Menopause as an Estrogen Deficiency State - 77
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- Опубликовано: 1 окт 2024
- Have you ever thought of menopause as an estrogen deficiency state? If not, why not? Isn’t loss of estrogen with menopause analogous to the loss of insulin with diabetes, or the loss of thyroid hormone with hypothyroidism? In this video, we’ll look at menopause from the perspective of an estrogen deficiency state. Tune in to see what you think.
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Woof... I'm 31. I'm almost entirely certain that I'm estrogen deficient thanks to tons of stress and abusive relationships I literally physically couldn't escape until a few years ago. Thankfully now I'm in a healthy, loving, peaceful home and marriage ❤
But the consequences of my youth still are here for me. I've got every symptom on the list you mentioned here.. additionally, I've got a type of diabetes (unspecified, doctors said) with PCOS, hypothyroid issues and adrenal fatigue, plus I'm about 60 lb overweight, almost all of it being carried in my butt, hips, arms and belly, whereas it used to be in just my hips and butt.
I've developed ugly facial hair, lost some of my glorious mane, my waist isn't nearly as curvy. Ugh. Plus everything else.
Funny enough, after watching one of your videos two days ago, I decided to get bioidentical estrogen and try it. SURELY ENOUGH, within an hour, my hot flash was gone, cramps greatly reduced, I had energy, mental clarity and my mood was much better. For the last several years, when not on Sprintec, I have been PMSing for 21 days of every month.. only about 6 or 7 good days when not bleeding, and my period was a welcome physical, emotional, mental relief. The rest was PMS misery.
Thank you so, so much for teaching about estrogen deficiency. You're one of the very few people I'm hearing talk about it and talk about how it fits into holistic women's health and the female biological system.
I'm on Day 3 of estrogen replacement therapy and I'm already seeing excellent positive results ❤❤❤❤
How are you doing so far?
Another couple "symptoms" myself and two other friends have noticed we really struggle with wanting to interact with others, want to be alone more often and a couple of us feel we've lost our creativity. I was pulling out Christmas decorations yesterday and used to love that process and now it's a struggle. I was talking to myself saying " what has happened to you woman!? Lol I try to laugh when i can but it's not fun to feel like an entirely different person than you once were. Thank you Barbie for all your time & energy and wanting to get the truth out there(:
You're valuing your time more. You don't want to put up with the hassles of jumping through hoops to make everyone else happy. That's fine. It's actually quite normal.
You'll find that there's nothing you can tell me that I haven't heard before. I'll help you with everything.
Wow, you just hit the nail on the head for me!!! I’ve started to wonder if I could have tins of amine time at home, if I’d rediscover my creative spark. I miss it!!!
Reclaim it! It's your turn. You'll be astounded at your creativity.
Deborah I’ve been feeling the same way lately and I thought it was just stress from being a busy homeschooler but that’s not the total issue...it’s menopause! Thank you for mentioning this!
I heard this might also have to do with the decline in Oxytocin (the bonding peptide hormone). There's supposed to be studies going on in Florida on this.
Automatic Testosterone Machine=🏧 This is how I will think of the ATM from now on! 🤯😂
you are so so right!! My hubby is on testosterone gel and he started a long time ago when he noticed symptoms of low T. He stated there is always a risk v benefits with testosterone use and he is willing to take those risks (ha ha!! - MEN!)even uses DHEA with his gel....but why are we women not doing the same with estrogen?...."wreckful behavior" perhaps? 😉
Because men are logical and women are emotional. No man would forfeit testosterone if you told him it caused cancer. But women demonize estrogen the second you tell them that (even though they have no idea if it's true or not.)
Wonderful video Dr. Barbie. Such an eye opener. I'm rethinking everything that has been instilled in me about estrogen. Is another deficiency of estrogen heart palpitations? Much thanks!
Yep! Usually heart palpitations occur in conjunction with hot flashes. It all makes sense, doesn't it. I hate it that women aren't given the education they deserve on this. That's why I create these videos.
Another great video Barbs! One question, if someone is taking HRT and alleviate some of the post menopause symptoms, but is still having other symptoms, is it ok to consume more estrogen? If it does, let's say eating more soy or flaxseed, does the phytoestrogens that bond with the hormone receptors could occupy the space of the HRT estrogen and decrease the effectiveness of HRT?
This is exactly what I need to know, as well!
Omg! I just saw you on TV - Channel 2 news! You are everywhere 😊
Ha! It was a fun segment, wasn't it! I'm not one to tell people ahead of time. I'm a bit shy that way.
In any case, I am trying to reach women everywhere.
Hi Dr Barbie, I was so glad to find your videos. Thank you so much for your knowledge and simple explanations.
Luba,
I'm so glad you found them, too! Welcome aboard to "Menopause Taylor University." You'll find that if you start at the very first video (going by the number after each title), you'll understand absolutely everything. And you'll be shocked at what you didn't know, and delighted that you now do know.
This is incredible! I was linked to you via Angie from Hot & Flashy. I am struggling with sleepless nights, brain fog, emotional at drop of a hat and where the heck did organisms go!!!!!!!????? Lol
Ive been thinking “Ok Jamie, figure out how to suck it up for the remainder of your life...” I’m going to watch all your videos and I will see my doctor soon, but to figure out what I need first. But I will NOT suffer any longer.
Welcome to "Menopause University"!
If you watch all my videos in order, beginning with Video 1, you will definitely understand everything.
If you watch them randomly, you will sabotage your entire menopause education.
And if you need me to tailor everything specifically To YOU, just schedule a consultation with me at MenopauseTaylor.ME.
Omg I thought the same thing about the withdrawal
I'm glad you are going to address the risks of estrogen replacement. I've often thought of ALL the things you said about being deficient just like any other deficiency. So I wonder how can replacing the deficiency cause me to have risk for diseases like cancer and heart disease. Isn't my body used to having estrogen? My ob/gyn proceeded to tell me all the increased risk I would have. I'm only on Estrace vaginally now because I couldn't stand the symptoms I was having. But is that enough for any other symptoms? Does it even get into my bloodstream? So many questions and so many healthcare providers with varying opinions. Luckily I'm pretty symptom free right now with the help of my herbals and the Estrace but what if that changes. Sigh.
I'll be giving you a bunch of videos on estrogen replacement. You'll especially ant to watch videos 80 - 90.
And I'm so proud of you for realizing that it's the loss of estrogen that causes the life-threatening diseases. And it makes perfect sense. Menopause isn't about the symptoms. It's about preventing diseases that can kill you. Do not base your management on your symptoms. Many of these disease have no symptoms. Once you are diagnosed, it's top late.
You're going to learn that the only estrogens that can prevent these diseases are those that travel throughout your body. (Estrace Cream is not one of them.) Nothing that confines itself to your vagina will prevent long-term diseases. All the vaginal creams are for your vaginal symptoms ONLY.
ESTROGEN is the hormone that is critical for prevention of these disease. Progesterone has nothing to do with it. Its only purpose is to protect your uterus from uterine cancer.
Here are the minimal necessary dosages of estrogen to accomplish prevention of these diseases, depending on the type of estrogen you're taking:
Conjugated Estrogen 0.625 mg / day
Estradiol 1.0 mg / day
Estradiol Patches 0.5 mg / day
Estropipate 1.25 mg / day
Esterified Estrogen 0.625 mg / day
Ethinyl Estradiol 0.01 - 0.015 mg / day depending on the source of the estrogen
Compounded Bi-Est or Tri-Est 2.5 mg / day
There are standard dosages of progesterone to balance these dosages of estrogen, depending on whether you take the progesterone every day (continuous) or just certain days (cyclic). Here are the standard dosages:
Medroxyprogesterne Acetate 2.5 mg continuous or 5 mg cyclical
Norethindrone Acetate 2.5 mg continuous or 5 mg cyclical
Norethindrone 0.35 mg continuous or 0.7 mg cyclical
Micronized Progesterone 100 mg continuous or 200 mg cyclical
Progesterone Gel Twice weekly continuous or every other day for 12 days cyclical
Oh, and the younger you are the higher the dosage you'll need. If you're just peri-menopausal, you probably WILL NOT be relieved of your symptoms with dosages designed for women much older than you are. That's why birth control options are so popular for women during peri-menopause. Birth control dosages of estrogen and progesterone are much nigher than the ones in HRT.
I hope this helps!
