If I could turn back time when I called my PCP 15 years ago and told him I couldn’t cope that instead of putting me on an anti depressant but Put me on HRT. I didn’t know and I trusted my doctor. It was Peri-menopause now it all makes sense. Great video/podcast. You ladies are forever changing lives !! ❤Thank you
My sister just had her first baby and I could not help but be envious of the extremely great care she received from the healthcare system during her pregnancy, birth, and post-birth compared to the care I have not received for the 6 years of horrendous perimenopause I have endured, from the same system.
What an amazing podcast full of perimenopause education! So relatable to me as a 50yr old in perimenopause who has had to basically research on my own to figure out what HRT would benefit me. My OB/GYN has been very helpful but she doesn't have the breadth of knowledge to fully support my specific situation. Thanks, ladies, for all your efforts to educate and support us!
Thank you SO much for this video!!! I am 46yo in perimenopause still having periods albeit not consistently (every 6-8 weeks). My naturopath looked at my blood test, which says I am in estrogen dominance 29 times estrogen-progesterone. My doctor prescribed to me estradiol gel & progesterone 10mg each for hot flashes, brain fog, EXTREME fatigue... but after 2 weeks my breasts got so sore and I hated that. So after tonnes of my own research I decided JUST to do progesterone 10mg per night and no more hot sweats or sore breasts. I asked for testerone for the extreme fatigue and brain fog out but my doctor refuses to prescribe it. My diet - getting enough protein and even adding creatine, exercise, sleep, low stress meditation routine, adrenals, iron and thyroid are all good but I am still so exhausted. (I have an alarm on my phone at 8pm each night to start my bedtime routine! I will keep working on my doc to prescribe testosterone here in Canada... I feel like it is worth a try for the extreme fatigue?
If I could only turn the clock back 15 years and had never had a doctor who believed the WHI! Any advice for us post menopausal ladies? Is topical progesterone beneficial? Any hormonal help at all? Please consider a podcast for us forgotten girls.
Boomers aren't forgotten! Check out my podcast episode "the boomers should be pissed" - it is an old one - I don't think it is on UA-cam, maybe just the regular podcast.
Please try and get Felice Gersh. She talks about cyclical HRT. Creating a similar body cycle to the one you had before menopause (bringing on an actual bleed every month). Keeping the estrogen receptors functioning at optimal level. She is a very knowledgeable woman.
Gen X here. I am educating all of my friends and my younger sisters about HRT and that the fact that we do not have to suffer. Am I talking about vaginal dryness during happy hour? Yes I am!!
These pods are such a life saver when peri are making you feel hopeless! Would be amazing to see you tackle HRT for AFABs with PMDD, especially since there seems to be a link to early onset menopause.
This was unbelievably good. Thank you so much ladies you are helping me a ton. I’m about to be a brand new provider, but I love geeking out on all of this and I am hoping I’m ahead of the game because of all the content that you provide.
I am so very grateful for the D.O. I went to see for back pain that asked me why I was on an anti-depressant. I told her it was for PMS! She told me she was going to test my progesterone and came back and said you are taking an antidepressant for a progesterone deficiency. I can get you off of it and she did! I was barely 40 at the time. It changed my life! I wasn’t yelling at my kids anymore! It was the sustained release compounded version. That was well over 15 years ago! And I do not have a uterus btw! I have no intention of stopping it. I’m on all three hormones now but natural progesterone has always been my BOO!
You are one of the fortunate few ❤. 3 of my docs pushed antidepressants. I finally found Dr. Shawn Tassone on UA-cam. He's in Texas but licensed in about 30 states
@@shelleykapp9637what a coincidence. I just spoke to Dr. Tassone’s office last week. They put an order in for my labs and the. I can make an appt. So you like him ok? I live in Texas about 3 hours from where he is.
I was also prescribed an antidepressant for severe PMS! It did get rid of my PMS and back pain… However, looking back, I wonder if other things were going on. I chose to have an abortion. It was not a casual decision, but it was definitely the right one. Afterward, I had intense uncontrollable crying that felt “beyond” my emotions. I finally took zoloft and it stopped. I've always wondered if the intense crying was hormonal.
