The Truth About Estrogen Patches | Ask Dr. Susan - LIVE

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  • Опубликовано: 12 апр 2022
  • This week on Ask Dr. Susan Live I’m answering questions from two live callers who have questions about the estradiol patch. We will explore all the ins and outs of the estradiol patch, such as what’s the right dose? Could it the best option for you? How long can you use it? How do you know if it’s working? And much more!
    If you have any questions pertaining to midlife I am here to help! You can talk to me anonymously through my RUclips channel where I'm answering all questions about menopause, middle-aged experiences, intimacy, relationships, and more! Click here to ask: bit.ly/3bRdcT9
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Комментарии • 404

  • @kellyjackson4973
    @kellyjackson4973 3 месяца назад +21

    Make sure you get a waterproof Band-Aid to go over your patch if you’re going swimming

    • @bmbarnum
      @bmbarnum 2 месяца назад

      or look for Tegaderm (you can ask the pharmacist where it is or google this online)

  • @crystaloconnor5332
    @crystaloconnor5332 Год назад +16

    It's not miserable to have a period when you feel amazing AND have a healthy period. I will exchange feeling amazing and energy filled for a short painless period. Good Lord

  • @kim_858
    @kim_858 2 месяца назад +7

    OMG!!! I may as well be listening to myself talk...
    Just started the patch, .025, 1 month ago, 59, and went through menopause at 48!!!
    Thank you caller, for asking this question!!.. 😊

  • @nancyv4431
    @nancyv4431 Год назад +88

    Great video! I love the estradiol patch.
    I’m still surprised at how many gynecologists will not support HRT.
    Ladies, find a doctor who knows about HRT and will prescribe them. Don’t suffer needlessly.

    • @lisa408t
      @lisa408t Год назад +8

      Amazingly difficult to find a dr to prescribe

    • @Anisky123
      @Anisky123 9 месяцев назад +3

      @@lisa408t…unless you’re a trans.

    • @jt8142
      @jt8142 Месяц назад

      @@Anisky123Not true. Are you racist or just hate people that don’t look or act like you?

  • @dandersohn
    @dandersohn Год назад +108

    Just like Mary Beth I started the patch at around 58-59 after having horrific hot flashes and night sweats every 15 minutes
    HRT is life changing for me.
    I’m a natural girl and don’t believe in pharmaceutical drugs unless it’s to save a life, but needed a better quality of life so I’m glad I decided to do this!
    I’m 7 weeks in and I have zero flashes!!!!

    • @winning3329
      @winning3329 6 месяцев назад +8

      You went Your whole life with estrogen.
      Estrogen is natural.

    • @lisasummerlin3238
      @lisasummerlin3238 4 месяца назад +1

      Same here!❤

    • @DoItWrightRo
      @DoItWrightRo 4 месяца назад

      I pray that I have the same success. I just got off of 1 mg of oral estradiol and was angry that the obgyn wouldn’t refill it ( my prior obgyn retired), the new obgyn stressed the importance of the potential damage to the liver or kidneys and put me on 0.1 mg patch 2x a week. I can’t wait to see the difference.

    • @dandersohn
      @dandersohn 4 месяца назад

      @@DoItWrightRo Don’t worry about your liver too much unless you’re drinking excessively. I would say go get yourself some milk thistle tincture drops which you can find at the health food store. In addition to this you can get dandelion root tea at any grocery store and drink that and that will support your liver and your kidneys. I do this all of the time. I’m low-dose estrogen you’re fine. If you have any issues at all you can lower your dose I went all the way down to the lowest patch possible and I’m only taking 1/3 of that and it is still keeping my hot flashes under control
      In regards to taking hormone replacement therapy, there is a lot of wiggle room and I think it’s really important for everyone to play around with it because you may not need as high of a dose as you think you do. Sometimes the OB/GYN’s don’t know either they just prescribed the same for everyone and it’s not a one size fits all. I hope this helps you good luck :-)

    • @amandagreene367
      @amandagreene367 2 месяца назад

      I have non alcoholic fatty liver and I’m 53 did not know this was a problem

  • @bellguts2766
    @bellguts2766 Год назад +118

    This turned out to be an interview for one person. She got free doctors advice and took up all the time. I am 73 and have used the patch for 25 years after a complete hysterectomy. I my doctor is trying to get me off the patch but I feel I still need it. I went from 0.05 to .0375 and now I don’t sleep more than 4 hours a night have headaches, vaginal dryness and depression. She refuses to keep me on my dosage because I had a stroke 15 years ago. I think it should be my choice. I have my yearly mammogram and have my heart checks.

    • @camellia8625
      @camellia8625 Год назад +20

      I agree patients should be deciding what risk level they are prepared to accept (within limits). I wonder if you could phone in yourself to get her opinion on your situation.

    • @lf7065
      @lf7065 Год назад

      And this dosage will not protect you from Alzheimer's, Heart Disease and Osteoporosis. Time to find another, far more educated, doctor!

    • @andrealopez7451
      @andrealopez7451 Год назад +11

      It was a pre-recorded question. It wasn't a real person calling in. They just made a skit to make it look like it was.

    • @ellekay1721
      @ellekay1721 Год назад +31

      Find a new Dr.

    • @diann3880
      @diann3880 9 месяцев назад +14

      Fire your doctor

  • @theworldofjuniperthecat1307
    @theworldofjuniperthecat1307 2 года назад +23

    I’m really glad that doctors are finally helping women. Bless you.

  • @lisahilton9616
    @lisahilton9616 7 месяцев назад +6

    No clue how I missed your segment. I'm a fellow Houstonian and a patient at your office! I had a consultation at your office with your nurse about a year ago. Y'all did my labs and it was extremely useful. I am ready for my follow-up labs and sense I may need to increase my estrogen. Will see what the labs show. Thank you and your team💖

  • @carlaadams1386
    @carlaadams1386 2 месяца назад +2

    This is a helpful video! The first person asked all my questions and now I feel enpowered!

