Estrogen deficiency at menopause causes heart disease, Alzheimer's, and osteoporosis. It's not just about the symptoms of menopause, but the diseases caused by menopause that is at issue. Consider HRT.
@@kristieellis6455 I know, right. My recommendation is not Take HRT. My recommendation is to Consider Taking HRT. You may decide against it. But either way, it warrants research and serious consideration no matter what you ultimately decide. Don't just figure your symptoms are mild and therefore you don't need it. Do your research. Talk to your doc about your specific risk factors. And then make an informed decision.
@@thiccletics Obviously talk to your doc--how else are you gonna get it? Do your research, talk to your doc, consider your specific risk factors, and then decide. Don't just dismiss HRT based on mild symptoms without realizing the serious risks of estrogen deficiency.
You are one of the few social media creators who doesn't fearmonger about the (very few!) ingredients that can make it past the skin barrier. Facts in the face of fear. Thank you for keeping it real, Dr. Andrea 😊
dealing with skin aging due to declining estrogen levels during perimenopause and menopause has been a concern. stumbled upon this video exploring the impact of estrogen on skin health. Aspect Health has guided me through personalized approaches. the discussion on using topical estrogen creams and alternative options like phytoestrogens is informative. understanding the importance of collagen, elastin, and blood vessel formation is crucial. considering these insights for a holistic approach to skincare. always consulting with a doctor is emphasized, ensuring informed decisions about potential health risks. grateful for such content providing clarity on addressing skin aging concerns.
I went through menopause at 42 here I am 15 years later. Back then I was fortunate to find a doctor to do bio identical pellets. Now I use estrogen cream and estrogen face cream. I had to take my health journey in my own hands. The face cream is amazing.
At 69, I started back on HRT 2 wks.ago. I never should have stopped. My skin was better after menopause than before & that's just what it did for my skin ! A heart issue has returned that disappeared while on HRT. I still have hot flashes too, so there was every reason to continue !
I had a radical total hysterectomy before I was perimenopausal due to cervical cancer. At 48, I got topical estrogen. At 51, HRT as my new gyn looked at my risk and bone loss. My skin changed in those years of going from normal estrogen to post-op post-menopausal. Estrogen, if safe for you and risks understood, is amazing for women- skin is fuller, no gyn issues, and I feel like myself again.
Me too. Same surgery for same reason! I am 51 and started on a low dose of an estrogen patch about four months ago. I feel so much better. My oncologist wrote the script for me bc my gynecologist refused. Apparently she doesn’t read notes from other doctors and started me on paxil instead. It did absolutely nothing. I got off of that. At my last onc appt, I told her what happened. She raged for me and said “I will take care of you and get the script.” I felt so much relief not only at being heard but once that estrogen hit my body.
@@KatieJoMikell The weekly patch is 0.05 mg daily Estradiol. Lowest possible dose. I will likely go up a notch if the doc is ok w that at my 6 month appt w my onc. But it made a big difference for me. ❤️
I'm really aggravated that none of my doctors mentioned this when I was going through menopause. Now, several years post menopause I find out why my skin is aging so quickly.
If you are within 10 years of the so-called " window of opportunity" you can still start HRT. Highly recommend Menopause Taylor here on UA-cam. She is a specialist in menopause and a Gynecologist.
I made it through a hellish menopause without estrogen. But of late I’ve looked into an estrogen creams- Both primary care and gynecologist don’t advise it. They say I’ve made it through the bad part, and I’ve made it to the other side as a healthy post menopausal woman. And I’m grateful, I feel great… I’ll live with my aging skin. But sometimes- I look in the mirror….. and I see an old woman!
I am in the same boat. Haven't taken HRT mainly because it was not recommended due to intraocular bleeding. Sometimes I wonder if it would make my transition easier.
I never did the HRT because it was viewed massively negatively 15 years ago but my skin looks great because I do everything Dr Dray recommends ( diet exercise sunscreen moisturizer and some great inexpensive KBeauty serums etc based on her reviews ) and I do take collagen supplements and I am sure they make a difference
I am so sorry that menopause was so difficult for you but I commend you for taking the advice of your physicians. In my family and even with my mom, menopause seemed to be uneventful and I don't know anyone who ever took hormones . It's puzzling how some people have a lot of difficulty and others just Glide right through
Menopause is a whole different animal. I'm 48 and entered it this year. I would say the hot flashes bother me the most. It's a very, uncomfortable, intense heat. 🥵. NO libido is wonderful too. 🤣. So, I take Equate menopausal support. It does not have HRT in it.
Thank you so much for adressing the fact that HRT is not an option for all women. I am 33 years old and went under a full hystorectomy due to estrogen sensitive ovarian cancer, so I cannot take HRT as it is, as you say, absorbed systemically. I really found your video informative in regards to the topical use of estrogen.
@@Tamar-sz8ox thank you, but I am not quite there yet. I had two surgeries in October and I am currently in chemotherapy. The fact is that many cancer patients deal with a lot of side effects from their treatment, early menopause and lost fertility is one I have to deal with and other cancer patients have to deal with others. I thought the video gave me some information I could use going forward, when talking to my healthcare providers after I have finished chemotherapy.
@@Hemmyii thank you. It is tough, but I am fortunate enough to have a lot of people who support and love me around me and I have a good prognosis in terms of survival. I was lucky enough that I could suddenly feel the tumor through my stomach, and went to the doctor before it was too late.
Why do so many women take issue with a dermatologist talking about how menopause affects our skin and what can be done for help? Geez. Thank you Dr Drae
I had to stop my HRT due to a very slow growing breast cancer. I took them for almost ten years. Don’t regret it. They have so many health benefits besides menopause symptoms. My skin is much crepier now.
My mother-in-law had HRT (pills) for years and she found out she had cancer. A different doc told her that he thought the HR pills is what caused the cancer. She had surgery to remove the breast and she is now 6 yrs cancer free.
@@mandijones4995There’s no evidence that HRT causes cancer. There is no research on HRT. Doctors believe HRT is dangerous and may cause cancer bc there was one heavily flawed study that concluded HRT was dangerous and scared doctors off its use. Other than that non-study, there is zero info in the medical community on menopause or HRT. No surprise bc medicine doesn’t gaf about female specific healthcare. There are thousands of studies on how to defy nature and keep men hard after andropause but none to help women with actual medical issues.
@@mandijones4995 Actually, the risk for developing breast cancer from estradiol is slight. One in eight women will develop breast cancer in their lifetime, and the majority have no family history. The cause is often unknown. I wouldn't be so quick to presume HRT was the culprit, but I'm glad your MIL is doing well.
Be aware estrogen cream on your face can cause melasma. That’s what I experienced, very similar to the “pregnancy mask.” The discoloration hung around even after I discontinued use
@@bluejean-1968Sorry to sound dumb but is one for vaginal use and the other skin? I have Estriol for vaginal use and an oestrogen gel for my skin. I have a little melasma but wanted to try a little Estriol on my face
I know this would not be condoned but I was given a prescription for vaginal estradiol cream one year ago today, coincidentally. 63 yo thrust surgically into menopause at 38, no estrogen ages 44 through 62. Developed osteoporosis, lost teeth due to bone loss, very dry skin, unwanted facial hair, all kinds of fun stuff. A few months ago after reading material about estrogen I tried using a small pea size amount on my face a few times per week and not applying vaginally, overall using less product per week than previously. Not saying I recommend or condone action without discussing beforehand but I do see significantly more moist, less fragile facial skin. I told my primary care provider at my annual well check aand she didn't tell me to stop.
I'm 67 and have deep smokers lines. Have you noticed any darkening of your facial skin since using it on your face? Also wondering if it would help vaginal skin if just used on the face.
@@valerieterry3520it is prescribed for vaginal-vulva health. That’s the primary reason for Rx. If you’re not using it, you should be. Look up Dr. Kelly Casperson on UA-cam, watch her video on vaginal estrogen. This is serious stuff that most of us were never told about. Great-works on facial skin, but your vulva and vagina really need it.
I just started estrogen cream for recurring UTIs due to vaginal atrophy. Seriously wish I started a HRT yrs ago. My mom was on HRT for 30 yrs with no problems. Now I have bone loss as well as terrible skin. Please seek a menopause specialist. I think the benefits out way the fear mongering for most ppl.