I just listened to this episode and can’t thank you enough! Your talk on progesterone has been so eye opening! I’m 41, in perimenopause and had a hysterectomy at 39 with one ovary left. I’m still experiencing many perimenopause symptoms and feeling crazy despite being on an estrogen patch and on topical testosterone. My menopause specialist doctor insisted that progesterone does not serve any purpose for someone like me because I no longer have a uterus, yet every month and a half or so I would start feeling crazy, my breasts would get painful, terrible sleep, etc. the loop cycle sucks! I’m experiencing one of these spells now and I can’t get in to see my gynecologist until mid October! Your talk gave me hope that I’m not being unreasonable and I’m gonna keep pushing to get answers. Thank you so much!
I’m in a similar boat (hysterectomy in mid 30’s, one ovary). I’m just starting MHT, but I’m not going to take progesterone for now. Your experience makes me wonder if I should. I just know that I’ve always gotten extremely low and depressive emotions during my luteal phase when progesterone was higher. Thought I’d see if I can manage my symptoms with estrogen and testosterone for now. The process of advocating for ourselves is arduous….but don’t lose hope. I hope you get relief soon!
I totally agree! I’m a Chinese Medicine practitioner. There is a saying that the superior doctor treats the disease before it manifests. Western medicine is great and basically it’s great at preventing you to die. Chinese medicine promote health. Thank you both for the great talk. You guys are brilliant!! I love the manifest and how you met!
I started with 100mg progesterone from pharmacy and I felt so crabby, tired and exhausted 😴 I asked to try lower 50mg SR progesterone from compound. Total game changer! The benefits help sleep but mood next day too!!!Keep trying as everyone is different 👍 Great conversation.. my one question …..is being 48 and I am on estrogen patch, progesterone and testosterone and feel so so so so much better …BUT I would say in the time since starting HRT I have put on 15-20 lbs. Exercising but not cortisol crazy type, eating healthy but not true keto and not crazy intermittent fasting.. but still can’t drop a pound! Just curious as to reason .. still some imbalance between the hormones ? I know they keep saying HRT helps lose weight but not for everyone. Thank you for all you both do for women’s health ❤
Finding Drs who will partner with you is NOT easy. I am very good at navigating medicine and getting someone to help with HRT is a pain, thank goodness for Online care and for having money to throw at solving the problem
Thank you both so much for this episode and especially for the focus on progesterone, the unsung hero! Ever since I started on HRT I've been thinking that progesterone does so much more than just protect the endometrial lining. The sleep effect alone is so profound, but I have had to really dig to find information about it so this is extremely helpful.
The comment about perimenopausal women not really needing estrogen yet was odd to me. I've been using the estradiol gel for 2 months now, and I feel so much better! More energy, no migraines, less joint and muscle aches! There are some days that it feels like too high a dose, and others too low, but most days it feels really good. I'm going to ask about trying Evamist at my next appointment so I have more control over dosing. Also, I did try to cycle prometrium, but my anxiety and sleep were terrible on the off weeks, so I take it every day now. I'm struggling to find someone that will prescribe testosterone, but I'll keep trying.
Thanks for writing all that. I’m in peri also and finding I am starting the progesterone earlier each month than previously. I’ve decided I’m ready to add some estrogen too. Glad to know someone else is having a similar experience.
Same experience here in Germany 😢. I wanted my progesterone continually!!! Keep fighting for a testosterone prescription for 10 months now ( I was told my blood levels were normal but I had to find out that they did not Test my free Testosteron which is very low...) Most doctor's here have no clue and I have to teach them 🤷🏻♀️. It's a crying shame but most people don't care, as it only affects "old women"...
I also was surprised by the estrogen part. With my estradiol patch on, I can finally think clearer, my brain has much approved. Progesterone has been amazing to sleep, no more 2am sleepless nights!
