Your work is invaluable Louise, especially because of the pushback you're getting from certain quarters. Thank you for continuing to speak out and spread this incredibly important information.
Thanks for this educational piece. I am a practitioner in Tulsa, Oklahoma. Your videos provide me with lots of reminders and other ways to educate my patients.🧡
Thank you so much for such a detailed information about the dosing ! ..and clarifying a lot of questions that women have ! Your podcasts helped me figure it out my own doses and I feel so much better now - all because of you Dr Newson🙏 you are changing the lives of many women!!!❤
Thank you Louise 💛 I'm on 125mcg Evorel patches and my GP practice did not want to prescribe over 100mcg. I had to wait for a menopause clinic to prescribe it (thankfully) and even then it was pretty much seen as dangerous. My blood levels were below 250 pmol/L on 100mcg and still symptomatic. The 125mcg is the first dose I haven't felt poorly on. Prasterone isn't available for NHS prescribing in Scotland, where I am, so hopefully that will change too. Estriol cream at the very least could be offered to all midlife women, we had no idea of what would be happening to our vulvas and bladders, no one warned us about lichen sclerosis, thinning friable skin, or painful intercourse. This needs to change ASAP, so the next generation are informed and prepared, and even better if all these things are addressed early 😊xx
Dear Dr. Newson, your videos are literally life saving. I have no access to high quality health care and my Drs are completely uneducated about hormones and how to treat womens issues. Please do a special video about how to treat PMDD, as there are thousands of women going untreated because of lack of proper care and access. Perhaps your video could help some of us (there are over 90,000 women on the pmdd Reddit thread alone!) Thankyou so much for sharing your knowledge with us 🙏🙏🙏
Thank you so much for sharing that you use more than one patch. I feel like I’m benefitting from the dose I’m on, but I now know that I can ask my Dr to let me try a higher dose. Your videos have been so encouraging to me. Thank you!
would love you to talk about the idea of cycling HRT to recreate the ebb and flow. Dr. Gersh talks about the idea that this ebb and flow recreates a rythtm which is very important for stimulating growth hormones and anti-cancer properties. What is your idea in this please
Dentists also under-aware of relationship between (dental) pain and hormones. Mine this week looked at me like I had been reading too much google when I said my unexplained tooth pain could be hormone related since I’d just changed my type of HRT and was generally feeling quite “inflammatory”.
Maybe you can mention to the dentist that when women are pregnant it’s well known they can have gum tenderness and tooth pains due to hormone changes. Therefore, it would seem logical in perimenopause, menopause when our hormones change again that it could similarly affect our gums and teeth
Check out Stacy Sims' podcast with Andrew Huberman on female specific exercise and nutrition - specifically postmenopausal. It has helped me build muscle and lose fat (I'm on all 3 hormones)
Thank you for the great information. Would you please give your thoughts on oral estrogen, because the patch and gel are not available in some countries. And also about injection form of testosterone.
Hi Louise, I thought Estradiol E2 produced from yam also called bio identical is synthetic as it is using a natural source (Yam) formulated in a lab (therefore synthesised). Same for progesterone. Please correct me if I am wrong. We are confused by the bizarre appelations.
I saw Dr Gersh’s video also. I’m 66 and just started HRT ( really wish I had informed do sooner but better late than never). I’m really confused. I really want to do what is best for healthy longevity.
I have been on continuous hormones for 8 years and am now 57. I have watched other videos from another menopause specialist saying all women should take cyclical progesterone as this better replicates the hormones in our younger years. She goes on to say this method improves overall health whilst continuous only reduces surface symptoms of menopause. Additionally, the continuous progesterone can cancel out the greater benefits of oestrogen. Doctors I see are useless with older women's health so I have no-one I trust to discuss this with (and I cannot find better doctors regardless of how hard I search). What are your thoughts on this? I don't want to take hormones the wrong way and find out 20 years down the track I have not reduced any risk to the more pressing health issues like cardiovascular disease etc. 😢 This is the video I was referring to btw: ua-cam.com/video/RZYX75Kesbk/v-deo.htmlsi=UEownXJuWwkmt2GJ This is an interview with Dr. Felice Gersh. I don't know why but it looks like the link I added won't open.
I would be interested in hearing Dr Newson’s thoughts on this as well! Progesterone supposedly “down regulating” estradiol receptors concerns me, if it’s true.
