HORMONE REPLACEMENT THERAPY: THE BEST TYPE FOR YOU!
ฝัง
- เผยแพร่เมื่อ 30 มี.ค. 2020
- HORMONE REPLACEMENT THERAPY: THE BEST TYPE FOR YOU ?? I get so many questions on what is the best type of hormone therapy for symptomatic menopause. The answer to that question is what makes my medical training so special: Its is science and the art of medicine. In this video, I break down how I start to make those decisions, but this is not direct medical advice. Please use this as education only to start the conversation with your doctor. Comment below and tell me how long it took you to get the right dose and route of hormone therapy.
--------------------------------------------------------------------------------------------------------------------------------------------
GET MY FREE HORMONE HEALTH GUIDE: view.flodesk.com/pages/5f787b...
---------------------------------------------------------------------------------------------------------------------------------------------
Grab your copy of my NEW MENOPAUSE book here: amzn.to/3N0YcEC
Also find me and follow me on:
Instagram: / hormone.health.doc
Facebook: / heatherhirschmd
Twitter: / heatherhirschmd
Pintrest: / heatherhirschmd
Course: the-menopause-course.teachabl...
Podcast: "Women's Health by Heather Hirsch" podcasts.apple.com/us/podcast...
Favorite Videos:
Midlife and Menopause Product Review: • Midlife and Menopause ...
Debunking The Top 5 Menopause Myths: • Menopause Myths: Debun...
The Menopause Course: • The Menopause Course d...
Loving your videos Dr Hirsch, SO INFORMATIVE!
Thank you for the encouraging note! Helps me stay motivated!
Oh my gosh I wish sooo much I could find a doctor like you in my area!!
Thank you for that! Always feel free to look for other great menopause docs at menopause.org
Thank you so much for stressing the difference and n HRT. I’ve been duped in the past from a provider who denies from HRT therapy.
I just discovered you and I am obsessed. Between TH-cam, TikTok, Instagram etc… You are amazing🙌🏻♥️
I am 55, perfectly healthy. I tried every patch, gel and ring. I am currently on the Femring which I switch out once a month (although it should be every 90 days). I asked my gynecologist for a “boost” to the Femring as I still have symptoms. She added .5 Estrace oral pill. I am still having symptoms. Maybe the Femring isn’t for me. I am so confused on weather I should be using two forms of HRT at once. Thank you for your time. Not only you are so knowledgeable, but also have a great sense of humor. Thank you
Whatever combo you may decide on there are many studies showing increased CRP with oral. Patches don't show that same increase.
I am absolutely thrilled that I founded you! This kind of education is so needed! You are doing an amazing job of bringing knowledge to many women. All your hard work is truly appreciated!!!! I spent 2 days listening to your posts. Personally entering the menopause phase (52 years old) of my life and I have been seeking more education on that topic. I am a dietitian and see so many of my clients struggle with symptoms of menopause and often don't even realized that there is a solution. Questions about dose for estrogen and progesterone, what do you start typing with? and do you do daily progesterone or only in phases? Since I am in MA, I hope I will be able to book an appointment with you shortly!!!
Likewise! I really love that I customize E and P dosing for each of my patients. It really depends on their symptoms and goals. That being said, the closer women are to menopause, cycling the progesterone can be helpful as bleeding is still common. I have openings so please call to schedule either in person or virtual! So glad Angie has been highlighting my channel - she is a great role model to me in all that she has done with her channel and educating women :)
Thank you for this information! I am 54 and have recently started thinking about taking hormones. I have an appointment with my primary care physician to discuss my options and the info you've provided will really help me in my discussions with her.
That is excellent to hear! I’m so glad these have provided you with insight!
So happy I found you! Omg! I am 46, 1 year of menopause. Flushes were crazy, like every 40 minutes non stop. On the patches now estradiolum 50mg+ norethisteroni 170mg.
Tried tibolob but had very much of burning sensation on my breasts, so doctor recommended patches.
A bit worried as read that one component medication is safer than 2 component. Is this true? Thank you!
Thank you for such an informative video!!
You are welcome! Thanks for the support!
Hi Heather !! You are the best ♥️ Do you do a video on SERMS? Can you tell me your thoughts on Duavee ? Might be nice not to have to take progesterone or have breast tenderness.
Fabulous relevant information. Thank you.
You are welcome! Thanks for taking the time to leave a note of support it means a lot!
good evening thank you for your time such great info - I am 57 years old and just had my estrogen tested it came back
Good info thanks for sharing your field of profession
Thanks for taking the time to let me know your appreciation. Right back at you!
Yes , thank you !
The lack of education in this area is both very frustrating and sad !