Wow thank you so much for your very thorough response. I am post menopausal. I've had my uterus and Fallopian tubes removed ( along with giant fibroid from Mars and endometriosis). So I don't need the progesterone. But I'm very interested in protection of future disease even though I follow a strict diet and exercise program. I have a suggestion for a video too. I'm a physical therapist ( 32 years). I'm always trying to educate women on pelvic floor health in my practice and with Pilates. Many women have no knowledge of what help is available. Many don't know that there is help for pelvic floor weakness ( beyond Kegels) , stress incontinence, urgency etc. Exercise intervention has a success rate of 69%. And there is so much available now- pelvic floor PT specialists, home biofeedback that works with your phone, apps vaginal weights. I think you are the perfect person to spread the word. Thanks again. I really love your videos and refer women to you all the time. ❤
You are so right. And pelvic floor PT is on my syllabus. I won't get to it for quite a while, but it's a huge part of my videos on pelvic prolapse, stress incontinence, and urge incontinence. I'll demonstrate the anatomy, all the vaginal weights, and bring in a Pelvic Floor PT specialist. The North American Menopause Society (NAMS) has a lot of them. All they do is pelvic PT.
@@MenopauseTaylor jog
Dr. Barbie my hair has straw like texture. I am on estrogen and progesterone. Why??? I have regrow hair and gained some length but the texture is the issue. Thin and straw feeling.
You are probably not getting nearly enough protein and Omega 3's (vs 6) in your diet.
Why do we bake cookies and cook bacon
Very good question!
Hello and thank you for your great efforts to help women suffering with the menopause issues.
Could you please offer some tutorial on vaginal atrophy and cures, if any.
Thank you.
Love your videos. I have kind of a confusing question more confusing for me then for you. I am 58 years old my last labs of estradiol was 5pg/ml estrogens total 24.6pg/ml estrone 19.6pg/ml. I still have my uterus and my ovaries my cervix. I had a Blasian about 12 years ago so I don’t know when I stopped having periods. I have always been afraid of taking progesterone and estrogen until I found your videos. I have really bad insomnia. Joint pain, brain fog and severe fatigue actually most of the symptoms you have talked about in your amazing videos.
Not long ago my dr prescribed me estradiol 1mg and progesterone 100mg. I have been afraid to take them mainly because have been afraid of weight gain. When I took birth control in my younger years I always gained weight. Just looking for your wise Advice.
Shauna,
This is precisely the kind of thing for which I do consultations. You definitely need one. I cannot tailor things specifically to you in a comment box. It requires much more information than can give here, and you deserve much more information than can give
I don't know what happened to the rest of my response:
Addressing your situation requires tailoring all the facts specifically to YOU, which I can do in a consultation. To schedule, goto MenopauseTaylor.ME.
Thank you Barbie for an awesome and probably (as you mentioned) best tutorial in knocking my brain into a "about time to urgently go onto estrogen supplements". You, did in the past give me the advise via one of your previous tutorial, due to my questions that I asked you SO THANK YOU again and just love your support, enthusiasm and strength that you give us woman!!! You are truly amazing in your belief and sharing your outstanding knowledge on this very important journey with so many of us ladies. I am devastated to hear that you are going through a divorce, and also wondered why you were no longer traveling as you had previously mentioned! I truly hope that you are blessed with the way forward that works for you and life has its reasons that we often, may understand and sometimes NEVER!!!! Loads of strength and positive wishes for you Dear Barbie X
Terri,
It warms my heart to know that I'm helping you. That's what keeps me healthy and happy. I truly appreciate your sentiments. And you can be certain that I'll be fine. My focus is on you and all the other ladies I can help. I'm so fortunate to have your support (in more ways than one).
Superb video and such an eye-opener!! Thank you so much for all that you do for women :D
You are so very welcome. I love doing this. And you deserve it.
Estrogen isn't an option for people with doctors who say "No" AND are poor. In my case, I've had cancer twice as a young woman - both tested negative for hormone reactive. Doesn't matter, the last 4 oncologists say "No!". I have shitty state insurance. Do you know of a source of quality free/inexpensive safe Estrogen? How are we to know how much to take if cowardly/fearful oncologists won't let us have anything to do with estrogen? Not even testing levels? I REALLY appreciate the info and your passion, but I'm so over people talking like it's a choice. Hah. Since when? Even if I could find it, how much? How often? It's a secret club for rich people. Yes, clearly, we are supposed to be dead.
I'm so sorry it's such a struggle. And I can tell you that it's a struggle for all women, regardless of income level.
The fact is that the entire system has failed women completely with regard to menopause. It's appalling.
Bless you! I smiled and nodded at your reckless and driveway thoughts. I totally get it. My mind works the same way. A friend said to me about a year ago... it must be hell being you with your mind continuously thinking and making observations and mentally chewing information to bits. Ha! And ATM for Automatic Testosterone Machine.... you got that right. Love it! Thank you for all you do.
Finally, someone who understands how my mind works! How is is that others don't question these things?
I am so glad you're here, getting the menopause education you deserve, my dear.
Dr Barbie, I have massive anxiety to the point I cannot function. Would HRT help?
Anxiety is a symptom of estrogen deficiency.
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
What do men do when our wives loose a significant amount of estrogen through menopause?
Estrogen is what attracts us subconsciously.
It’s difficult when our wives go through menopause and us men are suddenly left with a completely different woman.
More of a friend. Less of a carnal lover. Even if we still have a high sex drive.
I can help you or your partner in a consultation. It always requires tailoring to the individual and the individual situation.
Thank you so much for caring for women so passionately. Never thought I’d comment but after watching the videos I have a few questions. Do you know of a vaginal ring that provides estrogen and progesterone? Specifically for menopause? If not, is it safe to use an estrogen ring and progesterone suppository or MIRENA IUD and a Vaginal estrogen ring? Going straight to the source seems to have the least side effects. Also, can the above methods help sufficiently protect from the long term health risks of estrogen deficiency? If I’m peri menopausal and still having periods, is it crazy to want a continuous regimen to STOP those periods? I have read many things that seem to indicate providers resist this option. When and if my provider wants to do bloodwork what testing should I expect? You mentioned FSH and having it drawn on day 21-23 of your cycle. Are there other things that might be checked and how accurate is that bloodwork? Any things you recommend having checked? I have so many of the sx and am watching your videos like crazy trying to prepare for a conversation with my provider. It just donned an me that all my sx might be peri menopause! I’ve been a nurse for 25 years and was clueless before starting your videos. One sx I have that I haven’t seen that has wrecked my sex life is insomnia r/t sex. If I have sex at night, I find it nearly impossible to fall asleep and/or stay asleep. On those nights I sleep around 3 hours. I don’t know if I’m weird, if this is a menopause thing or something completely different. Thanks in advance for any help-can you tell I’ve saved up 77 videos worth of questions? I don’t know if it matters, but I’m 46
Carol,
This is waaaaaay too many questions for this comment box. I educate you thoroughly, and I'm not about to give you truncated, brief, incomplete answers to your questions.
What you need to do is go to MenopauseTaylor.ME and schedule a consultation with me. I will address all these things and anything else you want, plus many things you may not even consider. I prepare a document for you that is upwards of 60 pages and tailor it all to YOU.
Here's how a consultation works:
1) You would schedule a one-on-one consultation at my website, MenopauseTaylor.ME, choosing a time that is convenient for you. I do consultations on Skype, FaceTime. Facebook Messenger, What’s App, and the phone. (Although in a few days, I'll have a video platform on my website).
2) I would send you an email to confirm that you are scheduled for the stated time, and invite you to send me as much information about yourself as you please. You can make it brimming with details and tell me about your reproductive life, any gynecologic problems you've had, your symptoms of peri-menopause, and your symptoms of post-menopause. You can include all your fears, concerns, and goals for your menopause management. You may also send me any labs, mammogram results, bone density results, etc. that you would like me to include in designing your protocol. If you want to adhere to a certain category of management options (herbs or diet & lifestyle, or whatever), you should tell me that. I will give you a 5-day deadline for sending all materials, and will not accept anything after that date.
3) I'll get busy creating a document that gives you all the education you need to understand absolutely everything, points out the pros and cons of each option, and tailors it all to YOU, using the information you have provided. The document will be loooooong. Most are over 30 pages.
4) I will send you the document by email 72 hours before your consultation. You will benefit greatly by reading it in advance. Light bulbs will go off like crazy, and if you're like most women, you'll feel that you've already gotten your money's worth.
5) During your consultation, we will review the document and address any issues you want in order to fine tune everything and determine your best options. I'll tell you exactly how to find the right kind of professional, how to have the conversation in order to get what you want, and the nuances of things like guidelines and insurance. I leave nothing unaddressed.
6) You will go to a professional of your choosing in order to get the actual hormones or whatever you choose to use.