Brilliant question. I’m about to change from sequential to continuous. A menopause Dr told me conti was better. She prescribed me testosterone but in all honesty the private Dr was just okay, not brilliant considering I was paying her. She wasn’t clear at all. But really interesting point & question! 👀
I follow dr Felice Gersh. Cant find doctors in my country who will understand this idea. So I just told them what I want to prescribe and I will follow this way of taking hormons. Estrogen patch and micronized progesteron pills for 14 days. This way I can regulate estrogen by cutting or adding patch.
@@sugarfoot1956i have been on systen conti (estrogen and synthetic progesteron in patch). Change a month ago on sequi ( 4 patches with estrogen and 4 patches with estrogen and synthetic progesteron). Last week i go with the flow and ask doctor to change combined patch on only estrogen patch plus bioidentical micronized progesteron pills.
I really enjoyed this, thank you. I use Lenzetto spray and would really love to hear what you think about it ,as the only comment you made was that your practice didn't think it absorbed well. Thank you in advance if you reply.
Thankyou so much for sharing this with us it was so interesting,could you please do one where women are really intolerant to progesterone as I struggle really really badly with cyclogest now I have been told to try using half of one for the 12days and I’m terrified because my brain hates it 😢
Would love to know more about rhythmic HRT and how to adjust the dose of my bioidentical hormones on a regular, day-to-day basis, to replicate my natural hormonal cycle. I am in perimenopause but can’t get my head around why we should be taking the same dose of oestrogen throughout the entire cycle. Doesn’t seem natural. More teaching on this would be greatly appreciated.
How would we know our periods have stopped if taking cyclical HRT? Would the HRT periods mask the end of our real periods? How would we know when to go from cyclical HRT to continuous?
I would be grateful if you could talk about progesterone intolerance. I was prescribed Utrogestan 100 mg with Estraderm MX50. I was looking forward to the alleged sedative effect of Utrogestan because I have terrible sleep since menopause (I’m 59 and my menopause was age 49). Anyway, the Utrogestan caused terrible insomnia and constipation when I used it either orally or vaginally. I couldn’t sleep at all and ended up with faecal impaction. Eventually I had a Mirena IUS fitted, which is much better. So natural progesterone doesn’t work for me at all.
57 year old only started taking hrt(minus testosterone)6 months ago thinking estrogen may improve severe hair loss (diagnosed for androgenic alopecia) i also have zero libido. Will incorporating testosterone with my hrt make the AA worse being an androgenic? I really don't know what to do. My hair loss is devastating and my lack of sex drive is depressing , really don't know what to do. Would really appreciate some advice louise
@@teresadale3549 i have started HRT last year and my hairdresser noticed few cm hair growth under, after few months of hormonal therapy.Maybe your levels of hormons are too low. last year i was in Peri and had estradiol level 60 after standard patch it grow over 300.
Thank you so much for this video. As a 46 yo female in perimenopause, I am suffering from chronic fatigue, as well as some "warm" flashes and vaginal itchiness. I am still getting somewhat regular periods. Would you recommend estradiol and progesterone and testerone support, or just 1 or 2 out of the three? I am waiting to see a menopause specialist (here in Canada) but that could take a year. My GP can prescribe estradiol gel and reddy-progesterone but she said she does not feel comfortable prescribing testerone. The chronic fatigue and brain fog is making me suffer the most. I have been cleared for any other health issues (I.e. thyroid, iron, vit b, adrenals). My diet is good and I do exercise as much as possible despite always feeling exhausted. I have not been on the BC pill for many many years, I have no children and my husband had a vasectomy. I have not yet started HRT as I want to first make sure of the dose and hormone that will help me the most.
Really helpful, sad that more clinicians aren't aware of this. In my healthboard nobody is allowed more than 100mcg patch. Even POI and trans women. It's cruel.
Hi thank you for all your fab information. I'm just wondering if start taking HRT perimenopausal still having periods and it stops your bleeding how do you know when you've had your last period in the post menopausal stage? Many thanks in advance
I start hrt in Peri.I still have periods and Estrogens but lost progesteron. You first lost progesteron in Peri after estrogen in menopauzę and a year after menopause you loose testosteron. You should probably check and start from progesteron.
I went to my GP surgery last week. I'm on everol ,50 patches she said it's not enough to protect my bones. I'm 55 I started taking hrt after about 18 months after I menopaused.
Progesterone transdermal cream. VitD3 and VitK2 daily. Or progesterone pessaries.. Progesterone is the one you need for the bones predominantly. Estradiol protects the bone density.