I miss taking progesterone, best sleep I’ve ever had! I was menopausal at 45, so was told I had to discontinue HRT am now 69 and really missing my hormones 😢
It is never too late to resume taking HRT. You would just need to start on a very low dose, and slowly gradually increase. Dr Louise Newson (menopause specialist in the UK) mentioned that she has a patient who, on her 90th birthday, decided that her birthday present, to herself, would be to start on HRT, and Dr Newson was happy to prescribe it for her. Also, in the USA, Dr Robert Mathis MD has successfully started women, in their 80s, on HRT. All best wishes :)
Hi Ladies Absolutely fantastic upload im from the uk and having nightmares with perimenopause hormones i even had a hysterectomy(leaving ovaries) to try to feel better IT MADE THINGS WORSE 😢my doctors wont prescribe progesterone at all now without my uterus and im not sure who to turn too xxx
This was me. In late peri, doc prescribed me estradiol patch, 100mg Prometrium, and testosterone. Two weeks into starting and I had a period. I could feel my estrogen rise and knew that if I put a patch on it would be too much. So now it’s been a few days without the patch and just doing the other 2. My question is, can one just apply the patch when you feel your estrogen drop? I can feel when I am low. Peri has its challenges for sure.
🎉🎉🎉Happy Birthday (in two days) Dr. Casperson.😂 On a serious note thank you for helping this 53yo get on the complete package of hormones especially for maintaining my hEDS pelvic floor with HRT. Actually, my Mother WAS on HRT for over 20 years after her second redone bladder sling surgery but stupid WHI made her gyn take her off 'the patch' that I always knew it as. She's now an 88yo quite healthy fully functioning and active woman, especially compared to her 10 years or so younger neighborhood friends. There was NO WAY this Gen X'r wasn't going on it.😊
Hello! Question? I just started HRT for menopause and I think I have progesterone intolerance (I take it orally at night every night ) 125 mg from a compounding pharmacy and I feel so much worse. Worse insomnia , worse hot flashes, depression and bloating Would a progesterone cream or topical be better? I need to talk to my provider but it’s the weekend and I’ve been miserable so I was thinking of stopping the progesterone until I can get this figured out. I heard you could buy the topical creams over the counter but I’m just not sure what to do. 😞
Thank you. This is very informative. My confusion in dosing myself (I’ve talked with many different drs in my area with no help) is that I’ve had an ablation so I don’t know exactly when & if I’m having a period. I’m 47 and I added DHEA & a combo prog/estr cream. Low doses.
You two are the best! So helpful. Do you have data or a study or a guideline that talks about using progesterone in menopause in women without a uterus? My profession requires that for me to prescribe. What about use of the progesterone SR in peri or post menopause. I use it myself in perimenopause and have found it so helpful to overcome the intolerance with the higher dose capsules. And do we know the half life of progesterone SR. I cannot find it.
Thank you thank you thank you for sharing all these infos. French subscriber here, 40 yo definitely experiencing perimenopause symptoms. Thanks to you i was able to ask my doctor in france for a treatment
Is it worth it to start Estradiol in Peri based on what she's saying? Still tweaking and figuring it out..Also been stuck on an SSRI for 25 years so i'm sure that doesn't help...On highest dose of E patch, 200 P rectally, and T cream. Feel great when i have all 3 in luteal, but follicular, feel awful. E has consistently tested at 20-30 on day 19 for the past year..
I have never asked this before but here I go. I feel very strongly about being proactive to prevent lung cancer because my mom passed at 55 and her mom passed at 55…both from lung cancer. One smoker, one not. Two of my moms brothers also had lung cancer. When you say HRT is protective against cancers, does lung fall into that?
I just had my mireena removed as it was misplaced i had to have operation to remove it! I was topping up on micronised progesterone vaginally as my coil was misplaced, i only can take it like this as ive got an progesterone intolerance as ive aways suffered from pms and heavy periods and some form of emdermetriosis 😢😢after my coil removal noone told me about the mireena CRASH! I stared to get my pms and perimenopause and heavey cramping debilitating symptoms all came flooding back😢 My gynecologist didnt mention this to me! My dr gave me strong pain killers for heavy bleeding and cramping 😫 she told me to take micronised progesterone orally! I was afraid 😮 as i got less side effects taking it vaginally! I waited till my bleeding was lighter, it calmed down 4 days and im getting cramping again snd my pms is crippling 😢 Im lost not knowing what to do😮 All my symptoms have come back after the removal of the mireena! Feel my progesterone not working😮
Thank you for being detailed about perimenopause because there are few. This is the only video ive found with details of perimenopause variation and treatment options and the physiology.
