. I just do natural way like take supplements for it, more efforts for good diet but there is still no miracle tho but I don't want anything chemical meds so try to change and adjust lots of things in your life like you became something else different seriously lol..
started feeling this way yesterday im 41 and menstrual is on right now but I can'tI' wait til Monday to see obgyn thought I was having a panic attack went to hospital uggggh
@@TonyaNicole7 I’m so sorry to hear that. It’s definitely not easy being a woman. I hope you feel better soon ❤️🙏🏻
@DafniC how much do you take and what time of day? Any particular brand?
@DafniC thank you!! I’m going to try this.
"...that's the way God made us."
How much I appreciate you speaking Truth!
Thank you for mentioning different options / choices as well as sharing your expertise.
I appreciate that too ❤
I was treated for perimenopause, or at least what they thought was perimenopause for five years until finally, they realized I was suffering from primary hyperparathyroidism. I say this, so that patience dig further than just settling for popping pills during perimenopause to mask symptoms.
I am going through this from i was 43 until now dont get no help from no doctor i live in Jamaica so thanks for your video
are you taking natural supplements that helps?
Wish you were my doctor! Learned so much! I’m 44 and started having bad peri symptoms right before period! I’m miserable!! I have an appointment with Gyno on Monday, and I’m hoping she listens and helps me!! I want to use the patch. Anyone know good doctors in Minnesota if my doctor ends up not helping. I just get scared that doctors will gaslight and not help.
She doesn’t address the very real health risks associated with taking hormones that aren’t bio-identical.
My wife has PMDD. She’s been in perimenopause for the last 4 years……my life has been a living hell.
It’s very hard I know …
@@heatherhirschMD It is. I have been supportive. I have loved her no matter what. I have faith that eventually it’ll get better.
My wife has been on HRT treatment with our naturopathic doctor (progesterone, bio-identical testosterone…with regular bloodwork). She also has a thyroid problems, autoimmune disorder, as well as PTSD from childhood trauma.
I was just venting and trying to seek answers. In a moment of frustration I decided to Just comment on your video after hours of watching videos on perimenopause. I love my wife very much, but sometimes I take a beating and it can feel like I’m alone. Thank you for responding.
Imagine hers then 😢
@@ourh2253 I have and do every day. Obviously I care enough to be on a YT channel, articles, forums, books doing endless research….
Try to take her to a psycologits and let the doctor prescribe (lexapro) it will change her life and ur life
I was hoping you might mention options for women who cannot take estrogen, like people with a history of breast cancer.
Every video out there is about low progesterone! What if you very recently had Mirena IUD to control adenomyosis symptoms, and now you just feel tired and sleepy like a teenager, what would that be?
1) Body adapting to Progestin dose 24/7?
2)Or progesterone still on the low side?
3)or tipping on the slightly high side?
🤔 Can you make a video focusing on symptoms of higher than normal progesterone?
I am 41. I have so many symptoms of perimenopause it's not even funny. Is this possible? The vaginal thinning/dryness/cracking, the depression, anxiety, feeling like I'm walking in a daze, dry skin, dry lips (on my face), the fatigue, the fewer and less days of periods, the tingling in my feet (not all the time), the introversion, night sweats, insomnia, waking up drenched in sweat, joint pain, muscle tension, brain fog. Just to name a few Anyone have any suggestions? Can this be perimenopause at 41??? Please any suggestions would be greatly appreciated. This is no way to live!!!!
It points to perimenopause, most people start after 40.
@@wellnessrebooted this is pure hell 😞
I am 39 and last year i started having horrible heat flashes, night sweats, insomnia and anxiety. I have been put on the pill and it's been 9 months since i got these symptoms. I was avoiding the pill because my mom had breast cancer but i had to take these to remain functional (i was on the verge of quitting my job). I still live in constant fear of getting the big c. Please make a video on this.
Can I ask which pill you are on?
Yes which pill please?
There's another doctor I've been watching as well. She talks about the breast cancer risk of birth control and it isn't as high as we have been made to believe. Her channel is called: menopause Taylor. She helped me less afraid of birth control, hrt, etc.