I'm using Estradiol patches, progestin pill and Estradiol cream on vagina and the face. Loving all of it for menopausal symptoms! TBH - the cream has only been prescribed by my doctor for the vulva/vaginal area using a dime size dab 3 times a week. However, I apply the cream daily to vulva/vaginal area and face/neck. Just about a tiny pomegranate seed size dab to each of those areas. I'm using it this way, of my own accord, outside of my doctors directions. The benefit has outweighed the risk in my mind for using these hormones. Quality of life is a very important factor. So far, this works quite well for me.
I'm the taking the same However wondering if I could use estrogen cream on my face in addition to the patch. What form of cream are you using on your face ? I greatly appreciate you and your time ❤
Are you using your vaginal estrogren cream on your cream? I know that is popular. How do you apply it? How much do you use? Thank you for sharing your experience.
@@user-zd1rb6hn7d I'm using the vaginal Estradiol cream on both my vaginal area and my face. I use a pomegranate seed size applied to each area everyday. I've only been trying this on my face for a short period of time. I saw some products for sale online that had same hormones in them as my cream. It was worth it to give it a try - off label and not strictly as perscribed by my doctor. I figured, IDGAF, so I used my perscription cream instead of buying another product for my face.
I'm 64 and for the last 14 years I have applied estradiol cream to my face, neck, chest and hands every other night. I'm told often that my skin is beautiful and that I look younger.
@@ekmackenzie Yes, I use a form of tretinoin on the nights I do not apply Estradiol cream. Each morning I use 10% Glycolic acid alternating with tetrahexyldecyl ascorbate. You must discuss with you MD prior to Estradiol topical use. I apply very little and it does not change my bloodwork.
@@samanthathompson9812 Through my OBGYN, it is a Rx, costs $12 every 3 months. Complain about vaginal dryness and painful intercourse and then use the cream where you need it.
I have to say, I have recently started using Emopelle over the last two months and have noticed a wonderful improvement in my skin. My skin hasn’t looked so smooth and clear in quite some time. I’m also using a rosacea compounding treatment to combat that problem and use a prescription Retinol. Emopelle is expensive, no doubt, but you only need a couple of drops to spread around. I’m very happy using it. They have 20-30 percent off sales throughout the year. I would recommend a try. It took about 6 weeks for me to see visible results. I am 62 yrs. old.
For people who are curious: Emepelle is not an estrogen cream but it does have effective ingredients like retinol, peptides, & niacinamide, & MEP technology that promotes more youthful skin.
Very worthwhile video because this topic impacts women's quality of life and with aging, more susceptible to problems with skin. This topic goes beyond the trends of wanting simply better looking skin.
Im about 1 month into my HRT patches and oestrogen tablets. I do have more energy and my hot flushes are decreasing. Must admit, i was worried about starting to start them but now i am greatful! Moods are better too.
I’m on estrogen last 12 years because of endometriosis. I have noticed good hair growth good skin nail grows faster etc but after 10 years in it and turned 50 this year I notice lot of tiredness and dark spots on my cheeks. Im planning to see Gynecologist now.
With the application of estrogen to the face, obviously estrogen is being absorbed into the bloodstream. Therefore why do we hear (little to) no suggestion of progesterone supplementation in order to combat the increased risk of uterine cancer? When my cosmetic doctor advised me to apply Estrogel to my face, my menopause specialist was extremely concerned. (Borderline furious.) She fears that this practise will become widespread and without supervision (and progesterone prescribed and taken in tandem), there will be a significant increase in uterine cancer.
I find it concerning, that apparently hormone creams or pills are available without a prescription at all in the US? That seems like an invitation for trouble. So many people are reckless, when it comes to trying to improve their looks ..
If the estrogen cream is made for face they normally used a weaker estrogen that doesn’t rece estrogen levels is the same for vaginal cream for menopausal issues like itching, painful intimacy etc, you can look at alloy for more information about this and share it with your doctor, a lot of fear that is not necessarily accurate
Menopause has really done a job on my skin, scalp and certain personal regions. I have had to make adjustments in my skin care regime and try different products. DR. D is my go to dermatologist to listen to. So appreciate her. She educates me and arms me with knowledge to ask my own doctors. It's a great help.
I now have a life because of estrogen cream. It has also stopped my extremely painful (glass cutting me) bladder/ UTI problems. It's, A shame my GP never even suggested this since I am in my seventies. LADIES ... Become your own advocate if your doctor is not helping you, Start doing your own research, Start going to different doctors. The doctor you normally see doesn't always know best.
@@brandymoran9646 I only use the cream vaginally. That includes inside the vagina and also all inside the labia. The labia was also very dry. I have not tried this on my face it is costly. So I use it only as prescribed.
I just started a wonderful estrogen cream compounded by a pharmacy for me including CoQ10, resveratrol and alpha lipoic acid . I am putting it on the face,neck,chest and hands . I luv it !
@@priyankasanyal3151she is using a local pharmacy to create it. Ask a local dermatologist if they know a local pharmacy that will create creams for clients.
I recently saw my functional doctor and told him I would like a prescription of estradiol cream to use off label. He has me on an estradiol patch, progesterone and T pellet as needed, so he was a bit confused. I don’t have tik-tok but ‘heard’ estrogen cream on the face was trending. I then told him I didn’t think using topically would alter my estrogen bloodwork, but will know shortly, as all hormones are tested frequently. He had his assistant call the script in for me. Haven’t been using it long enough to notice any real changes, but will continue using as long as my blood work results are not skewed.
Surprisingly, it's great your doctor was agreeable. Too many GeneralP & GYN doctors are very stubborn or refuse to admit they are not staying informed. A young female Dr who hasn't lived long enough to worry about meno makes it worse🙃
explain what happens after menopause ،menses cycle stops in detail in basic English with meanings of terms vocabulary words terminology diagrams۔causes symptoms and post daily and brisk walk is important after menopause۔❤
This is quite interesting Dr Dray and it's good to know that if we're just using retinoids or retinol and sunscreen that it would be just as beneficial as any estrogen cream. You are such a good teacher and speaker. Makes it really easy to comprehend what you are describing. The detail is great as well and you don't seem to miss a beat. You go girl!😊
My menopausal symptoms, and the small signs of aging around my eyes has been somewhat negated by using bioidentical, estrogen cream, Vitamin B8, and daily liquid collagen. I’ve also added retinol into my nighttime routine, and no less than a 50 SPF Korean sunscreen. My skin has been looking absolutely amazing.
I had to have an abdominal hysterectomy due to large uterine fibroids. I understood that my doctor would remove my uterus and that's all. Several days after the surgery when I was waiting in the hospital lobby for my ride home, my doctor passed through. He nonchalantly said to me, "By the way, I took out your ovaries." That was only the start of what would become a nightmare. I implore you all, my fellow women, please don't let this violation happen to you. Estrogen matters!
I am so sorry this happened to you. When I needed a hystectomy I had to fight to keep my ovaries. After 2 conversations (which felt like arguments) on my day of surgery he STILL put it on my surgical consent. Crazy that you have to fight to keep healthy organs.
that’s malpractice there are documents you sign during your gynecology visit in where they explain what is being removed. I had the same surgery due to a large fibroid but my ovaries were preserved. However, I had late-onset menopause so I’ve just went into menopause at 56 and it’s a battle. Either way, with or without the ovaries which I still have it’s definitely Hell!
I am using estradiol for reoccurent utis. (The vaginal tablet insert 2x per week) I’m 33. And it also cleared up my hormonal acne. And i only had 1 uti last year compared to the 7-9 i used to have per year.
It has to get into the system from the skin if the patches work in HRT. I use estrogen patches that are prescribed and definitely notice when I apply estrogen cream to my face. I can only use it a couple nights a week or I start getting cramps and hot flashes again. Throws things off balance. But a couple nights a week, definitely has a cumulative effect I like.
