HRT Dosages for Preventing Endometrial Uterine Cancer - 337 | Menopause Taylor
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- čas přidán 16. 01. 2023
- If you decide to use HRT to prevent Endometrial Uterine Cancer, do you know the dosages of estrogen and progestogen to take? Do you know what dictates those dosages? Does it matter whether your goal is to just prevent endometrial uterine cancer versus prevent the diseases due to estrogen deficiency? This video tutorial will explain it all.
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I am the same at parties. I am not shy at all but just introverted. And it seems as I get older I get more introverted. I love intellectually stimulating conversations!
We're alike in this way.
Thank goodness it's not just me 🙏💟
I thoroughly enjoy our partnership! Teacher and student!
I am so happy to have you in my life, teach! 💕💕
Me too! It's an absolute pleasure.
Thank you for sharing your knowledge with us all! Always so interesting!
You are so very welcome, my dear.
You always give such great information. I see my Gyn tomorrow and we will be increasing the dose of my estrogen patch to a therapeutic level and possibly tweaking my progesterone. I couldn't remember what the lowest dose is to get the benefits of hrt, so thank you for posting it. We backed down my estrogen patch dosage because I thought the 0.05 was causing heart palpitations. I went to a cardiologist and have that figured out, so we can increase my dosage back up. My gyno has told me the same information as you have and is good about the dosing but it is always good to arm myself with correct information just in case she suggests something not right.
Michelle,
Please, please, have a consultation with me BEFORE seeing any physician. I will arm you with all the information you need, help you weigh your benefits and risks, and school you in how to navigate the medical system in order to get what you want. There are more pitfalls than you can possibly imagine. And, if you go to your doctor before having a consultation, you could burn your bridges without even knowing it. You do not need any labs before having a consultation with me. All you need to do for scheduling is go to MenopauseTaylor.ME. I do them all online.
Thanks again for a very informative video. I had to tweak my dose of estrogen patch from .1 mg to .075 mg to stop break-through bleeding. My progesterone pill stayed at 200mg. I haven't had any bleeding for 5 months now. It has taken almost 2 years to get to this point. So glad I had you to educate me. 🌹
Yes! I have felt the best on 0.075, but I had to up my progesterone from 200 mg in order to balance out the breakthrough bleeding, so far so good!
What took 2 years and why did it take that time? Also, has the HRT caused any other symptoms, or has it taken care of all of your symptoms and you feel great?
@@RNLWW I found out that I was post menopause at 41- I knew something was going on in the years leading up to this, but was dismissed as being “too young.” I got on HRT immediately and felt 💯better- not only did hot flashes stop, but my cognition and stamina returned. I will stay on this for the rest of my life. I’m thinking that it took the original commenter two years to figure the correct ratio of estradiol and progesterone that worked best for her.
@@RNLWW My doctor started me various combination patches which all made me bleed and the patches made me itch really bad. Then we switched to regular patches and I wanted to start with the strongest dose. Doc didn't like that idea so I changed docs to an integrative med doc. She gave me what I wanted and it made me bleed. She lowered the dose to .075mg and I've been fine for 5 months now. I don't get hot anymore but my skin and eyes still dry. But that is improving too.
@@GrandmaNanC What do you do for progesterone? That’s always my trouble.
I’m always happy I watched 😊😊😊. Thank you
Me, too!
Thank you very much for another great clear and informative video 🙏🏻 really appreciate your knowledge and you sharing this with us 🙏🏻
You are so very welcome, my dear.
Thank you menopause Taylor ❤️
You are ever so welcome!
Thank you for this informative video!
You are ever so welcome, my dear.
This is a good explanation of estrogen and progesterone
I'm so glad this education helps you, my dear. My goal is to empower you to advocate for yourself.
I LOVED your mama bear and baby bear analogy!! I've finally settled on 0.1 mg estradiol patches to relieve my symptoms but started bleeding on 100 mg micronized progesterone. I did not tolerate 200 mg progesterone well when we tried it in the past so now my OBGYN is considering switching me to an IUD as well as ordering a pelvic ultrasound. I no longer worry about missing out on any symptom relief from oral progesterone since mama bear is in charge and always on duty ;-) Thanks again!! You have been instrumental in my entire menopause journey for the past 18 months!!
This is precisely the kind of thing for which I do one-on-one consultations. You definitely need one. I cannot tailor things specifically to you in a comment box. It requires much more information than you can give me here, and you deserve much more information than I can give you here. No two women are alike, and addressing your situation requires tailoring all the facts specifically to YOU. I do them all via online video conferencing. You can schedule at MenopauseTaylor.ME. I look forward to meeting you and helping you.