@@adirahvillarreal1378 Me too! My naturopath says to read the book “estrogen matters” and that study that hormone therapy is actually beneficial if done right, and he’s super natural minded.
I am on the stages of perimenopause this video really help me thank you for sharing..Ms.Hirtch.God Bless.You're fam. name is sound familiar with me.Its cars parking place on my previous employer in abroad( Israel- Baron Hirtch/ Baron Geisler- one of the cast of Tabing - Ilog b4 inPhil tv and called also bad boy of Phil movies ,jailed many times in the cell but now he change his life into good family man.Oh Thank to God.🙏📿📱
I'm 45 and having a period twice a month for 2 years now
that is happening to me how you solve the problem! to don't become anemic im using iron tablets!
Google the term luteal phase defect. A doctor can prescribe progesterone or maybe investigate the otc creams available. All the best as you search for wholeness
I have an issue when my progesterone drops; my stomach completely stops digestion. I vomit for days and need IV fluids every month. I’m suffering and desperately need relief. Doctors haven’t helped much
I have taken Melatonin, warm Tumeric milk, , I can not get too sleep. It takes me hours to go to sleep. I’m watching you now at 4:00 am ugggg
Black seed oil … put the phone away from the bedroom .
Me too
Delta 8 or CBD can help also.
Hello, thank you for sharing light with us!!!
What is the best time of the day to take birth control pills for late perimenopause ?
Thank you for helping us!
Hello, just had my yearly with my fairly new gynecologist. I am 46 an in early perimenopause. After genetic testing, I have the ATM gene that my provider is concerned may cause breast cancer. We are discussing a Morena IUD. I did track my symptoms and discussed them with my provider.
Note to self: 5:37 Birth control was recommended for perimenopause (which I don’t agree with).
So GLAD I found this channel!😊😊😊
I'm 52 and suffering in perimenopause. My worst symptoms are moods, anxiety, palpitations, insomnia. I have irregular periods and doctors I've seen in my area won't prescribe estrogen because I'm still having periods and don't have hot flashes. All they give me is progesterone which causes a ton of water retention and hunger. What can I do?
Going through pulpitation mood swing dry vogina. No sex drive migraine headach always tired visit the doctor do all kind of blood test pops test ultrasound and every thing is ok dont know what to do
I’m 48, my periods are still pretty regular (schedule wise) I’ve had a couple times where I skipped a month and since I had always been pretty regular and now they’re super heavy. I knew something was going on. I also was having palpitations , anxiety attacks . Light night sweats, hot flashes. Not terrible but annoying. I do have anxiety, some light depression. I told these things to a doctor, a woman doctor also. She totally dismissed me . She was really young, so maybe that’s why. 🤷🏻♀️
No alot of doc doesn't acknowledge perimenopause and just brush us women off and give antidepressants.
@@TonyaA7and ADs do nothing for it. HRT is needed x
Have you asked for HRT? X
I had a uterine ablation done 5 yrs ago due to heavy bleeding and no longer have periods my age is 52. I think I am in premenopause. Can you do a video on uterine ablation? Does having an ablation increase your risk of uterine cancer? Does having an ablation cause you to go into menopause sooner? Any info on this would be great. Thank you.
Menopause has to do more with ovaries and when the ovaries decrease ovulation the you go into peri menopause/ menopause
Thank you so much for talking about hormone therapy during late Peri. I have been told I am not ready for any HRT twice because my period comes every 25 days or so (even though now, at age 48, that it's very light and has tapered down to 24 hours vs 5 days of bleeding 6 years ago, which had akways been like that my whole life).
I have theorized the docs are afraid to treat me due to very low risk antiphospholipid antibodies in which my rheumatologist said I can absolutely take HRT at the lowest dose needed to control my symptoms. I have not had a clot and do not have the dx of antiphospholipid antibody syndrome and yet they put that down in my EMR as a dx.