I'm in "perimenopause hell" and was prescribed low-dose combination oral contraceptives. After 3 months, I felt a little better some of the time but still felt hormonal mood swings, worsened insomnia, bad cramps, heavy periods -same symptoms as before, possibly a little less? And my period would come even before I stopped taking the active pills. My doctor has offered me a higher dose (35 mcg) Ortho-Cyclen taken continuously, eliminating periods. There is such contradictory information. I had always heard (as you said) that skipping periods could cause the uterine lining to build up too much - now I'm hearing that the medication causes it to be so thin that it doesn't need to be expelled. (What's the withdrawal bleed from, then?) I also hear conflicting things about progesterone- that women in early-mid perimenopause are often estrogen-dominant and adding progesterone can help with symptoms as well as cause more restful sleep. Others say (as you said) progesterone is not very important and/or causes PMS. The worst of it is that doctors never seem to realize just how much they are contradicting each other. They all act like their own opinion is simply the accepted medical fact. These are the only two options I have access to - low-dose birth control or normal-dose birth control. There's no way in the world for me to get a doctor that is comfortable with HRT for perimenopause.
I feel left out. I don’t hear anyone talking about women in their sixties, past the 10 year mark, starting hormone therapy. I have osteoporosis and other symptoms that I have not had before now at 66 yrs old.
Hi there. My doctor prescribed me progesterone I sleep horribly and I’m on day 4 on progesterone. I slept a few nights of good sleep but last night was horrible. Only 2 hours of sleep. Today she prescribed estrogel. Can I take it at the same time or should I do estrogel in the morning and progesterone at night? She also wants to keep me on Premarin twice a week 0.5 for vaginal dryness. I’d love suggestions of when I should be taking everything and I did ask for something other than Premarin and she said no she wanted me to stick with it because she felt it was good for me and she had other patients on it. I do take magnesium with Vitamin D and K2 at night. As well as l theanine. I am just desperate to sleep through the night and also for the final dryness and itchy to end.
Where. Can I find the pdf please. My gp is already trying to reduce my medication.. because of my age..61 years, surely it's symptoms, not age, they should go by?
I am on Everol 100 patches and told that is the highest dose how do I get my Dr to agree to a possible higher dose as I am not sure I am absorbing enough I have started more frequent light bleeds and have had it all checked over the past year I am now thinking should it be increased as still struggling with symptoms. I have finally been prescribed testosterone so hoping to see some improvement with that. Many thanks for all you do x
I am 54 still having periods and started taking hrt in December due to join pain and poor sleep/mood. I do feel somewhat better but if I go above 1 pump of estrogen gel I get terrible breast pain. I absorb the gel well it goes from wet to dry in seconds. I've always had breast tenderness during ovulation to period and that is still the same. I am struggling with frozen shoulder pain which I know many ladies do. I would like to increase my gel but fo worry about the increase in breast tenderness.
You could be oestrogen dominant (which I am) and I also cannot go over 1 pump. When I went to 2 pumps, my oestrogen went over a thousand , so went back to 1 pump… It’s about balance for MY body…
@@tracykharp i have heard level of estradiol shouldnt be less then 80-100. Its no sense to give pumps or nr of patches cóż it can be absorbed different from person to person
Im on estrogel 2 pumps am and 2 pumps p.m Im on the utragestan peasary 200mg as i cant tolerate it orally and ive got progesterone intolerance. Im awaiting for the coil removal and its misplased ! Been waiting 18mths for the removal! Im not sure if im getting it replaced? Im in a catch 22! As i suffer from heavy periods all my life. I has bloods done they said my testosterone normal level? Do i still need to take it? I do suffer from all low symptoms of testosterone low mood no libido, brain fog , aches pains anxiety?❤
Do you know a good form of natural progesterone? I was told that yam cream is more estrogen. But that's all they seem to have here. The doctors here in my city only prescribe artificial progesterone.
Good morning. I am menopausal now and having debilitating mental health symptoms and suicidal thoughts, but I'm scared to go on HRT. Can you please help. Thanks.
Hi, maybe try watching the podcast Dr Newson did with another menopause doctor about her experience with mental health issues and how (I think I remember correctly) it was higher doses of progesterone that helped her the most with her really low times. I'm in the same boat as you with suicidal thoughts but don't want to take antidepressants - I'm going to try higher doses of HRT now to see if it helps.