  • @midlifewellnessnp
    @midlifewellnessnp 11 месяцев назад +10

    Great advice, I am a new menopause NAMS provider and I am looking so forward to helping women through these years! I just had my first live talk, “It’s Not You, It’s Your Hormones,” and so many women there told me about what issues they have had during these critical years and how their providers wouldn’t give them HRT! I will be hosting more live talks & webinars on this topic for sure- women need to be heard! I will also be devoting my The 5-Minute NP Podcast to this topic! Women empowering women!💕

  • @gloriab3776
    @gloriab3776 Год назад +3

    I am so happy you’re in Houston. I’m coming to see you

  • @pkstiever
    @pkstiever 3 месяца назад +3

    I learned a lot for myself from this interview. The patient had great questions she brought up that will apply to so many of us!

  • @elenasalisbury8282
    @elenasalisbury8282 Год назад +4

    Dr . Susan .. you are amazing !

  • @lisadavis1837
    @lisadavis1837 Год назад +1

    Thank you so much!I have learned a lot listening to your podcast.

  • @megmorrill9600
    @megmorrill9600 27 дней назад

    Dr. Susan, thank you! I know this is 2 yrs. past your program, but it was so packed with info and super educational!

  • @mariamunguia8863
    @mariamunguia8863 2 года назад +48

    I’m so thankful for all the doctors talking about hormone replacement online and on RUclips especially you Dr. Susan you are helping so many women I suffered for so long with so many symptoms my worst symptom was not being able to sleep for so long so many years I am seven years postmenopausal and my doctor never mentioned it to me even though I had these symptoms it is so heartbreaking that doctors don’t advise women about Hormone replacement my mother is now suffering with dementia because she never took was told by anyone to do hormonal replacement and it’s so sad so I’m thankful now for the knowledge and I’m helping my sisters now and I will tell all women that I come in contact with about this wonderful treatment they are gonna think I’m crazy but they will thank me later.
    Sending much love to you Dr. Susan for all your help.🙏🏽❤️

  • @trinidiana
    @trinidiana 3 месяца назад +1

    Absolutely priceless info, so glad I found this video

  • @dianechapis
    @dianechapis Месяц назад

    Thank Doctor Susan and caller Mindy for asking these great questions ❤ I learned so much today.

  • @sheilarenzi8785
    @sheilarenzi8785 2 года назад +2

    Thank you Dr.Susan Very informative info!
    So much to learn.

    • @drsusan
      @drsusan  2 года назад

      You are so welcome!

  • @danikacbass9438
    @danikacbass9438 7 месяцев назад +11

    I turned 25 less than 3 months ago. Shortly after, finally booked in with a gyno for always having struggled with irregular and painful (nearly vomiting painful) periods. She did some hormonal testing, and while nothing indicated PCOS or thyroid issues, my estradiol was 15.4. Believe it or not, she thought it was a fluke! I knew it wasn’t, and thankfully she wanted me to test again about a month later. It was 17.4. Now knowing the symptoms of low estrogen, I have a feeling I’ve had it for years. Should someone like me inquire about patches? If I go from 20 years old onward with low estrogen, I hate to think of my risks.

  • @bluejean-1968
    @bluejean-1968 2 месяца назад +1

    Very detailed and helpful information.

  • @cynthiaporcaro9937
    @cynthiaporcaro9937 11 месяцев назад +3

    Such great info Dr
    Just starting patches. And its pretty low, so i may have to asi her t8 bump it up. I love your videos! So much great info

  • @kikigirlkauai
    @kikigirlkauai 4 месяца назад

    Love you doctor Susan and thank you. I learn a lot from you.

  • @janetleephoto59
    @janetleephoto59 Год назад +11

    Many women still have breakthrough bleeding when taking 100 or even 200 mg progesterone gel caps, I’m one of those. Many have to change to using the gel caps as a suppository for better absorption in order to stop the bleeding. If taking progesterone orally works for you, you’re lucky!

    • @cyndieK1
      @cyndieK1 3 месяца назад +1

      Just curious did you have a hysterectomy or an ablation? How are you doing now?

  • @seven471
    @seven471 Год назад +47

    I've heard widely varying recommended levels in blood work and that's why it's so controversial. In menopause the level that we should have is 0 so figuring out what we want to have should just be based on what was normal in our lives before menopause, but that varied daily in our cycle. I think 40 to 80 is quite arbitrary and I have heard 180 on other channels, so to each his own. I also think we should be very careful when referencing patches that we express the dose correctly; specifically, that it's not 0.5, it is 0.05; that it is not 0.25, it is 0.025; that it is not 0.75, it is 0.075; and that it is not 1.5, it is 0.15. Hugely important.

    • @sharonphillips3700
      @sharonphillips3700 Год назад +3

      What degree do you have?

    • @puffchickpam1
      @puffchickpam1 11 месяцев назад

      @@sharonphillips3700😂😂😂

    • @scarylouish
      @scarylouish 6 месяцев назад +4

      I think blood work combined with the symptoms we are experiencing is important. You are right. We are all different, and one approach does not relieve all symptoms.

    • @teamjorrin
      @teamjorrin 4 месяца назад

      She's 100% right btw @@sharonphillips3700

    • @newtexan1
      @newtexan1 2 месяца назад

      @@sharonphillips3700read the box. The correct dosages is important. You must not take estradiol.

  • @rebeccaburke3864
    @rebeccaburke3864 9 месяцев назад +1

    This is helpful. Thank you.