Iam 55 , 3 yrs post menopause. Iam on a very small dose of TRT which converts to estrogen and thats made a world of a difference...iam full of muscles 💪
Hey Dr Dray :) is topical estrogen for wrinkles safe for males to use? I understand some may be absorbed systemically so I was wondering if you have any good resources/studies for the hormone effects when used on men? Thank you ❤
Bioidentical hormones compounded have been very helpful for me the past year. It is definitely helping with my hormones due to menopause. Also, using vital proteins collagen is very helpful with this phase of life. I get a lot of compliments about my skin! The combination of the compounded hormones and collagen are fabulous! Thanks for addressing this issue. ❤
Did it give you side effects? Would it bring my period back after stopping bc? 😢..... ❤ I'm interested in this. Also, it's not covered by insurance, did you pay monthly? How does it work
@stephaddiction your physician has to prescribe this based evaluation. I had Salvia tests. I've also had a blood test to check hormone levels. It works! I feel much better. The compounded cream lasts 3 months. It's $60. I haven't had any issues with the medication. It's much safer than taking oral medicine for this issue. Your doctor can prescribe hrt, which may be covered by insurance. My physician preferred the compounded formula.
@@karenwright5168 usually the guidelines are that HRT within 10 years after your last period is safe to start. If you're past that window, you can still potentially use it but would need a cardiovascular workup first because one arteries start to harden there is more risk of issues. Did your doc take you off of HRT simply due to age? If so, they're not following the guidelines of the Menopause Society. There's no cutoff point if you're benefiting from HRT and it has such important protective benefits for bone, brain, and heart.
Dr. Dray: Will any institution undertake a study evaluating breast cancer suvivors whom want to be prescribed HRT, again, knowing the risks, specifically a combipatch or estradiol with micronized progesterone. HRT is so amazing, in my experience but it is a big "NYET" when I bring it up.❤ YOUR VIDEOS ARE AWESOME
What about the risk of melanoma with estriol cream? I’ve had basal cell cancers previously. I’d like the benefits of estrogen cream (I’m menopausal) but on googling if it’s safe cancer-wise I find some reports that estrogen cream has caused melanoma. The cream I bought has micronized estriol and micronized estradiol. It’s called Bio-Est 5.0. I’m nervous about using it since some studies have shown a link to melanoma and I have a history of basal cell carcinoma.
I completely agree with this. I am considering hormone replacement therapy. I was against it, thinking women have been going through menopause for millennia. It’s a completely natural occurrence. I have however been in complete menopause for 6 years. Not withstanding the mood disturbances I have experienced, I feel like I have aged 10 years in the last 4 years and not only do I look old but I also feel as old as I look. Joint pain, shoulder issues, outright exhaustion, etc.
You’re right. That lack of estrogen is also adversely affecting your brain (raising your odds for dementia), affecting your heart, decreasing your bone density which will lead to osteoporosis, and so much more. You should look for Dr. Kelly Casperson for information on estrogen and your overall health as well as your urologic health. The fear mongering over estrogen was due to misinterpreted data from the Women’s Health Initiative. For almost all of us, we need it and the benefits far outweigh the risks.
Sister! You are still in the "window of opportunity" to get started on HRT. Do not delay it. Talk to your GYN and start preventing the diseases of menopause: Heart attacks, Alzheimer's and Osteoporosis. Highly recommend Menopause Taylor here on UA-cam. She is AMAZING and a specialist on Menopause.
@@cutazabuttonNo it hasn’t. Absolutely ridiculous claim. In fact, doctors stopped doing general HRT treatment for women based on 1 study that was completely subpar and flawed bc that’s the only data they have. HRT is now commonly assumed to be dangerous based on that one unscientific study. Get the facts straight. The medical community cares more about getting geezers hard than helping women.
I have taken HRT for 15 years with no side effects, only benefits, with the proper supervision of my doctor. Recently, I changed to a menopause specialist who said I could keep taking it. The only change was at my request to an estrogen spray which could limit the effects on potential blood clots. It is all very individual and within one's comfort zone. I can still tell that I have hot flashes even with all the HRT. I am very healthy but I won't be spraying this on my face! Sounds risky to put hormones on your face if you are already on HRT and also if you are doing so without a doctor's recommendation. One year ago I started Retin-A and always have used sunscreen. Common sense to me :)
I’m on HRT also then maybe what she should’ve explained is there is more than one estrogen there is E1 E2 E3 and E4. E2 is estradiol that helps get our estrogen up for the benefits as we lose it. E2 would be the estrogen that you apply vaginally for vaginal health and that some put 0.05% into a cream with DHEA at 0.5% and vitamin E at 1% into a cream mix together for your face. I hope this helps explain.
@@BexnRN The vaginal cream is a completely different preparation from an oral HRT tablet, or from a transdermal patch/gel/spray. Different dose completely.
It sure was helpful and interesting to know about the benefits of estrogen cream and general information about the hormone as well. Now of course someone should consider and talk first with their doctor about something like that before their go straight ahead and purchase anything of that sort. Side effects are everywhere😅 and nothing in life comes without side effects. Thanks for the informative video Doctor Andrea 😊❤.
@@raraavis7782sort of, there are online sources where you fill out a form with your medical information and photos and one of their doctors ALLEGEDLY reviews your case and a topical prescription cream is compounded for you. I recently got one this way that contains 0.3% estriol and 1% vit C. Before this I tried topical hormone replacement which was rubbed on my arm. After months, my blood tests showed little improvement in my hormone levels so my body was not being well absorbed. I ended up with an oral hormonal replacement. Waiting on blood test results now. Also got this topical estriol cream for my face. I have very little concern about bad side effects as I already know my body didn’t systemically absorb much. I am not happy with the horrible changes from menopause so it’s worth the risk to me. I only wish I had done this during peri-menopause. Before then my whole life I looked decades younger than my actual age. All that good care was for naught once menopause came it ruined my face, plus other bad effects! The online compounding pharmacy I used is www.musely.com
As far as I know, it requires a prescription in US, and in Australia where I live. I know as I just tried to book a zoom consultation with a top New Yotk based dermatologist in order to get a prescription for the cream (to use on my face)... but unfortunately she cannot write me a script if I live outside US. Makes sense, but I thought it was worth checking. Turns out the cream (brand name Premarin) is available in Australia, it just has to be sourced from a compounding pharmacy. Also, I thought it worth mentioning that I found out about the usage of Premarin cream (intended for vaginal dryness) on the face in an interview with with aforementioned derm. She revealed that she'd been using it herself for 20 years (!) ONLY AROUND THE EYE AREA. She also acknowledged it was a favourite with her patients also, whilst also acknowledging, as Dr Andrea does, that there's very limited scientific study for topical use in this way.
Doctor, I am writing a question here because it’s the most recent and I imagine you’re bound to see it. What is your opinion on L’Oreal Revitalift pure retinol 0.3%? hope to hear an answer from you. Thank you so much for all the information you give.
I’m turning 40 this year and as of last year I noticed my leg getting some crepe skin although I weight lift and eat healthy I wonder if applying this cream on my leg helps with that
I have been wondering about this very subject. I am 69 years old. Done with menopause. But about two years ago I started to get urinary tract infections all the time. Every time I would finish a treatment of antibiotics, soon after I would get another UTI. Finally in desperation, my doctor sent me to a Urologist. He prescribed estrogen cream to be applied to the Labium minus around my vagina, three times a week. Very quickly the UTIs stopped and after a year I have noticed that when I apply a pea size amount of cream on that area, that skin is so soft and supple like when I was young. So, I began to wonder what it would do to my neck and face. I am due for my annual exam in a few days, I intend on asking this question. My cheeks actually look nicer after over a year of usage. I was wondering if my new face creams were finally working or is it the estrogen cream being applied in another area of my body. Thank you for this information. I would never put it on my neck or face without asking my doctor. BTW, I was on HRT, but my gynecologist had me level off a few years ago.
@@saimakhan243 Not that my Obgyn could tell, and I told her about this new Estrogen treatment for my UTIs. Why? Do you think it should affect that? She did tell me I could put a dab in my vagina for what it is worth.
Women NEED estrogen. The patch bypasses the increased clotting factor production from the liver. Medicine has failed women in midlife, menopause isn’t optional but suffering b/c of it is!!!
