How To Get Started On Hormone Replacement Therapy for Menopausal Symptoms
ฝัง
- เผยแพร่เมื่อ 18 ก.พ. 2023
- How To Get Started On Hormone Therapy // If you have been wondering if hormone therapy is right for you, this is the video to help you organize your thoughts on starting hormone replacement therapy. If you are in perimenopause or menopause, in this video I break down the indications for hormone replacement therapy, the contraindications for hormone therapy, and how you can help yourself get started.
-----------------------------------------------------------------------------------------------------------------------------------
GRAB YOUR FREE HORMONE HEALTH GUIDE: view.flodesk.com/pages/5f787b...
------------------------------------------------------------------------------------------------------------------------------------
👩🏻⚕️ My private telemedicine clinic, the Health by Heather Hirsch MD Collaborative is now taking patients in many states! Become a patient and book your visit here: heatherhirschmd.com/collabora...
👩🏻💻Ready to be a confident menopause and HRT provider? Clinicians - join the course here: the-menopause-course.teachable.com/p/prescribe-and-manage-hormone-therapy-with-confidence-evergreen
🥳Want quick answers to unlimited questions? Check out my AI twin here: chat.realdocai.com/signin
💕Grab your copy of my NEW MENOPAUSE book here: amzn.to/3N0YcEC
My Gear:
Camera: amzn.to/2SnFT4e
Mic: amzn.to/3viq6kD
Studio light: amzn.to/3iBGYjB
😍 Say hi on social media!
Instagram: / heatherhirschmd
TikToc: www.tiktok.com/@heatherhirsch...
Facebook: / heatherhirschmd
Twitter: / heatherhirschmd
Pintrest: / heatherhirschmd
Course: the-menopause-course.teachabl...
Website: heatherhirschmd.com
Podcast: "Women's Health by Heather Hirsch" podcasts.apple.com/us/podcast...
Video's to watch next!
How do I know if I am in menopause? • How Do I Know If I Am ...
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. These videos are for educational purposes only. None of the items are sponsored, however, I am a participant in the Amazon Services LLC Associations Program and others, 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 links. Ultimately, all recommendations and opinions of products are my own.
• How To Get Started On ...
What questions remain about how to get started on hormone replacement therapy? Tell me below! If you want help with me, consider my course!
Hello!! In this video you mentioned that ORAL estradiol can be good for mood, hair, skin...is the transdermal (patch, gel) not as "good" for mood, hair and skin???
Is it JUST Oral that is good for skin, hair, and mood, or is Transdermal also good for skin, hair, and mood? If it’s just Oral, what causes it to be bettr for that?Thanks!!
What about non cancerous fibroid cysts in the uterus, can progesterone affect them and make them grow?
Hello I would like to take enough hormones to help not only with symptoms but first of all protect me from three major diseases for the future- osteoporosis Alzheimer’s and cardiovascular. Can you please give a baseline for what should be the strength of both hormones that will do the job? Thank you
@@pamann4631 Thank you for sharing this information I am actually watching Menopause Taylor channel for some time and yes I saw charts however I wanted to see other health professionals opinions especially the ones that actually take care and have experience in menopause. Have you by a chance use Midi services? If so what do you think. Thank you again for the info.
these young girls out there have NO idea what’s to come! they should teach all about hormones perimenopause menopause post menopause in high school SO these girls know what’s to come because it’s NOT peaches 🍑 and cream when they hit these transition years!
Yes. When you’re 20, you think you’re going to be 20 forever and think about the 40’s as really far ahead, but you turn 40 in no time and then boom. It’s such an underestimated issue.
Even when ur in the 40s u think menopause is at 50 and its just cycles ending and not having babies ...
We don't know there's tunnel long before that ....
I did FemHRT when i first started menopause. Now, 15 years later, I have different symptoms & have just started on vaginal cream which has been a life saver. We don't need to suffer in silence when there is help out there for us.
So helpful! I am just beginning my journey into HRT. There is so much information and it can be really confusing, but you break it down in a way that's simple to understand, so thank you for that! My GYN just became a member of NAMS, so I'm excited to have this conversation with her.