You saved my suffering for the most part and I thank you! ❤ Once I hit menopause I asked my dr. for an estrogen patch and a topical progesterone compound cream. I had a bleed. I had a vaginal ultrasound and had a thick lining and then had an endometrial biopsy. All was fine no cancer etc - So she put me on a northiderone pills. It was a hassle taking those so I decided to get the mirena iud. But still having night sweats so annoying and gross 🤮. She won’t increase my estradiol patch from the 0.05 twice weekly. I am frustrated. I guess I’m supposed to shut up and be happy I have what I have. 🤷♀️ You are SO correct with the fear in prescribing more than the lowest dose of estrogen. :((
I love knowing that this education is helping you, my dear.
This is precisely the kind of thing for which I do one-on-one consultations. You definitely need one. I cannot tailor things specifically to you in a comment box. It requires much more information than you can give me here, and you deserve much more information than I can give you here. No two women are alike, and addressing your situation requires tailoring all the facts specifically to YOU. I do them all via online video conferencing. You can schedule at MenopauseTaylor.ME. I look forward to meeting you and helping you.
Thank you. Good to know! My Dr. and I are listening to my body and even though I am in menopause, my body tells me to only take 0.3 estradiol and 25mg progesterone right now, any more and I am a crying crazy mess. LOL I hope to eventually get up to the dosages that actually prevent the 3 big diseases of menopause! Because of your videos, I know what that should be.
I love knowing that this education is helping you,.
If you need me to tailor everything to you, personally, don't hesitate to schedule a consultation with me at MenopauseTaylor.ME. I do them all online.
I'm arming myself with this knowledge so I understand what's going on with my lining before I go to a doctor. And yes, first I'll see you 🙂
I look forward to my time with you, my dear.
I don’t understand why I’m still bleeding with taking 200 mg prometrium and patch .05
I don’t know if this helps but I just started 2 weeks ago- .05 patch with 100 mg progesterone. No bleeding at all.
Good evening Dr Barbie! Present for class!
I started with estrogen gel, two pumps. I was still having hot flushes and other minor problems. I moved to the Estradot 75 patch and it was just right....my gyno was hesitant, but it works better, so, run with it! No uterus, not a good idea to keep it when cancer was growing in a polyp...nope, sliced n diced in a jar in path lab storage...
Interesting how the IUD's all have female names that end in "A".......I know, I see strange things like this
You are listening to your body. And that is the very key to success.
Yes !! I started out on the lower progesterone CombiPatch then started bleeding about six months in . Switched to the higher dose progesterone CombiPatch was good for about 9 months then started bleeding . Now trying estradiol patch and Provera … we will see how this goes . 😊 Was going to do the micronized progesterone but after about two days I decided that was definitely not right for me 😐 I did not do well on that at all .
This is precisely the kind of thing for which I do one-on-one consultations. You definitely need one. I cannot tailor things specifically to you in a comment box. It requires much more information than you can give me here, and you deserve much more information than I can give you here. No two women are alike, and addressing your situation requires tailoring all the facts specifically to YOU. I do them all via online video conferencing. You can schedule at MenopauseTaylor.ME. I look forward to meeting you and helping you.
Thanks ❤
Thank you MT you are the best companion, you'd be my plus one on a desert island every day of the week, you and a notepad so I could write down everything that you say ;) Over here in the UK, some top meno specialists recommend using utrogestan(micronized progesterone)vaginally at half the dose if taken orally. This has to be monitored obv but done when the person taking it has too many adverse effects from the progesterone. would you concur with this idea In a general sense MT? X
All forms of progesterone (oral, vaginal, skin gel) will cause the same side effects. The only progestogen option that does not cause side effects is the IUD (IntraUTERINE Device), which must be inserted by a gynecologist.
@@MenopauseTaylor Interesting, thank you for the info. Taking half the dose vaginally than you would orally though would reduce the side effects surely? Instead of 200mg 100mg vaginally is a regime a lot of women here adopt. MT while I have your attention please give this a watch. It's a Dr who herself had endometrial cancer. There are so many valuable lessons we can all learn from her experiences and us hearing her story somehow makes her experiences less in vain. czcams.com/video/O00HYcDMBHA/video.html
Hi, Doctor Taylor, thank you for your video. I am on estrogel and I love it. Can you tell me how long I have to wait after applying it to go for a swim? My doctor didn’t know.
Nobody knows. But your own body will tell you.
It all depends on how rapidly YOUR BODY absorbs the estrogen. We do not all absorb it at the same rate any more than we all metabolize food at the same rate.
The only way you'll know the answer to your question is through trial and error. But knowing the specific things to assess is key. I can help you do so in a consultation, which you can schedule at MenopauseTaylor.ME. I do them all online.