I also have MSH6 Lynch (high risk for endometrial CA esp. High after age 50 and up) and have not had a hysterectomy yet because I have horrible sensitivity to hormone changes and due to their reluctance to treat me with hormones I am terrified that they would severely under treat me after a prophylactic hysterectomy and oopherectomy. As of now, my endometrial lining is never thicker than 5-8mm.
I have intense brain fog, joint pains, back pains, fatigue, anxiety, night sweats, mild hot flashes, and decreased strength of orgasm and decreased lubrication and worsening muscle weakness as well as irritated, itchy vulva ..all of this started Sept 2021. I had always had bad PMS but it has now started happenning all month long except the week before ovulation (though many of my cycles are anovulatory as far as basal body Temps tracking goes).
Everything I read about HRT according to NICE guidelines says I should get some sort of HRT and this is why I theorized that the docs are petrified to treat me. I forgot to add that at age 46 I was diagnosed with Osteopenia.
I feel estrogen would greatly help symptoms of mine and help reduce my risks of osteoporosis and colon cancer that I have.
Order it online - same situation - used Winona online
I am impressed that you received such detailed diagnosis so far. I can't get Kaiser docs to do much at all over the past couple years.
Very informative, thank you! 🤗
It seems like your body treats you like youre pregnant even tho you never had children! The slight morning headaches and fatigue!
Just started prometrium, do the headaches ever diminish as your body adjusts to it?
@@deborahholly7305 Yes
Thank you for such a GREAT explanation of this. I will be watching more. I have a rare neurological disorder called Small Fiber Neuropathy. I am on Lo Lo Estrin and it stops my menses because I can't handle to inflammation. My MD has told me that I can stay on that until 50 and then will transfer to another med. If you want a crazy disorder to look into, look into mine. I am curious how menopause will be affecting my body as my disorder progresses with very dysfunctional small nerve fibers.
I'm only 39 and already peri-menopausal, having random periods that have no steady rhythm. (I had the perfect 28 day cycle and knew when it was coming to the day my whole life till I hit my late 30s.) I already get hot flashes and night sweats and the other unpleasant signs of doom but I can't take hormonal supplements because I have high blood pressure. What are my other options when hormones are off the table?
I want to see an intelligent doctor like you for HRT but your website says its $1100 for consultation out of state. Is that right? It's ridiculous amount. I wish i was in your state.
I'm so glad I came across your video! I am on my second period in a month and it won't stop. I am 45. My doctor put me on progesterone to slow down the bleeding but it isn't working. She keeps telling me to get a hysterectomy due to prolapse and irregular bleeding. We have been trying for a baby but I think it's time to give it up and treat my perimenopause like you said with birth control. I don't know if I am ready in my mind to do the hysterectomy.
I have undergone the same thing 4yrs ago (I'm turning 49 next month), super strong periods/bleeding. I just managed the anemic side effect of bleeding by eating green and leafy vegetables and taking liquid supplement which helps in blood health improvement. The important thing is you keep your hemoglobin up. After this, more on hot flashes and brain fog. I was having a hard time at work and stress triggered anxiety episodes, palpitations, talkabout whirlwind of things happening within your body. My OBGYN suggested scraping of my uterus wall due to blood (due to wall thickening) whenever I have urinalysis (with all else checked) but I declined. I will try the birth pills and see what happens.
I heard that before starting taking hormones for perimenopause/ menopause we should have blood work and mammogram. Is that correct?
Hi, I was on Femodene for 20 years. I stopped using it on my 50th bday in 2022. Since then no period. I do have some hot flushes, but nothing as bad as ladies described it. What I do have is terrible joint and body aches. I do take Vit D, some Calcium, Vit B 6&12, magnesium. I am a vegetarian and do not eat any meat. I exercise and do intermitted fasting 16/8. Drink my 2 liters of water. I think I am quite healthy, but the aches are very very bad.
I've been a healthy, fit and active vegan for over 20 years. That didn't help me at all with the peri symptoms :( I'm having an awful time and being healthy all this time was not the fountain of youth I was hoping for.
This perimenopause state is extremely confusing in terms of management options.
