In this sneak peek, we discuss: 00:00 - Intro 00:10 - Why hormone replacement therapy is such an important topic 04:36 - The onset of menopause: symptoms, blood tests, and when to consider HRT 08:15 - Tests that may provide indications of perimenopause and their implications for fertility 13:23 - Vasomotor symptoms: hormonal changes that cause hot flashes/night sweats, and HRT therapies that can help Watch the full episode and view show notes here: bit.ly/46Rr4HK
@@stephgould4374why? They won’t give it to you there? I am Greek and will be there in the summer so please tell me if I will be unable to get it while there
A big problem for me was how uneducated I was on what menopause was. I thought I would just stop getting a period and that was it. I Was never educated in all the symptoms that would happen for the years prior to. All of the sudden I was experiencing anxiety, stress, weight gain in just my stomach. I had no idea they were pre cursers. Had I known I would have stated the HRT process way earlier.
I think a lot of us women thought the same as you. I just turned 60 and have been educating myself since I started noticing changes at 44. I grew up thinking menopause was just a couple of hot flashes and your period stopped. No one ever talked about it. I had no idea it was much more than that. Sleep issues, hot flashes, night sweats, weight gain, zero libido, heart palpitations, low energy, joint pain, etc.
Same! I started having panic attacks on the highway suddenly at 47. Had to have my teenage boys drive if we had to get on the highway (and having teen boys drive the highway is panic inducing in and of itself 😂). I’m now about to turn 50, sweating my a*% off and suddenly it’s all making sense lol (and I haven’t missed one period, so that has nothing to do with it).
@donnatrocks,did you ever get on anything? I am just now finding out about HRT I thought I had to live like this. 😢my doctor said “it’s a nuisance but you will get through it” 😮 He said it was cancer causing and no he will not order hormone replacement therapy
@@Nrsesand1 I found a nurse practitioner who put me on TRT, I get slow releasing pellets in my behind that have estrogen and testosterone in them and I get them 2 or 3 times a year and I take a progesterone pill at night. no more hot flashes. hope you get some help soon!
@@Nrsesand1 A lot of the women's health initiative conclusions have been walked back . First, the estrogen only arm of the study women who all had previous hysterectomies showed a decreased incidence of breast cancer. Now their is a paper out, Dr. Avrum Bluming is the lead author that challenger the statistics of the horse estrogen/ progesterone arm of the study. Dr.Bluming said their statistics don't reach the level of statistical significance . In other words they could be coincidence.Even worse , Dr Bluming says that the control group of this arm of the study has an unusually low risk of breast cancer. By coincidence some of the women in the control group had been on estrogen in the past as ND this lowers their risk of breast cancer so in comparison the estrogen/ progestin grip looks like they have a high risk of breast cancer. Remove the women with past history of estrogen use from the control group and this arm of the study shows no elevated breast cancer risk. So in conclusion the women's health initiative shows no elevated risk of breast cancer with HRT. You need an jp to date doctor. Good luck. As an added safety measure you outright might want to have genetic testing to see if you have increased risk of breast cancer. My understanding is that estrogen can make a estrogen sensitive tumor grow, but it does not cause the cancer.
This information is so important and definitely needs to be blasted out to everyone! My male physician said he would not put me on HRT, thank goodness my female gynecologist agreed to. I told my male Dr he wouldn't because he's a man. My life completely turned around after starting on the patch and progesterone. My symptoms were absolutely debilitating. I'm so grateful for being made aware of HRT and it seems like everyone I speak to thinks I'm speaking a new language. So I make sure I tell as many people as I can.
Same. I left my male OB/GYN and found an informed female Naturopath who prescribed bio identical hormone replacement therapy. I only wish I had gone to her years ago. I let the male doctor “mansplain” and belittle my quality of life concerns for too long. 😢
incredibly timely!! I'm heading to a new doctor today to discuss TRT for women. I've been on a very low dose of compounded cream (Belmar Pharmacy) for 9 months and it's the best I've felt in a decade... dropped 10 lbs, feel energetic, very sound sleep and I just feel younger. The horrible doctor I just saw at the Cleveland Clinic refused to refill the prescription bc it's not FDA. She also had very bad skin and was obese, so there were serious red flags....but I got on the NAMS site and found a doc who will not bill insurance so she's not a slave to big pharma, like the poor CC doc. I'm happy to drive 90 minutes and pay out of pocket for actual care... and having this info is invaluable. Also, the FDA is not perfect (eg Oxycoton and Purdue Pharma 😢)....TRT and HRT require patient education ❤
Thank you, Peter… because of your many videos on HRT, I felt informed enough to talk to my doctor. I am 56 and my last period was July 2022, my hot flashes were every hour and progressively got worse to the point I was almost in tears daily due to the frustration. The night sweats, anxiety, heart palpitations, brain fog, spare tire around my lower abdomen and fatigue was taking its toll. I am now on my 8th week of being on the estradiol patch & progesterone pill and it has literally changed my life. All my symptoms are pretty much gone, I may have a hot flash during the day, but they are not anywhere near as intense as before I started HRT. I finally feel like myself again, I no longer feel as though some alien force has taken over my body. So thank you and to all of your guests that felt the need to get the word about HRT, it has literally given me my life back and I now have hope for my future as a healthy, happy mature woman. ❤️
That is marvelous! Great report. I just started HRT as I’m 41 and went into early menopause and am wondering do you know the main benefits or differences between estrogen patches, and estrogen cream?❤
This is one of the best discussions on the history of HRT and menopause I've ever heard. At almost 68, I was in full menopause by age 43 and had no idea what was happening. The rage. weight gain, and so many other symptoms were "treated" by a psychiatrist who put me on multiple drugs, including ritalin after an informal diagnosis of adult ADHD. (no cognitive therapy back then.) I am the co-author of the vetted book "Singing Through Change: Women's Voices in Midlife, Menopause and Beyond" about female singing voice changes," and went back on HRT at the age of 63 after going off of it because of the WHI study.
Hi, my hair has been falling out for years and my skin is very dry also. But I have been on HRT for many years. Also with it still falling out. I have gone to many doctors and they believe it is actually caused by the testosterone that I receive. In your comment, do you believe that your symptoms stopped because of the testosterone?
In the UK there has been a sudden highlight of the topic with celebrity campaigns, press and awareness campaigns. As a result many women are now asking for HRT which has led to ashortage. There is also change in policy to reduce costs and more training for employers to be supportive of struggles people feel during menopause.
Same here in Ireland. I have to pre-order my next month's HRT two weeks in advance because it's never there and I hear many stories from other women having to change their hormone medication because the one they're on is out of stock,
Yes. I listen to other doctors on yt who do podcasts for free. I won't pay for a subscription. They are getting paid from yt and ads, so there is no reason that I can see to pay them also.
Peter is amazing. Optimizing health is where its at and preventing instead of healing post fact. He helped me a LOT with his adrenals video and how to speed up adrenal recovery (burnout from overexercising)
Thank you for getting this information out there. More people need to know this about HRT. I started menopause in my mid 30s. I would not be the person I am today, a decade later, without HRT and testosterone therapy. I am lucky to have a great doctor.
Same, grateful to hear you’re well! I was so afraid I into tears when I lost my period earlier than all my friends. do you know if the cream is better than the patch? Are you on testosterone estrogen and progesterone? I’m on all three. Oral progesterone and cream for the other two. My naturopath also put me on DHEA and Pregnenolone. Do you know if we’re supposed to follow it on a cycle plan like our period, 28 days on, five days off or we take it all month?