Dr. Taylor thank you for sharing so much wealth of information. I am confused regarding bio identical versus synthetic since in one of your videos you explain that bio identical is still made in the lab and is still synthetic. So can I not use synthetic bio identical are these also just as good at preventing uterine cancer or should I be using only synthetic that are not considered bio identical to prevent uterine cancer thank you
You have a very profound confusion with the definitions of the words, "bioidentical" and "synthetic."
And if you're confused about those two words, you are probably confused about a bunch of other words, too. (This is all thanks to marketing.)
Please consider scheduling a consultation with me at MenopauseTaylor.ME in order to get the facts and apply them all specifically to YOU. It's the only way to put it all into perspective for you. I do them all online.
Thank you so much for the education you provide.I am waiting for my appointment to start on estrogen,I ask for the minimum dosage to prevent the three diseases.When you have a progesterone IUD,how do you manage to adjust the dosage if to? Do you have to change the IUD? For this reason should it be better to start with the pill and know what is the right balance?
Claudia,
Please, please, have a consultation with me BEFORE seeing any physician. I will guide you in finding the right practitioner, arm you with all the information you need, help you weigh your benefits and risks, and school you in how to navigate the medical system in order to get what you want. There are more pitfalls than you can possibly imagine. And, if you go to your doctor before having a consultation, you could burn your bridges without even knowing it. You do not need any labs before having a consultation with me. All you need to do for scheduling is go to MenopauseTaylor.ME. I do them all online.
So there should there be absolutely no breakthrough bleeding at anytime during this process? I am on month 2 of my treatment and experiencing some of this, and I am all about preventing the big 3 diseases, but I don't want to bleed. My doctor said to let her know if it continues to tweak my dose. But, if they bring the dose down, am I then losing my prevention of the big 3? I will be buying the book and Dr. Taylor I am so happy I found you. I am 52, my mother died at 76 from complications of not being able to fight pneumonia because of Alzheimer's. I don't want this to be me. I knew nothing about her menopause experience at all. Thank you for teaching all of us!
Amy,
Please schedule a consultation with me.
This is precisely the kind of thing for which I do one-on-one consultations. You definitely need one. I cannot tailor things specifically to you in a comment box. It requires much more information than you can give me here, and you deserve much more information than I can give you here. No two women are alike, and addressing your situation requires tailoring all the facts specifically to YOU. I do them all via online video conferencing. You can schedule at MenopauseTaylor.ME. I look forward to meeting you and helping you.
Hi Dr.Taylor: I love all your videos - I have a wonderful doctor who has put me on a 1mg estradoil patch along with a daily 100 mg Prometrium pill since 2015. I am now 66 yrears old - and even though I am in good health my doctor wants to lower my dose to 0.5 mg. I really do not want a reduction -my question is: how dangerous is a 1mg dose - will I get a stroke fromi it? Thanks so much for what you do.
Lara
Lara,
This is precisely the kind of thing for which I do one-on-one consultations. You definitely need one. I cannot tailor things specifically to you in a comment box. It requires much more information than you can give me here, and you deserve much more information than I can give you here. No two women are alike, and addressing your situation requires tailoring all the facts specifically to YOU. I do them all via video conferencing. You can schedule at MenopauseTaylor.ME. I look forward to meeting you and helping you.
This is the richest, most varied menopause content on the internet. Can you comment on vaginal progesterone tablet like Endometrin vs vaginal microionized progesterone. Thank you!
I have presented all of this is previous videos, my dear. This is why I implore you start with video #1 and watch them all in order.
I love every minute of delivering this menopause education. But you'll sabotage it if you don't watch all the videos in order.
If you want a shortcut, just schedule a consultation with me at MenopauseTaylor.ME. Everything has to be tailored to you, anyway. And a consultation is the only way for me to do that. I do them all online. (And I love getting to meet you!)
Thank you for this! This put my mind at ease. Your list of progestin didn't include gestodene, which is in my birth control pill, Femodene. I assume the amount of that in Femodene is enough to balance out the estradiol in there and prevent uterine cancer? And is Gestodene a safe one?
All birth control that contains both estrogen and progestogen have (theoretically) balanced dosages of the two. There is not a ""better," "worse," “right," "wrong," "good," "bad," or "best." Those are marketing words designed to get you to buy one thing over another. Women are not robots. We all have to find what is best for us.
I can help you do so in a consultation by tailoring everything specifically to YOU. I do them all online.
@@MenopauseTaylor thank you
@@Corrans It's my pleasure!
I am looking through your videos about cycling progesterone. I take estrogen gel daily and take Progesterone pill for 14 days every 3 months. I am Perimenopause.
