The Truth About Estrogen Patches | Ask Dr. Susan - LIVE
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- čas přidán 12. 04. 2022
- This week on Ask Dr. Susan Live I’m answering questions from two live callers who have questions about the estradiol patch. We will explore all the ins and outs of the estradiol patch, such as what’s the right dose? Could it the best option for you? How long can you use it? How do you know if it’s working? And much more!
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Make sure you get a waterproof Band-Aid to go over your patch if you’re going swimming
or look for Tegaderm (you can ask the pharmacist where it is or google this online)
It's not miserable to have a period when you feel amazing AND have a healthy period. I will exchange feeling amazing and energy filled for a short painless period. Good Lord
This turned out to be an interview for one person. She got free doctors advice and took up all the time. I am 73 and have used the patch for 25 years after a complete hysterectomy. I my doctor is trying to get me off the patch but I feel I still need it. I went from 0.05 to .0375 and now I don’t sleep more than 4 hours a night have headaches, vaginal dryness and depression. She refuses to keep me on my dosage because I had a stroke 15 years ago. I think it should be my choice. I have my yearly mammogram and have my heart checks.
I agree patients should be deciding what risk level they are prepared to accept (within limits). I wonder if you could phone in yourself to get her opinion on your situation.
And this dosage will not protect you from Alzheimer's, Heart Disease and Osteoporosis. Time to find another, far more educated, doctor!
It was a pre-recorded question. It wasn't a real person calling in. They just made a skit to make it look like it was.
Find a new Dr.
Fire your doctor
Great video! I love the estradiol patch.
I’m still surprised at how many gynecologists will not support HRT.
Ladies, find a doctor who knows about HRT and will prescribe them. Don’t suffer needlessly.
Amazingly difficult to find a dr to prescribe
@@lisa408t…unless you’re a trans.
@@Anisky123Not true. Are you racist or just hate people that don’t look or act like you?
Just like Mary Beth I started the patch at around 58-59 after having horrific hot flashes and night sweats every 15 minutes
HRT is life changing for me.
I’m a natural girl and don’t believe in pharmaceutical drugs unless it’s to save a life, but needed a better quality of life so I’m glad I decided to do this!
I’m 7 weeks in and I have zero flashes!!!!
You went Your whole life with estrogen.
Estrogen is natural.
Same here!❤
I pray that I have the same success. I just got off of 1 mg of oral estradiol and was angry that the obgyn wouldn’t refill it ( my prior obgyn retired), the new obgyn stressed the importance of the potential damage to the liver or kidneys and put me on 0.1 mg patch 2x a week. I can’t wait to see the difference.
@@DoItWrightRo Don’t worry about your liver too much unless you’re drinking excessively. I would say go get yourself some milk thistle tincture drops which you can find at the health food store. In addition to this you can get dandelion root tea at any grocery store and drink that and that will support your liver and your kidneys. I do this all of the time. I’m low-dose estrogen you’re fine. If you have any issues at all you can lower your dose I went all the way down to the lowest patch possible and I’m only taking 1/3 of that and it is still keeping my hot flashes under control
In regards to taking hormone replacement therapy, there is a lot of wiggle room and I think it’s really important for everyone to play around with it because you may not need as high of a dose as you think you do. Sometimes the OB/GYN’s don’t know either they just prescribed the same for everyone and it’s not a one size fits all. I hope this helps you good luck :-)
I have non alcoholic fatty liver and I’m 53 did not know this was a problem
OMG!!! I may as well be listening to myself talk...
Just started the patch, .025, 1 month ago, 59, and went through menopause at 48!!!
Thank you caller, for asking this question!!.. 😊
Thank you so much!I have learned a lot listening to your podcast.
I’m really glad that doctors are finally helping women. Bless you.
No clue how I missed your segment. I'm a fellow Houstonian and a patient at your office! I had a consultation at your office with your nurse about a year ago. Y'all did my labs and it was extremely useful. I am ready for my follow-up labs and sense I may need to increase my estrogen. Will see what the labs show. Thank you and your team💖
Absolutely priceless info, so glad I found this video
Thank you Dr.Susan Very informative info!
So much to learn.
You are so welcome!
This is a helpful video! The first person asked all my questions and now I feel enpowered!
Great advice, I am a new menopause NAMS provider and I am looking so forward to helping women through these years! I just had my first live talk, “It’s Not You, It’s Your Hormones,” and so many women there told me about what issues they have had during these critical years and how their providers wouldn’t give them HRT! I will be hosting more live talks & webinars on this topic for sure- women need to be heard! I will also be devoting my The 5-Minute NP Podcast to this topic! Women empowering women!💕
Thank Doctor Susan and caller Mindy for asking these great questions ❤ I learned so much today.