Hi! It’s been a long process of trial and error for me. I started with birth control pills when perimenopause started. We (my doctor and I) tried multiple brands and none worked out for me. I was experiencing extreme anxiety and emotional problems on them. We then moved on to testosterone and estrogen creams (I can’t remember if the cream contained progesterone). After a year and multiple blood tests, the creams were not showing to give me the levels of hormones that my body needed. I have been on Bijuva (I have a uterus) and monthly (every 28 days) testosterone injections for a number of years now. I take Bijuva every day, it is estrogen and progesterone combined into one pill. I feel great and have almost no symptoms! Like most women, my symptoms were more complex than just having hot flashes. I had brain fog, sleep problems, extreme exhaustion, and (most distressing to me) extreme mood changes. My doctor said that I will be on HRT until the average age of menopause. I have yearly mammograms and see my OBGYN doctor annually. I hope you find what works best for you! Be patient and know that it may take a while.
Ive been a typical victim of misinformation here. Im 65 and still dealing with the effects of menopause which started in earnest at 52. Disrupted sleep patterns, hot flashes with anxiety at night. Was advised not to use HRT due to Breast cancer risks. I’ve battled on and now discovered all women who used HRT are faring better on all counts in Menopause. Now Im told I again shouldnt use HRT because Im 65. Im fit healthy and I want to go on it. My doctor is resisting my request to go on it. Any advise? Should I see a GYN instead? I dont care about the risk factor anymore I just want a quality of life. PS: this has also affected my libido/relationship. Jo
I am so angry I am in the same boat. It's affected my health I've been diagnosed with osteoporosis have vaginal atrophy no libido, weight gain around my waist which I never had and I'm very fit very physically active had my last period at 52 and I'm now 63 I feel like I want to go on bioidentical HRT. I live in Philadelphia PA and in the last few years every time I mention it to any doctor women and men it's a complete flat-out no because of risk of cancer. I'll tell them that the woman's health initiative has been debunked and that you need to use you know real progesterone and everything I've been reading about and I go into these doctor's offices more informed than them and they won't budge at all. But of course they want to put me on prolia for the rest of my life which is like so detrimental to your body they want to put you on statins even when you don't have high cholesterol because they want to protect against heart disease which HRT does that protect you against osteoporosis and heart disease. The medical mainstream medical community is just about profit and pharmaceutical drugs. And prescribing drugs by doctors clicking their pen with their pad and that's it there's no discussion they can't even have a discussion about this It's very antagonistic my interactions with doctors and I'm talking about teaching universities. University of Penn is still recommending like 1200 to $1,500 mg of calcium on a DEXA scam with like 800 I use a vitamin D3 and no vitamin K2. This is an ivy League teaching university University of Penn in Philadelphia none of them diagnosed my celiac disease back in 2018 I had to do genetic testing on my own and that's when I got diagnosed with osteoporosis scoliosis alopecia Los enamel on my teeth osteoarthritis You know meanwhile I've been a runner and exercise enthusiast dedicated had a pet service business where I'm walking out in the sun weight bearing my whole life salsa dancer. It's really abysmal my interactions with mainstream medical community It just seems about strictly about profit at the risk of women's health or anyone's health even children's. I mean my God the American Council of Sugar funds harvest studies on obesity where you have results of lucky charms is healthy for you.
Yes , Drs Mark Harmon and Rob Lustig have pointed out hi ow ultraprocessed food is causing the rising rated of insulin resistance in industrialized countries. Curiously all studies financed by Big Sugar find no correlation between their junk food and rising rated of obesity / diabetes@@dancetilldawn484
I would find another dr. You can also google the Menopause Society the have a listing of drs who should know more about HRT and how to treat midlife women. Keep advocating for what you need and find that dr who will help you. 🙏🏽🤎
Hi Yolanda: if you are having painful intercourse that can be treated with low dose topical intravaginal estrogen. It is perfectly safe, but many docs may not be aware of this. Try alternative medicine doctors, menopause certified obgyns. I f they refuse to give you any estrogen try an experienced acupuncturist. Some herbs may give you some relief. Best wishes. I have been very frustrated with traditional medicine also.
The most important topic and question I was looking forward to I didn’t get answers.I didn’t realize we had to sign up. Those of us that can’t afford it don’t get access to important information. 😢
Look other places where the information is free. Dr. Mary Claire Haver, Dr. Louise Newson, etc. Read the book Estrogen Matters, etc. I had to do my own research and have finally found the help I need.
I really want to know Peter’s opinion on HRT after ER positive endometrial cancer, when ovaries are removed as well. There is limited data that early stage cases can take HRT, but many doctors are against and it’s a prevailing opinion. Women are going through horrific surgical menopause not being allowed to take any hormones, not to mention all future problems this will cause to health. Has anyone heard him speaking about it?
I was on HRT and oral progesterone for about 25 years when I was told it was time to get off-at age 66. I have spent every day since wanting to go back on it!! And trying to find tons of alternatives (most of which don't work) to relieve my continuing symptoms. Why was I forced off and could I please get back on?!?!
You should check out OBGYN Mary Claire Haver. One of the best in the Menopause field. She would probably tell you to get a new doctor. All of her work and knowledge convinced me to start just 3 days ago. Hope you find someone to get you back on them.
They will have to pry the pills from my cold, dead hands. I’m 57 and when the menopause truck backed over me at 50, I wanted to die. I still have had NO sex drive in 7 years, but at least I’m relatively sane.
@@allisonkeating-nordman2190 That's what I had always felt too....and would go back on it in a heartbeat!! I just can't find anyone around here who will let me. So I struggle.
@@jax-sx9pk 🤣🤣🤣 Yes but will HRT really help with that? I don’t have any of the other symptoms (yet), except maybe low energy. But omgsh, the rage… 🤣🤣🤣🤣🤣🤣
Always very informative. Thank you! What I miss in all the discussion of HRT is how to manage HRT with histamine intolerance (because of slow COMT enzyme function). Would be so helpful. It’s not a rare condition, and often shows up during Perimenopause, because of estrogen dominance.
I was on HRT for 4 months and really enjoyed the results, however, my Red blood cell count was too high even after donating blood as often as allowed, so my blood pressure went up and I started having high creatinine levels, so I had to stop the therapy. I am a healthy carrier of sickle cell anemia and am not sure if it has anything to do with it, are there any doctors that specialize in this, I really want to get back on HRT.
I had a total hysterectomy 25 years ago at the age of 33yo and was told I didn’t need HRT. 10 years ago I started on estrogen and 2 years ago added progesterone. My PCP is not knowledgeable about it so I never know if I’m getting the right dosage.
Menopause Taylor here on UA-cam has excellent videos and she also does consultations by video. She can help you with that it’s too important to be in the hand of someone not skilled in menopause management. You can also check with the North American menopause society.