This is precisely the kind of thing for which I do one-on-one consultations. You definitely need one. I cannot tailor things specifically to you in a comment box. It requires much more information than you can give me here, and you deserve much more information than I can give you here. No two women are alike, and addressing your situation requires tailoring all the facts specifically to YOU. I do them all via online video conferencing. You can schedule at MenopauseTaylor.ME. I look forward to meeting you and helping you.
Hi Dr. Taylor, I watched all your videos. I am 46. Since last year, I have been using continuous HRT, 1.0 mg divigel, and 100 micro Progesterone. First 8 months, I don't have any breakthrough bleeding. Last 3 months back, I got bleeding when I checked my doctor, and she did an ultrasound. My lining was shredded through bleeding. Again I started using the exact dosage to support the Ostropenia and Brain fog issues. Sometimes How can I figure out which dosage is correct for me? When I got the break, though, bleeding and getting doctor's appointments were not syncing. If this happens next time, what do I need to do? Do I need to stop taking estrogen immediately for some time? Please help me!!
Radha,
This is precisely the kind of thing for which I do one-on-one consultations. You definitely need one. I cannot tailor things specifically to you in a comment box. It requires much more information than you can give me here, and you deserve much more information than I can give you here. No two women are alike, and addressing your situation requires tailoring all the facts specifically to YOU. I do them all via video conferencing. You can schedule at MenopauseTaylor.ME. I look forward to meeting you and helping you.
So your not supposed to bleed at all on a continuous regimen? I thought bleeding was shedding the lining of the uterus. I'm on a cyclic regimen and I know when bleeding will occur, but I'm being changed to a continuous regimen due to Endometrial Hyperplasia, so I just want to know what expect. Thanks.
So, 0.025 estradiol patch will not help? Dr put me on that because I tend to absorb patches fast.
I was just wondering if you’ve heard of the potential new non-hormonal drugs Fezolinetant and Elinzanetant that help with menopausal vasomotor symptoms, specifically hot flashes. I feel as though they could make HRT obsolete for women in menopause.
Uhhh, wrong!
Never fall prey to anything or anybody that tells you that something other than replacing the actual hormone can do what the original hormone can do.
No insulin dependent diabetic would say that using an anti-blindness drug is the same as taking insulin replacement.
No hypothyroid person would say that taking a statin to prevent a heart attack is the same as taking thyroid hormone replacement.
I can tell by your comment that you definitely have not started with video #1 and watched my videos in order. You definitely have a misunderstanding on what menopause is.
If you want to be sure to avoid pitfalls AND have everything tailored specifically to YOU, please consider scheduling a consultation with me at MenopauseTaylor.ME. I will give you the entire education and tailor it all specifically to YOU. I do them all online.
Dr Taylor, how long can you leave a Mirena IUD in for post menopausal progesterone therapy? I see the patient information packet says 5 to 7 years, but my provider stated 8 years after insertion. Not sure why there is conflicting guidance?
Nobody knows. There are current studies on this.
The bottom line is this: The only purpose of a progestin IUD at menopause is to prevent uterine cancer.
But the studies are not on uterine cancer. They are on pregnancy prevention.
So, do you want to take a chance on preventing uterine cancer by prolonging the Mirena (which is designed for 6 years) to a longer period of time?
In any of your information, do you discuss high MPV? I just started HRT 10 days ago, had a blood test yesterday, elevated MPV which is new. Started my estrogen patch .05 mg and progesterone .35 and I’m looking for information to see if that could be related to menopause.
Jeanie,
This is precisely the kind of thing for which I do one-on-one consultations. You definitely need one. I cannot tailor things specifically to you in a comment box. It requires much more information than you can give me here, and you deserve much more information than I can give you here. No two women are alike, and addressing your situation requires tailoring all the facts specifically to YOU. I do them all via online video conferencing. You can schedule at MenopauseTaylor.ME. I look forward to meeting you and helping you.
Hi Dr. Barbie, I had endometriosis for almost 15 yrs. and 2 years ago I had BSO but my uterus not removed and no HRT was taken after surgery. Last month my new ob-gyne ordered progesterone .35mg and estrogen patch .0375mg due to my hot flashes, and not having good sleep for almost 6 months. She said if I bleed again I will let her know and maybe we proceed for another surgery. But today I’m bleeding again with mild abdominal cramps. I don’t know what to do if do I have to undergo again for surgery to remove my uterus or try to increase the dose of progesterone? I need your advice Dr. Barbie.