I learned a lot for myself from this interview. The patient had great questions she brought up that will apply to so many of us!
I’m so thankful for all the doctors talking about hormone replacement online and on CZcams especially you Dr. Susan you are helping so many women I suffered for so long with so many symptoms my worst symptom was not being able to sleep for so long so many years I am seven years postmenopausal and my doctor never mentioned it to me even though I had these symptoms it is so heartbreaking that doctors don’t advise women about Hormone replacement my mother is now suffering with dementia because she never took was told by anyone to do hormonal replacement and it’s so sad so I’m thankful now for the knowledge and I’m helping my sisters now and I will tell all women that I come in contact with about this wonderful treatment they are gonna think I’m crazy but they will thank me later.
Sending much love to you Dr. Susan for all your help.🙏🏽❤️
I feel the same 🙏
Agree!
Dr. Susan, thank you! I know this is 2 yrs. past your program, but it was so packed with info and super educational!
Dr . Susan .. you are amazing !
Very detailed and helpful information.
I am so happy you’re in Houston. I’m coming to see you
Love you doctor Susan and thank you. I learn a lot from you.
This is helpful. Thank you.
Such great info Dr
Just starting patches. And its pretty low, so i may have to asi her t8 bump it up. I love your videos! So much great info
Thank you for all of this extremely helpful information that has been long, long overdue to be made available to women. I'm learning a lot from you and I hope I can "teach" (haha) my doctor. I'm currently in a search for a new OBGYN since mine recently retired, and in the meantime, I saw my internist for GYN needs. That visit upset me so much because although I adore this doctor in general, she is not a specialist and that is what I need. I would speculate that ALL women would benefit from seeing specialists. PS: in case it is of interest to you, I went through what they used to call premature ovarian failure (premature menopause) for no reason at age 37. I've been on estradiol and progesterone orally for 21 years and have had no troublesome menopause symptoms. Also, my bone density, cardiac health, and as far as I know my brain health are all fine. I also do not suffer from any genitourinary tract problems. HRT is not just for "symptoms" -- it is for lifelong, postmenopausal health benefits!!!
I am going through this right now...will be 37 this month. I am going on the estradiol patch and progesterone pill...do you take testosterone?
@@jessicafuss4792 I hope you are able to navigate this strange, early menopause with grace and comfort!! I do not take testosterone, but I think I need to be evaluated for it. As an update, I did find a new (younger than me!) OBGYN who is completely on board with my goals for managing this stage of my life.
I've heard widely varying recommended levels in blood work and that's why it's so controversial. In menopause the level that we should have is 0 so figuring out what we want to have should just be based on what was normal in our lives before menopause, but that varied daily in our cycle. I think 40 to 80 is quite arbitrary and I have heard 180 on other channels, so to each his own. I also think we should be very careful when referencing patches that we express the dose correctly; specifically, that it's not 0.5, it is 0.05; that it is not 0.25, it is 0.025; that it is not 0.75, it is 0.075; and that it is not 1.5, it is 0.15. Hugely important.
What degree do you have?
@@sharonphillips3700😂😂😂
I think blood work combined with the symptoms we are experiencing is important. You are right. We are all different, and one approach does not relieve all symptoms.
She's 100% right btw @@sharonphillips3700
@@sharonphillips3700read the box. The correct dosages is important. You must not take estradiol.
I turned 25 less than 3 months ago. Shortly after, finally booked in with a gyno for always having struggled with irregular and painful (nearly vomiting painful) periods. She did some hormonal testing, and while nothing indicated PCOS or thyroid issues, my estradiol was 15.4. Believe it or not, she thought it was a fluke! I knew it wasn’t, and thankfully she wanted me to test again about a month later. It was 17.4. Now knowing the symptoms of low estrogen, I have a feeling I’ve had it for years. Should someone like me inquire about patches? If I go from 20 years old onward with low estrogen, I hate to think of my risks.
Lovely Dr. Susan, your invaluable information is vitally important for all women of all ages.
It would be a huge help to find you on CZcams if your channel's name included the word "menopause" .
Do please give this serious consideration.
And THANK YOU for being here!
Many women still have breakthrough bleeding when taking 100 or even 200 mg progesterone gel caps, I’m one of those. Many have to change to using the gel caps as a suppository for better absorption in order to stop the bleeding. If taking progesterone orally works for you, you’re lucky!
Just curious did you have a hysterectomy or an ablation? How are you doing now?