Is it possible that starting testosterone in perimenopause is enough? Testosterone can aromatize into estrogen and progesterone, right? I started progesterone about a year ago and recently began a low dose testosterone cream. Now I'm having some high progesterone side effects, and I think I need to lower my dose. 38F on 200mg nightly. Symptoms are primarily fluid retention, quite severe, to where I can't move my fingers in the morning, sore breats, and my feet feel like bricks. It just occurred to me maybe I need to lower progesterone now.
Hello ma'am hope you are doing well. Ma'am I had UTI during 5th month of pregnancy, and I had post delivery urinary retention I am on catheder for 3 weeks.I delivered on 1st june 2024. In urine bag i had blood and puss cells visible. Was on antibiotics high dose for 3 weeks. I clamp urine bag and assess for improvement but can pass only few drops of urine.I am in great trouble my gynaecologist doesn't took that seriously and refered to urologist I am worried about my new born who will take care of him as my dependency is increasing day by day.Ma'am please help
My granddaughter is on birth control because periods are so heavy and she's also on the spectrum and is autistic. Do you have any discussions on these subjects? Thanks
I love testosterone, but I can’t sleep on it. I was only taking 0.25 mg lozenges a day. Is there a way to sleep while taking it? Maybe more progesterone? Also, I don’t want to lose my hair from taking it.
Is there a such thing as too Much progesterone. I have a 5yr old IUD on estradiol patch and the Dr put me on 200 mg of progesterone but I always feel kind of crampy
What about Provera as the progestogen for HRT? I am prescribed cyclic estrogen gel+ Provera. I am in perimenopause, still having cycles. Is this form really so high risk, or was this also a misconception of the WHI? thinking about switching to gel+Mirena coil or gel+Utrogestan pills. But I really have to fight with my doctor, he didn’t want to prescribe any HRT at all, I think I just annoyed him so he prescribed it so I go away… if Provera is really high risk, woudn’t they have discontinued it by now?
I thought from what I’ve read and watched DHEA had lots of positive effects, especially topically in the vagina. Didn’t Kelly have a recent guest expert who said as much?
Progesterone changed my life. Unfortunately, no doctor wanted to prescribe it and I had to doctor hop and become a pill seeker to finally get a prescription! I pay $450 for a 3 month supply in Canada. Not cheap here, but damn worth it.
@@Katepwe No, not compounded. Just generic progesterone, 300mg daily, from Shoppers Drug Mart. Where are you located? I am in the Okanagan, BC. I heard that in Quebec, it is free.
@@kellycaspersonmd what's the BEST science or support to give our gyn for prescribing testosterone? Been on HRT 6 wks (thru Midi) and amazing but now I want testosterone and need to be prepared to advocate for my upcoming gyn appt. I'm 59 post menopause for about 3 years.
If I could turn back time when I called my PCP 15 years ago and told him I couldn’t cope that instead of putting me on an anti depressant but Put me on HRT. I didn’t know and I trusted my doctor. It was Peri-menopause now it all makes sense. Great video/podcast. You ladies are forever changing lives !! ❤Thank you
Oh so the same for me!
Thank you!
My sister just had her first baby and I could not help but be envious of the extremely great care she received from the healthcare system during her pregnancy, birth, and post-birth compared to the care I have not received for the 6 years of horrendous perimenopause I have endured, from the same system.
I concur with your comment! I do feel part of the lost generation. Glad to know I’m not alone
What an amazing podcast full of perimenopause education! So relatable to me as a 50yr old in perimenopause who has had to basically research on my own to figure out what
HRT would benefit me. My OB/GYN has been very helpful but she doesn't have the breadth of knowledge to fully support my specific situation. Thanks, ladies, for all your efforts to educate and support us!
So glad you like it and found my channel!
Thank you SO much for this video!!! I am 46yo in perimenopause still having periods albeit not consistently (every 6-8 weeks). My naturopath looked at my blood test, which says I am in estrogen dominance 29 times estrogen-progesterone. My doctor prescribed to me estradiol gel & progesterone 10mg each for hot flashes, brain fog, EXTREME fatigue... but after 2 weeks my breasts got so sore and I hated that. So after tonnes of my own research I decided JUST to do progesterone 10mg per night and no more hot sweats or sore breasts. I asked for testerone for the extreme fatigue and brain fog out but my doctor refuses to prescribe it. My diet - getting enough protein and even adding creatine, exercise, sleep, low stress meditation routine, adrenals, iron and thyroid are all good but I am still so exhausted. (I have an alarm on my phone at 8pm each night to start my bedtime routine! I will keep working on my doc to prescribe testosterone here in Canada... I feel like it is worth a try for the extreme fatigue?