  • @cat_623
    @cat_623 2 года назад +32

    Thank you for all of this extremely helpful information that has been long, long overdue to be made available to women. I'm learning a lot from you and I hope I can "teach" (haha) my doctor. I'm currently in a search for a new OBGYN since mine recently retired, and in the meantime, I saw my internist for GYN needs. That visit upset me so much because although I adore this doctor in general, she is not a specialist and that is what I need. I would speculate that ALL women would benefit from seeing specialists. PS: in case it is of interest to you, I went through what they used to call premature ovarian failure (premature menopause) for no reason at age 37. I've been on estradiol and progesterone orally for 21 years and have had no troublesome menopause symptoms. Also, my bone density, cardiac health, and as far as I know my brain health are all fine. I also do not suffer from any genitourinary tract problems. HRT is not just for "symptoms" -- it is for lifelong, postmenopausal health benefits!!!

    • @jessicafuss4792
      @jessicafuss4792 Год назад +3

      I am going through this right now...will be 37 this month. I am going on the estradiol patch and progesterone pill...do you take testosterone?

    • @cat_623
      @cat_623 Год назад +8

      @@jessicafuss4792 I hope you are able to navigate this strange, early menopause with grace and comfort!! I do not take testosterone, but I think I need to be evaluated for it. As an update, I did find a new (younger than me!) OBGYN who is completely on board with my goals for managing this stage of my life.

  • @miaash3870
    @miaash3870 3 месяца назад +4

    Lovely Dr. Susan, your invaluable information is vitally important for all women of all ages.
    It would be a huge help to find you on RUclips if your channel's name included the word "menopause" .
    Do please give this serious consideration.
    And THANK YOU for being here!

  • @debistanley2791
    @debistanley2791 4 месяца назад +2

    Dr. Susan, if a person doesn’t respond to their hormone treatment and/or combinations an Endocrinologist may be able to crack the case. They test the entire glandular system and they have a series of markers including enzymes in their tests. They love their science. I see an Endocrinologist for Adrenal Insufficiency. I’m stuck in a rabbit hole here. I have a cervical cord injury that causes spasticity. The signal blocker Gabapentin I take for it and others like it were studied before Covid by the FDA for their affect on the pituitary. Turns out, my weaning down on Gabapentin we discovered I’m in a rare group that suffers with adrenal insufficiency. A third of my pituitary suppressed, after 3 years of having a grave case thanks to the FDA swinging that door open to study Gabapentin I started scoring normal cortisol. My cortisol went from 0.9 to double digits highest is 17 proved it was a side affect to the drug needed to treat my cord condition. I’m not cured. 800mg of Gabapentin a day is not enough to deal with spasticity so I get stuck having a mini crisis. I use injectable hydrocortisone. I can rescue without going to a hospital. My Endro learned from my OBGYN daughter in law to try the patch, never occurred to him to try it AND for post menopause my daughter in law learned low DHEA affects libido in both men and women Per my Endro. I checked, the info is out there. Unfortunately we don’t have a baseline on me before the pituitary suppression but I took Premarin as my HRT during menopause. I take DHEA supplement We’re hoping the patch will help the DHEA come up. Anyways, I’m excited to get some estrogen back. You’re right, without it, everything goes ka-put.

  • @analogkid28
    @analogkid28 Год назад +1

    Thank you 💕

  • @klaudialucas1667
    @klaudialucas1667 9 дней назад

    Thank you, very useful information

  • @kikigirlkauai
    @kikigirlkauai 4 месяца назад +2

    The patch .025 to start and 100 mg at night. Omg my doctor is a man but young and his wife is awesome. He recommended I see a urologist and or gynecologist who specializes in hormone replacement. There are about 10 doctors in the Bay Area ca. near San Jose. Bio identical hormones. They order a super comprehensive blood and hormone panel.

  • @MawMawsGirlz
    @MawMawsGirlz Год назад +3

    I had a total hysterectomy in 2012, took estradiol tablets for about 2 years. Took myself off of them as I was afraid of getting cancer from hrt. I’m now 53, have been on Climara .325 mg, for about 6 months and now I’m losing hair!!! It’s not on my pillow but when I comb or brush it, I’m losing A Lot! I have long, fine, dark brown hair and have a few gray hairs. I’m taking Biotin with Collagen gummies plus 50+ women’s multi vitamins daily and have been for about 8 months. I’ve taken tenormin since I was 23 for mitral valve prolapse, Gabapentin, low doses of pain meds due to a rare congenital severe arthritis condition plus my ra level is 54. Yes!!! I hurt every day and have since I was a child due to my congenital condition but this hair loss is frightening! Do you think I should stop the vitamins? I was on a normal multi vitamin and the vitamin A was lower than this 50+ vitamin. I’ve noticed hair loss since the change of vitamin but could the Climara patch be responsible for my hair loss? I don’t have ovaries or anything and I was put into post surgical menopause and was on my cycle when I had my total hysterectomy so that was horrible! I have no hair on my arms now and that just happened within the last month. Climara was a miracle for collagen that I lost and seems to have helped my arthritis symptoms. Can’t take arthritis treatment cuz the Dr said my condition is congenital.😢 I also have had lower left leg and ankle swelling the past year and I only weigh 115. Lost from 125-113 in a month this April and think that was stress related 🤷🏻‍♀️. Hopefully I’ll be divorced soon due to domestic abuse. Mental abuse. Yes I’m miserable but can’t find a place to rent that I can afford and my family is 3hrs away. Lost my only son in 2014, my husband at the age of 35(he accidentally shot himself in the head), and the husband before that, abused me for 13yrs(kids dad). My life is stressful so could that be the reason for hair loss, could it be poor circulation from my leg, my vitamins, or the patch? I’m praying you can help me and sorry for all the info but I’m trying to touch base on things to help.