Thank you, very useful information
Thank you 💕
I had a total hysterectomy in 2012, took estradiol tablets for about 2 years. Took myself off of them as I was afraid of getting cancer from hrt. I’m now 53, have been on Climara .325 mg, for about 6 months and now I’m losing hair!!! It’s not on my pillow but when I comb or brush it, I’m losing A Lot! I have long, fine, dark brown hair and have a few gray hairs. I’m taking Biotin with Collagen gummies plus 50+ women’s multi vitamins daily and have been for about 8 months. I’ve taken tenormin since I was 23 for mitral valve prolapse, Gabapentin, low doses of pain meds due to a rare congenital severe arthritis condition plus my ra level is 54. Yes!!! I hurt every day and have since I was a child due to my congenital condition but this hair loss is frightening! Do you think I should stop the vitamins? I was on a normal multi vitamin and the vitamin A was lower than this 50+ vitamin. I’ve noticed hair loss since the change of vitamin but could the Climara patch be responsible for my hair loss? I don’t have ovaries or anything and I was put into post surgical menopause and was on my cycle when I had my total hysterectomy so that was horrible! I have no hair on my arms now and that just happened within the last month. Climara was a miracle for collagen that I lost and seems to have helped my arthritis symptoms. Can’t take arthritis treatment cuz the Dr said my condition is congenital.😢 I also have had lower left leg and ankle swelling the past year and I only weigh 115. Lost from 125-113 in a month this April and think that was stress related 🤷🏻♀️. Hopefully I’ll be divorced soon due to domestic abuse. Mental abuse. Yes I’m miserable but can’t find a place to rent that I can afford and my family is 3hrs away. Lost my only son in 2014, my husband at the age of 35(he accidentally shot himself in the head), and the husband before that, abused me for 13yrs(kids dad). My life is stressful so could that be the reason for hair loss, could it be poor circulation from my leg, my vitamins, or the patch? I’m praying you can help me and sorry for all the info but I’m trying to touch base on things to help.
Hi, I’m not a doctor, but I wanted to mention that I was prescribed Gabapentin, and it made me lose my hair like crazy! My doctor had me reduce the dosage, and the hair loss lessened a bit, but then it got bad again when I tried going to the full dose again (I wasn’t even taking very much, compared to most people). You didn’t mention how long you’ve been on Gabapentin, but I would suggest trying to stop that if it’s possible, to see if your hair loss improves. Gabapentin was terrible for me and my hair. The hair loss stopped after I stopped taking it. 🙏🏻
Dr. Susan, if a person doesn’t respond to their hormone treatment and/or combinations an Endocrinologist may be able to crack the case. They test the entire glandular system and they have a series of markers including enzymes in their tests. They love their science. I see an Endocrinologist for Adrenal Insufficiency. I’m stuck in a rabbit hole here. I have a cervical cord injury that causes spasticity. The signal blocker Gabapentin I take for it and others like it were studied before Covid by the FDA for their affect on the pituitary. Turns out, my weaning down on Gabapentin we discovered I’m in a rare group that suffers with adrenal insufficiency. A third of my pituitary suppressed, after 3 years of having a grave case thanks to the FDA swinging that door open to study Gabapentin I started scoring normal cortisol. My cortisol went from 0.9 to double digits highest is 17 proved it was a side affect to the drug needed to treat my cord condition. I’m not cured. 800mg of Gabapentin a day is not enough to deal with spasticity so I get stuck having a mini crisis. I use injectable hydrocortisone. I can rescue without going to a hospital. My Endro learned from my OBGYN daughter in law to try the patch, never occurred to him to try it AND for post menopause my daughter in law learned low DHEA affects libido in both men and women Per my Endro. I checked, the info is out there. Unfortunately we don’t have a baseline on me before the pituitary suppression but I took Premarin as my HRT during menopause. I take DHEA supplement We’re hoping the patch will help the DHEA come up. Anyways, I’m excited to get some estrogen back. You’re right, without it, everything goes ka-put.
I have been off and on the patch for around 14 years. I swtched to premarin due to a sensitivity I developed to the patch. I am now back on the patch but I started on .025 and I feel 150% better than I did when I was on .050 and .075. I feel great on the micro patch dose. It is so weird....it has been very hard for me to balance HRT I wish I was like this doctor and just use it and feel fine, I have had many side effects BUT I still feel better than with nothing! I still take the low dose premarin too. and I AM a thyroid patient and depression and anxiety are real. So hard to keep my endocrine system right! Good luck all.
Are you on thyroid meds?
You might have something else going on. I have a mold toxin accumulated in my body. It affects hormone, liver, and thyroid levels.
Thank you for your helpful videos. Can you please clarify… I’m 63, in estradiol patch .05, my blood work range for estradiol for the last 2 years has been 21,5,32 15!! That is lower than the range of 40-80 you recommend. My concern is that I asked for the .05 dose to prevent the Alzheimer’s, heart disease and osteoporosis but if the labs show such a low dose of estradiol, I am getting the full benefit or do I need to take a higher dose to raise the blood level? Thank you for your help.