If I could only turn the clock back 15 years and had never had a doctor who believed the WHI! Any advice for us post menopausal ladies? Is topical progesterone beneficial? Any hormonal help at all? Please consider a podcast for us forgotten girls.
Boomers aren't forgotten! Check out my podcast episode "the boomers should be pissed" - it is an old one - I don't think it is on UA-cam, maybe just the regular podcast.
Please try and get Felice Gersh. She talks about cyclical HRT. Creating a similar body cycle to the one you had before menopause (bringing on an actual bleed every month). Keeping the estrogen receptors functioning at optimal level. She is a very knowledgeable woman.
Gen X here. I am educating all of my friends and my younger sisters about HRT and that the fact that we do not have to suffer. Am I talking about vaginal dryness during happy hour? Yes I am!!
THANK YOU!!!!
25:48 pro-tip about getting IUD's placed at a low cost via Planned Parenthood. Thanks for that!!
These pods are such a life saver when peri are making you feel hopeless!
Would be amazing to see you tackle HRT for AFABs with PMDD, especially since there seems to be a link to early onset menopause.
This was unbelievably good. Thank you so much ladies you are helping me a ton. I’m about to be a brand new provider, but I love geeking out on all of this and I am hoping I’m ahead of the game because of all the content that you provide.
I am so very grateful for the D.O. I went to see for back pain that asked me why I was on an anti-depressant. I told her it was for PMS! She told me she was going to test my progesterone and came back and said you are taking an antidepressant for a progesterone deficiency. I can get you off of it and she did! I was barely 40 at the time. It changed my life! I wasn’t yelling at my kids anymore! It was the sustained release compounded version. That was well over 15 years ago! And I do not have a uterus btw! I have no intention of stopping it. I’m on all three hormones now but natural progesterone has always been my BOO!
So glad you found help!
You are one of the fortunate few ❤. 3 of my docs pushed antidepressants. I finally found Dr. Shawn Tassone on UA-cam. He's in Texas but licensed in about 30 states
@@shelleykapp9637what a coincidence. I just spoke to Dr. Tassone’s office last week. They put an order in for my labs and the. I can make an appt.
So you like him ok? I live in Texas about 3 hours from where he is.
I was also prescribed an antidepressant for severe PMS! It did get rid of my PMS and back pain…
However, looking back, I wonder if other things were going on.
I chose to have an abortion. It was not a casual decision, but it was definitely the right one.
Afterward, I had intense uncontrollable crying that
felt “beyond” my emotions.
I finally took zoloft and it stopped.
I've always wondered if the intense crying was hormonal.
I just listened to this episode and can’t thank you enough! Your talk on progesterone has been so eye opening!
I’m 41, in perimenopause and had a hysterectomy at 39 with one ovary left. I’m still experiencing many perimenopause symptoms and feeling crazy despite being on an estrogen patch and on topical testosterone. My menopause specialist doctor insisted that progesterone does not serve any purpose for someone like me because I no longer have a uterus, yet every month and a half or so I would start feeling crazy, my breasts would get painful, terrible sleep, etc. the loop cycle sucks! I’m experiencing one of these spells now and I can’t get in to see my gynecologist until mid October! Your talk gave me hope that I’m not being unreasonable and I’m gonna keep pushing to get answers.
Thank you so much!
Thanks for loving my stuff!
I’m in a similar boat (hysterectomy in mid 30’s, one ovary). I’m just starting MHT, but I’m not going to take progesterone for now. Your experience makes me wonder if I should. I just know that I’ve always gotten extremely low and depressive emotions during my luteal phase when progesterone was higher. Thought I’d see if I can manage my symptoms with estrogen and testosterone for now. The process of advocating for ourselves is arduous….but don’t lose hope. I hope you get relief soon!