It must have been very hard to have that extent of non care after your hysterectomy. Really very important to have a DEXA Scan for bone density if you’ve gone through an early surgical menopause. Consider adding in Testosterone for bone support, as well as muscle strength, self-confidence, mental clarity…
Sorry, Peter. Another person is seeking some answers. I know this will not be a medical consultation, and I must speak to my GP or Gynae (when I get one). I would like to ask you some questions so I can be well-informed when I seek medical advice from my doctors. This might be a lengthy comment, so I hope you're kind enough to read it. Some background. General health Hypothyroidism, Bipolar, Asthma. I stopped having my period at the age of 50 years of age. The process was not too bad. I then had a random bleed when I was age 52; this was checked and had no issue, and nothing since. Then, in early 2022, I got symptoms of increased urination, not sleeping and teeth erosion. I was diagnosed as having issues with PTH, CA and Vitamin D. This was fixed with Vitamins. I then got Covid 19 in July 2022. I had very few symptoms, only sinus/asthma issues. When I went back to work, I struggled with breathing at first but continued to take it easy as I was aware of this being an issue with COVID-19 after a few months. I went to the doctor, and from then on, I had 2 lots of oral steroids, 4 lots of antibiotics, 2 lots of antihistamines and a Steroid spray. I have been so ill since and have had two mental health admissions and 6 months off work. Nobody could tell me what was going on other than you MIGHT have a metabolic disorder or autoimmune disorder, but no definite diagnoses. Here are the symptoms I have been suffering from over the 18 months: Severe mental health issues (depression, panic attacks, anxiety, forgetfulness, forgiveness, no concentration). Teeth breaking, bone aches, glue ear, peripheral neuropathy, pigmentation and skin changes. Changes in eyesight, lots of weight gain although eating well. (increase metabolic symptoms on blood test) Chronic cough at night, rib pain, nausea, vomiting, bowel changes. I think I'll stop there. There are many more symptoms. I've been feeling 98 years old and deficient in mood due to the feeling of what feels like serious aging (signs) LOL. I went to see my Dad's doctor over a mole change, as he is the best in town for that. He also has an extensive career in emergency medicine. I said I was not working due to an illness that had been for 18 months. I told him a few symptoms, and he said that I was going through Post-menopause. Like most people, I thought I would never ever go on hormone replacement therapy due to the media and research, but as soon as the doctor told me that, I said, "Slap that patch on now". He prescribed me Estraderm MX25. I've just started, so I wouldn't know that they are beneficial yet, but I understand that it may take time, as I've found out. I also found out, but I'm not sure if it's true, that because I have a uterus, I should be taking progesterone, too? Could you direct me in the right direction? Should I be using both? I also want to use a patch due to my liver getting a workout all the time from bipolar medications. Would Estalis continuous 50/140 patches be a great place to start rather than just the Estraderm MX25 patches? Thank you for helping with a starting point. Please Help This has been the worst I've ever felt.
It's very disappointing and taints the sincerity of the delivery as if it's just a money grab. Let me decide if I'm willing to watch commercials. If the information can be life changing and life sustaining, commercials are a small price to pay for me to hear this important information. Not cool. I feel ya.
I just wish we would talk more about how peptide bioregulators and peptides can help us during peri/menopause. I also wish we would talk more about how HRT does not help all women, because there are many women who in spite of training, eating well +++ and being on HRT, they still can't lose weight, experience symptoms etc. We certainly have many options, but we still have ways to go imho
You can test at the same time every month if you are still cycling. If not still having a cycle - you need testing just to get a baseline. Ex. for Testosterone replacement.
Topic request re: new onset glucose intolerance and high insulin following initiation of BHRT (and or HRT w/ uterus thus progesterone needed) as follows: 2.5 Bi-Est continuous with 200 Prometrium 12 days per month. I'm 54 and 4 years natural post menopause. I wear a Freestyle Libre to prevent diabetes. 2 months of aforementioned regimen changed glycemic parameters as follows: A1C from same time last year (no BHRT) was 5.5. Most recent A1C 2 month post-BHRT is 5.9. Fasting insulin increased from 8 to 20. No other changes to diet/exercise aka same daily protocol. Started BHRT due to occasional night sweats and brain fog. Three Questions: 1. Is bi-est (80 estriol/20 estradiol) too weak an estrogen to counter oral prometrium/progesterone? 2. I do not use testosterone although MD recommending addition for low energy. Will testosterone help or hurt and what dose/delivery is safest for initial trial? 3. Could this regimen cause high cortisol? To close...I've read clinicals where progesterone can induce insulin resistance since this is true during pregnancy. Would LOVE your insights/data here.
Vaginal Atrophy is no longer the correct term as it does not properly describe all of the issues of the vagina and related urinary symptoms. Genitourinary Syndrome of Menopause is the proper term abbreviated as GSM
Excellent unbiased presentation. The majority of OBGYN unfortunately don’t discuss and contrast modalities of treatment for menopause symptoms. Thank you. Someone made a comment that they did not learn anything new from listening to two males discussing HRT. What an embarrassment to female hood. Comments should not be based on gender. Opinions should be based on knowledge and facts.
I will be 59 in March 2024.. I had a light period in february 2021 and nothing since. I never experienced any perimenopause symptoms, actually never experienced PMS. Should someone be taking hormone replacement if they are not experiencing any symptoms.
I had two case of breast cancer my mother and my sister died with breast cancer and because that my doctor Gynecologist never recommended hormones to me. Now I'm 60 years old. Do you think is the hormones replacement save for me?
Thank you so much for this information and opportunity to ask this question: I am 52 years old and I had a hysterectomy when I was 38 years old so I went through surgical menopause at that time ; however I still have my ovaries and surprisingly I am going through severe menopause again 😢. My question is : would it be beneficial for me to use HRT??
I’m 58 years old and my period stopped at 54. I had anxiety and insomnia before but since there was no discussions about menopause, I was totally unfamiliar with it. My cycle was always within the 28th day and lasted for three days. I felt healthy with no symptoms until a few months ago, after I turned 58, I began having serious joint pain and aches. All other menopausal symptoms started to bother me also. I still never have night sweat but I’m always cold now. I had a dexa scan like you recommended in your book but so far the result is ok. And when people look at me, I don’t look old and it’s frustrating that people think I’m lying. My female Doctors don’t want to give it to me even I have no history of cancer because they consider my symptoms as mild. It’s also a risk playing with hormones that can become overwhelming to doctors with marginal profit. Having Tricare and VA for health insurance is another hurdle. I’m told there’s no study out there that shows estrogen can help on post menopausal since I didn’t start the treatment prior to menopause. It’s like I can’t fill the bucket with estrogen after it’s been emptied. What else to do?
If you are always cold that is more a sign of a thyroid issue than menopause. Get your thyroid checked for hypothyroidism. It can be behind your issues.
Perimenopause can start way before hot flushes, etc. I starting having brain fog and gaining weight in my mid 40's. Not enough is done way before menopause stage even begins! Progesterone was awful for me. Now doctors say antidepressants are good for menopause 😡 and estrogen isn't‽ I want a hysterectomy so I don't have to take Progesterone but doctors won't approve it!! HRT seems like a complete guessing game.
I keep telling women when I say I’m gonna do this. They’re like breast cancer breast cancer. No there’s a lot of new studies. I was put on at 40 and she told me that I was too young and then I got off of it and now I went through perimenopause for three years of hell I should’ve went back on, then I did some studying that it’s safe and now that I’m full menopause for a year. I’m going to get it because I’m telling you every day. I never know who I’m waking up with. I look in the mirror and try to figure out who’s going to be today I am I am, I’m gonna like people I’m gonna hate people I wanna do anything get up off my ass or I don’t wanna sit here and cry not go to the gym not want to eat or eat too much. I’ll just sit there and just not move and just want to just die. There’s no reason for this I have a very good life
My wife and I got married in our late fifties and both started HRT. MY PSA was .78 when I started and went to 4.8 in 5 years. My wife developed uterine cancer and had surgery but kept with the HRT and developed Her2 positive breast cancer 2 years later and had surgery, chemo and radiation. We love Peter but I disagree when he says (3:30) that HRT has caused zero breast cancer. Our situation might be antidotal, but we are sure HRT caused our cancers. We are in our sixties now and living a good natural life with good labs not trying to fool our bodies into thinking we are in our 30's. This is just our story but I would think twice about jumping into HRT.
