Estradiol Levels | Low Estradiol Symptoms | Estradiol Side Effects
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- čas přidán 17. 08. 2021
- Estradiol levels determine the severity of symptoms in perimenopause and menopause. This video looks at what happens when estradiol is too low, too high, and just right.
Should you take HRT (including estradiol) for menopause? If that question feels impossible to answer, I'm here to help. My digital course, The Menopause Solution, guides you through Searches, Stories, and Studies to help you make your HRT decision.
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Thanks 🙏🏻 Steve!! This video was very helpful!! 😊
You’re welcome. Next one is on progesterone.
you didn’t mention joint pains
Very informative and concise for short video.
Glad you think so!
thank you doctor i got from this video a lot
Great Video, love your channel. There is so much contradictory info as not only yourself, also other menopause info providers support in the test hormone blood levels. Can you please explain how having blood levels tested for hormone levels is a reliable method in also determining hormone dosage(s) or if you have made a video explaining this . As on another channel it was said that the aforementioned was not a reliable method to use, as hormones fluctuate day to day hour to hour possibly due to diet/stress, etc and to only increase/decrease HRT dosage in relation to menopause symptoms??? if a client says she suffers from insomnia, anxiety with no bloodwork done, I would think and theorize her symptoms could be a result of too high/low of either hormones of which those symptoms can fall into either category and either hormone which could result in a long trial and error guessing game to ease the clients' symptoms and finding the balance of hormones......I speak from personal experience and a dr who refuses to acknowledge the hormone blood testing.
Hi Dr. Great video. I’m 54 years old. Started estradiol injections 2 months ago. Supposed to go for 3rd tomorrow. My levels were just tested this week & level is 22. Started out at basically 0 in Feb in spite of doing Bioidentical troches. I’m still so tired even though on antidepressants. Do you think trying to get above 22 will help. Also how do you feel about IM being injections vs patches & pills. Thanks so much!!!
Great information Steve. Glad I found you. Trying to get to the optimal estradiol range (75-100) to relieve my low estrogen symptoms. When should estradiol blood level be checked after increasing Estradiol patch dose?
And if blood estradiol levels are below optimal how long before safely increasing the patch dose?
Thank you.
It usually takes a few weeks for your estradiol to settle out after you've increased the dose. I'd suggest not testing until after 4-6 weeks on the new dose. Your provider may have another ecommendation.
What an interesting factual video. Thank you. I am in the UK so I would need to find someone here.
Glad you enjoyed it
I just had mine tested last week. 83 estradiol, 3 progesterone, FSH 15.5. This was after taking off the patch and stopping progesterone because I felt very PMS-y on them. I feel ok right now but we’ll see. I’m 49 and have ovaries but not a uterus. I emailed you to find a specialist in my area, but haven’t heard back
Oh wow.. this is me .. just started hrt and I’m in Sydney Australia. Would be fantastic if you know of anyone here. Thank you Steve.
Thank you !! 😊👍🏼
Hi I am a 30 year female who has been showing low eostrogen symptoms,I tested my hormones a few days ago on Day 8 of my menstrual cycle and my eostrogen levels were 650 pmol/l.Yet I m experiencing still experiencing low eostrogen symptoms.Do you have any suggestions?
Thank you very much!!
@jbstepje3 You’re so welcome!
Hi Dr. I have been taking 17beta-estradiol 0.06% gel one pump and 100mg prometrium everyday, but lately I am having a little hot flashes etc, can I increase my dose to 2 pumps, if so do i have to increase the prometrium as well, or would I be OK with 100mg? Please help
Thank you
I am 30 years old and have already low estradiol levels... Is there a natural medicine I could take?
Thank you for such an informative video. Just checking re estrogen levels advised in the UK to be 300-400 pml for symptoms relief, a lot higher than 100, be really interested in your thoughts? Thanks
@user-xq3kt9mb2x That's a great question.
The levels of several biomarkers are in different UNITS in the UK vs. the US.
Estradiol is commonly referred to in "picomoles per liter" (pmol/L) in the UK.
In the US, we refer to levels of estradiol in "picograms per millileter" (pg/mL).
There are several online calculators that help convert one to the other. Here's a link to one I used unitslab.com/node/113
The bottom line: I'm saying a level of 100pg/ml (US) is "optimal" for estradiol.
That translates to about 368pmol/L (UK) or right in the middle of that 300-400pmol/L range you mentioned.