I Heather certainly delivers the validity of understanding the pros and cons of bio, identical, hormone replacement. What I really like about her educational delivery is the way that she delivers the words and how she delivers it, it’s almost like she should be her own Teleprompter. That’s how good she is. I really value everything that anybody is investigating here because women have a system not like myself, a male, but something complicated, perpetually needs maintenance. Therefore, the more you know about your motor the better off your car will run.
Absolutely awesome video. You are articulate and evidence based and a great educator. I’m on a mission to understand the risk/benefit ratio of HRT and have watched a lot of big name bloggers and was left unimpressed. This is wonderful. Thank you!!! I subscribed!!!
I agree in short 10 minutes she answers so many questions and gives actual information rather than listening to a TH-cam video for hour and a half without receiving actual information and where to start
Thank you for posting this🙏
Thank you for this great and informative video
I didn’t know that you are heading up MIDI! I just had my first visit yesterday and I’m so pleased. My provider is helping me transition off compounded topical bi-est, oral progesterone, and topical testosterone that I’ve been in for 7 years. I’ve been searching for help for 2 years. MIDI accepts my insurance! I’m excited for my future. Thank you so much.
Just wondering the reasons for transitioning off those, such as poor results or negative consequences, as many of us are starting those?
@@Hollowmoon007 no big issues, just not as optimal as I thought I could be plus my provider back then was charging me hundreds of dollars per year just to ask questions and also, making me get Dutch tests too often. Before, I paid that provider for 1 visit every few months and had labs per her orders prior to each visit. The costs went up too much so I had to find other options. Otherwise, I felt pretty good.
Your videos are Fantastic! ThAnk YoU! 🌿💗🌿
Thank you!! Thank you!!❤
That was amazing thank you
Thank you for all this info. I’m going through it now and I am having the hardest time to find a doctor that doesn’t try to talk me into pellets or birth control pills.
Wow!! I just checked out the MIDI site and the service looks FANTASTIC!!! I want you to know how much of a difference you all are going to make in the lives of women across the country. While you are up to date in the latest science regarding HRT, unfortunately those of us that live in small town USA are still dealing with physicians who still fear HRT. As soon as you service Ohio, I’ll be scheduling a consultation!
That is such a great question Jen! 😊
FDA approved HRT regiments , transdermal or oral , dosage . Thanks ! Very helpful Dr
I wish more awareness will be on Palpitations, thankfully, Oprah is putting it out there but I wish OBGYN will be more proactive. I was having all the peri menopause sysmtoms and palpitations after cardiologist checked me out with TONs of test he was like look your heart is strong, this is hormonal. I was 😮. Then Oprah came out with it, after my HRT palpitations are gone, I sleep like a baby.
Thanks!
Bravo.thenks
Please let me know what strength of estradiol and progesterone will provide secondary benefits for post menopausal women. Thank you
I can not wait till my state opens with midi!
I just recently heard about increased risk of dementia from HRT. Do you have video on same? Thoughts?
Can you use it as a preventative if you don’t have these symptoms? For insomnia, and skin and bones and muscles ?
When can I start HRT? If I don't yet have symptoms eg, hot flashes, should I wait till 1 year after last period, or can I start before that for the other benefits HRT provides?
Hi
Is BHRT pellet better or taking BHRT pills
Please let me know I’m about to getting BHRT but I’m not sure which one works the best
Thank you so much 🙏
So helpful! I'm going to see my obgyn to hopefully start therapy in a couple weeks! I'm so looking forward to taking this step for my long term health as well as alleviating the terrible symptoms I've been suffering with for at least , 3 years now. That's Dr. Heather and the other wonderful resources I've found online that have taken away the fear I had of HRT based on the faulty narrative that it caused breast cancer! 💗
Do Perimenopausal women tend to do better on hrt compared to birth control pills?
Keen to know also!
I’ve been given EstroGel and progesterone for peri menopausal symptoms and I feel scared to take it and hesitate. I always wanted to do it natural. . My dose is EstroGel daily promentium 14 days of month . What day of our cycle should we start taking it?
I am on evorol Conti patches does that cover you for hormones post menopause please thanks ♥️
What FDA bioidentical Estrogen only can I suggest to my doctor? I have the BRCA 2 mutation but have had a radical hysterectomy and oophorectomy.