Here is basic formula from one of those online compound pharmacy for topical estrogen. Are these ingrdiants effective enough? Key ingredients include Estriol 0.3% Vitamin C 1% Hyaluronic Acid 0.5% Aloe
Yes estriol is the main ingredient but in my pharmacy we use bio peptide base to make it even better. Best formula for women in their 40s and older. 87% women saw really good results
I think you are confusing what is systemic and what is topical HRT, and that will probably not be very helpful to women who don't know much about HRT. The E2 patch, the sprays and the creams are absorbed systemically although it is through the skin, that is their purporse, so it not really a matter of whether they are absorbed systemically or not, they are, and they should be combined with micronised progesterone for women with an intact uterus. When we are talking about "topical" estrogen cream, we are talking about vaginal creams that may contain estradiol or estriol at very low concenctrations and cannot be absorbed systemically, or face creams with 0,3 estriol which again cannot be absorbed systemically. Topical estrogen (vaginal -not sure about the face creams like the one alloy has) has not been linked to breast cancer and can even be used by women who have a history of breast cancer.
You need a prescription from your doctor and a compounding pharmacy will make it for you. At my pharmacy we have a special order form for the physicians and we fax the order form and doctor will sign it and send it back to the pharmacy. We then make it and deliver to the patient
What about Vichy's Neovadiol line? It is marketed as special for post-menopause women. Thanks, I really learned a lote from your content. Greetings from Argentina 🇦🇷🌟🌟🌟
I am a breast cancer survivor and went into a forced menopause at age 46 because the excess of o estrogen was the cause of the cancer. That was twenty years ago. Can I use this cream?
So post estrogen sensitive breast cancer, women often take estrogen blockers to prevent recurrence. Would estrogen creams help with the side effects on one's skin without increasing their cancer risk?
Amazing! I was wondering about this very topic. ALSO: I recently started using tretinoin and told a friend. She said she uses estridol (or something like that) on her face but now is interested in using BOTH. As you can imagine that sounds intriguing but also concerning. Should we stick to what we're doing or do you think her combo idea could be good?
I’ve been using tretinoin for over-twenty years. Since menopause, I’ve added bio-identical estrogen face cream, and SPF 50 every day. I am not Caucasian and my mom has, and grandmother had, really-lovely skin. IDK if what I do helps, because I don’t know how I’d look if I didn’t use what I do, but I am pleased with this combo.
Im confused. My hrt is a estradiol skin gel called estrogel and so of course it is absorbed and affects whole body. So im confused when you say estrogen cream might be absorbed ?
You look great, Dr. Dray. Have you disclosed anything about the use of fillers or other cosmetic procedures? I haven't watched your vids in a year or so and you look different (better).
HRT saved my life. I don’t use topical estrogen but can’t to ask my gyn for a prescription. Any advise on removing the glue from transdermal patch that doesn’t contain alcohol?
Are you saying that bio-identical hormones taken orally can increase blood clots and negatively impact the heart? I thought that was only with the non-bio-identical version. Where can I read more about what you said.
Is perimenopause a good time to start topical estrogen? At 41 my skin is extremely dry even though I have a good beauty regime I still suffer with breakouts monthly or is retinol with sunscreen just as good right now?
Hi beautiful. I have question and I hope that u could help me out and answer me?! What u think about Procell please? I'm about to get certified and purchase the device an as u know it's not cheap at all! I'm certified esthetician an I practice microneedling usually and this is as I was told is better and faster healing! Could you help me with your knowledge please. Thanks in advance
I’m on spirinolactane to help hair growth…you may need to increase dosage in 6 months if no improvement- & after a year some people need to supplement with minoxidil…
Estrogen deficiency at menopause causes heart disease, Alzheimer's, and osteoporosis. It's not just about the symptoms of menopause, but the diseases caused by menopause that is at issue. Consider HRT.
Consider talking to your dr and not taking recommendations from non dr on the internet like yourself 😂
When she said "consider it". I think she means speaking to your physician. You seem very rude.
@@kristieellis6455 I know, right. My recommendation is not Take HRT. My recommendation is to Consider Taking HRT. You may decide against it. But either way, it warrants research and serious consideration no matter what you ultimately decide. Don't just figure your symptoms are mild and therefore you don't need it. Do your research. Talk to your doc about your specific risk factors. And then make an informed decision.
@@thiccletics Obviously talk to your doc--how else are you gonna get it? Do your research, talk to your doc, consider your specific risk factors, and then decide. Don't just dismiss HRT based on mild symptoms without realizing the serious risks of estrogen deficiency.
Most importantly, talk to an INFORMED doctor about HRT. NOT a doctor still holding on to the WHI grossly and since debunked faulty data.
You are one of the few social media creators who doesn't fearmonger about the (very few!) ingredients that can make it past the skin barrier. Facts in the face of fear. Thank you for keeping it real, Dr. Andrea 😊
😮First-name basis
dealing with skin aging due to declining estrogen levels during perimenopause and menopause has been a concern. stumbled upon this video exploring the impact of estrogen on skin health. Aspect Health has guided me through personalized approaches. the discussion on using topical estrogen creams and alternative options like phytoestrogens is informative. understanding the importance of collagen, elastin, and blood vessel formation is crucial. considering these insights for a holistic approach to skincare. always consulting with a doctor is emphasized, ensuring informed decisions about potential health risks. grateful for such content providing clarity on addressing skin aging concerns.
I went through menopause at 42 here I am 15 years later. Back then I was fortunate to find a doctor to do bio identical pellets. Now I use estrogen cream and estrogen face cream. I had to take my health journey in my own hands. The face cream is amazing.
What estrogen face cream do you use?
What cream are you using?
Do you use an estrogen cream specific for the face? Or, do you use the estradiol vaginal cream, doctors prescribe, on your face?
Is the face cream estrogen? The same thing as the vaginal estrogen cream?
@@Inquisitive3131I’m going to say no
At 69, I started back on HRT 2 wks.ago. I never should have stopped. My
skin was better after menopause than before & that's just what it did for
my skin ! A heart issue has returned that disappeared while on HRT. I
still have hot flashes too, so there was every reason to continue !
I had a radical total hysterectomy before I was perimenopausal due to cervical cancer. At 48, I got topical estrogen. At 51, HRT as my new gyn looked at my risk and bone loss. My skin changed in those years of going from normal estrogen to post-op post-menopausal. Estrogen, if safe for you and risks understood, is amazing for women- skin is fuller, no gyn issues, and I feel like myself again.
Me too. Same surgery for same reason! I am 51 and started on a low dose of an estrogen patch about four months ago. I feel so much better. My oncologist wrote the script for me bc my gynecologist refused.
Apparently she doesn’t read notes from other doctors and started me on paxil instead. It did absolutely nothing. I got off of that. At my last onc appt, I told her what happened. She raged for me and said “I will take care of you and get the script.” I felt so much relief not only at being heard but once that estrogen hit my body.
@@PilatesbyGina Shame on that gyno! 😡
I had to have surgery too. I’d love to know what hormones you’re taking? Thank you!
@@KatieJoMikell The weekly patch is 0.05 mg daily Estradiol. Lowest possible dose. I will likely go up a notch if the doc is ok w that at my 6 month appt w my onc. But it made a big difference for me. ❤️
@@PilatesbyGina Thank you so much!
I'm really aggravated that none of my doctors mentioned this when I was going through menopause. Now, several years post menopause I find out why my skin is aging so quickly.
If you are within 10 years of the so-called " window of opportunity" you can still start HRT. Highly recommend Menopause Taylor here on UA-cam. She is a specialist in menopause and a Gynecologist.
It gives you melasma
@@SingingAesthi really :(
@@SingingAesthiIt can cause it that is true.
@@SingingAesthihuh?
I made it through a hellish menopause without estrogen. But of late I’ve looked into an estrogen creams- Both primary care and gynecologist don’t advise it. They say I’ve made it through the bad part, and I’ve made it to the other side as a healthy post menopausal woman. And I’m grateful, I feel great… I’ll live with my aging skin. But sometimes- I look in the mirror….. and I see an old woman!
I am in the same boat. Haven't taken HRT mainly because it was not recommended due to intraocular bleeding. Sometimes I wonder if it would make my transition easier.