So those "optimal estradiol" ranges are very consistent with each other. It's just a matter of looking carefully at which units are mentioned.
Is it best to take estradiol or biest? My doctor had me on biest and it made me depressed so I stopped. I am without a period for 8 months. Thank you!
Hi Steve
Can HRT cause an ovarian cyst?
Are there other natural ways to increase Estradiol if worried about continuing on E patches with a cyst?
That’s a good question. 😊
Thanks Steve. Would like a reference for hormone specialist in Santa Barbara County in CA for my wife’s extreme low Estrada.
@raylacasse1075 - Fill out my Patient Referral Request Form here to find a hormone specialist:
simplehormones.com/referral
If you leave a referral request on CZcams or email it to me, it's extremely likely I'll drop the ball or it will fall through the cracks. Thanks!
Hello! Could you do a video on the dfference on vaginal ESTRADIOL VS ESTIOL? I cant find the Vaginal Estradiol where I live.
Hello Steve, I’m in Perimenopause. Yesterday, I was informed that my Estradiol is 500 pg but it should be around 50 pg. Is that dangerously high and require balancing out with medication or does Estradiol fluctuate a lot like Progesterone? My Estrogen is 951 so is that too high? My Progesterone is only 0.2 and I was told it should be somewhere in the range of 15 to 30? Unfortunately, I can’t seem to lose weight even though most of my adult life I was slim with a lot of running and avoiding bread, rice and pasta. I still avoid those foods and I don’t eat sugar but due to injuries I can no longer run. If I take medication to lower my Estradiol and increase my Progesterone, will I finally be able to lose weight? When during my cycle should I be having these hormonal blood tests for Estradiol, Estrogen, and Progesterone? Thank you.
Hello, thank you for your videos. Do you know if transdermal estradiol 2 pumps would effect a benign thyroid nodule 1cm. I understand it doesn’t go through the liver it goes straight into bloodstream. My concern is the nodule will grow with estradiol but my symptoms are not good without it. Thank you
I haven't read anything or heard anything at a conference about estradiol and thyroid nodules. Interestingly, there is an ongoing study that's apparently looking at just that question. Here's a link I found where the study is described. www.ehealthme.com/ds/estradiol/thyroid-nodule/ It's sort of a "crowd sourced" study that asks individual patients to contribute.
Hi Steve, I started estradiol 1mg for menopause. Ever since I’ve had a low grade annoying headache for the last month. It was enough to make me stop taking it for a few days just to be sure it was actually the estradiol causing my headache. It went away after about 36 hours. Any advice? I want to take it for the health benefits for menopause. Also my hair started shedding shortly after starting it.
check blood pressure?
Your starting dose was too high.
What about a man (55) with almost zero estradiol? I have a natural Total Test of 876 but
Can I ask
Are Estradiol patch as good for reestablishing those levels.
I understand that HRT treatment always works with Progesterone
But it can also interact with the absorption of estradiol treatment.
Would love to hear from you please
Thanks for watching. As I’ve mentioned in some of my other videos, there are advantages and disadvantages to different dosage forms of hormones. Estradiol in a transdermal patch is equal in effectiveness with estradiol oral capsules or tablets as far as getting optimal levels and relieving symptoms. Oral estradiol has distinct advantages in reducing heart disease risk, provided it’s given early in menopause. Progesterone is a different story. Progesterone given in a transdermal cream is ineffective for sleep, depression, and anxiety. Transdermal progesterone, more importantly, doesn’t protect the uterus from overgrowth. I always recommend oral progesterone.
@@SimpleHormones thank you so much.
I have subscribed
Very well explained videos!
I’m taking oral estradiol 2mg having to take 3 times a day for ivf embryo transfer
I’m on anastrazole (for cancer… removes estrogen), I have noticed my BP starting to rise, weight gain, and my potassium levels are starting to creep up…. 5.1 to 7. How do we manage these side effects?
Hi Doctor my wife Estradio level is 25 ml and fsh.14.90 her age is 35-40 What u advice me ?pls she hasn't pregnant
My estradiol was very low. 1mg of gel was not working for me. The doctor started giving me 1mg patches witch seem to be too strong. My hot flashes stopped, I still have brain fog. My doctor is new to this and doesn’t have experience. From Doing research I’m hearing that patches are stronger than cream and gel, therefore you don’t need as much. Is this true?