Dr told me my only options are
1. Low dose birth control pills which I don’t want to take due to stroke, blood clots risks. I had mini stroke during pregnancy 19 yrs ago and it still scares me.
2. Nuvaring, vaginal ring. Once again I prefer not to use synthetic hormones.
She said no I can’t just double the dose of pharmaceuticals bioidentical estrogen gel and progesterone pill (promethium). It’s still too low of dose. I’m at a loss what my options are.
I read comments that perimenopause women are taking bioidentical hormones. So I assume they’re seeing functional medicine people and getting compounded hormones?? This functional medicine route seems pricey since you have to get all these labs /tests done and insurance doesn’t cover visits. How much do you spend?
I heard issue with compounded hormones is it’s not regulated so no guarantee dosage you’re getting is accurate. They focus too much on testing vs focusing on how your body feels/reacts to the hormones.
Yes Pleaaase, a PMDD video!!! & thank you!!! ❤💖❤
Thank you for sharing how to find a doctor!!!
Any thoughts on using Estroven plant based pills? My MD wouldn't give me anything else due to my chronic hormonal migraines because she said any extra estrogen could up my stroke-risk. For the most part, the pills seem to have really helped with the hot flashes and most of the mood swings but my migraines have been a challenge. I also got prescription strength migraine meds I take occasionally.
I feel like coming to Boston. I feel like perimenopause is trying to kill me
Me 2..
Thank you for an informative and interesting video. I am 46 years old and am perimenopausal and was just prescribed HRT today for the very first time by my fantastic and trusty woman's health doctor/GP. I am about to start on Estrogel (2 pumps nightly, preferably) and Prometrium 100mg tabets ( taken for 12 days per month on 6th to 17th starting in Feb). Im nervous to start but excited to hopefully see my terrible symptoms subside and/or improve.
I was told to use two pumps for both upper arms or inner thighs - I think I'll do 1 pump per arm/thigh for a more even distribution. Is this correct? Can I stick to just the arms or do I need to alternate between arms and thighs?
Thank you :)
So what mcg of a estrogen in BC would you recommend for woman in there 40’s or is safe, I was recommended Ovcon 35 but that seems to be a high amount of estrogen. Is that safe?
I found out the term PMDD when I was 38 and diagnosed myself with it, not suspecting it might be Perimenopause. And I stopped having irregular periods when I was 35 - always had 35-40 days cycles. Well ouch 😳
I was just diagnosed with PMDD. I am not sure if it is that or perimenopause symptoms. I have noticed these changes the last year but the last three months has really exacerbated. They want to do a full hysterectomy. I am scared and I do not know what to do. I am fixing to turn 45 next month.
Just found you through Angie (hot&Flashy). I am 49 and perimenopausal for nearing 3 years. I still get a period each month which is normal for a couple of days but lingers lightly for 10+ days lately. A year ago my doctor put me on progesterone (Started at 100 but moved to 200 nightly) which has helped a lot with the symptoms of sleep, anxiety, headaches, and brain fog. He also has me taking supplements vitamin d/k2, magnesium to name a few. I have a decent diet and exercise 5x a week. Lately I feel the symptoms of anxiety, brain fog, lower libido sneaking back in. I have a doctors appointment in May. Should I ask about estrogen? What conversation would you recommend I have with my doctor? I haven’t found the best doctor for me yet (If that exists in my area) but he’s not bad.
My wife has been going thru perimenopause for at least 10 years. She’s on antidepressants. She stopped birth control almost a year and half ago. At first it was wonderful. Her sex drive skyrocketed and she seemed to be in a better mood. But the last 6 months have gradually gotten bad. The last month and half she has had meltdowns nearly every weekend. Sometimes it seems like our marriage (24 years) won’t survive. Please help me.
Why has she stopped birth control? I’ve felt I’ve been going crazy since going into perimenopause. Nobody ever said about HRT to me but I’m reading it really helps. It’s a lower dose than birth control but both HRT and birth control can really help a woman with menopause as long as she isn’t prone to clots and breast cancer. Can’t she go back on one of the two?