Very helpful video I've learned a lot about the dosage of estradiol patch I was on the 0.025 didn't see any improvement now I just started on 0.05mg I'll give you an update 😊
@babyluv1879 - do you have any updates?
Yes I've been on the Estradiol 0.025 going on 6 months and I have seen a huge difference the belly bloating the feeling full symptoms along with gas hot flash are gone I also recommend to my older sister she was having the same symptoms she's 54 She seen a huge difference as well I highly recommend I don't have any side effects from using them they are once a week patch they don't interfere with my workout or bathing I highly recommend this patch I hope this helps anyone who's interested in using them
One patch last for 5 days then change and it also helps with dryness I hope this information helps someone
@@babyluv1879In the first comment you said 0.025 wasn’t helping so you started taking the 0.05 and would update us. Then in your update you said you were still on 0.025 and loving it.
I’m a little confused, did you bump up to the 0.05 and then go back down to the 0.025 and stayed there? Was there a reason?
I’m only asking because I was just prescribed this today and I am TERRIFIED so I’m trying to learn and understand everything. 😭
Also my patches are twice a week and that stresses me out too. Plus I have to take 100 mg of progesterone on it and I’m so afraid I’ll gain weight because I’m only 5’1” and already weigh 184… I hate getting older so much. 😭
My problem is cramping like I’m getting a period but no bleeding -I’m on the verge of stopping for only this reason.such a grind
I had the same reaction to the patch,
Omg same. The cramping has me feeling horrible. Did you ever get any relief?
Can you take too much progesterone? Would it create high blood pressure? I am on 400 mg prog daily and doctor Susan only talked about 100 and 200 mg. .50 estriadol cream
When my levels drop below 100 I get symptoms again. I’ve been on HRT for 23 yrs because of POF.
I'm 67 started estradiol and medroxypro in 2007, 16 yrs now. .05 dose. My Np says I don't need patch, I would like it I think. Also menopause is long gone, do I still need medroxypro? I have tried to stop HRT a few times over the years ( because they said it was dangerous you know) and it was nothing but a nightmare each time so I'm not going to quit anymore.
Thanks. I’ve had menopause four years ago and started some HRT for two years or so and now observing that my tendency to obsess and binge on CZcams videos about skin care may be related to my HRT (100 mg progesterone pill and 0.05% estriol patch)--I might need to cut things in half. I’m so obsessed about things! Eek!
.05 is the minimum for protective reasons is what I learned.
kmcq692: Your comment doesn’t make sense grammatically or otherwise
What tests do you recommend before starting hrt? I checked my heart, the breasts that have a benign formation each to follow, gynecologically, they are suitable for substitution. But for the risk of blood clots, what test do you ask the patients?
The patch .025 to start and 100 mg at night. Omg my doctor is a man but young and his wife is awesome. He recommended I see a urologist and or gynecologist who specializes in hormone replacement. There are about 10 doctors in the Bay Area ca. near San Jose. Bio identical hormones. They order a super comprehensive blood and hormone panel.
Hi
This is such a great video!
I have noticed that when I change my estrogen patch one day per week, on that day it seems like I’m getting too much of it, because I get really flushed and hot maybe a little dizzy. It goes away by the next day, but I’m wondering if that not good? And what should I do about that?
How do I know if I am post menopausal if I started estrogen/progesterone replacement with progesterone day 14-28 before my periods stopped??
i started the E patch 0.025 then went to 0.0375 my hair was really falling out and now I am Estrogen Dominant . What say you Dr Susan ?
I have been on an Estradiol patch for yrs and mine is at 0.1 MG and was told I could not get it any higher, I had a complete Hysto in 2018 still on the patch and feel it's not doing anything. I finally made an appointment with a hormone clinic and they took my blood and I'm getting the pellet.
Me too! Years on the highest patch. I don't sleep well, dry skin, anxiety, inflammation, hair fall. I had a blood test and found i have less estrogen in my system now than the last year! I've just ordered cream. Hoping I can get levels up and feel better.
Pellets are untested, unregulated, and very expensive. Buyer beware.
I started on Combipatch 0.05/0.14 and even after 3 weeks I can tell a difference. I am sleeping more soundly, mood has evened out a bit and vaginal dryness/integrity has gotten better. They say it takes 3 months to see full benefits so I am hopeful that it can only get better yet with time.
Wonderful. Have you had any side effects from this patch? I’m due to start estalis conti 50/140 next month and eager (and hopeful) for a positive result
@@rachelteeuws1241 no side effects as of yet. Good luck with yours!
I am starting my 3rd week on the patch. So far so good.