I appreciate you going over how hormone levels change with age naturally in different videos, but I have this lingering question. How does being on hormonal birth control affect all these things? Does it suspend your aging? Does your body stop producing its own hormones in rhythm? Do women on birth control still go through perimenopause? Does long term birth control usage delay menopause or speed it up? Thank you for your concise, helpful explanations!
Inga - Those are very good questions. Hormonal birth control has complicated effects both while you're taking it and afterwards. I haven't done that much research about it. I'm not so convinced that it's the best approach for all women.
@@rebeca2276 Wow, thanks for clarifying!
which is the best time for testing the level .just .after taking the dose or before taking the next dose
Your video has been the most professional and intelligent. I have seen videos that do not explain things in detail. Now, my question is, why does a post-menopausal woman taking testosterone injections increase body fat, hunger, and increased size in breasts. Which aromatase inhibitor should we take. Someone told me about aromatase inhibitors and where do we buy them?
@jbstepke3 Thanks for watching and for the compliments. Your questions have me thinking there must be several things going on. Yours sounds like a good case to try and find help with. If you can find a hormone specialist who understands all the nuances, that would be the best approach. As for aromatase inhibitors, they have their place but often create more problems than they solve. I would rarely recommend them for men or women.
My estradiol was 18 pg/ml. I’m 30 and I don’t have cycles because of the depo shot
Im hypopit... with ocps i had nausea...what else i can take? E2pumps?
I’m 29 I have less than 5 for estradiol
It’s not good I’m Sooooo nervous about my health I need some help‼️
Can u tell me im 50 my estrogen level is 193...im not dry down there...had a hysterec have 1 ovary left...dr wants me on patch..is it normal my estrogen still over 100?
Thank you very much for this information! I’ve been on 0.05 mg transdermal estradiol and 100 mg micronized progesterone pill for 3 years and have been feeling well - no more menopausal symptoms. However, I have beginning osteoporosis per a DXA scan and it turns out my estradiol level on the above dose is only 26-30 pg/ml. The endocrinologist I see for the osteoporosis says this level is good enough, but after doing some research and viewing your video, I worry that my estradiol level is not high enough to help with the osteoporosis and the prevention of the other diseases you mentioned. I am 57 y.o.
Please, do you happen to have a scientific source that I can show to my doctor or some documentation that talks about the minimum estradiol blood levels for prevention of the diseases associated with menopause, and specifically osteoporosis? I have tried to find this on my own, but have found it difficult to get the information. I would be very grateful.
You have to watch Menaupose Taylor as well on utube, she explains the correct dosage to avoid osteoporosis.
If you feel your symptoms are gone, you feel good, and are taking the minimum dose of .05, why change it? Least dose possible, safest.
@@danskdna8550 It’s now a year later, and I’ve learned a lot! The the supposedly “minimum dose” of estradiol (patch) to prevent diseases associated with menopause was not enough in my case to help prevent further bone loss. I went up a dose and one of my symptoms - hypercalciuria (too much calcium in urine) that had been detected consistently over a one year period, disappeared! I did a lot of research and found a lecture on the Bone Health and Osteoporosis Foundation website about exactly this topic - the necessary estradiol blood level range for prevention of bone loss and excess urinary calcium loss. The frustrating thing was that my endocrinologist had absolutely no knowledge of this.
In terms of your point of why increasing the dose when being symptom free, it turned out that I was totally surprised about how much better I ended up feeling on the higher estradiol dose! More energy, faster brain/thinking … What I’ve learned is that we can get used to how we’re feeling, because the menopause transition stretches over many years… My advice based on my personal experience is that if in doubt, women should not hesitate to experiment with different dosages, whether higher or lower, to find the one that’s optimal for them. Everyone is different and the doctor has no way of knowing how much an individual woman needs to feel her best and reduce her risk for the diseases associated with menopause.
Sorry for the long reply, but I hope it might help/encourage some women on their journey. 😊
Research Pub Med!
@@danskdna8550 Because at that level, her body is not getting enough to protect her bone density!