I never did the HRT because it was viewed massively negatively 15 years ago but my skin looks great because I do everything Dr Dray recommends ( diet exercise sunscreen moisturizer and some great inexpensive KBeauty serums etc based on her reviews ) and I do take collagen supplements and I am sure they make a difference
Look up Dr Louise newson, cos HRT is important for more than just symptoms x
I am so sorry that menopause was so difficult for you but I commend you for taking the advice of your physicians. In my family and even with my mom, menopause seemed to be uneventful and I don't know anyone who ever took hormones . It's puzzling how some people have a lot of difficulty and others just Glide right through
Menopause is a whole different animal. I'm 48 and entered it this year. I would say the hot flashes bother me the most. It's a very, uncomfortable, intense heat. 🥵. NO libido is wonderful too. 🤣. So, I take Equate menopausal support. It does not have HRT in it.
Thank you so much for adressing the fact that HRT is not an option for all women. I am 33 years old and went under a full hystorectomy due to estrogen sensitive ovarian cancer, so I cannot take HRT as it is, as you say, absorbed systemically. I really found your video informative in regards to the topical use of estrogen.
I’m glad you’re okay ! God bless you
@@Tamar-sz8ox thank you, but I am not quite there yet. I had two surgeries in October and I am currently in chemotherapy. The fact is that many cancer patients deal with a lot of side effects from their treatment, early menopause and lost fertility is one I have to deal with and other cancer patients have to deal with others. I thought the video gave me some information I could use going forward, when talking to my healthcare providers after I have finished chemotherapy.
Wishing you good health in 2024! I can’t imagine facing all of that (cancer + menopause) at 33 ❤❤
@@Hemmyii thank you. It is tough, but I am fortunate enough to have a lot of people who support and love me around me and I have a good prognosis in terms of survival. I was lucky enough that I could suddenly feel the tumor through my stomach, and went to the doctor before it was too late.
@@livblochsrensen673 ❤
Why do so many women take issue with a dermatologist talking about how menopause affects our skin and what can be done for help? Geez. Thank you Dr Drae
I had to stop my HRT due to a very slow growing breast cancer. I took them for almost ten years. Don’t regret it. They have so many health benefits besides menopause symptoms. My skin is much crepier now.
My mother-in-law had HRT (pills) for years and she found out she had cancer. A different doc told her that he thought the HR pills is what caused the cancer. She had surgery to remove the breast and she is now 6 yrs cancer free.
Thank you for sharing, and I wish the very best with your diagnosis.
@@mandijones4995There’s no evidence that HRT causes cancer. There is no research on HRT. Doctors believe HRT is dangerous and may cause cancer bc there was one heavily flawed study that concluded HRT was dangerous and scared doctors off its use. Other than that non-study, there is zero info in the medical community on menopause or HRT. No surprise bc medicine doesn’t gaf about female specific healthcare. There are thousands of studies on how to defy nature and keep men hard after andropause but none to help women with actual medical issues.
@@mandijones4995 Actually, the risk for developing breast cancer from estradiol is slight. One in eight women will develop breast cancer in their lifetime, and the majority have no family history. The cause is often unknown. I wouldn't be so quick to presume HRT was the culprit, but I'm glad your MIL is doing well.
I haven't watched youtube for a while, so also haven't seen you in a while. It's insane how much work you still put into your videos, awesome. Thanks
Be aware estrogen cream on your face can cause melasma. That’s what I experienced, very similar to the “pregnancy mask.” The discoloration hung around even after I discontinued use
I already HAVE melasma. More melasma? NO THANKS!
I'm brown and I already have a tendency for melasma soon maybe not for me. Thank you for the heads up
Estriol does not cause melasma. Estradiol can.
@@bluejean-1968Sorry to sound dumb but is one for vaginal use and the other skin? I have Estriol for vaginal use and an oestrogen gel for my skin. I have a little melasma but wanted to try a little Estriol on my face
Shame Dr Dray didn’t talk about this or the difference with the two
I know this would not be condoned but I was given a prescription for vaginal estradiol cream one year ago today, coincidentally. 63 yo thrust surgically into menopause at 38, no estrogen ages 44 through 62. Developed osteoporosis, lost teeth due to bone loss, very dry skin, unwanted facial hair, all kinds of fun stuff. A few months ago after reading material about estrogen I tried using a small pea size amount on my face a few times per week and not applying vaginally, overall using less product per week than previously. Not saying I recommend or condone action without discussing beforehand but I do see significantly more moist, less fragile facial skin. I told my primary care provider at my annual well check aand she didn't tell me to stop.
I have this cream also & thought of using on my face. I will try it but do not use this on your neck because it can affect your thyroid.
Thank you so much for sharing your experience!
I'm 67 and have deep smokers lines. Have you noticed any darkening of your facial skin since using it on your face? Also wondering if it would help vaginal skin if just used on the face.
@@valerieterry3520it is prescribed for vaginal-vulva health. That’s the primary reason for Rx. If you’re not using it, you should be. Look up Dr. Kelly Casperson on UA-cam, watch her video on vaginal estrogen. This is serious stuff that most of us were never told about. Great-works on facial skin, but your vulva and vagina really need it.
So you’re not using it all vaginally or on vulva? You should be.
I just started estrogen cream for recurring UTIs due to vaginal atrophy. Seriously wish I started a HRT yrs ago. My mom was on HRT for 30 yrs with no problems. Now I have bone loss as well as terrible skin. Please seek a menopause specialist. I think the benefits out way the fear mongering for most ppl.
Dr. Rajani talks about using estrogen cream on the face to help thicken it. Many use estradiol cream on their face.
Absolutely! I just recently discovered it myself! And thanks for letting me know about this doctor I will look him up.
I'm using Estradiol patches, progestin pill and Estradiol cream on vagina and the face. Loving all of it for menopausal symptoms! TBH - the cream has only been prescribed by my doctor for the vulva/vaginal area using a dime size dab 3 times a week. However, I apply the cream daily to vulva/vaginal area and face/neck. Just about a tiny pomegranate seed size dab to each of those areas. I'm using it this way, of my own accord, outside of my doctors directions. The benefit has outweighed the risk in my mind for using these hormones. Quality of life is a very important factor. So far, this works quite well for me.
I'm the taking the same However wondering if I could use estrogen cream on my face in addition to the patch. What form of cream are you using on your face ? I greatly appreciate you and your time ❤
How much do you put on your face? I was prescribed estradiol cream, but not for the face. 😉
Are you using your vaginal estrogren cream on your cream? I know that is popular. How do you apply it? How much do you use? Thank you for sharing your experience.
@@user-zd1rb6hn7d I'm using the vaginal Estradiol cream on both my vaginal area and my face. I use a pomegranate seed size applied to each area everyday. I've only been trying this on my face for a short period of time. I saw some products for sale online that had same hormones in them as my cream. It was worth it to give it a try - off label and not strictly as perscribed by my doctor. I figured, IDGAF, so I used my perscription cream instead of buying another product for my face.
@@brookeb7994I have estradiol gel, it also says not for the face 😢
I'm 64 and for the last 14 years I have applied estradiol cream to my face, neck, chest and hands every other night. I'm told often that my skin is beautiful and that I look younger.
I want to get some but some doctors keep mentioning cancer risk?
I was wondering how often to use it, I AM SO GREATFUL FOR YOUR COMMENT. Everywhere day was what I wanted to know. Do you also use trentenoin?
@@ekmackenzie Yes, I use a form of tretinoin on the nights I do not apply Estradiol cream. Each morning I use 10% Glycolic acid alternating with tetrahexyldecyl ascorbate. You must discuss with you MD prior to Estradiol topical use. I apply very little and it does not change my bloodwork.
What brand? Where do you get it? There are worldwide shortages of many estradiol products.
@@samanthathompson9812 Through my OBGYN, it is a Rx, costs $12 every 3 months. Complain about vaginal dryness and painful intercourse and then use the cream where you need it.
I have to say, I have recently started using Emopelle over the last two months and have noticed a wonderful improvement in my skin. My skin hasn’t looked so smooth and clear in quite some time. I’m also using a rosacea compounding treatment to combat that problem and use a prescription Retinol. Emopelle is expensive, no doubt, but you only need a couple of drops to spread around. I’m very happy using it. They have 20-30 percent off sales throughout the year. I would recommend a try. It took about 6 weeks for me to see visible results. I am 62 yrs. old.
For people who are curious: Emepelle is not an estrogen cream but it does have effective ingredients like retinol, peptides, & niacinamide, & MEP technology that promotes more youthful skin.