Does anyone have issues with high blood pressure and take Hrt and havingcany issue? I was on patch, have hbp and had to stop it due to increase in blood pressure 😢
I feel like I could benefit from HRT in many ways but my 20 year old daughter has been diagnosed with a brain tumor which has hormone receptors and is known to be driven by estrogen and progesterone. I’m nervous to take hrt as a result. How would you suggest I determine the best choice between the worry about meningiomas and worry about peri-menopause?
only 1/3 of women ever have symptoms that indicate taking BHRT. The other 2/3 get through with a few bumpy phases. Prepare for menopause by taking care of your liver health, exericising more and taking adaptogens for stress. It can make a world of difference
Any suggested resources on HRT if you have benign breast disease (atypical duct hyperplasia)? My doc wants me to stop HRT bc of the generic word “risk” and my symptoms are SO bad, I have educated myself on all the WHI issues but not able to find anything if you have hyperplasia
Mother did not take HRT still alive doing well at 80, her sister took HRT died from breast cancer. Brest cancer doesn't run in their family. All of the women in their emediate family lived to their late 90s early 100s. My father's sisters both took HRT both died from breast cancer. My cousin in-law just died from breast cancer she was 55 and on HRT. Your life your choice I am 59 an choose to be drug free
I took HRT and I'll be turning 73 next month without any cancer diagnoses. Of my three younger sisters two were diagnosed with breast cancer and the third died from brain cancer. None of my sisters took HRT. My mom never got a cancer diagnosis and she lived to 93; she also didn't get HRT. Of note, my mom and I are the only ones who did not drink alcohol and did not smoke.
Geez, how do I actually get in touch with Dr attia ya know..?.. but I'm desperate..... if your there, if you actually see this, I just got have one question..... 🙏🙏... is it in your medical opinion that collagen (liquid, powder,pill form) will help women thru what i consider to be a multitude of side affects to aging.. menopause, perimenopause??
I am soon to be 53 and went to my doctor and asked for a blood test so i could better manage and understand my menapause, he told me no i couldn't have one bc it would be useless information as i was already on topical estrodial. Is this right. Does not seem right to me. He did tell me tho thst i was supposed to be also taking progesterone for the last 2 yrs with my estrodial. So thst doesn't sound good.
7:17 OK. If you’re having irregular menses….”day 5” is meaningless. Or if you even have longer cycles, “day 5” is meaningless. I am SO SICK of clinicians prescribing lab tests based on “cycle day”, since most folks having gyn problems don’t have 28 day cycles.
I need some help. How do I connect with the dr ? I am desperate my dr looks at my like I have six heads. I have pmdd it’s killing me I am living in a shell I miss myself.
What country do you live in? Search on Google the 'Menopause Association in your country' or " Menopause Society in your country " to find a good menopause Doctor.. I have PMDD also, the research I did says that taking 'bio identical Progesterone' day 21 to 28 of your cycle (or even day 14 to day 28) may assist with your symptoms. Your Progesterone level rises by taking the Bio identical Progesterone during day 21 to 28, therefore there is not a big level gap between estrogen and progesterone. Because when you have a big gap in the 2 hormone levels, that's when the pmdd symtoms kick in. By reduce the gap between estrogen and progesterone, you then reduce the PMDD systems.
Don't feel alone..I am feeling the same way! My poor husband and son have to put up with my daily crying, depression, anxiety, and many other crappy things! I moved to Texas 2 years ago, and now my husband doesn't have health benefits. So I have no regular doctor. I use an online doctor because I do have type2 diabetes I have to get meds for. I was on HRT for approx. the last 12 ish years since having a partial hysterectomy. Although I still had one ovary, I started turning into a crazed person. My doctor at the time was very quick to tell me to get on them. It was life changing!! So to finish a long story...so as of August(or so)of 2022, I no longer had any refills left and could no longer get my Estradial. My life has been(needless to say)pretty awful again!! I am trying to find an online OBGYN. Hoping for the best!!
i believe there is a 'window' of 10 years from the end of your periods in which you have to start. otherwise the cardiovascular thickening of arteries is already underway and then HRT can be a problem. this is what i understood from reading the book Estrogen Matters.
16.59 minutes on how hormones are measured and nothing on Hormone replacement therapy. This video is nothing more than a advertisement for a paid service, and therefore it's misleading 😡
I have lupus can I use HRT? My estrogen levels are very high being trying to lower them with supplements but they are not doing much! Hope you can help and answer my question! 😊
Can you help me. I do not know what I should take or not take. My FSH is 81- weight gain in my stomach/ hpt flashes/ night sweats/ depression/ please help. Please
Bait and switch. Change the title because there was no information about compounding or therapies. This is a video that drags you through content and ends with a pitch to subscribe for the rest of the details. Disappointed.
I do wish since this is, in part, a corrective podcast that you would consider removing it from AMA and making it generally available. While theoretically of interest to men, it will have mostly a female audience. We are already burdened by being paid at lower rates than men. And carrying most of the household labor. And all of the rest of it. ❤
Exactly, that's why I'm reading comments to see if I was the only one thinking...WtF!!? Where Is the rest of this information after committing 16 minutes I get told I have to be a premium member to get the rest of the info. Really??!! Give me a break I'll go to DR. ANDREW HUBERMAN who provides free important information
The new medication fezolinetant (Veozah) is giving women a false sense of security. It treats the hot flashes and the long term consequences of menopause go untreated 😢
Not true at all. In fact, reduces risk of colon cancer, reduces risk of heart associated disease, reduces prevalence of insulin sensitivity, reduces risk of developing Alzheimers and dementia. The benefits FAR outweigh any potential risk with body identical hormone replacement.
In this sneak peek, we discuss:
00:00 - Intro
00:10 - Why hormone replacement therapy is such an important topic
04:36 - The onset of menopause: symptoms, blood tests, and when to consider HRT
08:15 - Tests that may provide indications of perimenopause and their implications for fertility
13:23 - Vasomotor symptoms: hormonal changes that cause hot flashes/night sweats, and HRT therapies that can help
Watch the full episode and view show notes here: bit.ly/46Rr4HK
I know I am just an N of 1, but I have been low dose HRT for DECADES. as I live in Europe. Very happy and healthy 73 years of age.
What is your weekly dose? And how often do you administer?
Good to know! I just started BHRT in April and I feel amazing! 52 yo female.
Where do you live in Europe. I live in Greece and have to fly to the US to get HRT
@@stephgould4374why? They won’t give it to you there? I am Greek and will be there in the summer so please tell me if I will be unable to get it while there
@@zarmakoupisnicky9115I haven’t been able to find one single doctor who believes in or accepts that HRT is not dangerous.
A big problem for me was how uneducated I was on what menopause was. I thought I would just stop getting a period and that was it. I Was never educated in all the symptoms that would happen for the years prior to. All of the sudden I was experiencing anxiety, stress, weight gain in just my stomach. I had no idea they were pre cursers. Had I known I would have stated the HRT process way earlier.
I think a lot of us women thought the same as you. I just turned 60 and have been educating myself since I started noticing changes at 44. I grew up thinking menopause was just a couple of hot flashes and your period stopped. No one ever talked about it. I had no idea it was much more than that. Sleep issues, hot flashes, night sweats, weight gain, zero libido, heart palpitations, low energy, joint pain, etc.
Same! I started having panic attacks on the highway suddenly at 47. Had to have my teenage boys drive if we had to get on the highway (and having teen boys drive the highway is panic inducing in and of itself 😂). I’m now about to turn 50, sweating my a*% off and suddenly it’s all making sense lol (and I haven’t missed one period, so that has nothing to do with it).
@donnatrocks,did you ever get on anything? I am just now finding out about HRT I thought I had to live like this. 😢my doctor said “it’s a nuisance but you will get through it” 😮
He said it was cancer causing and no he will not order hormone replacement therapy
@@Nrsesand1 I found a nurse practitioner who put me on TRT, I get slow releasing pellets in my behind that have estrogen and testosterone in them and I get them 2 or 3 times a year and I take a progesterone pill at night. no more hot flashes. hope you get some help soon!