I totally agree! I’m a Chinese Medicine practitioner. There is a saying that the superior doctor treats the disease before it manifests.
Western medicine is great and basically it’s great at preventing you to die. Chinese medicine promote health.
Thank you both for the great talk. You guys are brilliant!! I love the manifest and how you met!
Thank you! Enlightening information from amazing doctors ❤
I started with 100mg progesterone from pharmacy and I felt so crabby, tired and exhausted 😴 I asked to try lower 50mg SR progesterone from compound. Total game changer! The benefits help sleep but mood next day too!!!Keep trying as everyone is different 👍
Great conversation.. my one question …..is being 48 and I am on estrogen patch, progesterone and testosterone and feel so so so so much better …BUT I would say in the time since starting HRT I have put on 15-20 lbs. Exercising but not cortisol crazy type, eating healthy but not true keto and not crazy intermittent fasting.. but still can’t drop a pound!
Just curious as to reason .. still some imbalance between the hormones ? I know they keep saying HRT helps lose weight but not for everyone.
Thank you for all you both do for women’s health ❤
This was one of the most helpful videos I’ve ever watched!
Finding Drs who will partner with you is NOT easy. I am very good at navigating medicine and getting someone to help with HRT is a pain, thank goodness for Online care and for having money to throw at solving the problem
It’s so unfortunate that we have to pay for insurance AND pay extra just to get our hormones. It’s infuriating.
Agreed!
Thank you both so much for this episode and especially for the focus on progesterone, the unsung hero! Ever since I started on HRT I've been thinking that progesterone does so much more than just protect the endometrial lining. The sleep effect alone is so profound, but I have had to really dig to find information about it so this is extremely helpful.
what is the alternative to intrarosa too expensive
The comment about perimenopausal women not really needing estrogen yet was odd to me. I've been using the estradiol gel for 2 months now, and I feel so much better! More energy, no migraines, less joint and muscle aches! There are some days that it feels like too high a dose, and others too low, but most days it feels really good. I'm going to ask about trying Evamist at my next appointment so I have more control over dosing. Also, I did try to cycle prometrium, but my anxiety and sleep were terrible on the off weeks, so I take it every day now. I'm struggling to find someone that will prescribe testosterone, but I'll keep trying.
Thanks for writing all that. I’m in peri also and finding I am starting the progesterone earlier each month than previously. I’ve decided I’m ready to add some estrogen too. Glad to know someone else is having a similar experience.
Same experience here in Germany 😢. I wanted my progesterone continually!!! Keep fighting for a testosterone prescription for 10 months now ( I was told my blood levels were normal but I had to find out that they did not Test my free Testosteron which is very low...) Most doctor's here have no clue and I have to teach them 🤷🏻♀️. It's a crying shame but most people don't care, as it only affects "old women"...
I also was surprised by the estrogen part. With my estradiol patch on, I can finally think clearer, my brain has much approved. Progesterone has been amazing to sleep, no more 2am sleepless nights!
Great episode, so informative. Thank you!
Great talk. Spot on.
So glad you like it!
I miss taking progesterone, best sleep I’ve ever had! I was menopausal at 45, so was told I had to discontinue HRT am now 69 and really missing my hormones 😢
Sorry to hear that. Many people go back on once they realize it is safe.
It is never too late to resume taking HRT. You would just need to start on a very low dose, and slowly gradually increase. Dr Louise Newson (menopause specialist in the UK) mentioned that she has a patient who, on her 90th birthday, decided that her birthday present, to herself, would be to start on HRT, and Dr Newson was happy to prescribe it for her. Also, in the USA, Dr Robert Mathis MD has successfully started women, in their 80s, on HRT. All best wishes :)
Hi Ladies
Absolutely fantastic upload im from the uk and having nightmares with perimenopause hormones i even had a hysterectomy(leaving ovaries) to try to feel better IT MADE THINGS WORSE 😢my doctors wont prescribe progesterone at all now without my uterus and im not sure who to turn too xxx
This was me. In late peri, doc prescribed me estradiol patch, 100mg Prometrium, and testosterone. Two weeks into starting and I had a period. I could feel my estrogen rise and knew that if I put a patch on it would be too much. So now it’s been a few days without the patch and just doing the other 2. My question is, can one just apply the patch when you feel your estrogen drop? I can feel when I am low. Peri has its challenges for sure.