I went to my doctor's last week I'm on the everol 50 patch I hadn't seen this GP in my doctor's surgery before she told me that I'm not on enough to protect my bones I don't know if this is true. I also asked if I could have a blood test to find out how much oestrogen Im absorbing and got told no
You'll find it useful to watch the videos by Dr Doug Lucas, who focuses on bone health, and has excellent info. He will say that you are best getting a REMs test (like a DEXA, but ultrasound) and repeat the test every couple of years. If you measure hormone levels in blood, that won't give you any meaningful data in terms of your bone health. HRT is only one part of bone health, but it can be important.
6 months in and my current blood test show my hormones are "within range" for a menopausal women....which actually show I'm still chronically deficient....the doctors are keeping us in these low ranges which is wasting time, product and money! Arrrhhhh.... I'm soooo frustrated!!!
My oestrodial reading has come back eithin the nhs guidelines normal range of 0.6 nmol/L however my gnae did say this was low....are you able yo tell me what a good reading should be please in nmol/L.....the readings all seem to be in different units online and even you are saying your reading was over 100 so im a but confused if mines 0.6 thankyou
Ive tried all SSRI's. Nothing shifts the axiety snd overwhelm. Only diazapam helpa bit obviously with negatives. Currently titrating on Elvanse for ADHD. I also take Evorel 50, 14 on 14 off micronised progesterone. Plus Testosterone cyprionate. HRT is only thing ehich had helped. Wobderong of ADHD mefs dail then jext step migjtvhe to increase HRT? Always wobser sbout half dose 1-14 full dose 15-28 of progesterone. Pluse increase to 75 or 100 evorel.
You need to start of on Progesterone transdermal cream. The systemic/oral/micronised progesterone is hard to take and your liver processes it. You also can't half the dose. Estradiol for your vagina localised. It stays in that area. You need to be on good quality supplements too.
@@jessicahitchens6926I disagree…..progesterone should be micronized oral. It’s estradiol that shouldn’t be taken orally because it gets used up in the liver.
When one has hair loss for years and then hear that testosterone can increase it and feel it has, it feels I'm muddling along on the HRT. Also Gynae Dr sounds panicky when i said about spotting etc and refers me to read a certain website, presume its an nhs one, i cant feel confident at 65 that i am doing the right thing. Feel I'm juggling all the time.
I get that its no longer made from horses urine, but How is “Estradiol” now “natural” when it’s still made in a lab instead of being produced naturally by a woman’s body? If anyone can answer this, I’d greatly appreciate it. Thx in advance!
@kteam4u your welcome. Premarin was a chemically altered form of estrogen that the body doesn't recognize, hence the side effects. They alter natural substances so they can patent them, and make money. You cannot patent a naturally occurring substance.
I wonder was this video about dosing put out due to the possible foreknowledge of the panorama episode that aired last night (sep 30th) ? The episode was menopause related and focused around ladies and hrt dosage issues, some who had allegedly been seen at newson health .....i must say I've now lost confidence in Dr louise. She needs to address this 'head on'. !
Your work is invaluable Louise, especially because of the pushback you're getting from certain quarters. Thank you for continuing to speak out and spread this incredibly important information.
Thanks for this educational piece. I am a practitioner in Tulsa, Oklahoma. Your videos provide me with lots of reminders and other ways to educate my patients.🧡
Thank you so much for such a detailed information about the dosing ! ..and clarifying a lot of questions that women have ! Your podcasts helped me figure it out my own doses and I feel so much better now - all because of you Dr Newson🙏 you are changing the lives of many women!!!❤
Thank you Louise 💛
I'm on 125mcg Evorel patches and my GP practice did not want to prescribe over 100mcg. I had to wait for a menopause clinic to prescribe it (thankfully) and even then it was pretty much seen as dangerous. My blood levels were below 250 pmol/L on 100mcg and still symptomatic. The 125mcg is the first dose I haven't felt poorly on.
Prasterone isn't available for NHS prescribing in Scotland, where I am, so hopefully that will change too.
Estriol cream at the very least could be offered to all midlife women, we had no idea of what would be happening to our vulvas and bladders, no one warned us about lichen sclerosis, thinning friable skin, or painful intercourse. This needs to change ASAP, so the next generation are informed and prepared, and even better if all these things are addressed early 😊xx
Can you get the topical? We can buy it OTC in the US. Someone could ship to you if it isn't available there, better than nothing maybe?