@@Nrsesand1 A lot of the women's health initiative conclusions have been walked back . First, the estrogen only arm of the study women who all had previous hysterectomies showed a decreased incidence of breast cancer. Now their is a paper out, Dr. Avrum Bluming is the lead author that challenger the statistics of the horse estrogen/ progesterone arm of the study. Dr.Bluming said their statistics don't reach the level of statistical significance . In other words they could be coincidence.Even worse , Dr Bluming says that the control group of this arm of the study has an unusually low risk of breast cancer. By coincidence some of the women in the control group had been on estrogen in the past as ND this lowers their risk of breast cancer so in comparison the estrogen/ progestin grip looks like they have a high risk of breast cancer. Remove the women with past history of estrogen use from the control group and this arm of the study shows no elevated breast cancer risk. So in conclusion the women's health initiative shows no elevated risk of breast cancer with HRT. You need an jp to date doctor. Good luck. As an added safety measure you outright might want to have genetic testing to see if you have increased risk of breast cancer. My understanding is that estrogen can make a estrogen sensitive tumor grow, but it does not cause the cancer.
This information is so important and definitely needs to be blasted out to everyone! My male physician said he would not put me on HRT, thank goodness my female gynecologist agreed to. I told my male Dr he wouldn't because he's a man. My life completely turned around after starting on the patch and progesterone. My symptoms were absolutely debilitating. I'm so grateful for being made aware of HRT and it seems like everyone I speak to thinks I'm speaking a new language. So I make sure I tell as many people as I can.
Same. I left my male OB/GYN and found an informed female Naturopath who prescribed bio identical hormone replacement therapy. I only wish I had gone to her years ago. I let the male doctor “mansplain” and belittle my quality of life concerns for too long. 😢
incredibly timely!! I'm heading to a new doctor today to discuss TRT for women. I've been on a very low dose of compounded cream (Belmar Pharmacy) for 9 months and it's the best I've felt in a decade... dropped 10 lbs, feel energetic, very sound sleep and I just feel younger. The horrible doctor I just saw at the Cleveland Clinic refused to refill the prescription bc it's not FDA. She also had very bad skin and was obese, so there were serious red flags....but I got on the NAMS site and found a doc who will not bill insurance so she's not a slave to big pharma, like the poor CC doc. I'm happy to drive 90 minutes and pay out of pocket for actual care... and having this info is invaluable. Also, the FDA is not perfect (eg Oxycoton and Purdue Pharma 😢)....TRT and HRT require patient education ❤
What is your Daily dose of testosterone?
Thank you, Peter… because of your many videos on HRT, I felt informed enough to talk to my doctor. I am 56 and my last period was July 2022, my hot flashes were every hour and progressively got worse to the point I was almost in tears daily due to the frustration. The night sweats, anxiety, heart palpitations, brain fog, spare tire around my lower abdomen and fatigue was taking its toll. I am now on my 8th week of being on the estradiol patch & progesterone pill and it has literally changed my life. All my symptoms are pretty much gone, I may have a hot flash during the day, but they are not anywhere near as intense as before I started HRT. I finally feel like myself again, I no longer feel as though some alien force has taken over my body. So thank you and to all of your guests that felt the need to get the word about HRT, it has literally given me my life back and I now have hope for my future as a healthy, happy mature woman. ❤️
I used the patch about 4 and half years, so thankful. Price went up so I had to quit .but it was a lifechanger
That is marvelous! Great report. I just started HRT as I’m 41 and went into early menopause and am wondering do you know the main benefits or differences between estrogen patches, and estrogen cream?❤
@@elainebolling505 can you do estrogen cream as a better price?
This is one of the best discussions on the history of HRT and menopause I've ever heard. At almost 68, I was in full menopause by age 43 and had no idea what was happening. The rage. weight gain, and so many other symptoms were "treated" by a psychiatrist who put me on multiple drugs, including ritalin after an informal diagnosis of adult ADHD. (no cognitive therapy back then.) I am the co-author of the vetted book "Singing Through Change: Women's Voices in Midlife, Menopause and Beyond" about female singing voice changes," and went back on HRT at the age of 63 after going off of it because of the WHI study.
My hair was falling out and my skin was very dry. My doc put me on compound testosterone. Grateful.
Hi, my hair has been falling out for years and my skin is very dry also. But I have been on HRT for many years. Also with it still falling out. I have gone to many doctors and they believe it is actually caused by the testosterone that I receive. In your comment, do you believe that your symptoms stopped because of the testosterone?
Check your ferritin levels.
In the UK there has been a sudden highlight of the topic with celebrity campaigns, press and awareness campaigns. As a result many women are now asking for HRT which has led to ashortage.
There is also change in policy to reduce costs and more training for employers to be supportive of struggles people feel during menopause.
Same here in Ireland. I have to pre-order my next month's HRT two weeks in advance because it's never there and I hear many stories from other women having to change their hormone
medication because the one they're on is out of stock,
Great info. Thank you. I wish we can watch/listen to the whole video for free.
Yes. I listen to other doctors on yt who do podcasts for free. I won't pay for a subscription. They are getting paid from yt and ads, so there is no reason that I can see to pay them also.
I am grateful to have a male medical doctor and researcher advocate for safe HRT for women. It’s definitely way overdo.
Peter is amazing. Optimizing health is where its at and preventing instead of healing post fact. He helped me a LOT with his adrenals video and how to speed up adrenal recovery (burnout from overexercising)
Yes!!!! Me too!
Thank you for getting this information out there. More people need to know this about HRT. I started menopause in my mid 30s. I would not be the person I am today, a decade later, without HRT and testosterone therapy. I am lucky to have a great doctor.
Same, grateful to hear you’re well! I was so afraid I into tears when I lost my period earlier than all my friends. do you know if the cream is better than the patch? Are you on testosterone estrogen and progesterone? I’m on all three. Oral progesterone and cream for the other two. My naturopath also put me on DHEA and Pregnenolone. Do you know if we’re supposed to follow it on a cycle plan like our period, 28 days on, five days off or we take it all month?
Hi! It’s been a long process of trial and error for me. I started with birth control pills when perimenopause started. We (my doctor and I) tried multiple brands and none worked out for me. I was experiencing extreme anxiety and emotional problems on them. We then moved on to testosterone and estrogen creams (I can’t remember if the cream contained progesterone). After a year and multiple blood tests, the creams were not showing to give me the levels of hormones that my body needed. I have been on Bijuva (I have a uterus) and monthly (every 28 days) testosterone injections for a number of years now. I take Bijuva every day, it is estrogen and progesterone combined into one pill. I feel great and have almost no symptoms! Like most women, my symptoms were more complex than just having hot flashes. I had brain fog, sleep problems, extreme exhaustion, and (most distressing to me) extreme mood changes. My doctor said that I will be on HRT until the average age of menopause. I have yearly mammograms and see my OBGYN doctor annually. I hope you find what works best for you! Be patient and know that it may take a while.