    • @hollywesten9550
      @hollywesten9550 6 месяцев назад +2

      Hi, I’m not a doctor, but I wanted to mention that I was prescribed Gabapentin, and it made me lose my hair like crazy! My doctor had me reduce the dosage, and the hair loss lessened a bit, but then it got bad again when I tried going to the full dose again (I wasn’t even taking very much, compared to most people). You didn’t mention how long you’ve been on Gabapentin, but I would suggest trying to stop that if it’s possible, to see if your hair loss improves. Gabapentin was terrible for me and my hair. The hair loss stopped after I stopped taking it. 🙏🏻

  • @Alliecat670
    @Alliecat670 Год назад +7

    When my levels drop below 100 I get symptoms again. I’ve been on HRT for 23 yrs because of POF.

  • @mme4211
    @mme4211 Год назад +8

    I have been off and on the patch for around 14 years. I swtched to premarin due to a sensitivity I developed to the patch. I am now back on the patch but I started on .025 and I feel 150% better than I did when I was on .050 and .075. I feel great on the micro patch dose. It is so weird....it has been very hard for me to balance HRT I wish I was like this doctor and just use it and feel fine, I have had many side effects BUT I still feel better than with nothing! I still take the low dose premarin too. and I AM a thyroid patient and depression and anxiety are real. So hard to keep my endocrine system right! Good luck all.

    • @veronicamartin6977
      @veronicamartin6977 11 месяцев назад +1

      Are you on thyroid meds?

    • @scarylouish
      @scarylouish 6 месяцев назад +2

      You might have something else going on. I have a mold toxin accumulated in my body. It affects hormone, liver, and thyroid levels.

  • @babyluv1879
    @babyluv1879 Год назад +7

    Very helpful video I've learned a lot about the dosage of estradiol patch I was on the 0.025 didn't see any improvement now I just started on 0.05mg I'll give you an update 😊

    • @aawrnnc
      @aawrnnc 7 месяцев назад

      @babyluv1879 - do you have any updates?

    • @babyluv1879
      @babyluv1879 7 месяцев назад +3

      Yes I've been on the Estradiol 0.025 going on 6 months and I have seen a huge difference the belly bloating the feeling full symptoms along with gas hot flash are gone I also recommend to my older sister she was having the same symptoms she's 54 She seen a huge difference as well I highly recommend I don't have any side effects from using them they are once a week patch they don't interfere with my workout or bathing I highly recommend this patch I hope this helps anyone who's interested in using them

    • @babyluv1879
      @babyluv1879 7 месяцев назад +3

      One patch last for 5 days then change and it also helps with dryness I hope this information helps someone

    • @dm2836
      @dm2836 2 месяца назад

      @@babyluv1879In the first comment you said 0.025 wasn’t helping so you started taking the 0.05 and would update us. Then in your update you said you were still on 0.025 and loving it.
      I’m a little confused, did you bump up to the 0.05 and then go back down to the 0.025 and stayed there? Was there a reason?
      I’m only asking because I was just prescribed this today and I am TERRIFIED so I’m trying to learn and understand everything. 😭
      Also my patches are twice a week and that stresses me out too. Plus I have to take 100 mg of progesterone on it and I’m so afraid I’ll gain weight because I’m only 5’1” and already weigh 184… I hate getting older so much. 😭

  • @kmcq692
    @kmcq692 10 месяцев назад +2

    Thanks. I’ve had menopause four years ago and started some HRT for two years or so and now observing that my tendency to obsess and binge on RUclips videos about skin care may be related to my HRT (100 mg progesterone pill and 0.05% estriol patch)--I might need to cut things in half. I’m so obsessed about things! Eek!

    • @danskdna8550
      @danskdna8550 3 месяца назад

      .05 is the minimum for protective reasons is what I learned.

    • @jt8142
      @jt8142 Месяц назад

      kmcq692: Your comment doesn’t make sense grammatically or otherwise

  • @AliciasHealingChannel
    @AliciasHealingChannel 4 месяца назад +4

    VITALLY important to cycle reset detox and mimic nature with BHRT.

  • @annehaughton3968
    @annehaughton3968 Год назад +4

    My problem is cramping like I’m getting a period but no bleeding -I’m on the verge of stopping for only this reason.such a grind

    • @vivavita3769
      @vivavita3769 10 месяцев назад +1

      I had the same reaction to the patch,

    • @ginn1994
      @ginn1994 3 месяца назад +1

      Omg same. The cramping has me feeling horrible. Did you ever get any relief?

  • @shondrellhill6148
    @shondrellhill6148 Месяц назад +1

    I just started taking LyLLana .0.05 and Progesterone 100 MG

  • @millytorres9777
    @millytorres9777 10 месяцев назад +1

    I went thru premature menopause at the age of 27. I have been suffering with vaginal dryness for years.

  • @nicolameikle8737
    @nicolameikle8737 2 месяца назад +2

    I wear progynova patches. I wear a 100 patch and a 50 patch. I use progesterone cream and androfemme cream

  • @Ali-wi6sw
    @Ali-wi6sw 7 месяцев назад +13

    Thank you for your helpful videos. Can you please clarify… I’m 63, in estradiol patch .05, my blood work range for estradiol for the last 2 years has been 21,5,32 15!! That is lower than the range of 40-80 you recommend. My concern is that I asked for the .05 dose to prevent the Alzheimer’s, heart disease and osteoporosis but if the labs show such a low dose of estradiol, I am getting the full benefit or do I need to take a higher dose to raise the blood level? Thank you for your help.

  • @gregoryludkovsky5185
    @gregoryludkovsky5185 6 месяцев назад +2

    I was rx ed 1 dose of patch 1998 & use it from then on 3 yrs ago my GYNO rx ed vaginal estrogen & then testosterone cream I'm 75.5 yrs young.

  • @jkwjcw3ify
    @jkwjcw3ify Год назад +6

    I'm 67 started estradiol and medroxypro in 2007, 16 yrs now. .05 dose. My Np says I don't need patch, I would like it I think. Also menopause is long gone, do I still need medroxypro? I have tried to stop HRT a few times over the years ( because they said it was dangerous you know) and it was nothing but a nightmare each time so I'm not going to quit anymore.