I fought through menopause, had no insurance! Lost 6 relatives in a year , sadly starting with the gross willful negligence of my dads death from a hospital.
Was seeing a DCP ( direct care pay Dr . ) we did hormone labs , I had none ! Still no suggestions referrals . I was just completely heartbroken at the murder of my dad , still working on his lawsuit ! I have been admitted to the psychiatric ward 2 xs in 3 year s ! The first was insomnia, 3 days of NO sleep ! The 2nd recently honestly just felt like a nervous breakdown!
Just got insurance starting to get help and mske away , learning wow you have to be your own advocate and push snd push ! Found out I had tested positive for Epstein Barr virus , dealing with some mold in our house just got fixed ! I believe I still have a fungal infection so trying to see an infectious disease Dr!
HORMONES, ok so I guess at 53 I’m Postmenepausal now .
My Dr put me on I think .01 mg of testosterone injections 1x a week , my testosterone was a 1 !
My estrogen was a less than 5 .
So I’ve been on the genetic of the Vivelle Estrogen patch for one month . Now estrogen is at 52 . Still on the low end but improving. My dose is .25 2xs week , it’s helping just a tiny bit. !
I still struggle with depression, mood swings , insomnia , my circadian rythem flipped about a year ago to that of like a night shift worker !
I cannot sleep till around 7 am then I have to get some sleep during the day , just causes more depression. Since I got insurance just 3 months ago I think I’ve had min like 12 Dr appts I’m tying !
My question is do you think my estrogen dosage should be increased?
My main complaints were insomnia and depression! And maybe just a tiny noticeable change !!
Thank you for all of your knowledge, we need more wonder/ educated drs like you !!💗
Feel for you, really do. As a fellow sufferer I know how hard it can be. I can barely get through my never-ending menopause, totally debilitating and suffering alone. The change in the circadian rhythm is less talked about symptom, but I know it is very real as I am going through it too. You had to go through traumatic events as well, while it can be so hard to deal with just on its own. Can't imagine how hard it must be. If you live in the US, I think you should consult Dr. Hirsch. She definitely knows what she is talking about. From where I am, they don't even want to acknowledge it as a problem, let alone prescribe HRT.
Thank you for sharing this very important information regarding Menopause.
I always say that if MEN lost their Testosterone, they would be KICKING & SCREAMING to get it BACK!
hehehe absolutely!!! No doubt about that one!
Do you believe that USP has any value as a guide for using over the counter phytoestrogen and progesterone products, and also other supplements? I know that they are far from the rigor of the FDA, but I feel like I need some kind of guide when I buy over the counter products.
Thank you for all of the information but if I had breast cancer that was hormonal positive, do I have an option? Thank you so much!
I’ve been struggling for the last year with almost every symptom you mentioned with the exception of anxiety I don’t feel like that’s a concern for me but everything else I’ve struggled with of all of them I feel like the insomnia is the worst I just feel like if I could get a good nights sleep other things would improve I haven’t taken hormone replacement therapy have always been kind of scared of it don’t want to gain unwanted weight like my friends say I will what would be your best suggestion to help regulate my body if sleep is my number one issue( I do feel like my sleep at night is disrupted by hot flashes although I don’t sweat the way other people do I just feel like I’m burning up inside) I have had some blood work done and my FSH was 89IU/L
My LH 69IU/L and my Estradiol was 532 pmol/L
Hi Dr. Heather, I had a TAH/BSO at 55. Also, my mother is a breast cancer survivor after taking HRT for over 25 years after her TAH/BSO ( Premarin). I'm considering using the transdermal patch (0.5) estridol. I'm trying to figure out if I'm beyond the 10 year window. Given my age ( currently 63) and my mother's breast cancer history at 65 am I a candidate for the 0.05 transdermal patch? My concern is protecting my heart and bones. Thank you!
I tried oral Estradiol and gained 10 lbs of belly fat which I’ve learned can happen with oral Estradiol. Then I did nothing for a while. Now I’m on first round pellets of pellets and not pleased. Heart palpitations.. acne. More weight gain. And messed up my synthroid dose. I have type 1 diabetes and hypothyroid. Considering patch now but do tend to have issues with adhesives. But still want to give them a try.
Premarin may be safe for the woman but it’s torture for the horses and their babies 😢
Love to hear your doggie 🐶 barking 😄
Love this I went through some form of crazy at 36! No one knew what it was but it continued till last year I had everything night sweats missed periods crazy anxiety it took 4 years to figure out what it all was until a doctor said peri menopause i am now 42 and it’s been a year no periods but I feel nearly normal again, should I take HRT I ’m worried that I’m quite young to go without ?