7) After the first consultation, I'll hold your hand (forever if you want me to). In other words, you'll be able to schedule mini-consultations (30-minute, in addition to full consultations) whenever you need to. I'll keep records of your situation. Most women schedule mini-consultation whenever they go to the doctor and don't understand what he or she said, or why. I translate. I make sense of everything. Most schedule mini-consultation whenever they have a new test and they want me to explain the results. And all schedule mini-consultation whenever their situation changes and they need to re-weigh and re-balance their options.
The time you spend with me will make everything about working with any other professional so easy. And they will love the fact that you have an actual education rather than a bunch of misconceptions that you got from the Internet. If your initial hormone regimen is not right, you'll want to consult with me before going to your doctor. I can prepare you for what to expect and what to request.
So, that's my role. And nobody else on earth does this kind of thing but me. So, I hope you schedule a consultation and let me hold your hand (figuratively).
I hope to meet you soon!
Menopause Taylor
@@MenopauseTaylor thank you. I wasn't sure if I should schedule my gyn appt first or consult with you. I think consulting you first might be most helpful although I don't have recent labs but can request my PCP order them and have them on hand for the consult. Thank you again.
@@carolhull5252 Carol,
You should definitely have a consultaiton with me first. And you do not need any labs. I will make everything much more efficient.
Estrogen is girl's best friend!! Love this. A classic!!
Doctor, all your videos are excellent, no question, but this one had such an amazing flow to it. The story unfolded slowly and powerfully, building on the word before that, never strayed from the line and culminated at its logical end. I was in pedagogical awe. Wow. To do this, one need to be in the full command of the topic at hand and also have a gift of storytelling. Impressive. Thank you:)
You are so very kind, my dear. Thank you. I plan what I'm going to teach you, but never rehearse anything. It's always an authentic spontaneous presentation.
I love knowing that you're getting this education.
That's even more impressive then
It's hard to do. What a wonderful skill!!! Best wishes in all you do. I am planning to scedule a consult with you mid june or whenever you available after that. Cheers!
@@Marsolan I look very forward to meeting you and helping you, my dear.
Hi Barbie. I’m 57 and have gone through perimenopause. I only used a little bio identical over the counter cream that helped some. Once I became post menopausal five years ago, I was diagnosed with severe arthritis in my lower back. It’s unbelievably painful some days, and I know I cannot live like this forever. I can barely move on my worst days. No amount of supplements and stretching have helped with the relief so I made an appointment with a NAMS menopause specialist. My guess is I am estrogen deficient. My estrogen showed up on a test four years ago as non-detectable. I wish I had started this in perimenopause, but like so many women, I was fearful. Hopefully I’m not too late to get on the bandwagon. Thank you for making women aware of hormone loss! I have a feeling all the down votes are men. LOL!
Please consider scheduling a consultation with me at MenopauseTaylor.ME BEOFRE seeing any provider. I will arm you with precisely how to have the conversation to get what you want. There is much more to this than you can possibly imagine. I will ensure that you do not burn your bridges.
@CV how are you doing now? Did the estrogen help you? I'm in the same boat!!
Realistically, though, isnt it quite impossible to compensate for lost estrogen in menopause with anything other than synthetic or bioidentical estrogen? We learned in your tutorials that foods, plants or herbs provide a fraction of the amount needed to alleviate symptoms or prevent disease...correct?
You are correct.
Imagine trying to compensate for insulin deficiency without taking insulin replacement, or thyroid hormone deficiency without taking thyroid hormone replacement.
But, there's no FEAR-mongering for those hormone replacements. So, my goal is to make sure you know all your options for managing estrogen deficiency .... but all their limitations, too.
Thank goodness for Menopause Barbie! Thank you for all your knowledge so eloquently delivered xx
Well, thank you, Karan. I really appreciate that. I love knowing that you're learning.
Surgical menopause took my estrogen production away. I believe it's wise to find a gyno who'll write me a script for bioidentical estrogen. Gyno oncologist did my surgery, but won't be my doc since the cancer was caught before it started to spread and the ovarian mass was a big old cyst...
If you have a consultation with me, I will school you in precisely how to find the perfect menopause specialist FOR YOU.
This woman is every woman's best friend... Thank you Dr Taylor for all you do... Much appreciated much respect much love always...
You are so very kind, my dear. I'm so appreciative of the fact that you can see my passion. I truly think that all women deserve this eduction on menopause, and I am the only person on earth proving it. I am so glad you're here. Thank you for your kindness.
you are amazing. What would you say to someone who wants to start bioidenticals @ 70, is it too late. 🍏🍐❇🌿🌼
It's not about your age. It's about a bunch of other things.
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.
After watching your video (which makes so much sense!), I called my Dr and asked if I could be prescribed estrogen. Two weeks ago she prescribed compounded testosterone and progesterone after I had blood tests done. She said she's holding off prescribing esteogen as she says I am not menopausal, I'm perimenopausal. My estrodial was 30 pmol/L. I dont have hot flashes much, very rarely in fact, and was encouraged by you saying in one of your videos, that they aren't the biggest symptom in menopause. However, I get cyclic aching joints, which are really painful and lots of the other symptoms you list. Now the Dr wants me to have an ultrasound of my womb lining and to check for fibroids. Does this make sense to you? I just want to start taking Estrogen so I won't be deficient. Thank you for making this video and the others are for explaining everything so well!
She's stalling. There's absolutely no reason you can't begin either a form of birth control containing both estrogen and progesterone or HRT.
She's right about peri-menopause being due to low progesterone. But that doesn't mean you can't go ahead and take both estrogen and progesterone. May women do.
If you took either a birth control option or a high enough dosage of HRT, you'd never have a single symptoms of menopause AND you'd reduce your risks for all the diseases associated with menopause. When your girlfriends complain about how miserable they are, you'll wonder what it the world they're talking about.
@@MenopauseTaylor I think I love you! Thank you so much for this reply-honestly, I'm so frustrated and I'm also beyond excited to get started on the estrogen and avoid anymore hormone rollercoaster rides and horrid physical and emotional symptoms that I've had creeping in and have got progressively worse. If only I'd known about you years ago, you really do give me and so many others hope...
I love helping you, Dawn.
One of the things I do is to make sure you know how the system works and how to communicate with your doctor so that you don't ruin your chances of getting what you want. BEFORE you see your doctor be SURE to watch videos 78 - 90 and 98 - 100. Or schedule a one-on-one consultation with me. Or both. You'll love me even more when you learn what those videos teach you.
You deserve this education. Every woman deserves this education.
@@MenopauseTaylor I’m dealing with this as well. How can I get a one on one with you?
@@aprilepp74Go to MenopauseTaylor.ME to schedule. I do them all via video conferencing, so it doesn't matter where you live.
YOU ARE AMAZING! I’ve been dealing with….no suffering from an estrogen deficiency recently and decided to discuss it with my doctor and we decided I would start using HRT. Your video had me laughing so hard! Thank you!!!
OH the good stuff is coming now! Please fill us in with what to take with the least amount of side effects with maximum benefits!
Rosemarie,
ESTROGEN is the hormone that is critical for prevention of these disease. Progesterone has nothing to do with it. Its only purpose is to protect your uterus from uterine cancer.
Here are the minimal necessary dosages of estrogen to accomplish prevention of these diseases, depending on the type of estrogen you're taking:
Conjugated Estrogen 0.625 mg / day
Estradiol 1.0 mg / day
Estradiol Patches 0.5 mg / day
Estropipate 1.25 mg / day
Esterified Estrogen 0.625 mg / day
Ethinyl Estradiol 0.01 - 0.015 mg / day depending on the source of the estrogen
Compounded Bi-Est or Tri-Est 2.5 mg / day
There are standard dosages of progesterone to balance these dosages of estrogen, depending on whether you take the progesterone every day (continuous) or just certain days (cyclic). Here are the standard dosages:
Medroxyprogesterne Acetate 2.5 mg continuous or 5 mg cyclical
Norethindrone Acetate 2.5 mg continuous or 5 mg cyclical
Norethindrone 0.35 mg continuous or 0.7 mg cyclical
Micronized Progesterone 100 mg continuous or 200 mg cyclical
Progesterone Gel Twice weekly continuous or every other day for 12 days cyclical
You'll want to watch videos 80 - 90 when they air.
Oh, and the younger you are the higher the dosage you'll need. If you're just peri-menopausal, you probably WILL NOT be relieved of your symptoms with dosages designed for women much older than you are. That's why birth control options are so popular for women during peri-menopause. Birth control dosages of estrogen and progesterone are much nigher than the ones in HRT.
