I am 54 and already on oestradiol and micronised progesterone since last year and have never felt better. No more constant severe fatigue and mood swings. Life's good.
I love the way you explained the differences in Hormone balancing and Hormone optimization. It is very helpful for the community to know how, what and why to deal with different stages in our lives. Thank you!
Thank you again for another informative video. I'm working my way through watching all of them. I can't seem to find much information on the P:E2 ratio? Isn't this what hormone practitioners use, along with symptoms, to help determine "estrogen dominance" or "progesterone dominance" or as your video would say "hormone balanced"? I've seen reference to ranges of 100 to 500 with 100 being the minimum for uterus protection. Is this ratio kept somewhat secretive or is it not used for women on hormone replacement therapy? Have you mentioned it in any of your videos?
Excellent and so easy to understand! Thank you does not seem adequate enough. NOW finding a doctor/practioner that can assist me/us to get optimized! 🎯👐🤜🤛
Dr Gersh recommends cyclical progesterone along with your estradiol including post menapause women. Have you heard of this. Is it safe if we choose that route knowing we will have structured and planned bleeds. Dr Gersh has many videos on this. What is your opinion?
Thanks for watching. That's a question I've gotten a few times lately. I plan to make a whole video on that topic. Basically, some hormone providers prefer to give hormones cyclically, on for 20 something days, off for 5-10 days. But most choose not to do it that way. There are advantages and disadvantages of each approach.
I'm enjoying your clear and precise thinking in these videos! This one notably does not mention low cortisol, though, or it't impact on other hormones.
Alison - Great thought! I have mentioned cortisol in some of my other videos. Must have forgotten it in this one. Cortisol and insulin are 2 hormones that are optimized when their levels are LOWER. High levels of either of them are problematic in almost every person. This is especially true when people have chronically high levels of insulin (which leads to insulin resistance) or cortisol (which leads to something that's called adrenal fatigue) over a long period of time. I'm talking about months or years of elevated hormones. With both of these, there's a sort of sweet spot where they're not too high an not too low, but just right - usually toward the lower end of the normal range.
The best way to find a hormone specialist, somebody who really knows how to manage all your hormone issues and get you to optimal levels, is to visit this page on my website and fill out my Patient Referral Request Form here simplehormones.com/referral If you leave a referral request on TH-cam or email it to me, it's extremely likely I'll drop the ball or it will fall through the cracks. Once you fill out the form, be sure to check your email for a message that says "Confirm your email address." Thanks!
hi there! I've been on estradiol patch .075 and micronized progesterone 100mg daily for the last 10 months. I just found out that I'm not absorbing any of the estradiol..(I knew something was off).. my number was near 0 still for the estradiol. . and my progesterone is a 10.. also, using vaginal estradiol.. my hair started thinning almost as soon as I started the systemic hrt. I've tried speaking to all my doctors, including an endocrinologist(who, by the way know nothing about menopause)..I have hardly any hair left on the sides of my hair. my pony tail is so tiny now. as it was Betty full before.. and now I am seeing thinning where my hair parts. I've spoken to all. of my doctors over the course of time.. and they all do not have one answer for me. just that I need to be on hrt. they have now given me estrogen pills to try.. but I'm nervous because recently I heard a menopause Dr say that the pills convert mainly to estrone (and estrone makes you gain weight).. I've also been on levothyroxine for 4 years ( I do not have autoimmune disorder).. and my hair has been fine. could it be the progesterone causing hair loss? I'm at such a loss.. and if I get off of hrt and that is indeed the problem what are the chances my hair will grow back? thank you so much for all off your videos. you explain things so well.. would love to see a video on this dubbed l subject! Carla
That's a lot of questions! Sorry it's been a bit of a struggle for you. Here's the main thing I would say: It sounds like you're a good candidate for oral estradiol (not Premarin®). There IS some conversion of estradiol to estrone. But weight gain in menopause is really a problem of too little estradiol. Estradiol may be involved in your hair loss, along with low thyroid. Overall, I would recommend that you see a hormone optimization specialist who knows what to do with all those hormones and symptoms.
The best way to find a hormone specialist, somebody who really knows how to manage all your hormone issues and get you to optimal levels, is to visit this page on my website and fill out my Patient Referral Request Form here simplehormones.com/referral If you leave a referral request on TH-cam or email it to me, it's extremely likely I'll drop the ball or it will fall through the cracks. Once you fill out the form, be sure to check your email for a message that says "Confirm your email address." Thanks!
thank you so much for answering! Iin know I wrote alot.. had no idea there were just estradiol pills. I think they prescribed premarin. I will write you and get a hormone specialist to see. I'm just so desperate at this point.