T converts to E. You may be overdoing it with adding the patch. In peri, ypu are still producing E yourself to some degree.
🎉🎉🎉Happy Birthday (in two days) Dr. Casperson.😂 On a serious note thank you for helping this 53yo get on the complete package of hormones especially for maintaining my hEDS pelvic floor with HRT. Actually, my Mother WAS on HRT for over 20 years after her second redone bladder sling surgery but stupid WHI made her gyn take her off 'the patch' that I always knew it as. She's now an 88yo quite healthy fully functioning and active woman, especially compared to her 10 years or so younger neighborhood friends. There was NO WAY this Gen X'r wasn't going on it.😊
Thank you!! and so happy for you!!
Insurance plays a big role in delayed treatment too.
Agreed
Yes, I'm waiting for insurance to approve progesterone..
What about women with progesterone intolerance. Any suggestions?
I need you both in my life.
I want to feel normal again 😢
Same 😢
Keep following me for more! We got you!
Hello! Question? I just started HRT for menopause and I think I have progesterone intolerance (I take it orally at night every night ) 125 mg from a compounding pharmacy and I feel so much worse. Worse insomnia , worse hot flashes, depression and bloating
Would a progesterone cream or topical be better? I need to talk to my provider but it’s the weekend and I’ve been miserable so I was thinking of stopping the progesterone until I can get this figured out. I heard you could buy the topical creams over the counter but I’m just not sure what to do. 😞
Thank you. This is very informative. My confusion in dosing myself (I’ve talked with many different drs in my area with no help) is that I’ve had an ablation so I don’t know exactly when & if I’m having a period. I’m 47 and I added DHEA & a combo prog/estr cream. Low doses.
Glad it was helpful!
You two are the best! So helpful. Do you have data or a study or a guideline that talks about using progesterone in menopause in women without a uterus? My profession requires that for me to prescribe. What about use of the progesterone SR in peri or post menopause. I use it myself in perimenopause and have found it so helpful to overcome the intolerance with the higher dose capsules. And do we know the half life of progesterone SR. I cannot find it.
How/who/ what kind of doctors do i search for that will do all this testing and follow through like you ladies?? Whi does dexa scans and vo2 max, etc
Thank you thank you thank you for sharing all these infos. French subscriber here, 40 yo definitely experiencing perimenopause symptoms. Thanks to you i was able to ask my doctor in france for a treatment
Thank you for finding my channel!
Can we get progesterone otc?
No
Thank you! Great conversation. How do you when you are not ovulating without testing? Asking as 42 yr old woman. Thank you
Is it worth it to start Estradiol in Peri based on what she's saying? Still tweaking and figuring it out..Also been stuck on an SSRI for 25 years so i'm sure that doesn't help...On highest dose of E patch, 200 P rectally, and T cream. Feel great when i have all 3 in luteal, but follicular, feel awful. E has consistently tested at 20-30 on day 19 for the past year..
I have never asked this before but here I go. I feel very strongly about being proactive to prevent lung cancer because my mom passed at 55 and her mom passed at 55…both from lung cancer. One smoker, one not. Two of my moms brothers also had lung cancer. When you say HRT is protective against cancers, does lung fall into that?
Reproductive cancers. Uterine, cervical, endometrial
I just had my mireena removed as it was misplaced i had to have operation to remove it!
I was topping up on micronised progesterone vaginally as my coil was misplaced, i only can take it like this as ive got an progesterone intolerance as ive aways suffered from pms and heavy periods and some form of emdermetriosis 😢😢after my coil removal noone told me about the mireena CRASH!
I stared to get my pms and perimenopause and heavey cramping debilitating symptoms all came flooding back😢
My gynecologist didnt mention this to me! My dr gave me strong pain killers for heavy bleeding and cramping 😫 she told me to take micronised progesterone orally! I was afraid 😮 as i got less side effects taking it vaginally!
I waited till my bleeding was lighter, it calmed down 4 days and im getting cramping again snd my pms is crippling 😢
Im lost not knowing what to do😮
All my symptoms have come back after the removal of the mireena!
Feel my progesterone not working😮
What if I can’t tolarate progesterone?