@@leannaennis6631 good to hear
Thank You sooooo much for this info....I am going to start this patch this week and hopefully I will see improvements as well 🙏
VITALLY important to cycle reset detox and mimic nature with BHRT.
I wear progynova patches. I wear a 100 patch and a 50 patch. I use progesterone cream and androfemme cream
Greetings from Sydney Australia - sadly for me my doctor did not prescribe HRT for me as I was struggling through menopause as I was overweight and DT2 - I am 62 now post menopausal have lost 60 pounds and almost reversed my diabetes - am I able to start HRT now? I am having a heart check next week - my chronic insomnia and anxiety also heart palpitations is just awful
Find a new doctor. You’re worked really diligently to get healthier so now find one who will partner with you.
I was rx ed 1 dose of patch 1998 & use it from then on 3 yrs ago my GYNO rx ed vaginal estrogen & then testosterone cream I'm 75.5 yrs young.
Can anyone recommend a doctor in the Hudson Valley area of NY or the Albany NY area? Thank you.
I went thru premature menopause at the age of 27. I have been suffering with vaginal dryness for years.
Thank you! How long after being on patch on the lowest dose is suggested to get labs for the level?
I gained weight on the patch! Creams torches never but they quit working. Patch worked great but now wright gain! Perhaps to high of a dose
Hi,Dr.Susan How Are You ???I Have A Question What's The Patch Of "Estrogen" Dosage Level We'll Can You Increase The Dosage.????
Thank you for sharing!is there any differences between estradiol and estrogen patches ? And the second question is...if still have a period at 47 and experience night sweat and difficulty sleeping can a women go on HRT?
Estradiol is estrogen. Estradiol is bioidentical estrogen. Yes, peri menopause is the perfect time to start HRT. Wish I had. I suggest joining some Facebook groups that discuss HRT. Preferably BHRT. BIOIDENTICAL Hormone replacement. Tons of excellent info to be had. 😊
Dr. Susan, what is the optimal level for progesterone and testosterone for women post menopausal? It may take a year of lab work and pellet therapy to get this “just right”! Thank you for all your insight!
Do not settle for untested, unregulated, and expensive pellets
I just started taking LyLLana .0.05 and Progesterone 100 MG
Hi Dr Susan, so I went to another pharmacy to get my new box of Prometrium today as it is running out. And this pharmacist also told me that I have to take it at least 1/2 hour before food on an empty stomach or 2 hours after food. And there is a label on the box saying so. Now I am really confused again because I was taking it with food after your comment. Can you please help clarify this? And the pharmacist also says that it may affect mental alertness and/or coordination. It's funny how without estrogen, we will have this brain fog and then we have to supplement Prometrium while on HRT if we have a uterus and it can cause mental dullness and coordination issues 😅😂😭
Hi ladies, where can I get estradiol levels checked in Chicagoland?
Im on estradiol .05mg, 60 years old, I still have some insomnia, and anxiety, brain fog. Im not on progesterone because I had a hysterectomy. Is there anything else I can do for these symptoms. Thyroid is normal.
I take the .05 mg estradiol patch and 100 mg mircronized progesterone. Before starting hormone replacement i hadn't had a period for 6 months and now I have one every month again. So i'm puzzled why i'm getting regular periods again when my doctors are doing all the right things why I am still getting a period
Are you taking your Micronized Progesterone nightly or cyclical?
You could be peri-menopausal instead of menopausal, which is defined as 12 months since your LAST period.
Can I start low dose HRT at 66? I feel cheated for not getting prescribed anything for the dryness issue and extreme sleep problems for the last 15 yrs! My female gyn didn't offer anything. :((
I have absorption issues.
Ive been on the highest estrogen only patch for years but over the last few years, despite the patches, symptoms show im not absorbing well. Dry falling hair, crepey skin, anxiety, no interest in intimacy ..all smptoms of low estrogen. So i asked for blood tests and it showed my estrogen has fallen to the ever levels! Ive just ordered some cream at the same dosage as the patch. Im hoping my levels will rise and my symptoms improve. Theres gel i can use too. Otherwise, i dont know what to do.
Have you considered the implant? My friend has absorption issues too and she’s now got an estrogen implant which lasts 3 months.
I have a question. I have Surgical menopause. I have taken several different forms of HRT. I have tried the patch but I sweat so it falls off. I took the EString and it worked great but insurance doesn't cover it anymore and it is very pricey. So now I am on a cream and it isn't my favorite. So to my question....I have asked for progesterone also to go with the estrogen but my Dr's won't give both to me. They say I don't need it because I don't have uterus. But women need both hormones. So why don't Dr's prescribe both to Surgical menopause women? I had my hysterectomy in Oct 2011. Now I gain weight no matter what I try.