I hope this helps!
Thanks a million for that information Dr Barbie...better info than any beauty tutorial out there! You know we all want to look good....but being alive trumps all that other stuff.
@@MenopauseTaylorCan you get away with taking progesterone gel like for four or five days only of your cycle? I just don’t want the awful symptoms of progesterone and am looking for ways to reduce them for when I do go on HRT. Thanks!
Dr Barbie: I'm 47 and when I was younger, I took birth control pills for a few days. They gave me the side effect of vomiting and nausea. Do you think that if I take Duavee for menopause symptoms, that I will have nausea as I did with the birth control pills?
Nena,
Taking birth control pills for a few days is absolutely NO measure of how you would far on any kind of hormones. You simply weren't on them long enough to even give them a real try.
The dosage of estrogen is Duavee is minuscule compared to that in birth control pills. It's even minuscule compared to the dosage in the "standard" dosages of HRT for menopause. You should have no problem at all.
What about DHEA?
DHEA is testosterone. Testosterone is to men what estrogen is to women.
Do we need to supplement DHEA for low testosterone?@@MenopauseTaylor
i have almost every single symptom of estrogen deficiency but for some reason i get confused because i'm definitely not "post" menopausal but still in peri-my last period was only 2 months ago (age 56) needless to say, i'm going on estrogen replacement therapy. I am trying hard, after going through your videos, to reevaluate how i think after being steeped in the alternative view of progesterone, progesterone and more progesterone. I thank God for your videos.
Your symptoms are feeling you that you have estrogen deficiency and that it's time to replace the estrogen, regardless of where you are in the process.
Remember, you are not a textbook. Your menopausal journey will not be cookie-cutter. Go ahead and start HRT. You'll feel so much better, and you'll reduce your risks for the diseases associated with menopause in the process.
The only impact your periods have on any of this is how you take the HRT. Because you're still having periods, you may need to use a cyclic regimen (in which you take estrogen every day and progesterone on only certain days, and plan for a period) rather than a continuous regimen (in which you take both estrogen and progesterone every day, and never have a period).
Thank you for responding, especially since i have made myself a pain :) I plan on doing a consult with you, i did HRT for 6 months and went off because of very increased bipolar symptoms so i plan on going back on Estradiol and figuring something else out for progesterone (was on medroxyprogesterone which was horrible for me so even though i am going through your videos and understanding much more, maybe i need your personalized help for my situation. Blessings!
There are two regimes from which to choose:
"Cyclic regimen," in which you are only estrogen on some days. Then you take estrogen AND progesterone on some days.
"Continuous regimen," in which you take both estrogen AND progesterone every day.
I covered this in great detail in video 41. If you aren't watching these videos in order, you won't understand what you deserve to know.
I love that reminder! Supplemental vitamins in processed food. That's unnatural!! 5:50
You always cheer me up and make me smile Dr Taylor ☺
I just discovered your channel. Woohoo! I am 57 and am about 5 years out from menopause. Last year, I had unprovoked pulmonary emboli and am now on blood thinners for life. Am I a candidate for estrogen replacement? Although I live in a metropolitan area, I've had a hard time finding a physician that takes a "whole person" approach to menopause. I am a small, active woman, but am struggling with weight gain, fatigue, and depression.
Welcome aboard to "Menopause Taylor University." You'll find that if you start at the very first video (going by the number after each title), you'll understand absolutely everything. And you'll be shocked at what you didn't know, and delighted that you now do know.
Each video builds on the last. It's just like school: You had to learn the alphabet before you could read. And nowadays, there are so many overwhelming misconceptions that women mistake as facts ... that you just don't know what you don't know.
I respond to all comments here on RUclips daily. So, I will answer all your questions ... but I'll also know if you aren't watching the videos in order. (I'm like your mother. I have eyes in the back of my head!)
And if you need me to help you tailor anything to your personal situation, you can schedule a one-on-one consultation at MenopauseTaylor.ME any time.
Please schedule a consultation with me to address your personal situation. That's what it requires. I can help you a lot, but not in this comment box. What you deserve is to have all the facts tailored to YOU.
Welcome aboard to "Menopause Taylor University." You'll find that if you start at the very first video (going by the number after each title), you'll understand absolutely everything. And you'll be shocked at what you didn't know, and delighted that you now do know.
Each video builds on the last. It's just like school: You had to learn the alphabet before you could read. And nowadays, there are so many overwhelming misconceptions that women mistake as facts ... that you just don't know what you don't know.
I respond to all comments here on RUclips daily. So, I will answer all your questions ... but I'll also know if you aren't watching the videos in order. (I'm like your mother. I have eyes in the back of my head!)
And if you need me to help you tailor anything to your personal situation, you can schedule a one-on-one consultation at MenopauseTaylor.ME any time.
Who is denying Estrogen when they're dealing with all that crap?? I have several of those symptoms and trying to get help. I just found out MYSELF that I may have Estrogen deficiency NOW in the WORST WAY, so who's denying again??
Hi Barbie! I went through menopause @ age 50. Now at age 62 yrs. I have most of the symptoms you have described. I have never used any of the current treatments for menopause but cannot see myself putting up with this current way of being into old age. Please advise.
Maryellen,
You'll ant to watch videos 80 -90. They'll be on something called "The Estrogen Window of Opportunity." It's all about timing.
Your body was used to estrogen all the years of your reproductive life, And it loved the stuff. But once it disappears, your body starts aging. If you replace estrogen when your body is still used to it, the benefits greatly outweigh the risks. Bit if too much aging occurs in the absence of estrogen, taking it then tips the scales to being more risky than beneficial.
So, if you've gone more than 10 years without estrogen, you probably are not a good candidate for taking it.
But that does not mean you should give up. There's a whole smorgasbord of options for compensating for the benefits of estrogen (Video 78). The goal is to do so in the best way for YOU.
If you want this education more quickly than you can get watching the videos, go to my website (MenopauseTaylor.ME). You can (1) Attend my seminar on February 10 & 11, or (2) But the seminar on DVD, or (3) Get my book. All of these will give you the big picture all at once and present all the options in all categories for meeting your goals.
Hi Dr.Taylor. i had my E2 result. Went to my onco and OB as per your advise. They have no solution at all. Estrogen replacement is an unknown treatment in my country. Can i just buy over the counter HRT? Nobody here prescribes these. Please advise. I mentioned your channel but they have no comment, nof advise. In fact i was the one who insisted to have E2 test. Now i dont know how to get HRT.
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.
ok, will schedule. @@MenopauseTaylor
I look forward to meeting you and helping you, my dear.@@dsv4308
i have gone to many doctors and none seems to know how to help me..i have almost no estrogen..and so for years now i have had many issues..a few years back a doc tryed to give me estrogen and testerone and the testerone made me feel so sick..felt better without it.mostly bladder issues from low estrogen and leakage..so all im on now is estrace estrogen vaginal cream..but i have many body aches and already started with bone lose..im 54..and i dont sleep.and night sweats.headaches.weight gain.i would love to know what i should be taking.
You would benefit greatly from a consultation with me. You need to have everything tailored specifically to YOU, and that's precisely what consultations are for.
I'm in the business of educating you about everything you need to know and do in order to get exactly what you want for managing your menopause your way. So, here's how a consultation works:
1) You would schedule a one-on-one consultation at my website, MenopauseTaylor.ME, choosing a time that is convenient for you. I do consultations on Skype, FaceTime. Facebook Messenger, What’s App, and the phone.
2) I would send you an email to confirm that you are scheduled for the stated time, and invite you to send me as much information about yourself as you please. You can make it brimming with details and tell me about your reproductive life, any gynecologic problems you've had, your symptoms of peri-menopause, and your symptoms of post-menopause. You can include all your fears, concerns, and goals for your menopause management. You may also send me any labs, mammogram results, bone density results, etc. that you would like me to include in designing your protocol. For instance, if you want to adhere to a certain category of management options (herbs or diet & lifestyle, or whatever), you should tell me that. I will give you a deadline for sending all materials, and will not accept anything after that date.
3) I'll get busy creating a document that gives you all the education you need to understand absolutely everything, points out the pros and cons of each option, and tailors it all to YOU, using the information you have provided. The document will be loooooong. Most are over 30 pages.
4) I will send you the document by email 48 hours before your consultation. You will benefit greatly by reading it in advance. Light bulbs will go off like crazy, and if you're like most women, you'll feel that you've already gotten your money's worth.
5) During your consultation, we will review the document and address any issues you want in order to fine tune everything and determine your best options. I'll tell you exactly how to find the right kind of professional, how to have the conversation in order to get what you want, and the nuances of things like guidelines and insurance. I leave nothing unaddressed.