I am taking Lolo estrin bc pill to help with horrible physical symptoms caused by hormonal fluctuations. The worse side effect of Lolo estrin is acid reflux more like Gerd. Will bioidentical hrt have this same side effect? Also, the estrogen in Lolo is the lowest for bc pills 10mg. Is this still higher than bhrt.
Went thru menopause at 58. Am now 66 & never had a doctor who would prescribe HRT until very recently. So I just started on the estradiol & progesterone CombiPatch yesterday. I guess I'm too late to get most of the protective benefits since I'm over 65 when starting HRT 😞
Thanks so much for your work. I've just started HRT at age 57. How do I know if I have thrombosis risk though?
She said if you had a blood clot you could be at risk for another on HRT.
I have tried using estrodiol patches and progesterone a few times, I am pretty sure to makes my gerd flair up. Is that a side effect of the patches or progesterone? If so, what else would you recommend I try? Love your videos, always great information.
I am Lolo estrin birth control pill and it causes Gerd. I was hoping bio identical hormones and transdermal route wouldn’t cause Gerd but it looks like they still can :(
Michelle you can use Progesterone vaginally every other day. My doc said I can . I had horrible Acid reflux
@@elenasalisbury8282 thanks! I just tried using oral progesterone again and after 3 nights, my stomach is not having it. :(
@@elenasalisbury8282 progesterone gave you acid reflux?
Hello, I’m 49 years old very healthy and had a DVT 21 years ago in my groin from pregnancy. No issues since. In your opinion would I be safe to use an estrogen patch?
I take oral estradiol and progesterone separately. I do worry about blood clots. I've been told if I let the estradiol tablet dissolve under my tongue, sublingually, them it won't go through my liver and is there for us safe as transdermal. Please tell me if this is true?
What day of our cycle do we commence HRT if still getting period? Estro gel and progesterone
Hi! I've started MRT a month and a half ago. What"s the time frame of when it's supposed to kick in? My brainfog has lifted after a couple of weeks, hot flashes are gone, but nightsweats haven't so I'm still not sleeping. I've 😢 upped my dosage to 3 transdermal sprays of Lenzetto.my GYN who prescribed it doesn't seem to know much about menopausal women.... Go figure! 😐
Hi, can I start HRT during my period? I received mine today but I just started my cycle. When should I start taking them? Thanks
Can HRT cause TIA? I was on estradiol patch and progesterone but they told me to stop taking.
i take 1mg oral estradoil pill, what is recommended progesterone to offset 1mg est pill?
Pelvic floor prolapses at age 65 also a reason for systemic estrogen replacement due to complete hysterectomy?
I have been on 100mcg of Progesterone for a year (peri-menopause) and have tried Estradiol patch at multiple doses. I have increased anxiety and tremulousness on the Estradiol. Should I just not use Estradiol and increase progesterone? I have underlying Generalized anxiety disorder and panic disorder.
Why is Oral better for Hair, Skin, and Mood? Does Transdermal help any with those? Thanks!!
I have the same question. I just started on a transdermal and wondering if I’m getting the same benefits for hair and skin
Hello, I am 44 with an estradiol level of 15 and a fsh of 85 (serum).
Dutch test shows all 3 estrogens are post menopausal. Low testosterone, low dhea, low Progesterone, even though i use bio identical progesterone creme for 2 yrs at 100mg daily! I am coming from a 16 year low fat low protein, vegan diet, and thinking it was doing my body well, has backfired on me. I have tried every supplement for hot flashes, including (bio identical progesterone creme) that are accompanied by an adrenaline rush and rapid heart rate. At age 37 I stared getting inconsistent periods and gaining weight. I still Use the progesterone cream to protect my uterine lining if it even works.
I would like your advise on what to asknmy gynecologist for. Is bio identical the best. Indint even know if she could prescribe me that unless i went to a functional doctor and i dont have the funds for that. Thank you kindly
I don’t have hot flashes, night sweats or the other but do experiences brain fog and now pre-Diabetes dipping into diabetes. Are those indicators for HRT?
Same
I had a traumatic PICC line insertion which led to a DVT. Does this fall in the red light category?