Is th available I UK over the counter?
Very worthwhile video because this topic impacts women's quality of life and with aging, more susceptible to problems with skin. This topic goes beyond the trends of wanting simply better looking skin.
Yes, this is so important!
Im about 1 month into my HRT patches and oestrogen tablets. I do have more energy and my hot flushes are decreasing. Must admit, i was worried about starting to start them but now i am greatful! Moods are better too.
Any melasma?
@@neanea1173 No. Skin is fine.
I’m on estrogen last 12 years because of endometriosis. I have noticed good hair growth good skin nail grows faster etc but after 10 years in it and turned 50
this year I notice lot of tiredness and dark spots on my cheeks. Im planning to see Gynecologist now.
With the application of estrogen to the face, obviously estrogen is being absorbed into the bloodstream. Therefore why do we hear (little to) no suggestion of progesterone supplementation in order to combat the increased risk of uterine cancer? When my cosmetic doctor advised me to apply Estrogel to my face, my menopause specialist was extremely concerned. (Borderline furious.) She fears that this practise will become widespread and without supervision (and progesterone prescribed and taken in tandem), there will be a significant increase in uterine cancer.
yes, some of the studies did use creams with progesterone
I find it concerning, that apparently hormone creams or pills are available without a prescription at all in the US? That seems like an invitation for trouble. So many people are reckless, when it comes to trying to improve their looks ..
@@raraavis7782you do need a prescription for hormones --estradiol, progesterone and testosterone.
@@raraavis7782they’re usually not OTC.
If the estrogen cream is made for face they normally used a weaker estrogen that doesn’t rece estrogen levels is the same for vaginal cream for menopausal issues like itching, painful intimacy etc, you can look at alloy for more information about this and share it with your doctor, a lot of fear that is not necessarily accurate
How would you use estradiol & retinol together?
Menopause has really done a job on my skin, scalp and certain personal regions. I have had to make adjustments in my skin care regime and try different products. DR. D is my go to dermatologist to listen to. So appreciate her. She educates me and arms me with knowledge to ask my own doctors. It's a great help.
Stopped my Chronic UTI’s and overactive bladder immediately.
This is what I started it for. Are you using a cream vaginally? I’m wondering if I can use use a it of that in face as well!!
I now have a life because of estrogen cream. It has also stopped my extremely painful (glass cutting me) bladder/ UTI problems. It's,
A shame my GP never even suggested this since I am in my seventies.
LADIES ... Become your own advocate if your doctor is not helping you, Start doing your own research, Start going to different doctors. The doctor you normally see doesn't always know best.
@@brandymoran9646 I only use the cream vaginally. That includes inside the vagina and also all inside the labia. The labia was also very dry.
I have not tried this on my face it is costly. So I use it only as prescribed.
I just started a wonderful estrogen cream compounded by a pharmacy for me including CoQ10, resveratrol and alpha lipoic acid . I am putting it on the face,neck,chest and hands . I luv it !
Name of brand pls
@@priyankasanyal3151she is using a local pharmacy to create it. Ask a local dermatologist if they know a local pharmacy that will create creams for clients.
Any skincare routine suggestions on how to use both estrogen cream and retinol (together? alternate days? etc) I hope someone can help! Thanks :)
Yessss this !!!! @Dr. Dray
I recently saw my functional doctor and told him I would like a prescription of estradiol cream to use off label. He has me on an estradiol patch, progesterone and T pellet as needed, so he was a bit confused. I don’t have tik-tok but ‘heard’ estrogen cream on the face was trending. I then told him I didn’t think using topically would alter my estrogen bloodwork, but will know shortly, as all hormones are tested frequently. He had his assistant call the script in for me. Haven’t been using it long enough to notice any real changes, but will continue using as long as my blood work results are not skewed.
Hi what age are you, just for reference? I too am considering HRT
@@DeeDee-rr3sn , late 60’s, but have been on some type of HRT for the last 20 years. As treatments have evolved, my doctor has followed suit.
@@kaceeboxers3580 Thank you, Im 57 and considering trying HRT patch and progesterone oral.
Surprisingly, it's great your doctor was agreeable. Too many GeneralP & GYN doctors are very stubborn or refuse to admit they are not staying informed. A young female Dr who hasn't lived long enough to worry about meno makes it worse🙃
explain what happens after menopause ،menses cycle stops in detail in basic English with meanings of terms vocabulary words terminology diagrams۔causes symptoms and post daily and brisk walk is important after menopause۔❤
This is quite interesting Dr Dray and it's good to know that if we're just using retinoids or retinol and sunscreen that it would be just as beneficial as any estrogen cream. You are such a good teacher and speaker. Makes it really easy to comprehend what you are describing. The detail is great as well and you don't seem to miss a beat. You go girl!😊
Using both - NO! it's that IA NOT as good.
My menopausal symptoms, and the small signs of aging around my eyes has been somewhat negated by using bioidentical, estrogen cream, Vitamin B8, and daily liquid collagen. I’ve also added retinol into my nighttime routine, and no less than a 50 SPF Korean sunscreen. My skin has been looking absolutely amazing.
Where do u get the collagen?
What is the Korean sunscreen you use?
I had to have an abdominal hysterectomy due to large uterine fibroids. I understood that my doctor would remove my uterus and that's all. Several days after the surgery when I was waiting in the hospital lobby for my ride home, my doctor passed through. He nonchalantly said to me, "By the way, I took out your ovaries." That was only the start of what would become a nightmare. I implore you all, my fellow women, please don't let this violation happen to you. Estrogen matters!
I am so sorry this happened to you. When I needed a hystectomy I had to fight to keep my ovaries. After 2 conversations (which felt like arguments) on my day of surgery he STILL put it on my surgical consent. Crazy that you have to fight to keep healthy organs.
Doctor Berg on UA-cam has video that will help you!!!
Had you given permission to remove the ovaries on your consent sheet if needed?
that’s malpractice there are documents you sign during your gynecology visit in where they explain what is being removed. I had the same surgery due to a large fibroid but my ovaries were preserved. However, I had late-onset menopause so I’ve just went into menopause at 56 and it’s a battle.
Either way, with or without the ovaries which I still have it’s definitely Hell!
I had Embolization in 2016 to shrink all fibroids,no open surgery..My periods reduced from 14days to 2 n anaemia disappeared quickly.
I am using estradiol for reoccurent utis. (The vaginal tablet insert 2x per week) I’m 33. And it also cleared up my hormonal acne. And i only had 1 uti last year compared to the 7-9 i used to have per year.
Oh wow! I gotta look into getting the stuff u got for your uti’s! Ugh!!! I can’t take it and not one doctor has ever mentioned this!!!! I’m pissed!
Have you ever been checked for interstitial cystitis ?
@@reginagriffiths9571 yea i was diagnosed with IC in 2012 :)
Isn’t it interesting that insurance covers Viagra but not HRT?
I just use progesterone cream on my face for skin health and to balance out my estrogen dominant. Seems to be helping.
It has to get into the system from the skin if the patches work in HRT. I use estrogen patches that are prescribed and definitely notice when I apply estrogen cream to my face. I can only use it a couple nights a week or I start getting cramps and hot flashes again. Throws things off balance. But a couple nights a week, definitely has a cumulative effect I like.
Thank you so much for talking about this! It’s so interesting to know about hormone impacts on skin.
Iam 55 , 3 yrs post menopause. Iam on a very small dose of TRT which converts to estrogen and thats made a world of a difference...iam full of muscles 💪
What is TRT
Make sure to measure blood levels
what about wild yam cream, is it safe and does it help with menopaus symptoms?
Which estrogen cream do you recommend? I kept hearing about Muely brand
Hey Dr Dray :) is topical estrogen for wrinkles safe for males to use? I understand some may be absorbed systemically so I was wondering if you have any good resources/studies for the hormone effects when used on men? Thank you ❤
Women try. Men seems right. Healthy looking.
Can I use an estrogen cream for itchy skin if I am currently on an estrodial patch? Talking to my doctor is a waste of time….