Ladies, don't take the medication all the time. You will have problems to get your period later and will be like sterilized. There are so many women I heard this from.
Love your videos! I was to by physician I could not take BC pills with progesterone and estrogen because my mother had a stroke before age 65. I was given no other explanation 😢 May I ask why she would think I’m high risk? I don’t smoke at all. I don’t have high risk of cancer, no other diseases or high blood pressure. I just don’t understand why I cannot have this sort of BC🤷🏻♀️ I was on the Depo provera shot in 1997 which was the last time I had it but previously on the Pill for 10yrs. Please help me understand because this peri menopause is no joke and I feel sad for other women who might go untreated for lack on information
My fsh 35.30 can i get pregnant? Im 44 and having missing periods.. I really desperately want a baby..plzz plzz i really want to know.
you need to buy a predictor ovulation test to find out when you ovulated and have sexual intercourse those days.
I’m 44 and started the Nuvaring. I plan to skip the week that I remove it to have my period. My headaches and fatigue are awful right before and during my period. I tried birth control pills and the Mirena but my headaches were dreadful the entire time. My periods are regular but my PMS and flow are worse than ever.
@Myr go How is the Nuvaring working for you?
Hello Dr. Hirsch, Thank you for your educational video. I hope you're able to address my questions. Would any nutritional supportive supplements (vitamins, minerals, NAC, ALA, RLA), naturopathic hormonal balancing supplements, and/or any Rx interventions delay the onset of menopause? Second, Is there any guarantee that a partial hysterectomy, would provide my body a lifelong, adequate supply of estrogen/other applical hormones from the remaining ovaries or ovarian tissue, that I need if I'm already in the perimenopause stage? Thank you
I do the menopause test give it to my doctor i ask my doctor if am going through menopause on he say to me it look so. on he have the result in front of him smh right now my body is going through hell because the heat is not nice i need help am 46 now still having my period
Thank you for creating these videos. :) I loved seasonique, sadly I can't get it here in Canada anymore. :( Can't seem to find one that works like it here.
Does HRT help with perimenopause heavy bleeding doctor!? Thanks
What if you have high blood pressure what hormone therapy can you use
I wonder if I've been taking psych meds when I should have been doing HRT.
I have the same question.
All I know is I feel like garbage. I’m 49
Hi there, i love your video. I am on day 3 of taking progesterone cream, not an order by the doctor, but just me trying out different things, because all my gyno could recommend was take the pill, this pill was ultra low dose, but even then, it gave be such high blood pressure and spotting everydaym i felt dirty, and had PMS everyday on that pill. Reason is, since i gave birth to my 3rd chid at age 35, i started to have night sweats every night. i thought i had cancer. My periods then became so heavy i couldnt leave the house. i would soak through pads and tampons every hour. Now that i am 39, i still suffer heavy bleeding, and clots, the clots are getting bigger unfortunetly, almost the same size as the palm of my hand!!! i have had to dea with really bad anemia for years now, and its wearing me out. SO i though i would try to find a treatment by myself, since pill doesnt work. DOnt know if this will work. I have had PMDD, i found that taking multi vitamins and minerals helped my moods a bit better. I also have zero sex drive.
This is literally like I wrote this. I had my son at 33 and have been going through exactly the same thing. I became severely anemic this past January and was bed ridden for 2 weeks from not being able to breath and fainting spells. I’m 39 and for the last 2 years have been asking what can be done. I had an ultra sound and test, no polyps, can’t do Ablation because you uterus is too small apparently also both my PCM and OBGYN said my only option is Full hysterectomy add to go on HLT which I don’t want to do. My dr just put me on lo loestin FE to see how that works but I haven’t been on birth control in years so I’m really nervous (I start tomorrow) about the side effects. It’s been a nightmare. How are you doing now? Have you found anything to help?
Can I use a PATCH or NUVARING instead of pills?
Again. What does she tell? Taking estrogen orally increases ateriosclerotical deseases. It must be taken by skin.