I am a premenopausal woman of 50 I am hypertensive and take medication for it I wanted to start hrt but my physician refused to do so instead she started off with timboline I am not sure about taking it plz guide me as I am totally confused
I’ve noticed that progesterone is often just given a slight nod in these conversations. Yet I’ve heard that it increases bone density which is a great benefit, among others such as better sleep, improved mood, etc. Would this not be a good choice for a woman with osteopenia? Would a woman without a uterus still benefit from progesterone? It seems that most doctors only discuss (if that) progesterone if a woman has a uterus. Is a USP progesterone cream just as effective as the FDA approved pill? Dr. John R Lee (passed) was a huge advocate for progesterone.
Im giving the usp prog a try.
Do you prescribe the combi patch for patients with factor V?
I would like more info on the combipatch too. Doc just put me on it.
If I have had a heart attack (was on HRT, then taken off 😞), and have Fibromuscular Dysplasia, can I still take ‘HRT? I started the Premarin cream, and it took me 4 1/2 years to talk my doctor into it. Please give me your opinion. I should also add that when I had the heart attack, it came after a SCAD, and apparently there were many clots. 😊
Premarin isn’t bio identical that’s a big problem.
I realize symptoms drive the need for less or more HRT, but is there a minimum level of estrogen that provides benefit (.05?), and is there a maximum amount you typically prescribe? I'm on estrogen patch .075mg with a Mirena IUD for progesterone. Friends I talk to are either on .025 or .05 and their doc won't go higher; I have yet to meet anyone on the .075 so I wonder if that is uncommon?
Are you asking about the secondary benefits of HRT - the prevention of bone loss, cardiovascular disease and (possibly) dementia? According to Dr Barbara Taylor, a menopause educator also here on TH-cam, the so called “standard dose” of estradiol is what has been established for those benefits. For the patches, it’s the 0.05 mg dose. She gives dosages for all the other routes of delivery as well. Apparently this has been established by studies in the past, but apparently there can be women who need a higher dosage, because the absorption from patches, for instance, can vary a lot. To ensure you are on a dosage that have those benefits for you, Dr Taylor recommends monitoring your bone density with yearly DXA scans and also monitoring your lipid (cholesterol) levels to make sure they are stable. She has a whole education on all of this here on TH-cam.
As to your question whether anyone else is on the 0.075 patch - I am, and a friend of mine as well. You’re not alone! 😊 From what I’ve been learning, there are a lot of providers who are not well trained in HRT and are super cautious / hesitant to prescribe higher dosages, although the dosages for menopause HRT are all rather low to begin with, compared to most bc pills, for instance, or to what our bodies produced naturally during our reproductive years.
From personal experience, I would encourage women to experiment with a higher (or lower) dose, if in doubt. I didn’t realize that I could have even better energy and a “faster” brain on the next higher dose.
Cm1906. Hi are you MIDI representative? Thank you
@@agnessurma5036 No, I’m not a MIDI (or any other) representative. You’re welcome.
Can you get skin rash with HRT?
Is prempro okay ???
How often should hormone levels be checked when using HRT?
Mostly only if you need adjusting! Symptoms drive the need for lab work
Is it normal for perimenopausal symptoms to change throughout my monthly cycle? I notice the terrible symptoms around ovulation and right when my period starts. Wondering about getting my hormone levels tested? Thanks!
Yes! Check out my videos on perimenopause! Journaling is very helpful!
Eat lots of cruciferous vegetables and dark leafy greens with each meal, even breakfast.
Carrots raw too.
So I'm a candidate where I cannot have HRT because I have stents from suffering a heart attack and I was told there are no options I need to figure out naturally without pills I'm also diabetic, I am looking for videos to help manage my menopause I'm 56 years old please help currently take fiber collagen , One a Day menopause vitamin B12 K2 vitamin d, fish oil I exercise regularly at least 15 minutes to a half hour every day I eat healthy leafy greens drink lots of water and lemon water and electrolyte drinks.
I have thrombophilia blood clotting disorder. Is there any help for someone like me?
I love your information. I really really wish you would slow down your speech just a Tiny bit for us lay people.
There is a gear icon on the top right that allows you to slow down or speed up the playback speed.
Hi doctor, How do I get a hold of you?
Is prempro okay for age 49 ?
Hello all is it me or there are no or barely any responses to our questions except what we personally share? Thank you
What about migraines? Im in perimenopause and migraines are worse on the combo pill but acne goes crazy with mini pill. The hot flashes and night sweats are terrible on nothing. No win situation.