Ive been a typical victim of misinformation here. Im 65 and still dealing with the effects of menopause which started in earnest at 52. Disrupted sleep patterns, hot flashes with anxiety at night. Was advised not to use HRT due to Breast cancer risks. I’ve battled on and now discovered all women who used HRT are faring better on all counts in Menopause. Now Im told I again shouldnt use HRT because Im 65. Im fit healthy and I want to go on it. My doctor is resisting my request to go on it. Any advise? Should I see a GYN instead? I dont care about the risk factor anymore I just want a quality of life. PS: this has also affected my libido/relationship. Jo
I am so angry I am in the same boat. It's affected my health I've been diagnosed with osteoporosis have vaginal atrophy no libido, weight gain around my waist which I never had and I'm very fit very physically active had my last period at 52 and I'm now 63 I feel like I want to go on bioidentical HRT. I live in Philadelphia PA and in the last few years every time I mention it to any doctor women and men it's a complete flat-out no because of risk of cancer. I'll tell them that the woman's health initiative has been debunked and that you need to use you know real progesterone and everything I've been reading about and I go into these doctor's offices more informed than them and they won't budge at all. But of course they want to put me on prolia for the rest of my life which is like so detrimental to your body they want to put you on statins even when you don't have high cholesterol because they want to protect against heart disease which HRT does that protect you against osteoporosis and heart disease. The medical mainstream medical community is just about profit and pharmaceutical drugs. And prescribing drugs by doctors clicking their pen with their pad and that's it there's no discussion they can't even have a discussion about this It's very antagonistic my interactions with doctors and I'm talking about teaching universities. University of Penn is still recommending like 1200 to $1,500 mg of calcium on a DEXA scam with like 800 I use a vitamin D3 and no vitamin K2. This is an ivy League teaching university University of Penn in Philadelphia none of them diagnosed my celiac disease back in 2018 I had to do genetic testing on my own and that's when I got diagnosed with osteoporosis scoliosis alopecia Los enamel on my teeth osteoarthritis You know meanwhile I've been a runner and exercise enthusiast dedicated had a pet service business where I'm walking out in the sun weight bearing my whole life salsa dancer. It's really abysmal my interactions with mainstream medical community It just seems about strictly about profit at the risk of women's health or anyone's health even children's. I mean my God the American Council of Sugar funds harvest studies on obesity where you have results of lucky charms is healthy for you.
Yes , Drs Mark Harmon and Rob Lustig have pointed out hi ow ultraprocessed food is causing the rising rated of insulin resistance in industrialized countries. Curiously all studies financed by Big Sugar find no correlation between their junk food and rising rated of obesity / diabetes@@dancetilldawn484
I would find another dr. You can also google the Menopause Society the have a listing of drs who should know more about HRT and how to treat midlife women. Keep advocating for what you need and find that dr who will help you. 🙏🏽🤎
Also Midi Health is another option of drs who can help in your area.
Hi Yolanda: if you are having painful intercourse that can be treated with low dose topical intravaginal estrogen. It is perfectly safe, but many docs may not be aware of this. Try alternative medicine doctors, menopause certified obgyns. I f they refuse to give you any estrogen try an experienced acupuncturist. Some herbs may give you some relief. Best wishes. I have been very frustrated with traditional medicine also.
The most important topic and question I was looking forward to I didn’t get answers.I didn’t realize we had to sign up. Those of us that can’t afford it don’t get access to important information. 😢
Look other places where the information is free. Dr. Mary Claire Haver, Dr. Louise Newson, etc. Read the book Estrogen Matters, etc. I had to do my own research and have finally found the help I need.
I have been messaging professionals on social media for decades. They always respond.
Check out Dr.Daved Rosensweet. He doesn't charge for his info, and he's been helping women with hormones for 25 years.
I really want to know Peter’s opinion on HRT after ER positive endometrial cancer, when ovaries are removed as well. There is limited data that early stage cases can take HRT, but many doctors are against and it’s a prevailing opinion. Women are going through horrific surgical menopause not being allowed to take any hormones, not to mention all future problems this will cause to health. Has anyone heard him speaking about it?
I was on HRT and oral progesterone for about 25 years when I was told it was time to get off-at age 66. I have spent every day since wanting to go back on it!! And trying to find tons of alternatives (most of which don't work) to relieve my continuing symptoms. Why was I forced off and could I please get back on?!?!
Same!!!!!!!
You should check out OBGYN Mary Claire Haver. One of the best in the Menopause field. She would probably tell you to get a new doctor. All of her work and knowledge convinced me to start just 3 days ago. Hope you find someone to get you back on them.
They will have to pry the pills from my cold, dead hands. I’m 57 and when the menopause truck backed over me at 50, I wanted to die. I still have had NO sex drive in 7 years, but at least I’m relatively sane.
@@allisonkeating-nordman2190 That's what I had always felt too....and would go back on it in a heartbeat!! I just can't find anyone around here who will let me. So I struggle.
I knew it was time for HRT when I started having the ability to levitate with rage.
Hahaha
😂 this made me feel better
Omgsh, so I’m not the only one. 😂😂😂😂
@@wendyhutchinson5820 I now have serious compassion for all the 'Karen's' out there. Oh yeah, Karen. I get you. 😂
@@jax-sx9pk 🤣🤣🤣
Yes but will HRT really help with that? I don’t have any of the other symptoms (yet), except maybe low energy. But omgsh, the rage… 🤣🤣🤣🤣🤣🤣
Always very informative. Thank you!
What I miss in all the discussion of HRT is how to manage HRT with histamine intolerance (because of slow COMT enzyme function). Would be so helpful. It’s not a rare condition, and often shows up during Perimenopause, because of estrogen dominance.
Could you do a video on what to take after total hysterectomy please!
Yes please!
I had a partial but would love this information too.
Total histeroksomi hakkında video lütfen, İstanbul'dan sevgiler❤
Yes please I had a hysterectomy ( still got my ovaries) when I was 38 - now I am 52 and going through menopause again 😢
I was on HRT for 4 months and really enjoyed the results, however, my Red blood cell count was too high even after donating blood as often as allowed, so my blood pressure went up and I started having high creatinine levels, so I had to stop the therapy. I am a healthy carrier of sickle cell anemia and am not sure if it has anything to do with it, are there any doctors that specialize in this, I really want to get back on HRT.
I had a total hysterectomy 25 years ago at the age of 33yo and was told I didn’t need HRT. 10 years ago I started on estrogen and 2 years ago added progesterone. My PCP is not knowledgeable about it so I never know if I’m getting the right dosage.
Menopause Taylor here on UA-cam has excellent videos and she also does consultations by video. She can help you with that it’s too important to be in the hand of someone not skilled in menopause management. You can also check with the North American menopause society.
It must have been very hard to have that extent of non care after your hysterectomy. Really very important to have a DEXA Scan for bone density if you’ve gone through an early surgical menopause. Consider adding in Testosterone for bone support, as well as muscle strength, self-confidence, mental clarity…
Thank you for this info
Sorry, Peter. Another person is seeking some answers. I know this will not be a medical consultation, and I must speak to my GP or Gynae (when I get one). I would like to ask you some questions so I can be well-informed when I seek medical advice from my doctors. This might be a lengthy comment, so I hope you're kind enough to read it. Some background. General health Hypothyroidism, Bipolar, Asthma. I stopped having my period at the age of 50 years of age. The process was not too bad. I then had a random bleed when I was age 52; this was checked and had no issue, and nothing since. Then, in early 2022, I got symptoms of increased urination, not sleeping and teeth erosion. I was diagnosed as having issues with PTH, CA and Vitamin D. This was fixed with Vitamins. I then got Covid 19 in July 2022. I had very few symptoms, only sinus/asthma issues. When I went back to work, I struggled with breathing at first but continued to take it easy as I was aware of this being an issue with COVID-19 after a few months. I went to the doctor, and from then on, I had 2 lots of oral steroids, 4 lots of antibiotics, 2 lots of antihistamines and a Steroid spray. I have been so ill since and have had two mental health admissions and 6 months off work. Nobody could tell me what was going on other than you MIGHT have a metabolic disorder or autoimmune disorder, but no definite diagnoses. Here are the symptoms I have been suffering from over the 18 months: Severe mental health issues (depression, panic attacks, anxiety, forgetfulness, forgiveness, no concentration). Teeth breaking, bone aches, glue ear, peripheral neuropathy, pigmentation and skin changes. Changes in eyesight, lots of weight gain although eating well. (increase metabolic symptoms on blood test) Chronic cough at night, rib pain, nausea, vomiting, bowel changes. I think I'll stop there. There are many more symptoms. I've been feeling 98 years old and deficient in mood due to the feeling of what feels like serious aging (signs) LOL. I went to see my Dad's doctor over a mole change, as he is the best in town for that. He also has an extensive career in emergency medicine. I said I was not working due to an illness that had been for 18 months. I told him a few symptoms, and he said that I was going through Post-menopause. Like most people, I thought I would never ever go on hormone replacement therapy due to the media and research, but as soon as the doctor told me that, I said, "Slap that patch on now". He prescribed me Estraderm MX25. I've just started, so I wouldn't know that they are beneficial yet, but I understand that it may take time, as I've found out. I also found out, but I'm not sure if it's true, that because I have a uterus, I should be taking progesterone, too? Could you direct me in the right direction? Should I be using both? I also want to use a patch due to my liver getting a workout all the time from bipolar medications. Would Estalis continuous 50/140 patches be a great place to start rather than just the Estraderm MX25 patches? Thank you for helping with a starting point. Please Help This has been the worst I've ever felt.