Bioidentical hormones compounded have been very helpful for me the past year. It is definitely helping with my hormones due to menopause. Also, using vital proteins collagen is very helpful with this phase of life. I get a lot of compliments about my skin! The combination of the compounded hormones and collagen are fabulous! Thanks for addressing this issue. ❤
Did it give you side effects? Would it bring my period back after stopping bc? 😢..... ❤ I'm interested in this. Also, it's not covered by insurance, did you pay monthly? How does it work
@stephaddiction your physician has to prescribe this based evaluation. I had Salvia tests. I've also had a blood test to check hormone levels. It works! I feel much better.
The compounded cream lasts 3 months. It's $60. I haven't had any issues with the medication. It's much safer than taking oral medicine for this issue. Your doctor can prescribe hrt, which may be covered by insurance. My physician preferred the compounded formula.
Is it a cream? I’m 61 and was taken off all HRT. I’m having joint pain, insomnia, hot flashes, etc. can I take again in my 60s?
@@karenwright5168 usually the guidelines are that HRT within 10 years after your last period is safe to start. If you're past that window, you can still potentially use it but would need a cardiovascular workup first because one arteries start to harden there is more risk of issues.
Did your doc take you off of HRT simply due to age? If so, they're not following the guidelines of the Menopause Society. There's no cutoff point if you're benefiting from HRT and it has such important protective benefits for bone, brain, and heart.
I’ve been on them for 10 years and it is wonderful😊
Which estrogen cream Brand for the face do you recommend for collagen and alastin.? I’ve heard one kind causes melasma
Which doctor do we ask? Derm, Gyne or PCP? Thanks for the great information!
Dr. Dray... do we need this cream if we are having hormone replacement therapy??
It would be best to discuss with your doctor. Depending on the types of estrogen involved there can be issues.
I would love to try estrogen cream. I am 54 years old. But, I am afraid it could trigger my melasma :(
Dr. Dray: Will any institution undertake a study evaluating breast cancer suvivors whom want to be prescribed HRT, again, knowing the risks, specifically a combipatch or estradiol with micronized progesterone. HRT is so amazing, in my experience but it is a big "NYET" when I bring it up.❤ YOUR VIDEOS ARE AWESOME
What about the risk of melanoma with estriol cream? I’ve had basal cell cancers previously. I’d like the benefits of estrogen cream (I’m menopausal) but on googling if it’s safe cancer-wise I find some reports that estrogen cream has caused melanoma. The cream I bought has micronized estriol and micronized estradiol. It’s called Bio-Est 5.0. I’m nervous about using it since some studies have shown a link to melanoma and I have a history of basal cell carcinoma.
I thought it could cause melasma, not melanoma. ?
I completely agree with this. I am considering hormone replacement therapy. I was against it, thinking women have been going through menopause for millennia. It’s a completely natural occurrence. I have however been in complete menopause for 6 years. Not withstanding the mood disturbances I have experienced, I feel like I have aged 10 years in the last 4 years and not only do I look old but I also feel as old as I look. Joint pain, shoulder issues, outright exhaustion, etc.
You’re right. That lack of estrogen is also adversely affecting your brain (raising your odds for dementia), affecting your heart, decreasing your bone density which will lead to osteoporosis, and so much more. You should look for Dr. Kelly Casperson for information on estrogen and your overall health as well as your urologic health. The fear mongering over estrogen was due to misinterpreted data from the Women’s Health Initiative. For almost all of us, we need it and the benefits far outweigh the risks.
Sister! You are still in the "window of opportunity" to get started on HRT. Do not delay it. Talk to your GYN and start preventing the diseases of menopause: Heart attacks, Alzheimer's and Osteoporosis.
Highly recommend Menopause Taylor here on UA-cam. She is AMAZING and a specialist on Menopause.
Thanks, Doc!. I can always count on you to bring the facts! 🎉
I am a big fan of HRT, but the medical community knows little about it and doesn’t care to study it.
It’s been studied for 20 years at least
@@cutazabuttonnot long enough.
@@cutazabutton Woman have existed LONGER THAN 20 years and those studies that you speak of are under funded and barren
@@cutazabuttonNo it hasn’t. Absolutely ridiculous claim. In fact, doctors stopped doing general HRT treatment for women based on 1 study that was completely subpar and flawed bc that’s the only data they have. HRT is now commonly assumed to be dangerous based on that one unscientific study. Get the facts straight. The medical community cares more about getting geezers hard than helping women.
That's the truth!
I have taken HRT for 15 years with no side effects, only benefits, with the proper supervision of my doctor. Recently, I changed to a menopause specialist who said I could keep taking it. The only change was at my request to an estrogen spray which could limit the effects on potential blood clots. It is all very individual and within one's comfort zone. I can still tell that I have hot flashes even with all the HRT. I am very healthy but I won't be spraying this on my face! Sounds risky to put hormones on your face if you are already on HRT and also if you are doing so without a doctor's recommendation. One year ago I started Retin-A and always have used sunscreen. Common sense to me :)
At what age did you start HRT?
Lots of people use it vaginally AND orally-why not the face? 🤷🏻♀️ Not an issue for most.
53 @@Dhern0115
I’m on HRT also then maybe what she should’ve explained is there is more than one estrogen there is E1 E2 E3 and E4. E2 is estradiol that helps get our estrogen up for the benefits as we lose it. E2 would be the estrogen that you apply vaginally for vaginal health and that some put 0.05% into a cream with DHEA at 0.5% and vitamin E at 1% into a cream mix together for your face. I hope this helps explain.
@@BexnRN The vaginal cream is a completely different preparation from an oral HRT tablet, or from a transdermal patch/gel/spray. Different dose completely.
do you also suggest progesteron as well with the estrogen
Thank you for the video, trying to navigate through menopause is oftentimes controversial, i appreciate your expertise in the dermatology part of it.
Dr. Dray, will you do a video about Winlevi? Maybe the benefits and outcomes of those who use it
Hello Dr Dray. I would really like to know your opinion on using estrogen cream before or after microneedling.
I have minimal menopause symptoms. Of course I still age， but nothing at all bothers me
I've been using cream with wild yam now that I am post-menopause for a more holistic approach. This was informative information.
@TamaraMarshall10 what cream do you use?
It’s not holistic. That’s junk science. You are not a plant. Topical estradiol is what you need.
What do you use and may I ask how old you are?
It sure was helpful and interesting to know about the benefits of estrogen cream and general information about the hormone as well. Now of course someone should consider and talk first with their doctor about something like that before their go straight ahead and purchase anything of that sort. Side effects are everywhere😅 and nothing in life comes without side effects. Thanks for the informative video Doctor Andrea 😊❤.
thank you! hope you are having a good week
Can you even get stuff like that without a prescription? I don't think it's available otc, where I live.
@@raraavis7782 emepelle is one option doctor Andrea said but it's quite expensive and not be suitable for everyone (not one size fits all 😅)
@@raraavis7782sort of, there are online sources where you fill out a form with your medical information and photos and one of their doctors ALLEGEDLY reviews your case and a topical prescription cream is compounded for you. I recently got one this way that contains 0.3% estriol and 1% vit C.
Before this I tried topical hormone replacement which was rubbed on my arm. After months, my blood tests showed little improvement in my hormone levels so my body was not being well absorbed. I ended up with an oral hormonal replacement. Waiting on blood test results now. Also got this topical estriol cream for my face. I have very little concern about bad side effects as I already know my body didn’t systemically absorb much. I am not happy with the horrible changes from menopause so it’s worth the risk to me. I only wish I had done this during peri-menopause. Before then my whole life I looked decades younger than my actual age. All that good care was for naught once menopause came it ruined my face, plus other bad effects!
The online compounding pharmacy I used is www.musely.com
As far as I know, it requires a prescription in US, and in Australia where I live. I know as I just tried to book a zoom consultation with a top New Yotk based dermatologist in order to get a prescription for the cream (to use on my face)... but unfortunately she cannot write me a script if I live outside US. Makes sense, but I thought it was worth checking. Turns out the cream (brand name Premarin) is available in Australia, it just has to be sourced from a compounding pharmacy.
Also, I thought it worth mentioning that I found out about the usage of Premarin cream (intended for vaginal dryness) on the face in an interview with with aforementioned derm. She revealed that she'd been using it herself for 20 years (!) ONLY AROUND THE EYE AREA. She also acknowledged it was a favourite with her patients also, whilst also acknowledging, as Dr Andrea does, that there's very limited scientific study for topical use in this way.