6) You will go to a professional of your choosing in order to get the actual hormones or whatever you choose to use.
7) After the first consultation, I'll hold your hand (forever if you want me to). In other words, you'll be able to schedule mini-consultations (15-minute or 30-minute, in addition to full consultations) whenever you need to. I'll keep records of your situation. Most women schedule mini-consultation whenever they go to the doctor and don't understand what he or she said, or why. I translate. I make sense of everything. Most schedule mini-consultation whenever they have a new test and they want me to explain the results. And all schedule mini-consultation whenever their situation changes and they need to re-weigh and re-balance their options.
The time you spend with me will make everything about working with any other professional so easy. And they will love the fact that you have an actual education rather than a bunch of misconceptions that you got from the Internet. If your initial hormone regimen is not right, you'll want to consult with me before going to your doctor. I can prepare you for what to expect and what to request.
So, that's my role. And nobody else on earth does this kind of thing but me. So, I hope you schedule a consultation and let me hold your hand (figuratively).
I hope to meet you soon!
@@MenopauseTaylor thank you for your reply..and yes i would love to do this..i have been struggling for years and asked many doctors for help .and noone seems to really know much about jsut menopause..in my area anyway.but right now i cannot afford to do this with you..i have neck and back issues so had to quit work and my husband was the only one with insurance for me through his job and then his job he had been at for 22 years closed down and he had to find another job and the insurance will not start until novemeber..and i have a pet that needs a procedure done and its very costly.but i love my cats so they are worth it.lol so money just alittle tight right now.but it would be great jsut to find at least for now a multi/mineral vitamin that is good for me.but i try the whole foods kind and my tummy cant handle those.what i take now is carlson brand multi/mineral and calcium with d.5oo mg. tryed to take more but for some resaon calcium if i take to high amount bothers my tummy.and i have to be careful with magnesium as well.but thank you very much
Ur brain sounds like my brain .
Great minds think alike!
Dr. Barbie, do u still do the seminars live? I’m binge watching this material for weeks now but I am 51 and I think I’m in my last peri-menopausal year going into post-menopause (i know I won’t know for sure til I’ve had a whole year without my period). I think I’m quite certain what to do because of ur videos thus far - I even cancelled an appointment with an old client that is a “pellet pusher” and swears by their compounded pellets which includes testosterone (I couldn’t find anything in detail on testosterone in ur videos-I think video 44 would have it but I cannot get it, or someone pulled it down). In any case I have an appointment with a general gynecologist who actually seems to have an interest in menopause but I wanted to cross all my t’s & dot all my i’s b4 meeting with her. I’m going in order but slowly and I just love u but how can I go faster?
Hi there Dr. I want to thank you for the videos on Menopause. Not only did you remove my fears and miaconceptions regarding menopause and ERT, but you also made my transition without stress. I have no reproductive organs left and a family history of breast and ovarian cancer. I was so scared to take estrogen, but now I have no worries. My husband loves your videos as he can see that they help me alot. I am using Estro Pause and Ecotrin due to my LDL Cholestrol level of 6.1. I have shared your video knowledge with my friends and they have expressed their gratefulness to you as well. So a thousand thank you's to you. In wish you were my doctor. 😊
Oh, Charmaine, you make me so happy! I love knowing that you have accurate knowledge and peace of mind. You deserve to know how your body works.
Hi, Dr. Barbie. I was on transdermal Divigel and oral progesterone for some of my 50s. Due to financial challenges I had to stop my HT at age 59. Now I'm 61 and considering HT again, but thought I recall in one of your videos that if you're 5 years after menopause or over 60 you've missed your window of opportunity. I'm really confused. I wanted to start HT again for all its benefits, but now I'm feeling at my age there may be too many risks. Thank you for your help and for all your excellent videos.
You're still within your "Estrogen Window of Opportunity." You haven't gone even 5 years without estrogen. So, get back on it! You're still a good candidate, and your benefits should still greatly outweigh your risks.
Menopause Taylor Thank you so much!
Once again you make total sense. Looking at your list of symptoms l realise I have half of them. So you convinced me to visit my GP. Thank you.
If you can, go to your gynecologist instead of your GP. In medical school, we only get 1 hour of education on menopause. That's all the GPs have.
Gynecologists do a 4 year residency during which they study menopause in great depth. (Watch video 58 for more details on this.) If you can, get a menopause specialist. Here's how:
Go to menopause.org (North American Menopause Society).
Click on the tab "For Women."
Click on "Find a Menopause Practitioner."
Put in your zip code.
All the names that come up will be specialist in menopause. Don't cheat yourself on this. It's to important.
I would absolutely love to meet you! I think we’d have some wonderful banter on different interesting topics🤓🧐
Is one of the symptoms of estrogen deficiency straw dry hair. I am on HRT. I am not losing hair and I gained some length but the texture is not soft and feels like it is coated in a waxy texture. Why????
What is your opinion on no HRT if a woman experiencing a relatively symptom free menopause? To me it seems supplementation should still happen to protect the body from the long term health issues that come from being estrogen deficient. Thank you fo these videos, you have totally changed my view on HRT and taken away the fear surrounding its use.
I'd like to know too. I had all the symptoms in peri but none of them 4 years post.
Just so glad I'm on HRT. My quality has improved so much over the last couple of years.
I hear that a lot. And, now you understand why it makes sense.
I am even happier now just watching one of your latest videos about estrogen deficiency being responsible for dementia and heart attacks. 1 in 2 with regard to heart attacks that is such a huge number. I didn't know that and I am even more determined now to stay on HRT for as long as I possibly can even though the GPs here in the UK seem to be determined to get you off it as soon as possible. I am 52 and don't intend to quit anytime soon especially as I haven't even started menopause yet. I had my last period in September and I am hoping to move from sequential to continuous HRT soon. But my current GP is quite knowledgeable and understanding so that helps. I have tried a few options and find the Evorel patches combined with Utrogestan caps work really well for me.
Isn't it wonderful to have knowledge AND peace of mind that you're doing what's best for you? I love that.
HI Barbie, I would love to try estrogen again, but it gives me vaginal yeast issues every time I use it. Is there a way to prevent this? Also, is estriol enough to help with symptoms or do we need all the estrogens? Love your videos:)
I am so sorry I missed this comment!
Estriol is the weakest of all the estrogens in your body, but it exists in the highest ratio. (Video 32).
Estradiol is the one your body uses for purposes of making you feel normal. Estrone is produced by your fat cells and is the one you hate.
Many women get yeast infections from estrogen (which is why yeast infection are common during pregnancy).
But, think about it: Would you want to have a heart attack, osteoporosis, or Alzheimer's just because you were avoiding a yeast infection? It's about priorities. There are many ways to prevent (or treat) a yeast infection. I can't say its as easy to deal with these diseases.
Yeast is all about the pH balance of your vagina. Your vagina always has health bacteria and yeast. Any time something happens that makes your vagina more hospitable to the yeast, you get a yeast infection. Hot tubs, saunas, steam rooms, sweaty workout clothing, wet bathing suits are all causes of yeast infections.
That was a welcome surprise! Thank you for taking the time to see my comment and answering it:)
You are so welcome. And, again, I answer each and every comment ... as long as I see them in the first place!
Do you work with women in their 30s?
Absolutely! I help women at all ages with any kind of gynecologic issue. I love it when you get this education early.
I HAVE HYPOTHYROIDISM too, not long after my ovaries being removed. I'm on the pills too so that is ok. now I guess, And my patch for estrogen :) I'm still suffering from one thing though, a sore SI joint. I'm wondering if this is related to estrogen deficiency and am thinking of adding another half patch as an experiment to see if it goes away. I've had it 6 months and been to PT for ages for it. I'm on the 1mg patch right now. My doc did mention that I could try this, and luckily I have some extra patches to try this :)
I can help you with this.
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 love your out of the box thinking. What a terrific way of looking at it!
I try to look at things from a variety of perspectives. I think it helps you to think logically. When things make sense, you understand them; and then you're able to use the information without having to rely on notes.