Their voices make me go to sleep… very relaxing 👍
Hilarious 😂
Is it wrong that I’m sad about gate keeping this particular Q&A away from less affluent women? Or am I too sensitive?
It's very disappointing and taints the sincerity of the delivery as if it's just a money grab. Let me decide if I'm willing to watch commercials. If the information can be life changing and life sustaining, commercials are a small price to pay for me to hear this important information. Not cool. I feel ya.
Yeah doesnt look like this dr replies or answers anyone. SMH@@rachelhambone1159
I just wish we would talk more about how peptide bioregulators and peptides can help us during peri/menopause. I also wish we would talk more about how HRT does not help all women, because there are many women who in spite of training, eating well +++ and being on HRT, they still can't lose weight, experience symptoms etc. We certainly have many options, but we still have ways to go imho
My menopause specialist won’t test hormones because they are so different with cycles, time of day and between women.
You can test at the same time every month if you are still cycling. If not still having a cycle - you need testing just to get a baseline. Ex. for Testosterone replacement.
Topic request re: new onset glucose intolerance and high insulin following initiation of BHRT (and or HRT w/ uterus thus progesterone needed) as follows: 2.5 Bi-Est continuous with 200 Prometrium 12 days per month. I'm 54 and 4 years natural post menopause. I wear a Freestyle Libre to prevent diabetes. 2 months of aforementioned regimen changed glycemic parameters as follows: A1C from same time last year (no BHRT) was 5.5. Most recent A1C 2 month post-BHRT is 5.9. Fasting insulin increased from 8 to 20. No other changes to diet/exercise aka same daily protocol. Started BHRT due to occasional night sweats and brain fog. Three Questions: 1. Is bi-est (80 estriol/20 estradiol) too weak an estrogen to counter oral prometrium/progesterone? 2. I do not use testosterone although MD recommending addition for low energy. Will testosterone help or hurt and what dose/delivery is safest for initial trial? 3. Could this regimen cause high cortisol? To close...I've read clinicals where progesterone can induce insulin resistance since this is true during pregnancy. Would LOVE your insights/data here.
Vaginal Atrophy is no longer the correct term as it does not properly describe all of the issues of the vagina and related urinary symptoms. Genitourinary Syndrome of Menopause is the proper term abbreviated as GSM
You are absolutely correct!! Thank you for clarifying that !!! I struggle with this condition myself
Why isn’t anyone talking about the gain weight that menopause causes??
I am not menopause peri yes. Cold chills worst hair loss brain fog muscle mass loss I was solid. Still in shape but not as cut. Bummer.
Check your thyroid, as those symptoms could be more thyroid than peri menopause.
Excellent unbiased presentation. The majority of OBGYN unfortunately don’t discuss and contrast modalities of treatment for menopause symptoms. Thank you. Someone made a comment that they did not learn anything new from listening to two males discussing HRT. What an embarrassment to female hood.
Comments should not be based on gender. Opinions should be based on knowledge and facts.
Fantastic podcast.
THANK YOU
I will be 59 in March 2024.. I had a light period in february 2021 and nothing since. I never experienced any perimenopause symptoms, actually never experienced PMS. Should someone be taking hormone replacement if they are not experiencing any symptoms.
Following
I had two case of breast cancer my mother and my sister died with breast cancer and because that my doctor Gynecologist never recommended hormones to me. Now I'm 60 years old. Do you think is the hormones replacement save for me?
Thank you so much for this information and opportunity to ask this question: I am 52 years old and I had a hysterectomy when I was 38 years old so I went through surgical menopause at that time ; however I still have my ovaries and surprisingly I am going through severe menopause again 😢. My question is : would it be beneficial for me to use HRT??
I’m 58 years old and my period stopped at 54. I had anxiety and insomnia before but since there was no discussions about menopause, I was totally unfamiliar with it. My cycle was always within the 28th day and lasted for three days. I felt healthy with no symptoms until a few months ago, after I turned 58, I began having serious joint pain and aches. All other menopausal symptoms started to bother me also. I still never have night sweat but I’m always cold now. I had a dexa scan like you recommended in your book but so far the result is ok. And when people look at me, I don’t look old and it’s frustrating that people think I’m lying. My female Doctors don’t want to give it to me even I have no history of cancer because they consider my symptoms as mild. It’s also a risk playing with hormones that can become overwhelming to doctors with marginal profit. Having Tricare and VA for health insurance is another hurdle. I’m told there’s no study out there that shows estrogen can help on post menopausal since I didn’t start the treatment prior to menopause. It’s like I can’t fill the bucket with estrogen after it’s been emptied. What else to do?
If you are always cold that is more a sign of a thyroid issue than menopause. Get your thyroid checked for hypothyroidism. It can be behind your issues.
Watch Dr mary haver she speaks alot about womem your age and hrt. You will find answers you're looking for in her videos. Good luck.
Find a doctor that has done the research .....
Perimenopause can start way before hot flushes, etc. I starting having brain fog and gaining weight in my mid 40's.
Not enough is done way before menopause stage even begins!
Progesterone was awful for me. Now doctors say antidepressants are good for menopause 😡 and estrogen isn't‽
I want a hysterectomy so I don't have to take Progesterone but doctors won't approve it!!
HRT seems like a complete guessing game.
I keep telling women when I say I’m gonna do this. They’re like breast cancer breast cancer. No there’s a lot of new studies.
I was put on at 40 and she told me that I was too young and then I got off of it and now I went through perimenopause for three years of hell I should’ve went back on, then I did some studying that it’s safe and now that I’m full menopause for a year. I’m going to get it because I’m telling you every day. I never know who I’m waking up with.
I look in the mirror and try to figure out who’s going to be today
I am I am, I’m gonna like people I’m gonna hate people I wanna do anything get up off my ass or I don’t wanna sit here and cry not go to the gym not want to eat or eat too much. I’ll just sit there and just not move and just want to just die.
There’s no reason for this I have a very good life
Thank you both, great information!!!
Very interesting discussion thank you
My wife and I got married in our late fifties and both started HRT. MY PSA was .78 when I started and went to 4.8 in 5 years. My wife developed uterine cancer and had surgery but kept with the HRT and developed Her2 positive breast cancer 2 years later and had surgery, chemo and radiation. We love Peter but I disagree when he says (3:30) that HRT has caused zero breast cancer. Our situation might be antidotal, but we are sure HRT caused our cancers. We are in our sixties now and living a good natural life with good labs not trying to fool our bodies into thinking we are in our 30's. This is just our story but I would think twice about jumping into HRT.
It makes a difference if a woman is on oral HRT versus transdermal. Also if whether or not progesterone was given along with the Estrogen.