This is precisely the kind of thing for which I do one-on-one consultations. You definitely need one. I cannot tailor things specifically to you in a comment box. It requires much more information than you can give me here, and you deserve much more information than I can give you here. No two women are alike, and addressing your situation requires tailoring all the facts specifically to YOU. I do them all via online video conferencing. You can schedule at MenopauseTaylor.ME. I look forward to meeting you and helping you.
For a year I’ve been on Estradiol .05 patch and medroxyprogestrone 5mg continuous. I’m wondering if I’m taking too much of the former because I suffer from insomnia. I’m 58 and post menopause.
Insomnia is a direct symptom of estrogen DEFICIENCY, not estrogen excess. You have it upside-down.
Please consider scheduling a consultation with me at MenopauseTaylor.ME if you want to avoid pitfalls like this. I do them all online.
Is there a preferable progesterone to take on that list that is safer than others . I read somewhere that the medroxy progesterone pills had a slight increase for breast cancer? What if I am still premenopausal and still get a period, I am on an estradot patch and take compounded bio identical progesterone , but still have symptoms such as insomnia and moodiness.
Nothing is "safer" for all women. That's marketing, not science.
If you want to assess what is "safest" or "best" or whatever FOR YOU, schedule a consultation with me at MenopauseTaylor.ME. I do them all online.
Could you please address woman WITH OUT any Lady . I’ve been told with or without you still need to replace both.? But if I /some have been surgically removed No need for both..? Thank you for all you share 💜
Daisy Jo,
This is precisely the kind of thing for which I do one-on-one consultations. You definitely need one. I cannot tailor things specifically to you in a comment box. It requires much more information than you can give me here, and you deserve much more information than I can give you here. No two women are alike, and addressing your situation requires tailoring all the facts specifically to YOU. I do them all via video conferencing. You can schedule at MenopauseTaylor.ME. I look forward to meeting you and helping you.
When it comes to P and taking E what benefits do you get from cycling the p or taking it continuously ?
This warrants tailoring specifically to YOU.
Cycling has no benefits at all. It increases risk for breast cancer and ovarian cancer.
PLEASE, schedule a consultation with me at MenopauseTaylor.ME. I do them all online, and you definitely need one.
Thanks for the video. Do you think is ok to take low doses of oestrogen and progesterone after total hysterectomy? I am 56 years old. Thank you.
This is precisely the kind of thing for which I do one-on-one consultations. You definitely need one. I cannot tailor things specifically to you in a comment box. It requires much more information than you can give me here, and you deserve much more information than I can give you here. No two women are alike, and addressing your situation requires tailoring all the facts specifically to YOU. I do them all via online video conferencing. You can schedule at MenopauseTaylor.ME. I look forward to meeting you and helping you.
I’m 61, never had children, or took any HRT, have intact womb, and the gyne never prescribed me progestogen with estrogen to avoid uterine CA.
If you want me to tailor everything to YOU, I can do so in a consultation.
Do you suggest prophylactic hysterectomy to prevent endometrial cancer ? If you had a sister who died of this .
Vickie,
I am so sorry about your sister.
This is precisely the kind of thing for which I do one-on-one consultations. You definitely need one. I cannot tailor things specifically to you in a comment box. It requires much more information than you can give me here, and you deserve much more information than I can give you here. No two women are alike, and addressing your situation requires tailoring all the facts specifically to YOU. I do them all via online video conferencing. You can schedule at MenopauseTaylor.ME. I look forward to meeting you and helping you.
Dr. Taylor, do you know if women with fibroids can take HRT without them growing?
This is precisely the kind of thing for which I do one-on-one consultations. You definitely need one. I cannot tailor things specifically to you in a comment box. It requires much more information than you can give me here, and you deserve much more information than I can give you here. No two women are alike, and addressing your situation requires tailoring all the facts specifically to YOU. I do them all via online video conferencing. You can schedule at MenopauseTaylor.ME. I look forward to meeting you and helping you.
Is your estrogen dose still affected if you opt to use the iud for your progestin component of hrt?
This question does not make any sense. I have no idea what you mean by the use of the phrase "estrogen dose still affected."
I can help you endure that all your HRT is right FOR YOU in a consultation, but not in this comment box. You can schedule at MenopauseTaylor.ME. I do them all online.
Problem for me is I am on evorel conti combined patch and still ended up with 10mm endometrial lining and polyp which has been removed and biopsies taken. Waiting for results
Is using Mirena an option? The progestin goes directly to the area that's needed.
Can I put my patch on my arm evorol Conti patches please thanks ♥️
You should put the patch where you have fat: Your abdomen, butt, or thighs.
I'm post menopausal. I was on .05 patch and 100 mg progesterone and had bleeding after three weeks on patch. My dr had me stop the hrt. Been two weeks and now i have cramping and severe back ache. I feel terrible. I have 7mm mild endometrial hyperplasia. Bleeding stopped 5 days after patch removed.