Which is the best time for testing the level. just after taking the dose or before apply the next dose
Most hormone providers Will recommend testing about 5 hours after the last dose. If you normally take estradiol at night, you might take it in the morning the day of your blood draw instead. Of course, if your doctor has specific recommendations, go with those.
my worst symptom ever of having too high of estradiol was a period that started super late (day 37, I normally start around day 28) with extreme PMS worst I've ever had in my life, and a very long drawn out period with a week of light or spotting, a week of extremely heavy with one day of flooding which was scary, and another week of just spotting, worst experience of my life, had a bunch of tests done to rule out anything abnormal, and even thought my doctor didn't check my hormone levels, I think here in France they think it's pointless if you aren't fully in menopause, he only went off of my age, how my organs looked, and that there was nothing abnormal on the tests, I was started right away on an extremely low dose of dienogest, 2mg (it's an extremely common progestin here in Europe, yes, it's synthetic, but I've read that it can mimic certain things of bioidentical progesterone), was given tranexamic acid for a week to slow down the bleeding, then a single injection of decapeptyl, a GnRH agonist, to cause temporary menopause for about 2-3 months to see if it would help. I have to admit all those drugs in the first month of treatment was absolute hellish, it wasn't bad enough to go back into the doctor or to the ER since the side effects were within normal range, but I only had a week off from bleeding before a long drawn out period started again because the decapeptyl stimulated my ovaries first before shutting down and it was like my symptoms were almost worst before it got better.
I had horrible abdominal cramping and bloating while on the estradiol patch. What are the alternatives that are not likely to cause GI symptoms? Hot flashes and night sweats are really bothersome and ruin my sleep.
Hi Steve, I have 17 beta oestradiol 677 pmo/L and pelvic and back pain. Is this normal? Thank you.
That would be a good question to bring to a hormone optimization provider. www.simplehormones.com/find-hormone-optimization-specialist/
I'm suffering the same on Estradiol patches. Were you able to resolve your issue? If so, what worked for you? TY!!
I need somebody near Blairsville GA to work with an in menopause with estrogen patch no uterus no progesterone
Visit this page and fill out my provider referral form simplehormones.com/find-hormone-optimization-specialist/ It's the only way I can make sure your request doesn't fall through the cracks. I've gotten 148 in the past few weeks.
My estrodial level is 29 on day 3 of my periods is that okay?
It sucks for me because taking the estradiol patches helps with my joint pain which is debilitating but it also gives me really painful acne 😭 it's one thing or another
Should I lower mine? I'm on hrt and my serum level is 122 pg/mL. But I have a lot of belly fat. Doesn't make sense. Seems I should be losing. Im paleo and exercise 4 times a week with a combo weights (anaerobic)/aerobic routine.
That's actually a pretty good estradiol level. There are lots of reasons for weight gain or not being able to lose weight, including low estradiol. If you haven't already, you might want to take a look at this video, which talks about thyroid and insulin as well: czcams.com/video/AUDYt6G8NmQ/video.html
You need to do intermittent fasting and completely change up your diet. It's the adrenals producing more stress hormones such as cortisol.
What about vision loss when estradiol is low?
What about hairloss in postmenopause? Is it from too high or too low estrodial?
This video mentions hair loss as a symptom of both menopause and low thyroid.
Weight Gain, Hair Loss - Menopause Symptoms? Hypothyroid Symptoms? Or BOTH?
czcams.com/video/4SYZ3W_ooT4/video.html
Hi. Great video. I'm from the UK and I had a hysterectomy bilateral oophorectomy 18 months ago and im really struggling on HRT, I use patches (changed from the gel due to migraines) and I use testosterone & progesterone, but my symptoms are just a rollercoaster. I seem to get a constant hot face, all day everyday. My levels were 598 last time I had bloods. Please help
You don't need progesterone if you don't have a uterus. This may be the problem. Check out Menopause Taylor here on CZcams for excellent tutorials to better understand all this. 🙂
@lf7065 I use progesterone, it's been amazing for me. Im on the pellets so it reduces my estrogen dominance. Happiest I've ever been. ☺️
@@LeanneMeader I'm happy for you! So, the estrogen patches caused you estrogen dominance? I'm not sure I understand. After BSO, we usually have very low to no estrogen....🤔
@lf7065 yes, im on a higher dose, progesterone helps calm the estrogen. Plus it's good for all sorts of others things too. Im on the implants now, much steadier dose. I'm quite settled now. X
Leanne I’m 69 and have been on a small bioidentical dose for 8 years and asked PCP to check levels, estrogen was 557, she said it was “high…….but you’re supplementing!” Said keep taking. Got second opinion and that nurse practitioner said she’d never seen a level so high at my age and wants it 60. I’m only on it for bones as had no symptoms of menopause but seems there’s no clear cut answers to what levels should be. Everyone has a different opinion.
I measure my hormones levels in urine with a home device. How dos blood levels of E translate into urine ng/ml?