Thank you for this chat. My doctor put me on the highest dose 75. Do u think its a good starting me of on the high dose.
Gloria - What medication are you referring to? “The highest dose 75” makes no sense as that is not the highest dose for the Estradiol patch.
These are the available dosages for Estradiol patches:
0.025 mg
0.0375 mg
0.05 mg
0.075 mg
0.10 mg
So the 2nd to the highest dose is 0.075 mg. Or are you taking a non- FDA approved medication from someone who is trying to scam you for money?
I had a total hysterectomy because I had Endometriosis in 2017 I was 49 at the time I opted to not take any HRT and in 2019 I realized I was not sleeping and was getting hot flashes so began taking Climara and then last year I had a new Dr who prescribed Estradiol 0.05 but said that I need to wean off the patch because I should not be on it longer than 5 years? Also, I’m wondering if maybe I should increase dose as I’m not sleeping well ?? I will have to find a new provider as well.. I’m 55. Any feedback would be appreciated .
Progesterone is the feel good hormone, and it DOES make you tired and I sleep TONS better now that I am on the prog pill WITH the estroidal patch - Thank God, are you on progesterone? Try watching some Dr. Barbie Taylor vids, she has a vid on every aspect of this and is very informative also as well as this wonderful lady here, Dr. Hardwich Smith thank you
Hello Dr. Susan. If the pils made me trouble at the right leg, can I use spray with estrogen without the risc of blood clots?
Transdermal Estradiol in either patch, gel, or spray formats can work very well and be low risk for blood clots, unlike oral Estradiol which can raise the risk of stroke & blood clots
I am using estrodial patch with 200 mg progesterone. I’m working with my gyn because of bleeding (had a hysterscopy and no cancer) but another side effect of progesterone was sleepy and not want to do things. Lack of motivation. I liked this type because it made me sleep. Now I’m on a 5 mg pill. Doesn’t help with sleep, but no bleeding. Any thoughts?
I don't understand. Doesn't a hysterectomy remove the uterus? How does bleeding occur?
If your on the patch and go off will the symptoms start all over again from the newly reduced estrogen when you’re weaning off? I’m afraid to start. I’m 10 level estrogen (so low) and 54 but I’ve had night sweated and flashes for 2 years. If I start psych and go off in 5 yrs will the symptoms start all over again for years to adjust?? Help.
Any info about the Combipatch...that combines estradiol and norethindrone progestin? Nobody talks about that patch.
So there is no risk of clotting with the patch? My understanding is there is risk of clots with both just a bit less with the patch. Oral estrogen is 1 out 1,000 for clots and 1 out of 2,000 for the patch. Is this correct or am I misinformed?
I need to find a different doc. I mentioned hormones after i go thru menopause and he said theres no point in giving u any hormones. Im having hot flashes and moodswings.I'm in peri I know I'm getting close to menopause
How do you determine 100 vs 200 mg progesterone daily? If taking 100 without bleeding, then this amount is sufficient?
I had to go to .0375 patch and then take progesterone orally because anything above that was causing me to bleed severely ...like for months I had a period heavy enough where I had to use super plus tampons. Neither my GP nor my gyno will do follow up blood work since the initial blood work 7 months ago.... I want to know if this dose is enough to prevent Osteoporosis, heart disease et el?
Dr. Barbie Taylor on utube has information about that on her channel.
this is happening to me!
Glad to hear that it is helping women, but why is it so expensive?
@tonettejackson7899 body identical estrodiol patches and progesterone pills are available at very reasonable prices across the US, and are typically covered by insurance. Bioidentical pellets are not covered by insurance, are not necessary for everyone, and they are quite pricey. Personally, I'll probably stay away from the pellet and just go with body identical. Best wishes.
When I filled my prescription through my insurance, the cost was $160. If I use Good RX, the cost dropped to $47
I’m 59 years old I went thru menopause at age 50 I started with the cream about a year ago but the cream kinda stopped working so now I’m going to try the combi patch and I’m wondering if you think it’s still a good idea for me ? I’m basically in great shape I’m 5’9” and I’m 156 lbs My doctor didn’t take my blood levels either 😮 So strange !
Hello Dr. Susan! Hopefully you can clear my confusion for me on my dosage. I requested daily dosage of transdermal estradiol 0.05 mg. I was thinking the patch would be once a week, but my patch is 2 times a week. Am I getting the correct dosage I requested with this application method? Hope you can clear my confusion. Thank you!
I inject mine and started at .3....most doctors aren't dosing accurately and its ridiculous. I'm so glad I found the doctor I did and it took some serious doing. Most ALL women feel their absolute best at a blood level of 350-500. Period. If you argue it's because you don't know what I know.
Hi. What makes you so adamant in your comment about other women’s experiences? And why do you prefer injections over other delivery methods?