I think I made a mistake. I am perimenopausal, and since I have had moderate to severe hot flashes for about 7 years, I asked for an estrogen patch because I have a lot of estrogen deficient symptoms. I began a .5 patch for 2 months...no changes in night sweats, or my migraines, and minimal change in musculoskeletal pain, so I got a Rx for a .75 patch. I've had it on for 1 week, but my nightsweats seem possibly a little worse. Then I listened again to some of your videos about estrogen dominance and progesterone during perimenopause and realized that at this time, I might need more progesterone, and I should stop the estrogen until I'm menopausal? I have a Mirena IUD giving me progesterone, but I'm wondering if I need a little more progesterone. So confusing, because I read that progesterone can help decrease nightsweats? (maybe with it's chameleon abilities?), and I don't know what sources to trust. Is it true that progesterone can help decrease nightsweats, and did I prematurely begin estrogen? Thank you SO much for your education! I thought I understood, but I'm a little jumbled about the info right now (despite watching everything in order...and loving it, by the way).
Amy,
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 is it called reckless driving??? Why call it the parkway? Why call it menopause and not women-o-pause??? Just kidding, I know you explained that previously.
You and I think similarly!
There is one thing I don’t get. If mother nature wanted to “kill” women withdrawing our estrogen by the age of 50, what would be the equivalent strategy regarding “killing” men at the same age?
I never said that losing your estrogen "kills you."
Loss of any hormone results in fatal diseases if you don't replace the hormone. But it does not happen quickly.
If men did lose all their testosterone (which they do not), they would also have increased heart attacks, osteoporosis, and Alzheimer's as a result.
But because they do not lose all their testosterone, the rate of osteoporosis is 5 times higher in women at all ages, and the rate of Alzheimer's is 2 -3 times higher in women at all ages. Death from heart attacks is much higher in women than it is for men.
Oh, it’s a disease alright, lol.😂
Well, there are many remedies, and I;m here to help you find the one that's best for you.
I am definately in an estrogen deficiency state, Can not wait to have my sacrocolpopexy surgery Sept. 1st so I can see if removing my ovaries which she plans ro do as well, makes me go through menopause all over again. I already went into surgical menopause in 2015 from having uterus and cervix removed. My symptoms are doable but now I need to treat the long term diseases from lack of estrogen.
If you ever have a consultation with me, I'll explain all this. It's not the same for all women.
Barbie, I stopped at 7:28 on this video and have to write to you. Most women born in Asian countries believe that loss of estrogen is mother nature, they do not want to go against it by taking it: another main reason is the fear that taking estrogen will result breast cancer... however they do not know that not to replace it in menopause will cause more deadly diseases like you repeatedly have taught us. See, your educations are already beyond educations, you are saving lives, families, what you are doing are really big deal to the menopause world. You should be very proud of yourself! I start to think how you can get all of these educations to another part of the world, not just in Western world. Then you will be the truly godness!
Ying,
You are s kind to write this. It is my dream for all women to get this education in their 20s and 30s. And when I can afford to do so, I will have subtitles for all languages available in my videos. I already serve women all over the world, but I only d so in English.
Than you so much for recognizing and appreciating my efforts.
Hallo Barbie , i Need your Healp ; i am 49 and my last period is 10 Month s ago. Forma couple of month my Migräne is getting very bad. From 2 Attacks a month i have two in a week and my triptanes do Not work very Well. I take no Hormons , do you think i Need Hormon replacement , i Suffer to much, my Other Symptoms are the ones estrogen lost. . Thank you and Mans greetings from Germany
Many women have worsening of their migraine headaches during peri-menopause. That's exactly what's happening to you.
Women who used to have headaches at a certain time in their cycle, but only once a month, often start having headaches two or three times a month during peri-menopause. When you become post-menopausal, your headaches may get even worse, or they may get better than ever before. 66% of women notice improvement.
Your headaches are due to hormone fluctuations. Anything you can do to stop your hormones from fluctuating will help. Because you're probably going to continue having hormonal fluctuations for the next few years, you might find that taking estrogen and progesterone works wonders. The best thing would be for you to take hormones in a continuous fashion that does not produce periods. That would entail taking the same low dosage of estrogen and progesterone every day with no breaks. Talk to your doctor about this.
Now In these days these problems are in early age. I have low estradiol and progesterone in 34 age. What do think about red clover and wild yam cream?
Navi,
What you really need is a consultation with me. You owe it to yourself to really learn the facts before you start shooting in the dark by trying this and that.
This is precisely the kind of thing for which I do one-on-one consultations. You definitely need one. No two women are alike, and addressing your situation requires tailoring all the facts specifically to YOU.
I'm in the business of educating you about everything you need to know and do in order to get exactly what you want for managing your menopause your way. So, here's how a consultation works:
1) You would schedule a one-on-one consultation at my website, MenopauseTaylor.ME, choosing a time that is convenient for you. I do consultations on Skype, FaceTime. Facebook Messenger, What’s App, and the phone. (But very shortly, I’ll have my own video platform embedded in my website.)
2) I would send you an email to confirm that you are scheduled for the stated time, and invite you to send me as much information about yourself as you please. You can make it brimming with details and tell me about your reproductive life, any gynecologic problems you've had, your symptoms of peri-menopause, and your symptoms of post-menopause. You can include all your fears, concerns, and goals for your menopause management. You may also send me any labs, mammogram results, bone density results, etc. that you would like me to include in designing your protocol. If you want to adhere to a certain category of management options (herbs or diet & lifestyle, or whatever), you should tell me that. I will give you a 5-day deadline for sending all materials, and will not accept anything after that date.
3) I'll get busy creating a document that gives you all the education you need to understand absolutely everything, points out the pros and cons of each option, and tailors it all to YOU, using the information you have provided. The document will be loooooong. Most are over 30 pages.
4) I will send you the document by email 72 hours before your consultation. You will benefit greatly by reading it in advance. Light bulbs will go off like crazy, and if you're like most women, you'll feel that you've already gotten your money's worth.
5) During your consultation, we will review the document and address any issues you want in order to fine tune everything and determine your best options. I'll tell you exactly how to find the right kind of professional, how to have the conversation in order to get what you want, and the nuances of things like guidelines and insurance. I leave nothing unaddressed.
6) You will go to a professional of your choosing in order to get the actual hormones or whatever you choose to use.
7) After the first consultation, I'll hold your hand (forever if you want me to). In other words, you'll be able to schedule mini-consultations (30-minute, in addition to full consultations) whenever you need to. I'll keep records of your situation. Most women schedule mini-consultation whenever they go to the doctor and don't understand what he or she said, or why. I translate. I make sense of everything. Most schedule mini-consultation whenever they have a new test and they want me to explain the results. And all schedule mini-consultation whenever their situation changes and they need to re-weigh and re-balance their options.
The time you spend with me will make everything about working with any other professional so easy. And they will love the fact that you have an actual education rather than a bunch of misconceptions that you got from the Internet. If your initial hormone regimen is not right, you'll want to consult with me before going to your doctor. I can prepare you for what to expect and what to request.
So, that's my role. And nobody else on earth does this kind of thing but me. So, I hope you schedule a consultation and let me hold your hand (figuratively).
I hope to meet you soon!
Barbie, I saw you mentioned dry skin but which hormone deficiency causes crepy skin and also loss of tone?
I took the Zrt saliva hormone test and it came back low estroiol and my skin aged like I’m 80 when I’m only 55. I workout all week and skin still looks bad. Also , to edit I also eat clean 6 days a week and stay away from junk & processed foods.
Thanks for your videos they rock !
Estrogen deficiency causes dry skin and loss of muscle tone.
Schedule a consultation with me, and I'll teach you precisely how to target the things that matter most to YOU.
Another great tutorial. I can't wait for you to discuss hypothyroidism, which is what I have as well. Through reading about it, I found that uncooked spinach, brussel sprouts, cabbage, and collard greens really affect hypothyroid. These things I was eating uncooked all the time. Not any more!
Your thyroid management will require a lot more than just diet. I will cover it, but not soon.
I, too, have hypothyroidism. I recommend that you go to an endocrinologist. If you can find one who specializes in the thyroid, that's even better. Don't play around with your thyroid. Your life depends on it.
Thank you for your reply, Barbie. I started taking Synthroid about a month ago and feel the difference. My doctor says the levels are now on track. I was just so surprised when I found out about those foods which I have been eating on a regular basis that are not good uncooked. Enjoy all your tutorials!
Thyroid replacement is magical, isn't it!
I just saw a new thyroid specialist on Wednesday. As he sat before me, asking me questions about my health, I told him that my only other health problem is severe autoimmune osteoarthritis ... so severe that I had to retire from practicing Ob/Gyn. He stopped, dropped his pen, and said, "Oh my God! You delivered my children!"
I don't know the husbands as well as I know their wives!
In any case, it sounds like you're in good hands for your thyroid.