Unfortunately I live in the UK and we don't have anything like this at all, the only thing that the doctors do is take your blood pressure and then prescribe you the HRT
😮
Louise newson clinic in Stratford upon Avon.
Not True Madam , watch the Videos of Dr Lewis Newson , Liz Earle , and Caroline HIRONS has named a famosi clinic in London which is dosing estrogen
Blessings
Louis Newton is in the UK. Contact her.
Your oestrogen levels can fluctuate from night to day, so a blood test is pointless, that's why we don't do it in UK
Hi, I suffered through perimenopause severe symptoms) now in menopause started with estradiol patch 25, did nothing really, 50 was wonderful, I could sleep again and feeling myself, but after a few months, I started getting hot flashes and brain fog again and very tender breasts, moved to 75, tenderness gone for the most part but after a few months I am getting random hot flashes, brain fog (like memory blanks) and other symptoms again… should I move to 100?
You'll definitely need to work with your provider to try and find doses that 1) work to relieve symptoms and 2) don't produce unbearable side effects. An experienced provider knows how to find that balance. Estradiol is one hormone that is the most difficult to pinpoint an exact dose. My wife takes an oral capsule and a tiny bit too much causes her breast tenderness, too little and she gets breakthrough hot flashes. She now is alternating between a compounded 1.5MG capsule and a compounded 1.75MG capsule, every other day. You won't be able to get that kind of precision dosing with a manufactured patch. Only a compounding pharmacy can provide precision doses to that level.
Hello, I thought blood levels only showed what is circulating in the blood and not what is available to the tissues and that saliva tests where more accurate.
That’s a great question! There’s a TON of controversy about blood testing vs. saliva testing of hormones. I’ve tried to avoid the topic, but I may need to post some videos to try and clarify it.
What do you suggest for perimenopause I n 46yrs.
I suggest watching this video czcams.com/video/_mMEzY9Jw34/video.html
Hi Steve, I'm currently taking 1.0 mg of transdermal estradiol. How do I convert this to pg/ml in order to see if I'm in the optimal range?
@Jean-bw7qn Thanks for watching.
You mentioned the DOSE of estradiol you're taking - 1.0MG. That's certainly a starting place.
When I talk about "estradiol level" I'm referring to the amount of estradiol in your blood (technically your "serum" but basically blood).
A 1MG dose of estradiol will produce varying blood levels in different women. The only way to find out your blood estradiol level is by having what's called a "hormone panel" drawn by a laboratory. Most hormone providers will order a comprehensive lab panel that checks all your hormone levels but also looks at blood lipid (cholesterol and fats in your blood), blood glucose and insulin, and other "biomarkers."
You get some vials of blood taken out by the lab and 10 days or so later, the lab sends the results to you, your doctor, or both. Then you can see how your levels compare to optimal hormone ranges.
Thanks so much for the information, Steve 😊
What about someone with fibroids.
Does low estrogen level causes dizziness? I am experiencing dizziness, joint pain and hot flashes with night sweating from last four months.
I experienced those same symptoms and many others when my estrogen had tanked. I started on a .075mg estradiol patch and am now taking .1mg. I am 45 yrs young😊
@@cozinha8945 Have your symptoms improved?
I have suffered w PMDD for all of my life and am in full-on perimenopause... it has been a nightmare. rn my doc has me on "post-menopausal hRT" even though I am still menstruating (quite heavily, in fact). HELP 😏
I was RX Estradiol 1 mg because my insurance wouldnt approve the combi patch, I am terrified to take it but feel a bit better but was curious as to why I only was rx the estridiol when my testosterone levels was insufficient as well?
@Josiecat80 You're not alone in feeling afraid of estradiol. Literally hundreds . . . no THOUSANDS of women have contacted me saying the same thing. That's why I created my course, The Menopause Solution. It addresses those fears with both empathy . . . and evidence so you can make an informed decision about hormone replacement therapy for menopause.
Hi there. Thanks so much for this. I can’t get beyond 50 without terrible breast tenderness. It so uncomfortable I have just ripped my patch off of 75 after using these for a month I can’t cope with it any longer. The breast tenderness will just not go. Is this due to estrogen or progesterone sensitivity? Many thanks
Could be BOTH estradiol sensitivity and low progesterone.
@@SimpleHormones Thankyou. I’m already taking 100 mg of utrogestan daily. Breast tenderness is now gone at 50 estradot patch. I’m also using testim, vagifem and the cream….it’s a LOT! Poor women it never ends 🙏🏼
Do you consume caffeine?