  • @DebbieDooo
    @DebbieDooo 2 года назад +47

    I started on Combipatch 0.05/0.14 and even after 3 weeks I can tell a difference. I am sleeping more soundly, mood has evened out a bit and vaginal dryness/integrity has gotten better. They say it takes 3 months to see full benefits so I am hopeful that it can only get better yet with time.

    • @rachelteeuws1241
      @rachelteeuws1241 2 года назад +5

      Wonderful. Have you had any side effects from this patch? I’m due to start estalis conti 50/140 next month and eager (and hopeful) for a positive result

    • @DebbieDooo
      @DebbieDooo 2 года назад +4

      @@rachelteeuws1241 no side effects as of yet. Good luck with yours!

    • @leannaennis6631
      @leannaennis6631 2 года назад +7

      I am starting my 3rd week on the patch. So far so good.

    • @rachelteeuws1241
      @rachelteeuws1241 2 года назад +2

      @@leannaennis6631 good to hear

    • @user-fv7lr3ue3v
      @user-fv7lr3ue3v 2 года назад +1

      Thank You sooooo much for this info....I am going to start this patch this week and hopefully I will see improvements as well 🙏

  • @Thereisonlyone464
    @Thereisonlyone464 3 месяца назад +2

    Hi
    This is such a great video!
    I have noticed that when I change my estrogen patch one day per week, on that day it seems like I’m getting too much of it, because I get really flushed and hot maybe a little dizzy. It goes away by the next day, but I’m wondering if that not good? And what should I do about that?

  • @jessg5286
    @jessg5286 2 года назад +5

    Can you take too much progesterone? Would it create high blood pressure? I am on 400 mg prog daily and doctor Susan only talked about 100 and 200 mg. .50 estriadol cream

  • @rebelgurl7948
    @rebelgurl7948 8 месяцев назад +4

    I gained weight on the patch! Creams torches never but they quit working. Patch worked great but now wright gain! Perhaps to high of a dose

  • @tonettetjackson7899
    @tonettetjackson7899 Год назад +12

    Glad to hear that it is helping women, but why is it so expensive?

    • @pursuehealth940
      @pursuehealth940 2 месяца назад

      @tonettejackson7899 body identical estrodiol patches and progesterone pills are available at very reasonable prices across the US, and are typically covered by insurance. Bioidentical pellets are not covered by insurance, are not necessary for everyone, and they are quite pricey. Personally, I'll probably stay away from the pellet and just go with body identical. Best wishes.

    • @loishoran3003
      @loishoran3003 2 месяца назад +1

      When I filled my prescription through my insurance, the cost was $160. If I use Good RX, the cost dropped to $47

  • @larisalilynedelcu
    @larisalilynedelcu Год назад +3

    What tests do you recommend before starting hrt? I checked my heart, the breasts that have a benign formation each to follow, gynecologically, they are suitable for substitution. But for the risk of blood clots, what test do you ask the patients?

  • @jesscouch8397
    @jesscouch8397 Год назад +4

    i started the E patch 0.025 then went to 0.0375 my hair was really falling out and now I am Estrogen Dominant . What say you Dr Susan ?

  • @triciacarpenter2796
    @triciacarpenter2796 Год назад +9

    I have been on an Estradiol patch for yrs and mine is at 0.1 MG and was told I could not get it any higher, I had a complete Hysto in 2018 still on the patch and feel it's not doing anything. I finally made an appointment with a hormone clinic and they took my blood and I'm getting the pellet.

    • @ktcee803
      @ktcee803 10 месяцев назад +2

      Me too! Years on the highest patch. I don't sleep well, dry skin, anxiety, inflammation, hair fall. I had a blood test and found i have less estrogen in my system now than the last year! I've just ordered cream. Hoping I can get levels up and feel better.

    • @jt8142
      @jt8142 Месяц назад +1

      Pellets are untested, unregulated, and very expensive. Buyer beware.

  • @msmith1821
    @msmith1821 2 месяца назад

    Wow so glad I tuned in, My hair is thinning is that a result of my estrogen level and I want to improve my sex health.

  • @dorothynewhouse1160
    @dorothynewhouse1160 16 часов назад

    Since starting the estradiol patch I gained 12lbs!! I am a diabetic I take novalog twice a day and ozempic 1 mg every Sunday. I eat organic foods drink water every day and I walk 3 to 4 times a week...why Am I gaining weight and not losing weight???😮 also I had a complete hysterectomy when I was 30 I'm 53 now and I just started estradiol 2 months ago.

  • @kneddo8900
    @kneddo8900 2 года назад +1

    How do I know if I am post menopausal if I started estrogen/progesterone replacement with progesterone day 14-28 before my periods stopped??

  • @emilymabry7533
    @emilymabry7533 3 месяца назад +6

    The vaginal cream has made my incontinence go away! No leaking anymore!

    • @annierichards7367
      @annierichards7367 2 месяца назад

      Me Too! Bathroom trips back to normal! finally sleeping! Hallelujah

  • @persnickety369
    @persnickety369 2 года назад +21

    Some women also add a testosterone supplement.

    • @newtexan1
      @newtexan1 2 месяца назад +2

      I do. But it’s so hard to regulate

  • @Intrepiddabbler
    @Intrepiddabbler Год назад +9

    So SO glad someone called about a post-mwnopausal "period". Went to one doc and she said that that was "normal". My thought: no ma'am, it ISN'T!

    • @katmct
      @katmct Год назад +3

      My doctor also told me that it's a part of life and get use to it!? No ma'am.