Barbie, you took your osteoarthritis and turned around and are helping millions of women...YOU are one amazing woman! It really is a small world to hear from that husband/father..lol...Yes, I'm feeling much better. I was at a point where is was getting dizzy and would end up on the floor..that's when I knew something was really wrong. All the other symptoms played out like menopause. Anyway, you and your's have a wonderful holiday and Happy New Year!
@@MenopauseTaylor THAT IS LOVELY
My periods were regular until I was 58 1/2. You mentioned that there were pros and cons to late onset of menopause. What are the cons?
One of the many risk factors for breast cancer has to do with how many menstrual cycles you've had in your lifetime. The later your menopause, the more cycles you've had, & the higher your risk of breast cancer. But this is only ONE of many risk factors.
I am so happy you do these videos! Thank you for all your hard work
😀😀😀
I'm in peri menopause and have been for some time. I haven't experienced the bad symptoms of menopause yet but some of the others such as mild hair loss, dry skin and cystic acne, heavy periods, etc. What I'm wondering is when the best time to start HRT would be? Now? Or when some of the other more uncomfortable symptoms (hot flashes, not sleeping, etc.) begin?
Why wait? Why be miserable? Go ahead and start now, while your body is still familiar with estrogen, want's it, and can handle it will animal risk.
The earlier you start, the better off you'll be for the rest of your life.
Be sure to watch videos 80 -90. You'll really appreciate them.
My husband has hot flashes and it’s known as andropause. He has worse hot flushes than I do, sometimes he’s face is just dripping with sweat and it’s not from doing anything that causes him to sweat! Plus he’s diabetic!
If a man has low or no testosterone, he will have the same symptoms (and diseases) of testosterone deficiency that women have from estrogen deficiency.
There are other medical entities that can cause profuse sweating, also. So tell him to get evaluated for them.
@@MenopauseTaylor he went to the doctor and was told to take testosterone, the little blue pills but he didn’t like the side effects he was getting, very sick nauseous!
Thank you for your videos. I just received my Climara Patch and Progesterone tablets. My doctor is starting me off on the lowest dose and we’ll check in again in a month. I’m excited.
Dee, how are you doing two years later? I’m just curious. Thank you!
Just a correction Dis is not Latin it is Greek. The ancient Greek language is full of words starting with dis and another word to mean "un " or like undoing or the opposite of something.
Thank you.
@@MenopauseTaylor how funny is that... am watching one of your videos!
Hello! I've written you before and you have been so helpful. I have a history of endometriosis and osteopenia. I want to take HRT but I want to take progesterone as little as possible given its effects ( but I have to take it). Is it ok to use estrogen/progesterone in a cyclic fashion given my endometriosis? I am 49 and have not gone a full year (almost) without a period but given my osteopenia my endocrinologist wants me on estrogen and I'm totally on board, especially now that I've learned of all the benefits. I was thinking of estradiol in a patch and possibly vaginal gel in a cyclic fashion. If that was ok to do, when would I expect a period- when I'm off the progesterone ? Or I could just do the continuous regimen so I could replace my patch twice a week and do the gel on those days as well? My dr. had never told me of the progesterone gel option at all so your education has been so, so helpful! Alternately, could I do the minivelle patch and oral prometrium in a cyclic fashion and if so, how would I know how many days to take the 200 mg of prometrium? In a previous video you had said it can be taken anywhere from 5 - 14 days a month in the cyclic regimen. Also, the Minivelle dose is .05 but I know in your information below it says that it has to be .5. for maximum protection. Just wanted to clarify as Minivelle only goes up to .1. Sorry for all the questions. I'm trying to get them all in here. As I gain knowledge, though your education, it's interesting that things I heard the first time (vaginal gel) didn't sound very appealing but now that I am actually trying the meds, they do! As you said, menopause management is ever-changing. Thank you so much!!
Rosie,
I love it that you're gaining so much from these videos!
Tell me, why do you prefer a cyclic regimen? It's counterproductive in view of your endometriosis.
Here's what you need to understand:
The word, "endometriosis" comes from the word, "endometrium." You know that your "endometrium" is the lining inside your uterus that you shed each month in the form of a period.
Endometriosis is DIRECTLY related to having periods. We used to call it "The Career Woman's Disease." Why?Because the women who got it were the ones who had careers instead of having babies.They had period after period after period, month after month after month. (I had it, myself!)
Women who interrupted their monthly periods with pregnancy and breastfeeding didn't get endometriosis.
Endometriosis forms when that endometrial lining that is supposed to flow out through your cervix and out your vagina goes the wrong way. In other words, it goes backward, up through your fallopian tubes, and drips out the end of your fallopian tubes into your pelvis. Wherever it lands, it implants. And then, it does the same thing in its new location that it did when it was inside your uterus: It builds up each month and bleeds.
The bleeding in your pelvis causes scar tissue to form. And the cycle just keeps repeating itself.
So, the bottom line is that the very best thing for you is to NOT have periods. You would benefit greatly form a CONTINUOUS pattern of taking HRT.
To prevent further bone loss, you want to take a high dosage of estrogen. The highest dosages, and the best solution for endometriosis, is birth control in a continuous fashion. The younger you are, the higher the dosages you need anyway. So, why don't you just take birth control? As long as you're not a smoker and don't have other health risks, they are your very best option.
You an stay on continuous birth control until you're 55, and then switch over to HRT. When you do, take it in continuous fashion, too. Avoid cycles! Period!
The HRT dosages you'll need when the time comes are below. But, by the time you're 55, there may be many other options.
Here are the minimal necessary dosages of estrogen to accomplish prevention of these osteoporosis, depending on the type of estrogen you're taking:
Conjugated Estrogen 0.625 mg / day
Estradiol 1.0 mg / day
Estradiol Patches 0.5 mg / day
Estropipate 1.25 mg / day
Esterified Estrogen 0.625 mg / day
Ethinyl Estradiol 0.01 - 0.015 mg / day depending on the source of the estrogen
Compounded Bi-Est or Tri-Est 2.5 mg / day
There are standard dosages of progesterone to balance these dosages of estrogen, depending on whether you take the progesterone every day (continuous) or just certain days (cyclic). Here are the standard dosages:
Medroxyprogesterne Acetate 2.5 mg continuous or 5 mg cyclical
Norethindrone Acetate 2.5 mg continuous or 5 mg cyclical
Norethindrone 0.35 mg continuous or 0.7 mg cyclical
Micronized Progesterone 100 mg continuous or 200 mg cyclical
Progesterone Gel Twice weekly continuous or every other day for 12 days cyclical
Another thing to consider is the SERMS (videos 34 & 35). They are specifically for preventing osteoporosis. And you may want to take a SERm in addition to hormones now or later.
I hope this helps!
Thank you so much! I thought I had heard that the cyclic regimen wouldn't be a good idea given my endometriosis so thanks for confirming. I have had bleeding on the continuous regimen though so I had learned that if that happens the cyclic would be a good idea. My issue is that I really do not like how I feel on progesterone. I never liked how I felt on birth control pills and was on them very little, which is probably why I ended up getting endometriosis! Now that I've tried a few regimens, it seems that it is the progesterone which is bothering me but I have to take it but this is why I am trying to take as little as possible. My sister is in her mid 50s and was on birth control pills for years and developed high blood pressure in her late 40s and subsequently went off the pill. My mom developed high blood pressure early as well. My blood pressure is good right now and I am worried about causing a problem and I am associating the pill with high blood pressure, which may be incorrect. I also would like to avoid oral medication if possible to avoid blood clots, I've never had one but my mother has. I felt pretty good on Duavee but I don't think it's enough estrogen but it is a SERM. I can't take biphosphonates due to GERD from my scleroderma so those are out. And my dr. felt that Evista would increase hot flashes so that is out too. I wish I could take Duavee with an additional Premarin but my dr. said that is contraindicated. I wish they would come out with a .625 dose. I feel like my situation is complicated and I don't want to do anything to harm my health, given my history of chronic autoimmune diseases. I'm also on Synthroid. If you have any other advice, I would really appreciate it. Would progesterone gel be ok with the patch, would prometrium be better or would either be fine? My dr. is great but he is not as well versed as you. He is very receptive and really has let me direct my treatment but I also wish he had more advice. However, I don't think he would prescribe the pill for me as we did have a conversation about the pill and high blood pressure. I did try to look up other menopause professionals in my area and unfortunately I only found one! I'm very grateful to have found you!
What about taking estrogen and breast cancer
There is no way I an address such a huge topic in a comment box. But I will be giving you a huge unit on breast cancer (that will consist of 54 videos) from May 2023 to June 2024. I will address everything every which way then ... and you'll learn that most of what you think you know is all wrong!
(If you're wondering, I'm always 2 years ahead on these videos.)