Dear Dr. Newson, your videos are literally life saving. I have no access to high quality health care and my Drs are completely uneducated about hormones and how to treat womens issues. Please do a special video about how to treat PMDD, as there are thousands of women going untreated because of lack of proper care and access. Perhaps your video could help some of us (there are over 90,000 women on the pmdd Reddit thread alone!) Thankyou so much for sharing your knowledge with us 🙏🙏🙏
Thank you so much for sharing that you use more than one patch. I feel like I’m benefitting from the dose I’m on, but I now know that I can ask my Dr to let me try a higher dose. Your videos have been so encouraging to me. Thank you!
I am so grateful for your work and for your willingness to share this information.
would love you to talk about the idea of cycling HRT to recreate the ebb and flow. Dr. Gersh talks about the idea that this ebb and flow recreates a rythtm which is very important for stimulating growth hormones and anti-cancer properties. What is your idea in this please
Dentists also under-aware of relationship between (dental) pain and hormones. Mine this week looked at me like I had been reading too much google when I said my unexplained tooth pain could be hormone related since I’d just changed my type of HRT and was generally feeling quite “inflammatory”.
Maybe you can mention to the dentist that when women are pregnant it’s well known they can have gum tenderness and tooth pains due to hormone changes. Therefore, it would seem logical in perimenopause, menopause when our hormones change again that it could similarly affect our gums and teeth
Thank you Dr. Newson. 🇧🇪
Thank you so much for sharing your knowledge, love from Australia ❤️
I love listening to you Louise. I have a question, if weight cannot budge, is it because the dose is low?
Check out Stacy Sims' podcast with Andrew Huberman on female specific exercise and nutrition - specifically postmenopausal. It has helped me build muscle and lose fat (I'm on all 3 hormones)
It was so helpful! Thank you!
Thank you for the great information. Would you please give your thoughts on oral estrogen, because the patch and gel are not available in some countries. And also about injection form of testosterone.
Hi Louise, I thought Estradiol E2 produced from yam also called bio identical is synthetic as it is using a natural source (Yam) formulated in a lab (therefore synthesised).
Same for progesterone.
Please correct me if I am wrong.
We are confused by the bizarre appelations.
I saw Dr Gersh’s video also. I’m 66 and just started HRT ( really wish I had informed do sooner but better late than never). I’m really confused. I really want to do what is best for healthy longevity.
I’m 62 and recently started as well, I’m so confused on dosage. I’m on 0.5mg Estradiol patch and 200 mg Progesterone. Having breakthrough bleeding.
Please talk about Duavee as an option. Pros and cons and when would be beneficial. Thank you.
I have been on continuous hormones for 8 years and am now 57. I have watched other videos from another menopause specialist saying all women should take cyclical progesterone as this better replicates the hormones in our younger years. She goes on to say this method improves overall health whilst continuous only reduces surface symptoms of menopause. Additionally, the continuous progesterone can cancel out the greater benefits of oestrogen. Doctors I see are useless with older women's health so I have no-one I trust to discuss this with (and I cannot find better doctors regardless of how hard I search). What are your thoughts on this? I don't want to take hormones the wrong way and find out 20 years down the track I have not reduced any risk to the more pressing health issues like cardiovascular disease etc. 😢
This is the video I was referring to btw:
ua-cam.com/video/RZYX75Kesbk/v-deo.htmlsi=UEownXJuWwkmt2GJ
This is an interview with Dr. Felice Gersh. I don't know why but it looks like the link I added won't open.
I would be interested in hearing Dr Newson’s thoughts on this as well! Progesterone supposedly “down regulating” estradiol receptors concerns me, if it’s true.
@@cm1906 yes...exactly.
Brilliant question. I’m about to change from sequential to continuous. A menopause Dr told me conti was better. She prescribed me testosterone but in all honesty the private Dr was just okay, not brilliant considering I was paying her. She wasn’t clear at all. But really interesting point & question! 👀
I follow dr Felice Gersh. Cant find doctors in my country who will understand this idea. So I just told them what I want to prescribe and I will follow this way of taking hormons. Estrogen patch and micronized progesteron pills for 14 days. This way I can regulate estrogen by cutting or adding patch.
@@sugarfoot1956i have been on systen conti (estrogen and synthetic progesteron in patch). Change a month ago on sequi ( 4 patches with estrogen and 4 patches with estrogen and synthetic progesteron). Last week i go with the flow and ask doctor to change combined patch on only estrogen patch plus bioidentical micronized progesteron pills.
I really enjoyed this, thank you. I use Lenzetto spray and would really love to hear what you think about it ,as the only comment you made was that your practice didn't think it absorbed well. Thank you in advance if you reply.