All low progesterone...
Im 28 and I was told mines was 16 is that normal
Is there a reason a combined pill like Yaz wouldn't solve some of yhese fluctuations for women on perimenopause?
Because they're not hormones, they're synthetic lab created medications. Research synthetic birth control. Very bad for the body!
I’m in post menopause and got on the E patch two years ago. I’m now on the .075 E patch and my level is 69. I’m really trying to get it closer to 100. Hopefully by going up to the highest dosage patch I will get close to the 100 level or at least 75.
@crh251 That's a great level to shoot for. From my wife's experience and from my survey of providers on my email list, it's often difficult to get to 100pg/ml without getting breast tenderness or other side effects. Even 69-75pg/ml would be pretty close to an "optimal" estradiol level though.
@@SimpleHormones, thank you! That’s good to know! Thank you for all that you do for us women! We really appreciate it. I have many of my friends watching you now too.
@crh25 Thanks for sharing! I'm making a commitment to post more often. New video just today about a 39% decrease in breast cancer with testosterone pellet therapy. czcams.com/video/zZ10ihN-4vg/video.html
Can i take estrabet 2mg to increase my breast size and gain healthy weight
Starting HRT, the doc ordered me 1mg!!! Is that too low? Then Progesterone 100 DHEA 7.5 the estrogen sounds low, ya think? I’m 70 Thank you Steve. 😊🤪
Oestradiol (E2) female 138.39pmol is it normal? Pls reply me sir 🙏🏻
Whether that oestradiol level is "normal" depends on a number of factors, including: 1) whether you're still having regular periods 2) when the blood was drawn in the menstrual cycle
Is it best to use estrogel in the mornings or evening ? During peri menopause?
1. Most doctors will recommend using estrogen at bedtime. That makes your level as high as it can be, early in the morning when hot flashes can wake you up. 2. Most of the providers I work with avoid using estrogen in perimenopausal patients, mainly because estradiol levels can be sky high one day and rock bottom the next. It's very possible to overshoot estradiol levels in a perimenopausal woman.
@@SimpleHormones that’s strange I’m in the Uk and I’m a HRT groups pretty much all peri menopausal with symptoms women on Estrogen gel or patches and prog
HRT won't help you in the long run. And once you stop it the symtoms will return and you'll be a lot older dealing with them.
Can I cut a Mylan Estradiol patch in half?
I haven't seen Mylan estradiol patches up close for many years, since I worked in a pharmacy. But that's most likely possible. The main question is if it's "dry" meaning there's no liquid that is going to ooze out when you cut it. If so, then you should be able to. As long as the adhesive is evenly distributed. You could also ask the pharmacist at the pharmacy where you got that prescription filled. for their recommendation
I have been trying to conceive for 3yrs am 33.
I got this low estrogen could it be the reason if yes how can I fix it.
I never have labido for sex it's today I come to know the reason.
Thanks for sharing sir
You can buy progesterone cream otc. Often, low progesterone leads to infertility.
I live in Canada./and my recent estradiol lab was 164 pmol/l. I am 51, no uterus so cannot track by cycle if in menopause. Does that number indicate menopause? I see your measurement in pg/ml. So i am confused?
That calculates to around 44pg/ml. It’s somewhat low. Estradiol alone can’t be definitively used to diagnose menopause. Most providers use FSH to make a diagnosis. Over about 50 is considered menopausal.
@@SimpleHormones thank you!
My FSH was 31.7 u/l. Not sure what measurement you were referring to for the 50 you mentioned. I appreciate your thoughts 😊
@@jh9912 Pretty sure it’s 50mIU/ml. There are different values floating around. The key is if your FSH is consistently above something like 30 on the low side and 50 on the high side, it’s probable you’re in menopause. One FSH test may not be enough because everyone’s levels fluctuate. Yours sounds like it’s kind of borderline and a bit inconclusive, even though it is over 30.
@@SimpleHormones thank you 😊
My platelets have been dropping since my Covid vaccine but I have also not been taking my estradiol regularly at all due care-giver stress. Could this cause low platelets and it not be the vaccine?
I'm not aware of platelet issues with vaccines. There are ALWAYS complicating factors. I'd suggest the best thing you can do is to take your estradiol as directed by your provider.
Its most definitely the injection. Look up the problems people have had all over the world. Detoxifying your system might help. It also affected women's reproductive health in some incidences.