I can't get into gyno till end of June 😢
This is precisely the kind of thing for which I do one-on-one consultations. You definitely need one. I cannot tailor things specifically to you in a comment box. It requires much more information than you can give me here, and you deserve much more information than I can give you here. No two women are alike, and addressing your situation requires tailoring all the facts specifically to YOU. I do them all via online video conferencing. You can schedule at MenopauseTaylor.ME. I look forward to meeting you and helping you.
I am on evorol Conti patches do l need a high er happy new year to you ♥️
Happy New Year to you, too!
Hello Dr Taylor, I’m confused by the regimen my Gyn has prescribed for me. I am on a estradial 0.0375 patch twice weekly and take micro iced progestogen 100mg for 12 days a month . I’m concerned it may not be enough to protect. My estradial blood level is 120. I am 64 years old. Is my regimen not right for me ? I started 7 years after menopause to protect against the 3 diseases. Thanks you !
O
It’s not enough to protect, because the minimum necessary dose to protect from the diseases of menopause is 0.05.
It is not enough to prevent the diseases of estrogen deficiency. You need a consultation to get it right FOR YOU.
This is precisely the kind of thing for which I do one-on-one consultations. You definitely need one. I cannot tailor things specifically to you in a comment box. It requires much more information than you can give me here, and you deserve much more information than I can give you here. No two women are alike, and addressing your situation requires tailoring all the facts specifically to YOU. I do them all via video conferencing. You can schedule at MenopauseTaylor.ME. I look forward to meeting you and helping you.
If your patch contains estradiol HEMIHYDRATE, then the dosage of 0.0375 mg is sufficient for disease prevention according to the chart that is presented in this video. If it’s not the hemihydrate version, then you need 0.05 mg dosage. I had to switch patch brands once due to lack of availability and got first hand experience with this, meaning I felt a positive difference with the hemihydrate version and ended up staying with that formulation.
I am taking the minimum 0.05 mg of estrogen (patch) and I had to insist to get it but I had a blood test recently showing that my estrogen levels were still a little low. If I increase the dosage of estrogen to .075 do I have to increase the dosage of progesterone? I take 100 mg daily (capsule). As always, I am forever grateful for your educational videos. They've been lifesavers for me!
My Dear,
All of this requires tailoring, which I can only do in a consultation. PLEASE do not consider this education a "Do It Yourself" program. It isn't.
The key us that your estrogen dosage must balance your progesterone dosage. So, generally, you have to increase your progesterone dosage if you increase your estrogen dosage.
But the key word is "YOUR." NO two women are alike, and going about this as if they are will only get you into trouble.
If you want me to tailor this TO YOU in a consultation, schedule it at MenopauseTaylor.ME. I do them all online.
When you say, generally, you have to increase your progesterone dosage if you increase your estrogen dosage, does this also apply to an IUD of progesterone? Thank you for a great education.
Where can I place my HRT patch? I've tried upper buttock and hip. It won't stick in the middle. It sticks on the sides/perimeter. I have asked the pharmacy and my gyn has not called back in over 4 days. And I have a larger belly, big bottom roll. Can I place it there?
You place your patch where you have the most fat. That means abdomen, butt, or thighs for most women.
Is there a minimal dosage of progestogen if you aren’t taking estrogen, as in perimenopause?
No.
Progesterone is something your body produces only for the benefit of a baby during pregnancy.
The word, "progesterone" means "hormone in support of pregnancy:"
"Pro" = in support of
"Gest" = gestation (pregnancy)
"One" = hormone
Once you are post-menopausal, progesterone's only role or benefit for you is to prevent uterine cancer. That's it!
People who believe that progesterone has other benefits have fallen prey to marketing, not science.
HELP PLEASE. I can't take or use Progesterone to protect me from endo cancer but my brain needs and loves the estrogen I'm using. Progesterone in all forms causes suicidal depression and extreme heaviness and fatigue to the point that I struggle to even walk. What do I do? I'm post meno
This is precisely the kind of thing for which I do one-on-one consultations. You definitely need one. I cannot tailor things specifically to you in a comment box. It requires much more information than you can give me here, and you deserve much more information than I can give you here. No two women are alike, and addressing your situation requires tailoring all the facts specifically to YOU. I do them all via online video conferencing. You can schedule at MenopauseTaylor.ME. I look forward to meeting you and helping you.
Why do we sometimes get bladder infection.. or it feels like it. Sometimes I feel like a pressure where the uterus is.