Did you hear her talk about all the benefits of appropriate hormone replacement? Cardiac and bone health?
I would like to know if I can see you?...my God Dr's like you are hard to find!!
Are there vascular side effects of the patch and progesterone?
.
Please dr Hirsh please could i take HRT at age of 66 have all the symptom and I am on other meds ?
Hi doctor
Recently diagnosed Adenmysois
I’m in merina iud
Heather, my doctor will not subscribe hormones for my menopause symptoms because I had blood clots in my lungs from covid. But this was the only time I've had issues with blood clots, so will I never be able to use hormone therapy?
Hi! Angie talked about you on one of her videos, so here I am. I am 52, taking estradiol/norethindrone orally, I've been overall happy with it, I still get some hot flashes at night, should I explore another one? Also, can you talk about the cost of oral vs patch vs gel. Another question, does one take HT for the rest of our lives? Thank you!
HI Mariza - you should tell your doc you are still having symptoms and maybe check estradiol to see if you could use a bit more. the cost of HT is based a lot on one's individual insurance profile, so I can never guess right off the bat!
Which method is best for brain health-- memory, concentration, and mood?. Thanks
Ughh, hot flashes when does it ever end! Can’t take estrodiol it caused a lump and had to remove it!
I had one ovary removed (left ) 2 years ago and now having all kinds of symptoms I was told by the md that did my surgery that the other ovary would cover for the missing ovary
Thank you DR RORPOPOR HERBAL on TH-cam for curing my hormone with your herbal medication 🌿🌿
I’m 51 and had a full hysterectomy at 33 because my CA125 was highly elevated, and I had pain and bloating. I’ve tried estrodial, and I gained 20 pads immediately. I then switched to a cream for years and now am on pellets. What are your thoughts on HRT pellets?
HI Tonya - Sorry I am just getting back to you. See my video I did on pellet injections and why I recommend instead of those FDA approved hormone therapy.
@@heatherhirschMD Can you post a link?
I'm 57 and started menopause at 54. I haven't slept since I was 46. It has been debilitating. I also suffer from terrible brain fog and memory problems. I have just been prescribed prepro 0.3mg-1.5mg pill. I also hope it slows down some of the aging process. I feel like I'm 90yrs old. Does that dose sound right?
Definitely should be a great starting point! Hopeful this is going to help you. the goal of being on HT is it should make you feel 85% better at least!
Thank you DR RORPOPOR HERBAL on TH-cam for curing my hormone with your herbal medication 🌿🌿
What are you thought on injectable estradiol. I just switched from pellets to depo estradiol 5 mg and 25 mg is testosterone
I personally don't write for this so cannot really comment.
I have been taking the Estradiol patch 0.1 mg/day which I change twice a week. I also take Progesterone 100 mg each evening. After about a month I started to have tender breasts and break through bleeding. At first my obgyn doubled the dose of progesterone. I continued to have break through bleeding.I have also had a vaginal ultrasound (lining was slightly thicker)and I am going to have a biopsy of my uterus today to make sure everything is ok. Listening to other podcasts, I don’t want my physician to just pull me off all hormones. I love that I am eventually sleeping again and I hear all the benefits of estrogen. Is it a matter of getting the correct dose for me?
Hi, would you be willing to post an update?
Do you have any thoughts, pos or neg, regarding BioTe Pellet HT therapy?
Great question. On my channel I have gotten that question so many times so I’m planning a video just on that topic! Thanks for asking it so I know it’s on a lot of people’s minds.
Love your channel. I read a comment about birth control pills. I was on birth control pills which was masking menopause symptoms. My doctor took me off because he felt my body was getting something it didn’t need. Is there any type of pill out there to take to help with hot flashes and astrophy?
For women who came of birth control tabs and liked it, I often recommend a combined tab of E/P postmenopausal hormone therapy. Bijuvia is a great one! FDA approved and bio-identical. Be sure to discuss with your doctor.
@@heatherhirschMD Thank you, is this a prescription to obtain from my doctor?
Yes! I also have a video on this in my channel on transitioning from birth control to hormone therapy.
Thank you DR RORPOPOR HERBAL on TH-cam for curing my hormone with your herbal medication 🌿🌿
I began taking tribolone but did not find it as good as the Estradiol patch. May this be because it is a steroid rather than a bio identical
I started my HTR treatment last fall and I'm happy with it. I take a progesterone pill daily and an estradiol patch 0.05 twice a week. I'm thinking I would like to stay on it for at least 6 more years (maybe my entire life) and because I'm thinking long term, I wonder if replacing my progesterone pill for an IUD is a good move. I just worry about the side effects of the progesterone pill on my liver, after all, it is for my uterus protection. Is there any brand that you recommend Mirena, Liletta?