Thankyou so much for sharing this with us it was so interesting,could you please do one where women are really intolerant to progesterone as I struggle really really badly with cyclogest now I have been told to try using half of one for the 12days and I’m terrified because my brain hates it 😢
Would love to know more about rhythmic HRT and how to adjust the dose of my bioidentical hormones on a regular, day-to-day basis, to replicate my natural hormonal cycle. I am in perimenopause but can’t get my head around why we should be taking the same dose of oestrogen throughout the entire cycle. Doesn’t seem natural. More teaching on this would be greatly appreciated.
How would we know our periods have stopped if taking cyclical HRT? Would the HRT periods mask the end of our real periods? How would we know when to go from cyclical HRT to continuous?
I would be grateful if you could talk about progesterone intolerance. I was prescribed Utrogestan 100 mg with Estraderm MX50. I was looking forward to the alleged sedative effect of Utrogestan because I have terrible sleep since menopause (I’m 59 and my menopause was age 49).
Anyway, the Utrogestan caused terrible insomnia and constipation when I used it either orally or vaginally. I couldn’t sleep at all and ended up with faecal impaction. Eventually I had a Mirena IUS fitted, which is much better. So natural progesterone doesn’t work for me at all.
Hi. Louise has already covered this in a video called Progesterone Intolerance. On this channel. Have a look for it.
Thankyou so much very informative ❤
57 year old only started taking hrt(minus testosterone)6 months ago thinking estrogen may improve severe hair loss (diagnosed for androgenic alopecia) i also have zero libido. Will incorporating testosterone with my hrt make the AA worse being an androgenic? I really don't know what to do. My hair loss is devastating and my lack of sex drive is depressing , really don't know what to do. Would really appreciate some advice louise
@@teresadale3549 i have started HRT last year and my hairdresser noticed few cm hair growth under, after few months of hormonal therapy.Maybe your levels of hormons are too low. last year i was in Peri and had estradiol level 60 after standard patch it grow over 300.
Thank you so much for this video. As a 46 yo female in perimenopause, I am suffering from chronic fatigue, as well as some "warm" flashes and vaginal itchiness. I am still getting somewhat regular periods. Would you recommend estradiol and progesterone and testerone support, or just 1 or 2 out of the three? I am waiting to see a menopause specialist (here in Canada) but that could take a year. My GP can prescribe estradiol gel and reddy-progesterone but she said she does not feel comfortable prescribing testerone. The chronic fatigue and brain fog is making me suffer the most. I have been cleared for any other health issues (I.e. thyroid, iron, vit b, adrenals). My diet is good and I do exercise as much as possible despite always feeling exhausted. I have not been on the BC pill for many many years, I have no children and my husband had a vasectomy. I have not yet started HRT as I want to first make sure of the dose and hormone that will help me the most.
Really helpful, sad that more clinicians aren't aware of this. In my healthboard nobody is allowed more than 100mcg patch. Even POI and trans women. It's cruel.
Hi thank you for all your fab information. I'm just wondering if start taking HRT perimenopausal still having periods and it stops your bleeding how do you know when you've had your last period in the post menopausal stage? Many thanks in advance
I start hrt in Peri.I still have periods and Estrogens but lost progesteron. You first lost progesteron in Peri after estrogen in menopauzę and a year after menopause you loose testosteron. You should probably check and start from progesteron.
I went to my GP surgery last week. I'm on everol ,50 patches she said it's not enough to protect my bones. I'm 55 I started taking hrt after about 18 months after I menopaused.
Progesterone transdermal cream. VitD3 and VitK2 daily. Or progesterone pessaries.. Progesterone is the one you need for the bones predominantly. Estradiol protects the bone density.
Menopause Taylor here in the US states that 0.5 is bone protective.
I'm in "perimenopause hell" and was prescribed low-dose combination oral contraceptives. After 3 months, I felt a little better some of the time but still felt hormonal mood swings, worsened insomnia, bad cramps, heavy periods -same symptoms as before, possibly a little less? And my period would come even before I stopped taking the active pills. My doctor has offered me a higher dose (35 mcg) Ortho-Cyclen taken continuously, eliminating periods. There is such contradictory information. I had always heard (as you said) that skipping periods could cause the uterine lining to build up too much - now I'm hearing that the medication causes it to be so thin that it doesn't need to be expelled. (What's the withdrawal bleed from, then?) I also hear conflicting things about progesterone- that women in early-mid perimenopause are often estrogen-dominant and adding progesterone can help with symptoms as well as cause more restful sleep. Others say (as you said) progesterone is not very important and/or causes PMS. The worst of it is that doctors never seem to realize just how much they are contradicting each other. They all act like their own opinion is simply the accepted medical fact. These are the only two options I have access to - low-dose birth control or normal-dose birth control. There's no way in the world for me to get a doctor that is comfortable with HRT for perimenopause.