I heard that you have to use also Estrogen when you use estradiol. Is this right?
Actually . . . estradiol IS a specific type of estrogen. Estradiol is the most important estrogen made by human ovaries.
Can joint pain increase when first using Estradiol? My SI joints are on fire!
Estradiol is related to joint pain issues, both too little and too much. I'd definitely recommend talking with your provider about it.
@@SimpleHormones Thank you so much! Will do! New subbie and grateful for your videos. 🙂🙏
I’m on hrt but have gained 10kgs over a year and can’t lose it.
You might take a look at this video. Estradiol is 1 of the hormones that have an impact on weight gain after menopause. There are several others though. czcams.com/video/AUDYt6G8NmQ/video.html
Sir,my age is 22 only ,my esteridol level is 8 only,and my bleeding is also one drop and one drop only ,and I have full chest pains 5 to 10 days before of periods ,iam getting full fear ,please tell me any solution to increase my esteridol level.
Sir, if esteridol level is increased then bleeding flow is also increased or it remaining same?
Anemic?
I'm 23 and my level is 8.6 I still have my period but I bleed in between my cycle, I'm going to see a doctor tomorrow, you should as well if you haven't
What is the difference between estriol and estradiol?
@debbiebridges6350 Watch this video, which explains the 3 human estrogens. czcams.com/video/6AAc441dyOE/video.htmlsi=XLE1TzXCq79yccjb
I am 57 years old and on HRT for six months now and my estradiol rised from 15 to 277 pg/ml, on one pump a day topical bio identical cream . I am feeling so much better now than 6 months ago, should I need to reduce my dose? Even if feeling great now?
That sounds like a pretty good estradiol level to me. Of course, it may go up or down, based on when you use the cream. As long as you're not having side effects (breast tenderness is most common, followed by bloating, headaches) there's no need to change. It's best if your doctor checks your level once a year or so. As I mention in several other videos, it's VERY important to be taking an ORAL progesterone along with estradiol to prevent endometrial overgrowth. (Even if you've had a hysterectomy and don't have a uterus, I still recommend taking progesterone to help with insomnia, depression, anxiety.)
How can it rise so much with one pump?
Should I take progesterone with my estradiol patch? I had a hysterectomy where they removed uterus and ovaries as well. I had horrible endometriosis and don’t want it to come back. I’m miserable and my levels are low on estrodial at 47ml my fsh is 50 and sex hormone is 34. The strange thing is that my testosterone is 40 and the free test is 7ml/ph. That seems high to me. So not sure what to do.
My estrodiol is 2.8 pg/ml. My doctor says it’s perfect but the scale shows low. Is that near 100?
@marystahl 2.8pg/ml is a "normal" estradiol for a woman in menopause. That's not 0 but pretty close. Not to throw your doctor under the bus but that's a less-than-optimal estradiol level. It's nowhere near 100pg/ml.
Is this medicine safe for a trans woman to take what are the negative side effects this medicine can have on her body
So what the heck do women in perimenopause do?! We get very low estradiol and have all of those symptoms - we need sine kind of continuing estradiol to keep it even - and so what if it gets too high - I’d rather that than suffer with the symptoms - no one will give me estradiol and I think I need it - I’m so frustrated
Good observation! It IS a conundrum. Giving perimenopausal women estradiol can have some major drawbacks, especially sky high estradiol levels that you're adding MORE estradiol to. I've talked with several providers and asked them this questions specifically, "Do you give estradiol to women in perimenopause?" The answer is often whispered, "Well . . . I know it's tricky but I DO give perimenopausal women estradiol. I tell them to use it on days when they have the most hot flashes and back off if the hot flashes do." Estradiol levels in perimenopause are essentially useless, since they'll be entirely different tomorrow.
About 10 years ago when I went through menopause I didn't have any hot flashes or night sweats no discernible mood swings or anything I really couldn't tell any difference except for my whole genital area went dry and no sex drive then continued to shrivel up now I have vaginal atrophy bummer. I couldn't even have sex with my new boyfriend my vagina was too small I told him that we could work on this together that I needed some estrogen cream and dilators but he wasn't interested in showing me how to order things from the internet so I never did get the estrogen or the dilators and he just quit seeing me. he wasn't for marriage anyways. Oh I forgot my question why didn't I have any of the normal symptoms I didn't have any symptoms at all no night sweats no hot flashes no mood swings nothing but I do know that I was in menopause. Now I'm 66 so it's been more than 10 years probably 12 or 13 and my vagina continues to shrink and shrivel and get dry this is really a bummer and no one would give me any testosterone bulshit. Bulshit.