Didn’t he say zero deaths not zero breast cancer.. although I’d say that would be a hard thing to measure.
@@rachelhambone1159which one is safest oral or transdermal?
@@jackiemcdonell1737 they find that the oral has to get processed through the liver so it slightly increases clotting factors.
@@jackiemcdonell1737transdermal
Does anyone have issues with high blood pressure and take Hrt and havingcany issue? I was on patch, have hbp and had to stop it due to increase in blood pressure 😢
My usually excellent b/p was skyrocketing because I was taken meloxicam and the testosterone cream. I’m off meloxicam, and now my b/p is great.
I feel like I could benefit from HRT in many ways but my 20 year old daughter has been diagnosed with a brain tumor which has hormone receptors and is known to be driven by estrogen and progesterone. I’m nervous to take hrt as a result. How would you suggest I determine the best choice between the worry about meningiomas and worry about peri-menopause?
only 1/3 of women ever have symptoms that indicate taking BHRT. The other 2/3 get through with a few bumpy phases. Prepare for menopause by taking care of your liver health, exericising more and taking adaptogens for stress. It can make a world of difference
Peter I would love to hear your thoughts on Pellet application for HRT in men. Thank you
Any suggested resources on HRT if you have benign breast disease (atypical duct hyperplasia)? My doc wants me to stop HRT bc of the generic word “risk” and my symptoms are SO bad, I have educated myself on all the WHI issues but not able to find anything if you have hyperplasia
I’m in HRT and it helped me restore my health so much but I recently read a study that HRT might promote dementia!! Is this a real risk?
I believe it's protective against it if you start before onset, but if someone is in active decline it can make it worse.
Who is the woman guest expert?
why HRT and other needed health needs for pre or menopausal women is not accessible like the pill is?
Because the pill stops you from getting pregnant. HRT can just make you feel better…
Mother did not take HRT still alive doing well at 80, her sister took HRT died from breast cancer. Brest cancer doesn't run in their family. All of the women in their emediate family lived to their late 90s early 100s. My father's sisters both took HRT both died from breast cancer. My cousin in-law just died from breast cancer she was 55 and on HRT. Your life your choice I am 59 an choose to be drug free
I took HRT and I'll be turning 73 next month without any cancer diagnoses. Of my three younger sisters two were diagnosed with breast cancer and the third died from brain cancer. None of my sisters took HRT. My mom never got a cancer diagnosis and she lived to 93; she also didn't get HRT. Of note, my mom and I are the only ones who did not drink alcohol and did not smoke.
Geez, how do I actually get in touch with Dr attia ya know..?.. but I'm desperate..... if your there, if you actually see this, I just got have one question..... 🙏🙏... is it in your medical opinion that collagen (liquid, powder,pill form) will help women thru what i consider to be a multitude of side affects to aging.. menopause, perimenopause??
I am soon to be 53 and went to my doctor and asked for a blood test so i could better manage and understand my menapause, he told me no i couldn't have one bc it would be useless information as i was already on topical estrodial. Is this right. Does not seem right to me. He did tell me tho thst i was supposed to be also taking progesterone for the last 2 yrs with my estrodial. So thst doesn't sound good.
I started HRT about 3 weeks ago but not really working much.
It’s not an internet connection. Give your body time.
post menopause HRT therapy?
Commenting for the algorithm in the purest appreciation.
7:17 OK. If you’re having irregular menses….”day 5” is meaningless.
Or if you even have longer cycles, “day 5” is meaningless.
I am SO SICK of clinicians prescribing lab tests based on “cycle day”, since most folks having gyn problems don’t have 28 day cycles.
I need some help. How do I connect with the dr ? I am desperate my dr looks at my like I have six heads. I have pmdd it’s killing me I am living in a shell I miss myself.
What country do you live in? Search on Google the 'Menopause Association in your country' or " Menopause Society in your country " to find a good menopause Doctor.. I have PMDD also, the research I did says that taking 'bio identical Progesterone' day 21 to 28 of your cycle (or even day 14 to day 28) may assist with your symptoms. Your Progesterone level rises by taking the Bio identical Progesterone during day 21 to 28, therefore there is not a big level gap between estrogen and progesterone. Because when you have a big gap in the 2 hormone levels, that's when the pmdd symtoms kick in. By reduce the gap between estrogen and progesterone, you then reduce the PMDD systems.
Don't feel alone..I am feeling the same way! My poor husband and son have to put up with my daily crying, depression, anxiety, and many other crappy things! I moved to Texas 2 years ago, and now my husband doesn't have health benefits. So I have no regular doctor. I use an online doctor because I do have type2 diabetes I have to get meds for. I was on HRT for approx. the last 12 ish years since having a partial hysterectomy. Although I still had one ovary, I started turning into a crazed person. My doctor at the time was very quick to tell me to get on them. It was life changing!! So to finish a long story...so as of August(or so)of 2022, I no longer had any refills left and could no longer get my Estradial. My life has been(needless to say)pretty awful again!! I am trying to find an online OBGYN. Hoping for the best!!
Wouldn't HRt reverse tamoxifen benefits?
Can a woman go on bio- identical while on a low dosage birth control pill?
Is there an age where HRT is not a good idea? Can someone start it at 70?
i believe there is a 'window' of 10 years from the end of your periods in which you have to start. otherwise the cardiovascular thickening of arteries is already underway and then HRT can be a problem. this is what i understood from reading the book Estrogen Matters.
Uzzi Reiss MD thinks it can be beneficial
16.59 minutes on how hormones are measured and nothing on Hormone replacement therapy. This video is nothing more than a advertisement for a paid service, and therefore it's misleading 😡
I have lupus can I use HRT? My estrogen levels are very high being trying to lower them with supplements but they are not doing much! Hope you can help and answer my question! 😊
Thank you🙏💙🧿
rather watch ads...wish I could watch the rest...'
Can you help me. I do not know what I should take or not take. My FSH is 81- weight gain in my stomach/ hpt flashes/ night sweats/ depression/ please help. Please
Speak to your health advise, and ask for HRT .
I’m 48, minus ovaries since 42. Thanks!
Bait and switch. Change the title because there was no information about compounding or therapies. This is a video that drags you through content and ends with a pitch to subscribe for the rest of the details. Disappointed.
I think I should get CME for watching these videos 😅
Bio identicals are plant based? Yams?
I do wish since this is, in part, a corrective podcast that you would consider removing it from AMA and making it generally available. While theoretically of interest to men, it will have mostly a female audience. We are already burdened by being paid at lower rates than men. And carrying most of the household labor. And all of the rest of it. ❤
It's a shame... why freely give any information if not intending to give it all freely. Money grab vibes 😢
Exactly, that's why I'm reading comments to see if I was the only one thinking...WtF!!? Where Is the rest of this information after committing 16 minutes I get told I have to be a premium member to get the rest of the info. Really??!! Give me a break
I'll go to DR. ANDREW HUBERMAN who provides free important information
The new medication fezolinetant (Veozah) is giving women a false sense of security. It treats the hot flashes and the long term consequences of menopause go untreated 😢
❤❤❤
🙏🏼❤️
A topic so "exciting" they looking like their in a waking sleep.
Could someone tell this man that it’s not vaginal atrophy, but Genitourinary Syndrome of Menopause (GSM)smh
Hrt would increase cancer rates.
Data?
Not true at all. In fact, reduces risk of colon cancer, reduces risk of heart associated disease, reduces prevalence of insulin sensitivity, reduces risk of developing Alzheimers and dementia. The benefits FAR outweigh any potential risk with body identical hormone replacement.
Wrong
@@rachelhambone1159 so I have bad genes snd your telling me I can take Hrt
Wrong