I feel left out.
I don’t hear anyone talking about women in their sixties, past the 10 year mark, starting hormone therapy. I have osteoporosis and other symptoms that I have not had before now at 66 yrs old.
There are people talking about hrt in your age range. Just put in a few different variations of keywords. I know for a fact Dr. Gersh has a couple.
Dr. Tassone on UA-cam is helping me with hrt, and I'm 67.
Thank you for thinking of me. I will give it a try.
Hi there. My doctor prescribed me progesterone I sleep horribly and I’m on day 4 on progesterone. I slept a few nights of good sleep but last night was horrible. Only 2 hours of sleep. Today she prescribed estrogel. Can I take it at the same time or should I do estrogel in the morning and progesterone at night? She also wants to keep me on Premarin twice a week 0.5 for vaginal dryness. I’d love suggestions of when I should be taking everything and I did ask for something other than Premarin and she said no she wanted me to stick with it because she felt it was good for me and she had other patients on it. I do take magnesium with Vitamin D and K2 at night. As well as l theanine. I am just desperate to sleep through the night and also for the final dryness and itchy to end.
Thank you Dr. Louise, to clarify, can I apply my estradiol patch to other areas such as my arms?
Where. Can I find the pdf please. My gp is already trying to reduce my medication.. because of my age..61 years, surely it's symptoms, not age, they should go by?
I am on Everol 100 patches and told that is the highest dose how do I get my Dr to agree to a possible higher dose as I am not sure I am absorbing enough I have started more frequent light bleeds and have had it all checked over the past year I am now thinking should it be increased as still struggling with symptoms. I have finally been prescribed testosterone so hoping to see some improvement with that.
Many thanks for all you do x
I am 54 still having periods and started taking hrt in December due to join pain and poor sleep/mood. I do feel somewhat better but if I go above 1 pump of estrogen gel I get terrible breast pain. I absorb the gel well it goes from wet to dry in seconds. I've always had breast tenderness during ovulation to period and that is still the same. I am struggling with frozen shoulder pain which I know many ladies do. I would like to increase my gel but fo worry about the increase in breast tenderness.
Usually it’s temporary and goes away once you get used to the new dose.
You could be oestrogen dominant (which I am) and I also cannot go over 1 pump. When I went to 2 pumps, my oestrogen went over a thousand , so went back to 1 pump…
It’s about balance for MY body…
I am never told optimal dosing for improving osteoporosis
Apparently a bone sparing dose of oestrogel for example, is 2 pumps. I've always thought it pointless to take a lower than protective dose.
@@essanjay8604 What Amt of estrogen is in two pumps? I use a patch.
@@tracykharp i have heard level of estradiol shouldnt be less then 80-100. Its no sense to give pumps or nr of patches cóż it can be absorbed different from person to person
is excessive sweating during day time also menopause symptom? i have no more hot flashes but still have excessive sweating during day time after hrt
Is Prasterone natural like estradiol and progesterone?
Im on estrogel 2 pumps am and 2 pumps p.m
Im on the utragestan peasary 200mg as i cant tolerate it orally and ive got progesterone intolerance.
Im awaiting for the coil removal and its misplased ! Been waiting 18mths for the removal!
Im not sure if im getting it replaced?
Im in a catch 22!
As i suffer from heavy periods all my life.
I has bloods done they said my testosterone normal level?
Do i still need to take it?
I do suffer from all low symptoms of testosterone low mood no libido, brain fog , aches pains anxiety?❤
OMG…..I’m 61 and I should have had hormone treatment when I was menstruating. PMS for me was awful as is menopause.
You can still benefit from hormone treatment ...
Do you know a good form of natural progesterone? I was told that yam cream is more estrogen. But that's all they seem to have here. The doctors here in my city only prescribe artificial progesterone.
I agree with the wording it makes it so confusing !
Good morning. I am menopausal now and having debilitating mental health symptoms and suicidal thoughts, but I'm scared to go on HRT. Can you please help. Thanks.
Hi, maybe try watching the podcast Dr Newson did with another menopause doctor about her experience with mental health issues and how (I think I remember correctly) it was higher doses of progesterone that helped her the most with her really low times.