Go on CZcams and type in Barbara O'Niell Balance your hormones or it could be Balance your hormones men and women. Watch the whole video and she will talk about "Yoni Stones" which she says will bring blood back to the vaginally area which will plump up.the cells and hence get rid of the dryness and atrophy. Hope this helps.
Hi does inositol lower estradiol?
@natasha09179 The answer to that question is a bit unclear. I did a brief search in the PubMed database of studies. Some of them indicate inositol increases estradiol. Some indicate it decreases estradiol. In either case, the impact of inositol on estradiol was relatively small.
Thanks so much for researching this, wow!
What is difference between estradiol tablets and premarin tablets?
BIG difference! Premarin® comes from "Pre(gnant)-Mare(horse)-(u)rine." The Premarin® tablet is sugar-coated so that you can't smell it. I have cut a Premarin® tablet in half and sniffed it. Smells EXACTLY like horse pee! Premarin® contains at least 10-12 but maybe as many as 60 different estrogen hormones, the vast majority of which are ONLY found in horses. It's a DIRTY, MESSY, CONTAMINATED hormone that I wouldn't recommend for any woman.
Estradiol, on the other hand, is a PURIFIED and SYNTHETIC estrogen that is EXACTLY the same as the primary human estrogen made by female ovaries. Here's a video about synthetic vs. bioidentical hormones czcams.com/video/iN-gkBSc5S4/video.html
Thank U
@@SimpleHormones Thank U
@@SimpleHormones Does prempro contain Premarin
Serum testing is useless. I’m sorry, but you need to go off symptoms. My results were “normal” but I still had hot flashes, depression, low energy and I hated my husband and my life. Increased my estradiol and now feel great (with zero “high estradiol” side effects), but I’m “out of range”. Thank god I have a menopause specialist who didn’t try to convince me that “normal” was the end goal.
Too low and I’m depressed, too high and I’m manic. It’s pretttttty obvious with me.
Is 354 estradiol high?
Not all that high. Estradiol fluctuates a lot throughout the menstrual cycle.
Is 50 pg Estradiol low?
I saw my Naturapath Doctor yesterday and he said that my Estradial should be 50 pg, especially for women who are more n Perimenopause. Naturopath Doctors have their own school and they specialize in women’s health; they are good with helping women stabilize their hormone levels naturally with natural medicine versus a gynecologist who will prescribe synthetic medicine that isn’t customized to each individual women’s needs. Naturopath Doctors will prescribe Natural Hormone Replacement Medication Compounds through Speciality Pharmacies to meet your specific requirements. Unfortunately, doctors who went to medical schools have been fighting Naturopath Doctors through their Lobbyists to prevent Insurance Companies to work with Naturopath Doctors so that is why American Health Insurance Companies currently still do not cover Naturopath Doctors. So, the doctor visits can be pricy, especially the first doctor’s visit. Your insurance company may cover some of the blood tests.
@@user-iu9wr6ej3s So I am in perimenopause?
My estradiol level is 44 it is low because I can't concive for pregnancy
Estradiol tends to fluctuate a lot over the course of a month. It's hard to tell what that level means without understanding the overall context and what all your hormones are. Low estradiol may be one factor that can contribute to infertility. It requires a trained hormone specialist to figure that out.
What about guys?
Can too much estrogen feel like low estrogen???
Estrogen levels can fluctuate wildly from one day to the next. So what happens more often that "too much estrogen feel[ing] like low estrogen" is "way too much estrogen one day (the day it got measured) and way too little the next (a day when it did NOT get measured)."
So are you just doomed in perimenopause to not have proper estrogen levels?
Not doomed . . . but the nature of perimenopause is that estradiol is all over the place. It's a matter of managing extreme highs and lows.
@@SimpleHormones feels quite unfortunate to me
I feel that no one understands hormones.
Oh wow.. this is me .. just started hrt and I’m in Sydney Australia. Would be fantastic if you know of anyone here. Thank you Steve.
@fenellacorden375 - Fill out my Patient Referral Request Form here to find a hormone specialist:
simplehormones.com/referral
If you leave a referral request on CZcams or email it to me, it's extremely likely I'll drop the ball or it will fall through the cracks. Thanks!