So many side affects and nothing is making me feel better
I don't think this would work with someone with adhd because from what I understand, the type of estrogen in birth control pills or HRT does not affect the dopamine levels in the brain that fluctuate due to imbalanced estrogen which is what women with adhd suffer from.
Hi, will you see overseas patients online?
Go to the link in my bio where you can get a second opinion with me. That is the best way to do it!
Do they have things that do not cause blood clots ?
Would depo shot be an option for bc for pre menopause. I have fibromyalgia and CFS. My periods made me so ill before. The depo shot was the only one I had no side effects and no period. Just this month I’m having some break through and I noticed crazy 😜 insomnia and all the other fun symptoms out of no where.
hey doctor, I'm 42, could I be experiencing peri menopause already?
Same here. 42, and 4 days late. Night sweats, rash. Ugh 😑
Average age of menopause is 51, and peri menopause can occur up to 10 years prior to menopause I believe!
Im 43 and im going through it. Periods are wonky
Hi Dr I want to ask you I went thru early ovarian failure at age 36 I’m now 42 and I was on birth control pills (viorele ) for 3 years and my dr switched me to estradiol 1mg and medroxyprogesterone 10 mg for ten days a month ,after a couple of months my hair start to fall out and everyday I felt my hair was thinner she increased the doses to 2 mg estradiol I continued taking it for 14 months I honestly didn’t know if discontinuing bc made me loss hair or the medroxyprogesterone was making me loss hair however I’m back on the bc now after 14 months of HRT I don’t know if I made a good decision but because that happen to me before now I’m really scared if that same condition comes back to me after a couple of months of switching back to bc please tell me what u think thank you.
Is break through bleeding bad?
Hormonal acne on the sides of the neck. Ugh! My skin is a mess.
Indian clay mask and 100% raw organic cold pressed coconut oil helps tons!!!!
I am in perimenopause. I stopped BC 3 years ago. Going off tri sprintec caused awful hairloss and I still loose a handful nightly. What else can I do to regulate my hormones?
If I were to see you I would consider post menopausal HT
Thank you for this info! No idea how to get my doctor to help me with this. I think I’m late peri menopause.
My E book has a lot of resources on talking to your doctor. Another great option is menopause.org and looking under “find a provider” glad it was helpful!!
My biggest symptom is bloating (so bad my clothes don’t fit). Weight gain. However my other symptoms have subsided. At a loss as what to take. Can’t take bc pill.
I’m on continuous BC pills because of migraines I experienced during the placebo phase.
I’m suffering thru peri currently (44), and dr gave me doxapin too help me sleep because I’m having horrible formication episodes. I was just having them in the evening, now it’s anytime of the day that I’m trying to sit down and relax. I can’t take the doxapin during the day cause it makes me dizzy and tired. I take benedyl but it isn’t working anymore. How do I tell my dr I can’t live with this side effect of peri. She said she was averse to putting me on hrt because it requires contact monitoring.,,🤷🏻♀️
Wander if u can take IUD while u are in high dosage of HRT?
I am in perimenopause and have a question. I am experiencing continuous blood I side my vagina, and I don't know why. I am needing a pad.
What if you can't take birth control
I'm in that boat too. High stroke risk!
What about women who couldn't take any birthcontrol due to complications from all types tried...
If you take birth control skipping the placebo pills, will your period stop or will you still have a period? If your period stops how to tell if you are in menopause? If you have a period is there say 28 day intervals?
Thanks for your help,
Brenda
Supposed to have no period if you don’t take placebo pills. Dr usually have you on it till 55 then switch to HRT. You won’t be in menopause if you take bc pill till 55.
You use regular HRT not bioidentical HRT?? Is fine why??
Does having the ATM mutation restrict HT?
Im in perimenopause. Hot flashes for two years
Way tooooo long of an intro. Good lord. Nearly gave up.
Are you already perimenopausic... good Lord have patience..I know right? The tricks of perimenopause but..this doctor is taking her time to educate women and help them to make the best decision according to their needs to minimize the hell of a path midlife changes bring to all women with no exception!!!!!