Dear Simple Hormones, Im 52 yrs old and in perimenopause, my periods still come apprx every 23 days. My doctor has given me estrogel to put on every morning and then I take prometrium on for 10 days from day 12 to day 22 of my cycle. She has me on cyclical HRT. My question is what is the harm if I took progmetrium/progesterone every day? Can i take prometrium/progesterone everyday, continually, even though i stil get periods? Prometrium/progesterone helps my anxiety, sleep and libido, i want to take it every day, not only 10 days of my cycle. Is there any harm in taking it daily, even though i still get periods?
Can someone that has experienced Benzodiazepine damage take HRT or BHRT? I have been throught horrible wd symptoms for many years from ativan and klonopin that I took as prescribed and I am having rough perimenopause symptoms. I was told I could be in horrible wd from progersterone. I appreciate any help! Anxiety and panic are my worst symptoms
Hmmm . . . that's a situation I haven't run across before. However, I know 3 psychiatric nurse practitioners and psychiatrists who may have some experience with it. Progesterone is definitely one of the most important treatments for post-menopausal anxiety. Not sure where the idea of "horrible withdrawal from progesterone" might come from.
Yes you can Hormone Therapy is very different than benzodiazepine or clonopin Ed If you are suffering from anxiety GABA 500mg up to every 4 hours can help you immensely Also hrt can help with many mood disorders I’m a mess with out my hrt. I can barely function I use the patch and micronized progesterone
U mean to say we should take hormone replacement how long that means those who take hormone replacement then what about monthly cycle so that we get our periods again and how long we can do that .? Kindly can u clear this
For women who have already completed menopause and no longer have periods, most providers I work with recommend taking hormone replacement continuously, with no breaks or menstrual periods. That's the one thing women are happy about after menopause - no more periods. You should continue taking HRT until you no longer want to feel better and experience the reduced health risks that come from optimal hormones.
I am 54 and already on oestradiol and micronised progesterone since last year and have never felt better. No more constant severe fatigue and mood swings. Life's good.
I love the way you explained the differences in Hormone balancing and Hormone optimization. It is very helpful for the community to know how, what and why to deal with different stages in our lives. Thank you!
Thanks Reg! Glad to know I'm adding something to the conversation. Great talking with you the other day too.
Your explanations are easy to understand and truly helpful
Dude, you truly rock. So specific to my thoughts and questions.
Thank you again for another informative video. I'm working my way through watching all of them.
I can't seem to find much information on the P:E2 ratio? Isn't this what hormone practitioners use, along with symptoms, to help determine "estrogen dominance" or "progesterone dominance" or as your video would say "hormone balanced"? I've seen reference to ranges of 100 to 500 with 100 being the minimum for uterus protection. Is this ratio kept somewhat secretive or is it not used for women on hormone replacement therapy? Have you mentioned it in any of your videos?
Excellent and so easy to understand!
Thank you does not seem adequate enough. NOW finding a doctor/practioner that can assist me/us to get optimized! 🎯👐🤜🤛
Dr Gersh recommends cyclical progesterone along with your estradiol including post menapause women. Have you heard of this. Is it safe if we choose that route knowing we will have structured and planned bleeds. Dr Gersh has many videos on this. What is your opinion?
Thanks for watching. That's a question I've gotten a few times lately. I plan to make a whole video on that topic. Basically, some hormone providers prefer to give hormones cyclically, on for 20 something days, off for 5-10 days. But most choose not to do it that way. There are advantages and disadvantages of each approach.
@ Looking forward to it! Thank you!
I'm enjoying your clear and precise thinking in these videos! This one notably does not mention low cortisol, though, or it't impact on other hormones.
Alison - Great thought! I have mentioned cortisol in some of my other videos. Must have forgotten it in this one. Cortisol and insulin are 2 hormones that are optimized when their levels are LOWER. High levels of either of them are problematic in almost every person. This is especially true when people have chronically high levels of insulin (which leads to insulin resistance) or cortisol (which leads to something that's called adrenal fatigue) over a long period of time. I'm talking about months or years of elevated hormones. With both of these, there's a sort of sweet spot where they're not too high an not too low, but just right - usually toward the lower end of the normal range.
Your videos are so helpful and clear. Thank you.
Thank you! I'm learning practical useful details from you!
Steve,
I want a hormone optimization specialist.