Does using an estrogen cream on the face lead to the need of a progesterone if the person still have her uterus?
Best to check with your ob/gyn.
Doctor, I am writing a question here because it’s the most recent and I imagine you’re bound to see it. What is your opinion on L’Oreal Revitalift pure retinol 0.3%? hope to hear an answer from you. Thank you so much for all the information you give.
Thank you so much for the independence review of estrogen cream use for skin. You always explain things so that I can really understand the topic.
I’m turning 40 this year and as of last year I noticed my leg getting some crepe skin although I weight lift and eat healthy I wonder if applying this cream on my leg helps with that
You can also try body retinoid creams or acid ones like Amlactin.
I have been wondering about this very subject. I am 69 years old. Done with menopause. But about two years ago I started to get urinary tract infections all the time. Every time I would finish a treatment of antibiotics, soon after I would get another UTI. Finally in desperation, my doctor sent me to a Urologist. He prescribed estrogen cream to be applied to the Labium minus around my vagina, three times a week. Very quickly the UTIs stopped and after a year I have noticed that when I apply a pea size amount of cream on that area, that skin is so soft and supple like when I was young. So, I began to wonder what it would do to my neck and face. I am due for my annual exam in a few days, I intend on asking this question. My cheeks actually look nicer after over a year of usage. I was wondering if my new face creams were finally working or is it the estrogen cream being applied in another area of my body. Thank you for this information. I would never put it on my neck or face without asking my doctor. BTW, I was on HRT, but my gynecologist had me level off a few years ago.
So your annual exam shows no thickening of uterus's lining?
@@saimakhan243 Not that my Obgyn could tell, and I told her about this new Estrogen treatment for my UTIs. Why? Do you think it should affect that? She did tell me I could put a dab in my vagina for what it is worth.
Women NEED estrogen. The patch bypasses the increased clotting factor production from the liver. Medicine has failed women in midlife, menopause isn’t optional but suffering b/c of it is!!!
Thank you! Very informative and measured, as always. Much appreciated.
Here is basic formula from one of those online compound pharmacy for topical estrogen. Are these ingrdiants effective enough?
Key ingredients include
Estriol 0.3%
Vitamin C 1%
Hyaluronic Acid 0.5%
Aloe
Yes estriol is the main ingredient but in my pharmacy we use bio peptide base to make it even better. Best formula for women in their 40s and older. 87% women saw really good results
I think you are confusing what is systemic and what is topical HRT, and that will probably not be very helpful to women who don't know much about HRT. The E2 patch, the sprays and the creams are absorbed systemically although it is through the skin, that is their purporse, so it not really a matter of whether they are absorbed systemically or not, they are, and they should be combined with micronised progesterone for women with an intact uterus. When we are talking about "topical" estrogen cream, we are talking about vaginal creams that may contain estradiol or estriol at very low concenctrations and cannot be absorbed systemically, or face creams with 0,3 estriol which again cannot be absorbed systemically. Topical estrogen (vaginal -not sure about the face creams like the one alloy has) has not been linked to breast cancer and can even be used by women who have a history of breast cancer.
Estrodiol is the best skin Care product I have ever used ❤ and ✝️🙏 s
Where can I buy it does it have a medical name do I need a script ?
How can one get the best Estrogen cream?
You need a prescription from your doctor and a compounding pharmacy will make it for you. At my pharmacy we have a special order form for the physicians and we fax the order form and doctor will sign it and send it back to the pharmacy. We then make it and deliver to the patient
I am too old for HRT. (per my gyno and endocrinologist) Is there an over the counter estrogen cream I could use on my face?
What about Vichy's Neovadiol line? It is marketed as special for post-menopause women.
Thanks, I really learned a lote from your content. Greetings from Argentina 🇦🇷🌟🌟🌟
Dr Dray addressed that in the video, drugstore skincare for mature skin 2023.
@@db-gb5xi Thank you! :-)
Thanks for this. Love your videos. Your hair looks great !
Is topical estrogen safe for us with melasma? Please let us know
Happy Wednesday Dr Dray so excited to be here I live for this ❤️
Morning!
@@DrDrayzday ❤
Greetings David Shabas hope u r well n Happy Wednesday😀👍💜….
@@whitneybrown4067 Happy Wednesday Whitney😀👍
I am a breast cancer survivor and went into a forced menopause at age 46 because the excess of o estrogen was the cause of the cancer. That was twenty years ago. Can I use this cream?
Thank you so much for covering the subject of estrogen uses, especially in pre and post menopausal women. I will definitely discuss with my physician.
What is the dosage recommended for topical face use?
So post estrogen sensitive breast cancer, women often take estrogen blockers to prevent recurrence. Would estrogen creams help with the side effects on one's skin without increasing their cancer risk?
Your makeup colors are amazing for your complexion. So pretty
Amazing! I was wondering about this very topic. ALSO: I recently started using tretinoin and told a friend. She said she uses estridol (or something like that) on her face but now is interested in using BOTH. As you can imagine that sounds intriguing but also concerning. Should we stick to what we're doing or do you think her combo idea could be good?
I’ve been using tretinoin for over-twenty years.
Since menopause, I’ve added bio-identical estrogen face cream, and SPF 50 every day.
I am not Caucasian and my mom has, and grandmother had, really-lovely skin.
IDK if what I do helps, because I don’t know how I’d look if I didn’t use what I do, but I am pleased with this combo.
@@JaimeMesChiensdo you apply both the tretinoin and the estrogen cream at night ? If so, which do you apply first?
You must remenber she is a doctor in dermatology....not in HRT
I use both at same time, the dr who prescribed me those said it’s fine to do that
This is the information I needed! Tysm Dr. Dray. Can you discuss retinol and how it affects ocular rosacea? Pretty please???? 🤗🤗🤗🤗
You gave such an informative explanation! Thank you!
Hi, does methyl estradiolpropanoate aggravate melasma? ☺️
Im confused. My hrt is a estradiol skin gel called estrogel and so of course it is absorbed and affects whole body. So im confused when you say estrogen cream might be absorbed ?
Such an interesting topic today. Appreciate the information. Happy Wednesday, Dr Dray! I hope you have a tranquil evening. 💕
🙏❤️🐈🐈🕊🫖☕️☕️💕🙏
Dr. Dray. I have a doubt about the application of estriol cream on the face skin. Will it improve hyperigmentation?
You look great, Dr. Dray. Have you disclosed anything about the use of fillers or other cosmetic procedures? I haven't watched your vids in a year or so and you look different (better).
I have had no cosmetic procedures/fillers /botox other than veneers several years ago
HRT saved my life. I don’t use topical estrogen but can’t to ask my gyn for a prescription. Any advise on removing the glue from transdermal patch that doesn’t contain alcohol?
Are you saying that bio-identical hormones taken orally can increase blood clots and negatively impact the heart? I thought that was only with the non-bio-identical version. Where can I read more about what you said.
I read that topical estrogen cream can cause hyperpigmentation. Is this true?
yes
If you don't use sunscreen.
Is perimenopause a good time to start topical estrogen? At 41 my skin is extremely dry even though I have a good beauty regime I still suffer with breakouts monthly or is retinol with sunscreen just as good right now?
If you are having symptoms, then yes as this was the question I asked my GP.
Hi beautiful. I have question and I hope that u could help me out and answer me?! What u think about Procell please? I'm about to get certified and purchase the device an as u know it's not cheap at all! I'm certified esthetician an I practice microneedling usually and this is as I was told is better and faster healing! Could you help me with your knowledge please. Thanks in advance
You didn’t mention what products would safe or effective to apply with. Is the efficacy changed with retinol or vitamin C?
I wonder if the topical estrogen can improve hair growth?! Should men try it on their balding heads?
Thank you for this video!!! I was hoping to hear if you should apply the cream "as is" or mix into a moisturiser..... 💗
I mix
What about progesterone? Is that not also important for skin ?
Not enjoying the effect of lower estrogen on hair. Wondering if the estrogen cream could help support the hairline..
I’m on spirinolactane to help hair growth…you may need to increase dosage in 6 months if no improvement- & after a year some people need to supplement with minoxidil…
I have not used it on my face but i was prescribed estradiol cream after surgery. I'm not sure if it actually did anything though.