Dr, I’m on 0.075 estradiol patch. I had a hysterectomy in 2020. Over the last year and half I’ve noticed my hair has thinned a lot and I’m getting the hot flashes and not sleeping good. Should I be taking progesterone also? Or do you think I need an increase in patch dosage?
0:02 yes progesterone balances estrogen. Many drs say you don’t need it if you’ve had a hysterectomy, but you do. Progesterone helps with many more things besides uterus protection, brain, breast and bone, etc… I suggest getting progesterone gel caps and use them as a suppository fir better absorption and less side effects.
So SO glad someone called about a post-mwnopausal "period". Went to one doc and she said that that was "normal". My thought: no ma'am, it ISN'T!
My doctor also told me that it's a part of life and get use to it!? No ma'am.
@@katmct I would’ve had a few choice words for him
@@puffchickpam1She said “No ma’am.” So let’s not assume that it’s a “HIM” and maybe pay a tiny bit of attention to the comment prior to that judgemental comment. MANY MANY Male OBGyn’s are huge proponents of Estrogen/Testosterone supplementation for your healthy but jumping to a conclusion that her MD is a Male is just wrong and this is one Specialty that Men take a huge hit in, from Women. Don’t be that person. Perhaps you missed 1 of the 2 sentences? An oversight maybe? Regardless, pay attention if you are going to comment and then try to not assume or judge. 🙏🏻♥️👍🏻 Be well.
Hello,
I’ve had a uterine ablation at 42 y/o and I’ve just started HRT 0.1 patch twice/week and progesterone 200mg the first 12 days as well.
I got a good burn with the ablation. I’m 59 y/o and I haven’t had any breakthrough bleeding at all. Imho I don’t have a uterus. There’s nothing there to shed.
I think I may be on too high a dose of the patch. It’s only been a few weeks. I ended up having screaming headaches last week and pms on steroids. Binging on sugar, and Chinese food. I don’t eat that kind of food. (As an adult)
At first I thought it was I accidentally put it on my arms and got a bolus.
I don’t start the progesterone until October.
My question is, do you feel a woman needs to be on progesterone after a good burn? My sister got the Novasure and ended up with periods. I told her it was because all she got was a chimney sweep.
My concern with the progesterone is I didn’t tolerate it the last time and because I’m taking clonazepam, I don’t want to wake up with a hangover and walk around in a coma.
Advice? Do I need progesterone? He’s old school. That WHI report from I think it was 2002, really hurt us. The lowest amount necessary to relieve symptoms for the shortest amount of time. Ugh 😩
Is there a specific type of doctor who is more with the times?
Thank you
See a menopause specialist if you had an ablation to determine the best HRT for you. You can also watch Menopause Taylor’s episode “How much Progesterone “ you will learn a lot.
my stomach gets so bloated, not sure if its from est pill 1mg, test injs or progesterone? any input on this?
Hi, i'd put my bet on the estradiol pill. The same thing is happening to me, honey!
What about the disposal of the used patches. Do they put hormones into the environment.
You discuss taking estrogen and progesterone: which type? I know about prometrium, but what about estradiol? can I get an estrogen patch prescription from my doctor like Climara? or are you recommending the compounded formulas? Which estrogen patches that are covered by insurance, do you recommend? I assume there are bio identical versions of these, but my doctor said there aren't any. Please help.
Yes there are estradiol patches and they are bio identical estrogen
Yes they are. I'm prescribed the Dotti .5 estradiol patch from my doctor. It's bio-identical and covered by my insurance.
What day do you draw your blood on the patch to test levels?
Where is a good place to put the patch ?? and I was told to use two times a week. ( change 2x a week)
lower buttock areas or bikini areas & switch to opposite side at change of patch
I just started an estradiol patch 2 weeks ago. I change it every week. It's 0.1 mg/day. Is that low? High?
Hello, I’m taking progesterone 200 mg daily and that has helped with sleep, anxiety, etc. I’m 52 and feel like I should be on estradiol patch. I’m using vagifem and that has been great. So every time I try the patch I get super nauseous and then if I take it off I get a super migraine. I guess I’m not sure if I need it bc I don’t know if my blood level is zero. I was taking progesterone 100 mg cyclic but had to take daily bc I would get a horrible migraine when I stopped and started it. So not sure what I should do. I did cut my patch but had same effect. Do I not need or will the nausea go away. I’m super healthy, great weight, surf, hike etc…need some guidance please!!!
Are you still experiencing nausea?
You may just need a lower dose of transdermal estradiol.
Was on .0375mg and the nausea and dizziness were terrible. Went onto .025mg and no problems.. two weeks out now.