The best way to find a hormone specialist, somebody who really knows how to manage all your hormone issues and get you to optimal levels, is to visit this page on my website and fill out my Patient Referral Request Form here simplehormones.com/referral If you leave a referral request on TH-cam or email it to me, it's extremely likely I'll drop the ball or it will fall through the cracks. Once you fill out the form, be sure to check your email for a message that says "Confirm your email address." Thanks!
thank , i enjoy watching you
hi there! I've been on estradiol patch .075 and micronized progesterone 100mg daily for the last 10 months. I just found out that I'm not absorbing any of the estradiol..(I knew something was off).. my number was near 0 still for the estradiol. . and my progesterone is a 10.. also, using vaginal estradiol..
my hair started thinning almost as soon as I started the systemic hrt. I've tried speaking to all my doctors, including an endocrinologist(who, by the way know nothing about menopause)..I have hardly any hair left on the sides of my hair. my pony tail is so tiny now. as it was Betty full before.. and now I am seeing thinning where my hair parts. I've spoken to all. of my doctors over the course of time.. and they all do not have one answer for me. just that I need to be on hrt. they have now given me estrogen pills to try.. but I'm nervous because recently I heard a menopause Dr say that the pills convert mainly to estrone (and estrone makes you gain weight)..
I've also been on levothyroxine for 4 years ( I do not have autoimmune disorder).. and my hair has been fine.
could it be the progesterone causing hair loss? I'm at such a loss.. and if I get off of hrt and that is indeed the problem what are the chances my hair will grow back?
thank you so much for all off your videos. you explain things so well.. would love to see a video on this dubbed l subject!
Carla
That's a lot of questions! Sorry it's been a bit of a struggle for you. Here's the main thing I would say: It sounds like you're a good candidate for oral estradiol (not Premarin®). There IS some conversion of estradiol to estrone. But weight gain in menopause is really a problem of too little estradiol. Estradiol may be involved in your hair loss, along with low thyroid. Overall, I would recommend that you see a hormone optimization specialist who knows what to do with all those hormones and symptoms.
The best way to find a hormone specialist, somebody who really knows how to manage all your hormone issues and get you to optimal levels, is to visit this page on my website and fill out my Patient Referral Request Form here simplehormones.com/referral If you leave a referral request on TH-cam or email it to me, it's extremely likely I'll drop the ball or it will fall through the cracks. Once you fill out the form, be sure to check your email for a message that says "Confirm your email address." Thanks!
thank you so much for answering! Iin know I wrote alot.. had no idea there were just estradiol pills. I think they prescribed premarin. I will write you and get a hormone specialist to see. I'm just so desperate at this point.
100% - Estradiol is much cleaner than Premarin®, which comes from horse urine - a "natural" but dirty source.
58 🙋♀️ not on HRT but my bff was on hormone replacement now has dementia 🤷♀️
Dear Simple Hormones,
Im 52 yrs old and in perimenopause, my periods still come apprx every 23 days. My doctor has given me estrogel to put on every morning and then I take prometrium on for 10 days from day 12 to day 22 of my cycle. She has me on cyclical HRT.
My question is what is the harm if I took progmetrium/progesterone every day? Can i take prometrium/progesterone everyday, continually, even though i stil get periods? Prometrium/progesterone helps my anxiety, sleep and libido, i want to take it every day, not only 10 days of my cycle. Is there any harm in taking it daily, even though i still get periods?
I still get periods and taking every day per provider. Other menopause specialists say it's safe to take daily for continuing benefits.
Can someone that has experienced Benzodiazepine damage take HRT or BHRT? I have been throught horrible wd symptoms for many years from ativan and klonopin that I took as prescribed and I am having rough perimenopause symptoms. I was told I could be in horrible wd from progersterone. I appreciate any help! Anxiety and panic are my worst symptoms
Hmmm . . . that's a situation I haven't run across before. However, I know 3 psychiatric nurse practitioners and psychiatrists who may have some experience with it. Progesterone is definitely one of the most important treatments for post-menopausal anxiety. Not sure where the idea of "horrible withdrawal from progesterone" might come from.
Yes you can
Hormone Therapy is very different than benzodiazepine or clonopin Ed
If you are suffering from anxiety GABA 500mg up to every 4 hours can help you immensely
Also hrt can help with many mood disorders
I’m a mess with out my hrt. I can barely function
I use the patch and micronized progesterone
U mean to say we should take hormone replacement how long that means those who take hormone replacement then what about monthly cycle so that we get our periods again and how long we can do that .? Kindly can u clear this
For women who have already completed menopause and no longer have periods, most providers I work with recommend taking hormone replacement continuously, with no breaks or menstrual periods. That's the one thing women are happy about after menopause - no more periods. You should continue taking HRT until you no longer want to feel better and experience the reduced health risks that come from optimal hormones.