    • @puffchickpam1
      @puffchickpam1 Год назад +1

      @@katmct I would’ve had a few choice words for him

    • @tovah2276
      @tovah2276 Год назад

      @@puffchickpam1She said “No ma’am.” So let’s not assume that it’s a “HIM” and maybe pay a tiny bit of attention to the comment prior to that judgemental comment. MANY MANY Male OBGyn’s are huge proponents of Estrogen/Testosterone supplementation for your healthy but jumping to a conclusion that her MD is a Male is just wrong and this is one Specialty that Men take a huge hit in, from Women. Don’t be that person. Perhaps you missed 1 of the 2 sentences? An oversight maybe? Regardless, pay attention if you are going to comment and then try to not assume or judge. 🙏🏻♥️👍🏻 Be well.

  • @o.om.m5632
    @o.om.m5632 Год назад +3

    Thank you for sharing!is there any differences between estradiol and estrogen patches ? And the second question is...if still have a period at 47 and experience night sweat and difficulty sleeping can a women go on HRT?

    • @janetleephoto59
      @janetleephoto59 Год назад +2

      Estradiol is estrogen. Estradiol is bioidentical estrogen. Yes, peri menopause is the perfect time to start HRT. Wish I had. I suggest joining some Facebook groups that discuss HRT. Preferably BHRT. BIOIDENTICAL Hormone replacement. Tons of excellent info to be had. 😊

  • @gloriasaliba3395
    @gloriasaliba3395 Год назад +7

    Greetings from Sydney Australia - sadly for me my doctor did not prescribe HRT for me as I was struggling through menopause as I was overweight and DT2 - I am 62 now post menopausal have lost 60 pounds and almost reversed my diabetes - am I able to start HRT now? I am having a heart check next week - my chronic insomnia and anxiety also heart palpitations is just awful

    • @victoriaboster1177
      @victoriaboster1177 11 месяцев назад +9

      Find a new doctor. You’re worked really diligently to get healthier so now find one who will partner with you.

  • @CarmenD-hy4mf
    @CarmenD-hy4mf 4 месяца назад

    Can anyone recommend a doctor in the Hudson Valley area of NY or the Albany NY area? Thank you.

  • @LadyKay78
    @LadyKay78 2 месяца назад

    Thank you! How long after being on patch on the lowest dose is suggested to get labs for the level?

  • @kath2142
    @kath2142 2 месяца назад +2

    Can I start low dose HRT at 66? I feel cheated for not getting prescribed anything for the dryness issue and extreme sleep problems for the last 15 yrs! My female gyn didn't offer anything. :((

  • @Dandelion_flight
    @Dandelion_flight Год назад +1

    Hi Dr Susan, so I went to another pharmacy to get my new box of Prometrium today as it is running out. And this pharmacist also told me that I have to take it at least 1/2 hour before food on an empty stomach or 2 hours after food. And there is a label on the box saying so. Now I am really confused again because I was taking it with food after your comment. Can you please help clarify this? And the pharmacist also says that it may affect mental alertness and/or coordination. It's funny how without estrogen, we will have this brain fog and then we have to supplement Prometrium while on HRT if we have a uterus and it can cause mental dullness and coordination issues 😅😂😭

  • @conniemartin9468
    @conniemartin9468 3 месяца назад +2

    Im on estradiol .05mg, 60 years old, I still have some insomnia, and anxiety, brain fog. Im not on progesterone because I had a hysterectomy. Is there anything else I can do for these symptoms. Thyroid is normal.

  • @jennifercourson7582
    @jennifercourson7582 6 месяцев назад +3

    She said the doses wrong in the beginning.. it’s 0.025, 0.05, 0.1mg not 1.0 mg

  • @lorimoore5589
    @lorimoore5589 5 месяцев назад +2

    So there is no risk of clotting with the patch? My understanding is there is risk of clots with both just a bit less with the patch. Oral estrogen is 1 out 1,000 for clots and 1 out of 2,000 for the patch. Is this correct or am I misinformed?

  • @Dzulcic
    @Dzulcic 2 года назад +11

    Dr. Susan, what is the optimal level for progesterone and testosterone for women post menopausal? It may take a year of lab work and pellet therapy to get this “just right”! Thank you for all your insight!

    • @jt8142
      @jt8142 Месяц назад

      Do not settle for untested, unregulated, and expensive pellets

  • @gregorybrumfield7816
    @gregorybrumfield7816 Год назад

    Hi,Dr.Susan How Are You ???I Have A Question What's The Patch Of "Estrogen" Dosage Level We'll Can You Increase The Dosage.????

  • @colettefackrell7349
    @colettefackrell7349 Год назад +10

    I take the .05 mg estradiol patch and 100 mg mircronized progesterone. Before starting hormone replacement i hadn't had a period for 6 months and now I have one every month again. So i'm puzzled why i'm getting regular periods again when my doctors are doing all the right things why I am still getting a period

    • @jt8142
      @jt8142 Месяц назад +1

      Are you taking your Micronized Progesterone nightly or cyclical?
      You could be peri-menopausal instead of menopausal, which is defined as 12 months since your LAST period.

  • @countrygirl900
    @countrygirl900 Год назад +1

    I have a question. I have Surgical menopause. I have taken several different forms of HRT. I have tried the patch but I sweat so it falls off. I took the EString and it worked great but insurance doesn't cover it anymore and it is very pricey. So now I am on a cream and it isn't my favorite. So to my question....I have asked for progesterone also to go with the estrogen but my Dr's won't give both to me. They say I don't need it because I don't have uterus. But women need both hormones. So why don't Dr's prescribe both to Surgical menopause women? I had my hysterectomy in Oct 2011. Now I gain weight no matter what I try.

  • @seraphtarot8610
    @seraphtarot8610 3 месяца назад +1

    If your on the patch and go off will the symptoms start all over again from the newly reduced estrogen when you’re weaning off? I’m afraid to start. I’m 10 level estrogen (so low) and 54 but I’ve had night sweated and flashes for 2 years. If I start psych and go off in 5 yrs will the symptoms start all over again for years to adjust?? Help.