The mini pill gave me bad cystic acne that i never had in my life. I switched to combo pill and had to ask for a lesser dose pill bc I felt like it was too much. It went away after I switched to a different combo pill.
Hi dear doctor.. I live in iran, and it is unfortunate we don't have you near. Could you help me please about used of estrogen or progesterone ❤❤❤
Plz how do I have a consult with you
What about heterozygous for factor Leiden II genetics but no history of clots?
I have this same question!
@@Quintessence2045 i did my research and it doesn't increase our baseline risk which is low already. I've been on the estrogen patch for a year, increased dosage 3 times, no issues. I did take baby aspirin for the first 6 months just in case.
Where you're clinic located
I’m 67 and the challenge is getting anyone to prescribe Testosterone for women! Without it the vaginal dryness is awful. I’m on Progesterone oral and Bi-est cream. Pellets are not available in this country. 😉
Do you have a discussion of Stage 4 endometriosis leading to total complete hysterectomy at 50 and HOW soon after can you start on HRT? 🤔 🤔 🤔 🤔 🤔 🤔 Because, guess what endometriosis can come back! 😮😮😮😮
Do you subscribe HRT. Do you do virtual appointments? What is number I call to make an appointment with you?
How old is too to start the his therapy? I’m 57 and my GYN said there’s not much help for me.
Get new doc
How can I find a doctor to prescribe this? My GYN will not prescribe this for me.
My Alloy
They will help you at Planned Parenthood for HRT for perimenopause/menopause
Okay, I've started menopause at the age of 45 years old 😳 5 year's later at 48 its gotten worse, am all over the place, needing to find a therapist period that Counsel women with menopause systematic
I would LOVE to be able to use your videos as a resource for my clients and the women that I serve in therapy as I agree...HRT is a significant resource/option that women need to be educated about. However...I remain concerned that your views are skewed and you continue to discard a viable option for women which is subcutaneous HRT via pellet therapy ( which is NOT new and has been around for decades). I agree that it would be ideal if the HRT that women receive be FDA approved. But again, this is not the case for MANY medications that are prescribed off label. INCLUDING Testosterone which is NOT FDA approved for women yet you yourself have recommended in the past for help with libido in post menopausal women ( though clearly in a different form). Saying simply that pellet therapy is "dangerous" and should be avoided is not only unhelpful but also goes against what you are saying about the benefit of weighing out options et. How about simply educating women on the facts ( ie Pellet therapy for women is not FDA approved) and how it may or may not be helpful for them AND how to find an appropriate provider who can assist them in weighing out their health risks against the potential benefit.
I think she said it’s unregulated?
who isn’t a HRT NOT good for❓what about people with heart ♥️ conditions❓
Thanks for sharing this informative video! For anyone considering hormone replacement therapy, it's crucial to have the right guidance and support. Ryze HRT offers comprehensive hormone therapy services nationwide, ensuring personalized care and optimal results.
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!!!!
I use the estrogen vaginal cream ony face and neck too.
Do daily (twice) mini trampoline bouncing to get your lymphatic system moving.
@@VeeKayGreenerGrass thank you for this reply!!! I will definitely be getting me some!!!
@alyssamille9329
How are you feeling now did the estrogen cream work out for you.
I have lot of the things you have described , suffering from burning mouth anxiety and depression this is no life I have spent thousand on therapy .
Desperate for relief
@@hasinapatel1233 I haven't got any estrogen cream yet. Have a doctor appointment on the 30th
Do hot Sauna for the stiffness and pain. Also, resviratrol supplement helps.
Get your bone density checked and up foods and supplements of minerals that make up bone (phosphate, zinc, magnesium, etc.)
Very informative buy you’re talking so fast it’s hard to keep up.
Is HRT too late at age 58?
No
‘FDA approved” does not being found scientifically efficacious, it only means that money was exchanged to provide this “approval”.
You kind of skip over the testosterone issue when recommending bio-identical FDA approved hormones. There are no FDA approved T products for women
I was prescribed testosterone cream, that is what is recommended as far as testosterone replacement.
Tachylalia
😂 or maybe you're slow.
@@VeeKayGreenerGrass Derrrr...what?