I'm in the same boat as you with suicidal thoughts but don't want to take antidepressants - I'm going to try higher doses of HRT now to see if it helps.
@@mahroofbegum1172 I ve had similar problems in Peri when my progesteron dropped.I ve started HRT and everything comes to norm fast.
What is the type of measurement on the graph? What is the reference?
Progesterone comes from Cholesterol. Testosterone comes from Progesterone and Estrogen comes from Testosterone.
Huh?
Ans first thing you loose in Peri is progesteron.
@@jessicahitchens6926 huh?
I went to my doctor's last week I'm on the everol 50 patch I hadn't seen this GP in my doctor's surgery before she told me that I'm not on enough to protect my bones I don't know if this is true. I also asked if I could have a blood test to find out how much oestrogen Im absorbing and got told no
Get it done privately - if you’re in Uk, Superdrug does hormone testing (oestrogen etc)
You'll find it useful to watch the videos by Dr Doug Lucas, who focuses on bone health, and has excellent info. He will say that you are best getting a REMs test (like a DEXA, but ultrasound) and repeat the test every couple of years. If you measure hormone levels in blood, that won't give you any meaningful data in terms of your bone health. HRT is only one part of bone health, but it can be important.
6 months in and my current blood test show my hormones are "within range" for a menopausal women....which actually show I'm still chronically deficient....the doctors are keeping us in these low ranges which is wasting time, product and money! Arrrhhhh.... I'm soooo frustrated!!!
My oestrodial reading has come back eithin the nhs guidelines normal range of 0.6 nmol/L however my gnae did say this was low....are you able yo tell me what a good reading should be please in nmol/L.....the readings all seem to be in different units online and even you are saying your reading was over 100 so im a but confused if mines 0.6 thankyou
Ive tried all SSRI's. Nothing shifts the axiety snd overwhelm. Only diazapam helpa bit obviously with negatives. Currently titrating on Elvanse for ADHD.
I also take Evorel 50, 14 on 14 off micronised progesterone. Plus Testosterone cyprionate. HRT is only thing ehich had helped. Wobderong of ADHD mefs dail then jext step migjtvhe to increase HRT? Always wobser sbout half dose 1-14 full dose 15-28 of progesterone. Pluse increase to 75 or 100 evorel.
How do stop my testosterone conversion to estradiol?
Is there a contraindication to taking estrogen and BP being slightly higher? 130/84??
I have had BP come down after starting HRT this year and have read other women comment the same
Please could you do a podcast for issues related to starting HRT after 70.
You need to start of on Progesterone transdermal cream. The systemic/oral/micronised progesterone is hard to take and your liver processes it. You also can't half the dose. Estradiol for your vagina localised. It stays in that area. You need to be on good quality supplements too.
@@jessicahitchens6926I disagree…..progesterone should be micronized oral. It’s estradiol that shouldn’t be taken orally because it gets used up in the liver.
I had my testosterone tested and they said that it was normal for my age, 59. Does that mean that it was low?
Likely, because ‘normal’ for a 59 year old is probably low.
I'm 55 ,they said the same to me, saying its within normal range 😮
But I'm having all the symptoms of low testosterone 😢
@@janemasini356 Yes me too, they said that they could only prescribe it for low libido but not for other reasons.
When one has hair loss for years and then hear that testosterone can increase it and feel it has, it feels I'm muddling along on the HRT. Also Gynae Dr sounds panicky when i said about spotting etc and refers me to read a certain website, presume its an nhs one, i cant feel confident at 65 that i am doing the right thing. Feel I'm juggling all the time.
I get that its no longer made from horses urine, but How is “Estradiol” now “natural” when it’s still made in a lab instead of being produced naturally by a woman’s body? If anyone can answer this, I’d greatly appreciate it. Thx in advance!
It's not "natural", it's body identical which means the chemical make-up matches exactly when compared to estrogen produced in the body.
@ thanks so much for explaining!
@kteam4u your welcome. Premarin was a chemically altered form of estrogen that the body doesn't recognize, hence the side effects. They alter natural substances so they can patent them, and make money. You cannot patent a naturally occurring substance.
I cannot tolerate any for of Progesterone.
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I wonder was this video about dosing put out due to the possible foreknowledge of the panorama episode that aired last night (sep 30th) ?
The episode was menopause related and focused around ladies and hrt dosage issues, some who had allegedly been seen at newson health .....i must say I've now lost confidence in Dr louise.
She needs to address this 'head on'. !
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