  • @kikigirlkauai
    @kikigirlkauai 4 месяца назад

    Chicago there are specific doctors that are hormones specializing.

  • @LS-uz4cz
    @LS-uz4cz 10 месяцев назад +10

    Are estrogen patches not optimal for hot tubs and saunas due to premature releasing in the heat ?

    • @danskdna8550
      @danskdna8550 3 месяца назад

      It says that in the prescription insert. Put a new one on after hot tub.

  • @lauranugent9039
    @lauranugent9039 Год назад

    I use progesterone cream im 75 no estrogen helps me sleep & no anxiety

  • @gloriaminnies4324
    @gloriaminnies4324 Год назад +3

    I had a full hysterectomy menopause only starting now. I'm 53yesrs

  • @Jenny-nk1et
    @Jenny-nk1et 6 месяцев назад +2

    I need to find a different doc. I mentioned hormones after i go thru menopause and he said theres no point in giving u any hormones. Im having hot flashes and moodswings.I'm in peri I know I'm getting close to menopause

  • @meilih2030
    @meilih2030 Год назад +4

    It's not just the body, my brain is also malfunctioning. Sometimes I stop and pose and think what I am going to say, or I stop and think what i will be taking from the cabinet. I kinda have this blank moments. I hope I can go early tomorrow and get ultrasound, I will ask for patch if it helps my dryness. All sorts of things happening to me when I entered this 40's. Even spider veins are all over, maybe it is also hormonal. saggy cheeks, laugh lines, stretchmarks due to gaining fats on hips and thighs and legs, Pores are also huges, acne scars got deeper, My acne is getting hyper again probably due to androgen. My estrogen is declining. A few pieces of gray hair on my head. My cycle is shortening and dryng up. It's sad to grow old single and alone. I'm 46 now going 47 I feel like I have a death sentence.

    • @ddob43211
      @ddob43211 Год назад +2

      My brain fog was terrible before the patch plus progestin. It cleared up soon after.

    • @Anonymous-sh3ig
      @Anonymous-sh3ig Год назад +1

      Talk to your gyno my dear

    • @meilih2030
      @meilih2030 Год назад

      @@Anonymous-sh3ig I did she didn't prescribed me the hormone she said I can take herbal estrogen. My sister doesn't agree on estrogen because we have 3relatives that had cancer.

    • @meilih2030
      @meilih2030 Год назад

      @@Anonymous-sh3ig it's fine, I just need to adjust slowly with my age.

  • @kikigirlkauai
    @kikigirlkauai 4 месяца назад +1

    What about the disposal of the used patches. Do they put hormones into the environment.

  • @amandagolden7868
    @amandagolden7868 2 года назад

    Thank you 🙏

  • @angelas.9717
    @angelas.9717 Месяц назад

    Any info about the Combipatch...that combines estradiol and norethindrone progestin? Nobody talks about that patch.

  • @Contessa998
    @Contessa998 6 месяцев назад

    Hi ladies, where can I get estradiol levels checked in Chicagoland?

  • @larisalilynedelcu
    @larisalilynedelcu Год назад +1

    Hello Dr. Susan. If the pils made me trouble at the right leg, can I use spray with estrogen without the risc of blood clots?

    • @jt8142
      @jt8142 Месяц назад

      Transdermal Estradiol in either patch, gel, or spray formats can work very well and be low risk for blood clots, unlike oral Estradiol which can raise the risk of stroke & blood clots

  • @deborahc7113
    @deborahc7113 Год назад +10

    my stomach gets so bloated, not sure if its from est pill 1mg, test injs or progesterone? any input on this?

    • @OlaRalu
      @OlaRalu Год назад +1

      Hi, i'd put my bet on the estradiol pill. The same thing is happening to me, honey!

  • @gloriaminnies4324
    @gloriaminnies4324 Год назад

    Thank you for this chat. My doctor put me on the highest dose 75. Do u think its a good starting me of on the high dose.

    • @jt8142
      @jt8142 Месяц назад +2

      Gloria - What medication are you referring to? “The highest dose 75” makes no sense as that is not the highest dose for the Estradiol patch.
      These are the available dosages for Estradiol patches:
      0.025 mg
      0.0375 mg
      0.05 mg
      0.075 mg
      0.10 mg
      So the 2nd to the highest dose is 0.075 mg. Or are you taking a non- FDA approved medication from someone who is trying to scam you for money?

  • @Tricia2023
    @Tricia2023 9 месяцев назад

    I’m 59 years old I went thru menopause at age 50 I started with the cream about a year ago but the cream kinda stopped working so now I’m going to try the combi patch and I’m wondering if you think it’s still a good idea for me ? I’m basically in great shape I’m 5’9” and I’m 156 lbs My doctor didn’t take my blood levels either 😮 So strange !

  • @jcflamini
    @jcflamini 10 месяцев назад

    How do you determine 100 vs 200 mg progesterone daily? If taking 100 without bleeding, then this amount is sufficient?

  • @vickystreeter376
    @vickystreeter376 2 года назад +14

    Is it better to take the estrogen patch and the progestrian pill separate or is the combipatch just as good

    • @helenhernandez2197
      @helenhernandez2197 5 месяцев назад

      I gained weight on combi & started bleeding daily just switched to this regime last night! wish me luck!

    • @jt8142
      @jt8142 Месяц назад

      The combi patch has Progestin in it, which is a synthetic form of progesterone. I would stick with oral Micronized Progesterone and the Estradiol patch, both of which are bio-identical.

  • @kathylogan4489
    @kathylogan4489 Год назад +2

    So glad I found your channel, I'm taking a 0.075 estradiol, and 200 progesterone... And it's been a month now, I had a hysterectomy at 30, and my question is I am getting crazy aches in my feet ankles and knees, is that common?