This is precisely the kind of thing for which I do one-on-one consultations. You definitely need one. I cannot tailor things specifically to you in a comment box. It requires much more information than you can give me here, and you deserve much more information than I can give you here. No two women are alike, and addressing your situation requires tailoring all the facts specifically to YOU. I do them all via online video conferencing. You can schedule at MenopauseTaylor.ME. I look forward to meeting you and helping you.
Hmm my new dr put me on 0.0375 estradiol patch, micronized progesterone 100.. she put me on lower dose of estradiol because I occasionally get migraines with aura. Now I’m concerned I’m not getting the heart, bone, brain health.
This is precisely the kind of thing for which I do one-on-one consultations. You definitely need one. I cannot tailor things specifically to you in a comment box. It requires much more information than you can give me here, and you deserve much more information than I can give you here. No two women are alike, and addressing your situation requires tailoring all the facts specifically to YOU. I do them all via online video conferencing. You can schedule at MenopauseTaylor.ME. I look forward to meeting you and helping you.
Progesterone targets and affects the uterus, vagina, cervix, breasts, and testes, as well as the brain, blood vessels, and bones (1,2).
Your body uses cholesterol as the building block to make progesterone.
Progesterone is something your body produces only for the benefit of a baby during pregnancy.
The word, "progesterone" means "hormone in support of pregnancy:"
"Pro" = in support of
"Gest" = gestation (pregnancy)
"One" = hormone
Once you are post-menopausal, progesterone's only role or benefit for you is to prevent uterine cancer. That's it!
People who believe that progesterone has other benefits have fallen prey to marketing, not science.
Hi Dr. Taylor. I was using estradiol gel but it wasn't working for me at all. My GYN switched me to the patch, he started me on .a high dose 1mg... after 4 weeks I told him I feel the dose is too high because I started having some light bleeding, sore breast, bloating...etc. He then lowered my dose and switched me to a Climara 0.05 patch, it's a lower dose. This is a lower dose, but now I'm bleeding heavier like I have a period. My doctor says there should be no bleeding since I am taking a high dose of progesterone nightly. I'm taking 200mg of continuous progesterone daily in a pill. I'm wondering if the bleeding is caused by possible estrogen buildup from taking the high dose of 1mg for 4 weeks, and then suddenly dropping it down to 0.5? Is this a cause for worry?
This is precisely the kind of thing for which I do one-on-one consultations. You definitely need one. I cannot tailor things specifically to you in a comment box. It requires much more information than you can give me here, and you deserve much more information than I can give you here. No two women are alike, and addressing your situation requires tailoring all the facts specifically to YOU. I do them all via online video conferencing. You can schedule at MenopauseTaylor.ME. I look forward to meeting you and helping you.
@@MenopauseTaylor Thank you for responding: In order to get the most out of my consultation with you, do I need to get lab work done before speaking with you?
@@peacepocket It's entirely up to you. But here's how it works:
I will address ONLY what you provide i the questionnaire. And you have only 5 days after scheduling to submit the questionnaire. I will not address anything you do not submit. I will not address any labs that you had after submission.
what is the method of determining the dosage of progestogen to balance the dosage of estrogen?
This is an individual matter for the individual woman. Nobody can "tell" you what the right balance is FOR YOU.
Getting it right FOR YOU requires tailoring everything specifically TO YOU, which is what I do in consultations. You can schedule one at MenopauseTaylor.ME. I do them all online.
@@MenopauseTaylor thank you for taking the time to reply 🥰
@@katrinprentice1336 It's my pleasure. I make every effort to answer these comments daily.
Great question !!!
I’m experimenting and trusting my body to show me what’s right. Eg. I just raised estrogen to 3mg. Must now experiment with raising my Prometrium from 100mg - 200mg.
If it makes me feel sick, I’ll lower the dose till I am comfortable with it. But at 3mg estradiol daily, I feel I must try raising the progesterone.
It’s limiting when they do packs in either 100 or 200 mg, with no 50, 150 or 300mg. They’re gel caps. Tricky to cut.
The more I read and watch the more confusing it gets. A lot of people are in favor of compounded bioidenticals say nothing else is safe. You just scratched off compounded bioidenticals. Really don't know what to believe. My OBGYN prescribes only synthetic and there is a whole lot of bad written about them. I am getting mine as compounded cream from an online service right now but still educating myself about the right way to go.
And guess who are the people making us all confused? 😂
Same!😮😮😮
Hei!
Can i take the progesteron cream 1,7%, like the gel?
All progesterone creams are compounded, which means they are incapable of reliably preventing uterine cancer.
Im taking the progesterone pill
Is that more reliable for preventing uterine cancer?