I have many women chose to have the IUD and take the patch or pull. You can definitely do that. The mirena is great and lasts 5-7 years!
@@heatherhirschMD Thank you!
@@heatherhirschMD Can you have the Mirena if you had a hysterectomy? I still have my ovaries
@@tesiemarie8942 you don’t need progesterone if you had a hysterectomy. Progesterone is given for the sole purpose of preventing uterine cancer, which isn’t a concern in your case.
What should I take if I have a family history of breast cancer
Can we talk about foods? Is there a diet that is best during pre or full menopause? There are lots of hormonal diet programs around the Internet, however, is there a better diet during menopause or its just a fad?
Everyone should be staying away from added sugar, try to eat lower carb. The effects certainly do appear to show up faster as we age.
I give myself a shot of estradiol and testosterone. I have been doing this for 25 years. What are your thoughts on injections?
Why is that? Is that safe, and how much different do you use?
How would hypothyroidism affect what I should take? Also wondering who should take estrogen and progesterone versus just the estrogen?
I simply check a TSH 1 month after starting estrogen. You need to take progesterone if you still have a uterus, or you can increase the risk of uterine cancer.
Heather Hirsch MD, MS, NCMP Thanks so much for the answer 😘
I used to use the patch but it started to irritate my skin. Switched to a different brand, tried moving it around
but it still caused irritation. Why is this? Is it the adhesive I'm reacting to? Now I use the gel which is great!
This can be common. It is related to the adhesive and not the medication (the estrogen). Some find the brand name is better than generics. That being said many people with this problem change to the gel and do great!
@@heatherhirschMD Thank you!
I need help!! I am 49 having issues and not much help
When I was in my 50s and was going thru the transition I begged for hrt but my doctor said no in his defense it was frowned at now at 65 have I aged out I would like the benefits for my bones and heart and brain
Happy to have heard from you. You will find my Friday video very interesting as you were probably going through menopause at the time of the outlast against hormone therapy. You are not wrong in thinking a small dose would be good for bones and heart!
Heather Hirsch MD, MS, NCMP thank you I’ll be watching
Great question
What are your thoughts on bio-identical pellets? Are they FDA approved? I have been having BioTe pellets implanted. Want to find out if I'm doing the right thing. Thanks!
Sue Hutchinson they are not FDA approved. My concern with them is the hormones being unbalanced. I will do a video on this topic to provide more information. It’s a great question and I hope to send more information your way!
@@heatherhirschMD Thank you! If I discontinue using the pellets, any suggestions on the next step?
I would start by seeing if there is a NAMS doctor in your area and working on a plan to get you on FDA HT while coming off pellets.
@@heatherhirschMD Again, thank you! I will look into that.
@@heatherhirschMD What does NAMS stand for?
How can get an appointment for tele visit for you ?
Thank you DR RORPOPOR HERBAL on TH-cam for curing my hormone with your herbal medication 🌿🌿
Do I talk to my MD or my OBGYN?
Start with your doctor and assess their comfort level. You can always see a NAMS doc A certified menopause doctor too
She lost me when she said she still prescribes synthetic progestin from horse urine.
My doctor prescribed me climera pro patches but my insurance doesn’t cover it and it’s too expensive for me to pay out of pocket monthly. Do you know if there is a alternative? My doctor says I need a combination of estrogen and progesterone and I’m on cholesterol medication so I think that’s why she wants me to take a patch. This all happened today and she’s out of the office till Thursday. Tbh I’m going through such horrible hot flashes and other symptoms I was praying I could start on something today. Any information would be helpful 💗
Try asking foe combipatch
Thank you DR RORPOPOR HERBAL on TH-cam for curing my hormone with your herbal medication 🌿🌿
If you are overweight or obese as I am, the estrogen PATCH DID NOT WORK. I wasted money and time with the patch. It has not been 'proven' with the estrogen patch, but gynecologists know birth control patches do not work in overweight/ obese women. P.s. have been on oral estrogen for about six months and my hair is denser at the scalp, so do not think you will lose that perk by not using the patch.
Not relevant at all! Where sis you get that sweater? I want it!!!
LOL Nordstrom 2019!
Thank you DR RORPOPOR HERBAL on TH-cam for curing my hormone with your herbal medication 🌿🌿
Ouch Felice Gersh won't agree with this
Slow down girl!
Premarin is not cruelty free. Thousands of horses are tortured to provide this product. 😮
I enjoyed listening to you until you said you prescribed progesterone from pregnant mares. This is wrong and inhumane.