With all the side effects, how do you feel ok with doing HRT? I was given Prempro the other day but I don't want to take a pill so I asked for the patch. That's why I am here. But the only difference between you and me is I still have my uterus. I was told initially that if I only have estrogen that I would have my period again. I may be getting the combi patch. However, I am not sure why I am getting anything, my sex drive is outstanding (although I don't get satisfied much), I do not have a dry vagina, I went through hot flashes and if they are still here, I do not notice them. I do want to sleep better though and get this menopausal belly under control. If HRT doesn't help with those two things, I am not sure why I should do it.
Progesterone is the feel good hormone, and it DOES make you tired and I sleep TONS better now that I am on the prog pill WITH the estroidal patch - Thank God, are you on progesterone? Try watching some Dr. Barbie Taylor vids, she has a vid on every aspect of this and is very informative also as well as this wonderfuln lady here, Dr. Hardwoch Smith thank you
What are my options for progesterona
Is it better to take the estrogen patch and the progestrian pill separate or is the combipatch just as good
I gained weight on combi & started bleeding daily just switched to this regime last night! wish me luck!
The combi patch has Progestin in it, which is a synthetic form of progesterone. I would stick with oral Micronized Progesterone and the Estradiol patch, both of which are bio-identical.
I'm 39, on HRT for the past 6 months- patch and progesterone daily, and my period returned monthly since being on HRT. My period went MIA for nearly a year.
I don't mind that my period is back.
Soooooo..... should I not have a period?!?!
I have never had HRT never had it offered or in my orbit but I have been given antidepressants for symptoms i am now learning are most likely menopausal. I am now 64 is it too late for me
Same here. I finally got off the antidepressants but think I may need some hormones. I’m 72.
It's not just the body, my brain is also malfunctioning. Sometimes I stop and pose and think what I am going to say, or I stop and think what i will be taking from the cabinet. I kinda have this blank moments. I hope I can go early tomorrow and get ultrasound, I will ask for patch if it helps my dryness. All sorts of things happening to me when I entered this 40's. Even spider veins are all over, maybe it is also hormonal. saggy cheeks, laugh lines, stretchmarks due to gaining fats on hips and thighs and legs, Pores are also huges, acne scars got deeper, My acne is getting hyper again probably due to androgen. My estrogen is declining. A few pieces of gray hair on my head. My cycle is shortening and dryng up. It's sad to grow old single and alone. I'm 46 now going 47 I feel like I have a death sentence.
My brain fog was terrible before the patch plus progestin. It cleared up soon after.
Talk to your gyno my dear
@@Anonymous-sh3ig I did she didn't prescribed me the hormone she said I can take herbal estrogen. My sister doesn't agree on estrogen because we have 3relatives that had cancer.
@@Anonymous-sh3ig it's fine, I just need to adjust slowly with my age.
I am 65 and had a totally hyster with both ovaries removed at 32. I have been on a patch all these years. My dosage now is 0.025mg twice weekly. Although my physician would like me to stop. I have tried a few times but hot flashes and insomnia were horrible. I also want to stay on the patch for osteoporosis and to help with my heart. I have vaginal dryness and started vaginal estradiol for this. I think I could even be on a higher dosage of patch. Do you have any recommendations? Thanks.
Yeah, find a new doctor. Ain’t no reason for you to be quitting your HRT.
I’m 72 and my ovaries were removed at age 23! It’s been a journey... I began on oral estrogen, but have been on a patch (now 0.05mg) for many years, and my doctor knows better than to try and stop it. Some older/uneducated doctors will try to stop ERT at age 65, but that’s just BS if a healthy woman is symptomatic without replacement.
@@04Serena exactly!
I had a hysterectomy with one Ovary remaining been having horrible insomnia episodes with hotflashes around the clock as well! Moodswings too! I was given en small amount of estradiol v. Cream since I don’t have any more periods and one Ovary with small cyst left ( wonder if that one is slowing down now) it’s hard to tell for Me to tell if I am at what stage been given different answers from 2 diff. doctors about bloodwork one said I look like I am in period menopause (last year) this year one said the F.. something level was low so shows I am transitioning but no clear answer but menopause symptoms galore ( very miserable) should I just ask for low dose 0.0375 patch to see if it helps? And if so since I no longer have uterus do I need to be on progesterone as well?
Sorry ment peri menopausal above
Are estrogen patches not optimal for hot tubs and saunas due to premature releasing in the heat ?
It says that in the prescription insert. Put a new one on after hot tub.
Wow so glad I tuned in, My hair is thinning is that a result of my estrogen level and I want to improve my sex health.
I was told you have to take bioidentical progesterone. My doctor just prescribed progesterone 100 mg capsules. How do I know if that’s bioidentical or not and should it be bio identical is that the best form? Thank you, Doctor!