If you want to address anything about estrogen & breast cancer before that unit airs, don't hesitate to schedule a consultation with me at MenopauseTaylor.ME.
Hi Dr. Barbie! Sorry I didn’t comment on video 76...had a moderate MS flair-up but I’m fine now! Loving this video! Then again, I love ALL your videos!!
Oh, my dear Kathy. I'm sorry. Are you okay? I love YOU!
Menopause Taylor yes! I’m doing great! It had to run its course....I’m back in the game! I don’t let grass grow under my menopause feet :-).
I’m so grateful i found your channel. I’ll watch now and probably come back w a new comment! Ha
You can ask me anything.
I am 34 years advice me
I have premature menopause
PLEASE, please, schedule a consultation with me at MenopauseTaylor.ME. You deserve to understand absolutely everything about your situation, which will affect you for the rest of your life. There is no way I can give you want you need in a comment box. But in a consultation, I will teach you everything, tailor it all to YOU, present all your options, and help you find the best options for YOU.
Dr Taylor. I am from Australia. I just discovered your channel and I am binge watching your videos from video 1 to this video 77 in that order as you ask. I am very anxious because I don't remember exactly how long it's been since I became post menopause. It could be 2 years already. I have 90% of the post menopausal symptoms that are described in your notes. So far after watching up to tutorial 77, I believe I definitely need estrogen replacement therapy with minimal dosage of progesterone because I still have a uterus. Would you please tell me what is the difference between estrogen replacement therapy and hormone replacement therapy. I know you might have covered it but I am not sure still. Hope you can help me with this question. Thanks so much.
Hormone Replacement ("HRT") implies estrogen and progesterone, which is what you need if you still have your uterus.
Estrogen Replacement ("ERT") is estrogen without progesterone. This is only an option for women who do not have their uterus or who have had a uterine ablation.
You should seriously consider scheduling a consultation with me at MenopauseTaylor.ME. I do them with women all over the world via video. And it's the best way to have all the facts tailored specifically to YOU. I'm just so glad you're getting this education.
Menopause Taylor thanks for your reply Dr Taylor. I have thought about having consultations with you. Would you be able to prescribe medication to Australian residents? If so how can I be certain that whatever brand of the medication prescribed is available here in Australia? I just consulted a local GP in the past 2 days and they are unbelievably ignorant of HRT, warning me it’s dangerous and causes cancer. Even armed with the latest blood test results showing I am healthy and showing my FSH level and estrogen level they are still reluctant to do anything. Makes me want to scream at them.
@@huebinhtrinh4830 Because I am retired from actively practicing medicine, I do not prescribe any medications. I am fully licensed and board certified to do so, but it is not a prudent thing to do.
So, I would school you in what to get, and you could get it from any doctor you choose, anywhere in the world.
Thanks for your insight. I’ve been plaqued with hypothyroidism for most of my adult life about 32 yrs now. And now that it’s coupled with menopause it’s horrible. Unfortunately in my experience it is not “just that simple” taking supplements/prescription. I have to have blood work done every 3 months and more often than not I have a change in levels about 2 times per year taking a long time to regulate after many normal all changes in my life, like birth and hysterectomy etc. now menopause.... oh boy! Can’t wait for your segment soon on this. I’m fighting this battle daily and getting very discouraged.
I'm so sorry to hear of your struggles, Bev. Balancing estrogen with thyroid hormone can be difficult. When a woman with thyroid disease gets pregnant, we have to adjust her thyroid replacement repeatedly.
I will present videos on the thyroid, but not soon. I hope you have a great endocrinologist AND a great gynecologist. Hopefully, you can find a gynecologist who specializes in menopause. That person can work hand-in-hand with your endocrinologist. Here's how to find one:
Go to menopause.org (North American Menopause Society).
Click on the tab "For Women."
Click on "Find a Menopause Practitioner."
Put in your zip code.
All the names that come up will be menopause specialists.
I hope this helps.
Dr. Taylor, excellent video. Where are we on the worksheet? I haven't seen a reference to it in a while. Thank you 💓!
I diverted from the worksheet to giving you the reference for the book. That's because the worksheet became a bit outdated, and I just wasn't able to continue updating it with women joining in at all different times.
I'm sorry, I mistook "Worksheet" for "Outline Notes." The worksheet is going to come back into the picture at the end of each big disease unit. So you'll need it again at the end of the Heart attack unit. I'll designate when it's time to fill in something. As long as you've watched the videos in order, you'll have no difficulty in doing so.
@@MenopauseTaylor ok, wonderful! Thank you for catching that, and clarifying! I am on track, then! And, I still find your Outline very helpful, so I'm glad it didn't go away. ❤️❤️
I need to jump ahead to the FATIGUE episode!
Do not jump ahead. It will backfire on you.
If you do not want to watch ally videos in order, you can (1) Get my book, or (2) Watch the webinars, or (3) Watch the DVD entitled .
Oops, something happened. DVD entitled Your Menopause Your Way. Alternatively, you can schedule a consultation with me at MenopauseTaylor.ME. No education is an education if you jump around randomly.
Forgive my curiosity... stemmed from reading your book and your adventure with your wedding ring. (Everyone needs to ready Barbie's book!)...I noticed the last few tutorials you haven't been wearing your amazing gem of a ring and curious why...?
If I've overstepped please forgive me and excuse my question. Your book really took me, the reader, into your world. I mean the utmost respect...xxx
I do not find your question overstepping or disrespectful. I'm in the middle of a divorce. Crazy, isn't it! I don't understand it, myself. I thought my husband had a good life with me. Apparently, not.
I know you're caring and and supportive, Shell. I fell like I know you.
Menopause Taylor You're an amazing woman and am blessed to know you through your writings and videos. I'm calling you ' friend ' and I know you will have amazing new chapters ahead of you. You're beautifully unique and lovely so don't lose faith♡♡
Love,
Shell
Dear Barbie I just read this comment and now I wish I lived closer to you. I wish you well and I hope you are ok dear Baebie. I got a shock when I read about your divorce. You are a wonderful woman xx
lorraine o callaghan Its truly heartbreaking especially after reading her love story :(
Ah Shell thanks for replying , she is on my mind all weekend x
Hi Barbie, I’m interested to see where the estrogen replacement goes. I was diagnosed with hypothyroidism at the same time as menopause and have suffered from extreme fatigue but when I went on replacements with the estrogen patch and an oral progesterone my blood pressure elevated, I had palpitations so bad I had to have a stress test. I also had bleeding and bloating. Off of the replacements while I still have fatigue my blood pressure is back to normal. While I’d love to alleviate some of the menopause symptoms I don’t want to take blood pressure medication to do it. My endocrinologist NP says that the patch could not have done that but yet for me it did. My last pap with my GYN she said my vaginal tissue looks better than it has while on replacements so I’m really confused. How can I have such severe side effects from trying to replace what I original had?
I agree that the hormones can not have caused your blood pressure elevation. They just don't have that effect. And your vaginal tissue will improve BECAUSE of the estrogen ... period. Without estrogen, your vaginal shrinks ... literally. You'll notice itching and dryness, painful intercourse, and possibly tearing during intercourse. But what's really happening is that your vagina is shrinking.
You need a gynecologist, preferably one who specializes in menopause. Here's how to find one:
Go to menopause.org (North American Menopause Society)
Click on the tab "For women.'
Click on "Find a Menopause Practitioner."
Put in your zip code.
All the names that come up are menopause specialists. Menopause is their passion, just like it is mine. They really mow this stuff.
Most of the doctors helping women manage their menopause have only 1 hour of education from medical school, The only physicians with more education that that are gynecologists. Your endocrinologist NP is definitely not the best person for addressing your menopause.
I appreciate you so much 👏🏼👏🏼💖
Well, I appreciate you, too, my dear. I love knowing that you're getting the menopause education you deserve.
@@MenopauseTaylor I’m 70 Barbie, is it to late for me to take estrogen and I have leaking urine problems, incontinent sometimes.
@@mjperfume7907 This is precisely the kind of thing that warrants a consultation. No two women are alike, and I need to know a lot more about YOU in order to give you the information you deserve. Please schedule one at MenopauseTaylor.ME.
@@MenopauseTaylor I’m sorry I can’t afford your fee and I’m on a very strict pensioners pension!
@@mjperfume7907 Stay on the lookout for giveaways. I have them often. You might win one.
Why our grandma didn t have alzaimer and didnt take any replacement? Mine died at 87 of old age
Why do some smokers avoid lung cancer?
Statements like “we need it head to toe” isn’t giving me the details I need to make an informed decision.
Pardon me!