I chose the pill over the cream/gel thinking that would be better absorbed
@@kathief3953 Kathie,
You do not have all the information you need on this. And I do not have all the information I need to help you.
This is precisely the kind of thing for which I do one-on-one consultations. You definitely need one. I cannot tailor things specifically to you in a comment box. It requires much more information than you can give me here, and you deserve much more information than I can give you here. No two women are alike, and addressing your situation requires tailoring all the facts specifically to YOU. I do them all via online video conferencing. You can schedule at MenopauseTaylor.ME. I look forward to meeting you and helping you.
@@MenopauseTaylor thank you,
I understand that progestin is better. I guess my question is if I had to pick gel, cream or pill form (progesterone )
Would the pill form be better absorbed
My doctor will not prescribe me progestin
@@kathief3953 this warrants a consultation, my dear.
You said numerous times that after monopause women without uterus on hrt does not need systemic progesterone, but the purpose of Hrt is to give women what their body produced before monopause, no other cell in the body benefits from progesterone? I am confused
No, you are not confused.
However, depending on your age and your body's need for a high enough dosage of estrogen, it's possible that using a birth control that contains both estrogen and progestogen may be the only way you'll be able to get enough estrogen.
The younger you are, the higher the dosage of estrogen your body will need.
The key is to focus on ESTROGEN, not progestogen. Estrogen deficiency is what causes all the diseases.
@Menopause Taylor thank you are awesome
@@copenhagem1 Thank YOU, my dear.
🙌💖🙌
Haha! I’m cuter too! 🤣🤣🤣 thanks so much!
You are so very welcome!
sounds as if I need make an appt & get my levels checked.
Never use labs for hormone levels for menopause. Listen to your body. As you know, this is what I do in consultations.
@@MenopauseTaylor I'm saying I need to get my est checked due to breakthrough bleeding.
@@rebekahraymond4412I think you still have some misconceptions. Breakthrough bleeding does not warrant checking estrogen levels.
@@MenopauseTaylor well, I think should make an appt w/ my gyno to determine why I'm having breakthrough bleeding.
@@rebekahraymond4412 That warrants ultrasound and endometrial biopsy, not labs.
I tried HRT twice and every time I get very sore breasts and have to stop this treatment. 😥
Oftentimes, a woman will start HRT and notice that she has breast tenderness in the first days or weeks. And she wonders if (1) That indicates a higher risk of breast cancer or (2) That indicates early breast cancer.
Now, to address this, let’s go back to basics.
Your breasts consist of glandular tissue that is supposed to respond to estrogen and progesterone. Every single cycle of your entire reproductive life, your breasts have responded to estrogen and progesterone. That’s why you had breast tenderness as a part of PMS every month.
Then, when you got pregnant, one of the very first symptoms of pregnancy was breast tenderness. Once again, your breasts were responding to estrogen and progesterone.
So, your breasts are hormonally-responsive organs that respond to the presence of and changes in levels of estrogen and progesterone.
So, here you are at peri- or post-menopause. And you start taking HRT. Why would your breasts respond any differently? And if you do experience breast tenderness, why would it be any more significant than it was when they became tender in response to PMS or tenderness?
The dosages of estrogen and progesterone in HRT are much, much less than they are at the time of PMS or pregnancy.
So why would you think breast tenderness now is in any way associated with or indicative of breast cancer when you didn’t think that way when it occurred in response to PMS or pregnancy?
It turns out that it is the progesterone component of menstrual cycles that increases the risk of breast cancer. In all studies, women who take estrogen alone have lower rates of breast cancer than women who take both estrogen and progesterone.
Which was the video where you discussed spotting whilst on HRT?
There isn't just one video on that because there isn't just one circumstance that cause it.
And, no matter what, you'd have to have tailoring in a consultation anyway.
This is precisely the kind of thing for which I do one-on-one consultations. You definitely need one. I cannot tailor things specifically to you in a comment box. It requires much more information than you can give me here, and you deserve much more information than I can give you here. No two women are alike, and addressing your situation requires tailoring all the facts specifically to YOU. I do them all via online video conferencing. You can schedule at MenopauseTaylor.ME. I look forward to meeting you and helping you.
I’m taking .05 estradiol patch and 200 mg promethium and have been bleeding the last 4 days
This is precisely the kind of thing for which I do one-on-one consultations. You definitely need one. I cannot tailor things specifically to you in a comment box. It requires much more information than you can give me here, and you deserve much more information than I can give you here. No two women are alike, and addressing your situation requires tailoring all the facts specifically to YOU. I do them all via online video conferencing. You can schedule at MenopauseTaylor.ME. I look forward to meeting you and helping you.
🌟🌟🌟🌟🌟🌟💛