Thank you for being detailed about perimenopause because there are few. This is the only video ive found with details of perimenopause variation and treatment options and the physiology.
So glad you found my channel!
I’m wondering if low dose cycled progesterone would help a young woman in her early 20s with PMDD who doesn’t want to take OCPs or SSRIs. 🤔
Very complicated … if you are in menopause taking oestrogen would it be better to take progesterone every month instead of every third ?
Is it possible that starting testosterone in perimenopause is enough? Testosterone can aromatize into estrogen and progesterone, right? I started progesterone about a year ago and recently began a low dose testosterone cream. Now I'm having some high progesterone side effects, and I think I need to lower my dose. 38F on 200mg nightly. Symptoms are primarily fluid retention, quite severe, to where I can't move my fingers in the morning, sore breats, and my feet feel like bricks. It just occurred to me maybe I need to lower progesterone now.
Hello ma'am hope you are doing well.
Ma'am I had UTI during 5th month of pregnancy, and I had post delivery urinary retention I am on catheder for 3 weeks.I delivered on 1st june 2024. In urine bag i had blood and puss cells visible. Was on antibiotics high dose for 3 weeks. I clamp urine bag and assess for improvement but can pass only few drops of urine.I am in great trouble my gynaecologist doesn't took that seriously and refered to urologist I am worried about my new born who will take care of him as my dependency is increasing day by day.Ma'am please help
My granddaughter is on birth control because periods are so heavy and she's also on the spectrum and is autistic. Do you have any discussions on these subjects? Thanks
I love testosterone, but I can’t sleep on it. I was only taking 0.25 mg lozenges a day. Is there a way to sleep while taking it? Maybe more progesterone? Also, I don’t want to lose my hair from taking it.
Is there a such thing as too
Much progesterone. I have a 5yr old IUD on estradiol patch and the Dr put me on 200 mg of progesterone but I always feel kind of crampy
Yes. I'm peri and just had to lower P because I was showing symptoms of excess P.
What about Provera as the progestogen for HRT? I am prescribed cyclic estrogen gel+ Provera. I am in perimenopause, still having cycles. Is this form really so high risk, or was this also a misconception of the WHI? thinking about switching to gel+Mirena coil or gel+Utrogestan pills. But I really have to fight with my doctor, he didn’t want to prescribe any HRT at all, I think I just annoyed him so he prescribed it so I go away… if Provera is really high risk, woudn’t they have discontinued it by now?
I thought from what I’ve read and watched DHEA had lots of positive effects, especially topically in the vagina. Didn’t Kelly have a recent guest expert who said as much?
pelvic yes, systemic not so much great research. but yes to vaginal!
Can someone explain how vaginal progesterone would NOT be systemic? Makes no sense to me.
Not oral. Doesn't get absorbed.
Interesting with her training as an MD that she didn’t understand what was going on until she went thru it herself…wow
Incredibly common, doctors aren't trained
Had soooo many ads :( hard to follow
Progesterone changed my life. Unfortunately, no doctor wanted to prescribe it and I had to doctor hop and become a pill seeker to finally get a prescription! I pay $450 for a 3 month supply in Canada. Not cheap here, but damn worth it.
WHAT!! so expensive!
@@kellycaspersonmd Price just went up again. $489 now :(
That’s super expensive…..Is it compounded? I’m in Canada and one month of 100mg oral micronized costs me $27.51.
@@Katepwe No, not compounded. Just generic progesterone, 300mg daily, from Shoppers Drug Mart. Where are you located? I am in the Okanagan, BC. I heard that in Quebec, it is free.
@@jax-sx9pk is it micronized oral progesterone; is it by prescription?
I WANT TESTOSTERONE! I’m screaming it and I’m getting nowhere. 🤬
I am so sorry.
@@kellycaspersonmd what's the BEST science or support to give our gyn for prescribing testosterone? Been on HRT 6 wks (thru Midi) and amazing but now I want testosterone and need to be prepared to advocate for my upcoming gyn appt. I'm 59 post menopause for about 3 years.
Thank you for discussing options of birth control pill as perimenopause treatment, even though progestins are different from progesterone.
So glad this was helpful!
7:04 what? We know sleep is total preventative medicine!