Be patient and grateful please!!!????
No no . Birth control progestin is not the same as oral progesterone! The pill tanks your testosterone ! Doc nooooooo !
Low dose continual birth control pills didnt work to relieve my night sweats. I even made a video on this.
Hi Doc how long will the symptoms last?
I'm going to start on Zoely to see if it can control my Migraines. I'm currently taking Utrogestan and Estrogen patches. Can I continue using the patches with the Zoely pill? Thank you 💕
Hi. I think I am in perimenopause. I am almost 45. I skipped 2 periods, and when it comes its super light and short, and my mood is low, lots of irritability, I dont have hot flushes, just worried about my mood being so messed up, I can't recognize myself. My mom went through menopause in her mid 40s. Do you have any tips for me? I wish I could see you in person, but I live in Chicago :)
I have the same symptoms. How did that go for you?
My doctor told me that your levels are not created to be completely stable (especially women), because it is actually dangerous to not give your receptors and your body a break from the hormones. Your hormones are either going up, or they are going down. The increase is great, but it’s natural and even safe for those “down periods”. Hence why pregnancy and contraceptives increase the risk of blood clots, constipation, etc”
Hello Beautiful Dr I am 37 years old and my period stop coming for 4 years how and I wish to get pregnant. How can you help me becoz my doctor is not doing anything she just want me to be on BC pills. And I wish to get pregnant 🙏🙏🙏 pls help me 😭😭😭
In a case like this, I would recommend a reproductive and endocrinology and infertility doc.
Also important that if women use continuous birth control pills to use monophasic instead of triphasic to keep a steady state of hormones.
PS Excellent video Dr Hirsch!
Great point and I practice that ways also! Thanks Lara
@@heatherhirschMD I must give credit to Dr Barbie “Menopause Taylor” here also on TH-cam. You are also a great font of valuable info!
Hi D/r i need help Please
Why I’m going to the bathroom more can’t sleep I have turn on the tv help me to sleep
Hi Dr Hirsch, could you please tell me if it's technically possible to be in early perimenopause at age 52? My doctor prescribed the birth control pill for perimenopause but I haven't started the treatment yet because I'm wondering if it's truly possible at my age. I'm a non smoker but exposed to public second hand smoke (live in Europe). My periods are regular and have been heavy for a couple of years now due to uterine fibroids. Thank you for your helpful feedback and congratulations on your videos!
Hi and thank you! The average age of perimenopause in US is 47.5 and menopause is 51.5, but that is just the average. I have women who are not in menopause until age 55 - which means you could be in perimenopause. Since I have not seen you personally, that is what makes it harder to say, but age wise is a definite possibility
@@heatherhirschMD thanks for your feedback Dr. Hirsch. It's so confusing as a patient in the world of perimenopause. I tried micronized progesterone day 15 to 25 for 6 months but no change in heavy bleeding due to fibroids. Next doctor says try birth control pills with combined estradiol and progestin to to block ovaries and hopefully reduce the heavy menstruation. Another doctor says I'm too old at 52 to go on the pill and should just treat fibroids with embolization. It's difficult to know who is right... Tough being in perimenopause and unable to set up an appointment with you. This video has helped me better understand my options, nonetheless! Thank you for your uplifting demeanor.
@@twinklestar1367 how are you doing now? The fibroids are similar for me and causing issues. I tried castor oil packs and vitex 400 mg daily and after just 3 months they diminished in size - according to the ultra sound results. Also changed my diet.
@@heatherhirschMD ??? I only have one ovary. I'm 40 years old and a lot of my symptoms match what I've been reading... Weight gain, dryness especially during periods (all cavities and hands), night sweats during period, irregular periods (spotting and coming often a week earlier, lighter but length is the same), decreased drive, etc. Joint pain... They tested me for sjögrens syndrome and that was negative... I asked my Dr. On my one ovary because I am having glandular issues (MGD) and I heard glands can actually utilize other hormones from glands... He told me my one ovary by itself would be compensating for the missing one but that's different from some things I've heard.