    • @joyka8649
      @joyka8649 Год назад +1

      Same here

    • @NaturallEGood
      @NaturallEGood Год назад +1

      I just started this medication and my knees have been hurting since I started. I thought it was from my walks (just increased my walks)

    • @OffspringofJudah
      @OffspringofJudah Год назад +2

      My elbows are killing me, the ache is overwhelming. I am at this point wondering if could be injuring the muscles and causing another problem which could potentially affect the kidneys.

    • @kimberlyrodriguez5723
      @kimberlyrodriguez5723 Год назад +1

      Me too my body hurts 😢

    • @MaggieFrett
      @MaggieFrett 9 месяцев назад +2

      Please see a menopause specialist. If you had a hysterectomy you might not need progesterone only estrogen. Watch Menopause Taylor’s episode “How much estrogen and how much progesterone.

  • @desireeasselinpena
    @desireeasselinpena 5 месяцев назад

    I was told by my doctor that the patch DID NOT treat dryness. You have to use the cream for that

  • @christylazenby-alston440
    @christylazenby-alston440 2 месяца назад

    What day do you draw your blood on the patch to test levels?

  • @ktcee803
    @ktcee803 10 месяцев назад +1

    I have absorption issues.
    Ive been on the highest estrogen only patch for years but over the last few years, despite the patches, symptoms show im not absorbing well. Dry falling hair, crepey skin, anxiety, no interest in intimacy ..all smptoms of low estrogen. So i asked for blood tests and it showed my estrogen has fallen to the ever levels! Ive just ordered some cream at the same dosage as the patch. Im hoping my levels will rise and my symptoms improve. Theres gel i can use too. Otherwise, i dont know what to do.

    • @hazelold2882
      @hazelold2882 8 месяцев назад +1

      Have you considered the implant? My friend has absorption issues too and she’s now got an estrogen implant which lasts 3 months.

  • @bonitageborkoff5649
    @bonitageborkoff5649 5 месяцев назад +3

    Where is a good place to put the patch ?? and I was told to use two times a week. ( change 2x a week)

    • @helenhernandez2197
      @helenhernandez2197 5 месяцев назад +1

      lower buttock areas or bikini areas & switch to opposite side at change of patch

  • @KatieJoMikell
    @KatieJoMikell 2 месяца назад

    I was told you have to take bioidentical progesterone. My doctor just prescribed progesterone 100 mg capsules. How do I know if that’s bioidentical or not and should it be bio identical is that the best form? Thank you, Doctor!

  • @jillharding2991
    @jillharding2991 Год назад +1

    I won’t be taking it anymore. I was put on estradiol 0.5 dose 4 months ago, it’s a gel I had to put on my thighs. Within 3 months I got cystic acne, a very bad side effect of this stuff. I now have 2 abscess on my private parts, and 2 very painful cyst in same area. I’m on 2nd lot of flucloxacillian to clear them up. If they don’t go this time my g.p said they have to be drained. I also got facial acne, so much white stuff oozing out my skin. I felt sick. My doctors agree it was the estradiol that caused it, and has taken me off it. The patches made me itch insanely, and they wouldn’t stay stuck to my skin. I have to find natural foods and vitamins supplements to replace this hormone. I’ve had no estrogen in my body since having a hysterectomy in 2014, we are now in 2023.

    • @lf7065
      @lf7065 Год назад +3

      This starting dose was way too high! Your doctor didn't know what he/she was doing. A menopause specialist would be much more helpful to you.

  • @lisamcktube
    @lisamcktube Год назад +2

    I had a total hysterectomy because I had Endometriosis in 2017 I was 49 at the time I opted to not take any HRT and in 2019 I realized I was not sleeping and was getting hot flashes so began taking Climara and then last year I had a new Dr who prescribed Estradiol 0.05 but said that I need to wean off the patch because I should not be on it longer than 5 years? Also, I’m wondering if maybe I should increase dose as I’m not sleeping well ?? I will have to find a new provider as well.. I’m 55. Any feedback would be appreciated .

    • @jthepibble9651
      @jthepibble9651 8 месяцев назад +2

      Progesterone is the feel good hormone, and it DOES make you tired and I sleep TONS better now that I am on the prog pill WITH the estroidal patch - Thank God, are you on progesterone? Try watching some Dr. Barbie Taylor vids, she has a vid on every aspect of this and is very informative also as well as this wonderful lady here, Dr. Hardwich Smith thank you

  • @johoppin7560
    @johoppin7560 Год назад +1

    What about the Bio Identical hormone treatment?

    • @lf7065
      @lf7065 Год назад

      All pharmaceutical estradiol patches are bioidentical.

  • @karenlayton6162
    @karenlayton6162 Год назад +1

    I am using estrodial patch with 200 mg progesterone. I’m working with my gyn because of bleeding (had a hysterscopy and no cancer) but another side effect of progesterone was sleepy and not want to do things. Lack of motivation. I liked this type because it made me sleep. Now I’m on a 5 mg pill. Doesn’t help with sleep, but no bleeding. Any thoughts?

    • @Minkagurl
      @Minkagurl 10 месяцев назад +1

      I don't understand. Doesn't a hysterectomy remove the uterus? How does bleeding occur?

  • @kayfountain9337
    @kayfountain9337 Год назад +9

    Dr, I’m on 0.075 estradiol patch. I had a hysterectomy in 2020. Over the last year and half I’ve noticed my hair has thinned a lot and I’m getting the hot flashes and not sleeping good. Should I be taking progesterone also? Or do you think I need an increase in patch dosage?

    • @janetleephoto59
      @janetleephoto59 Год назад +1

      0:02 yes progesterone balances estrogen. Many drs say you don’t need it if you’ve had a hysterectomy, but you do. Progesterone helps with many more things besides uterus protection, brain, breast and bone, etc… I suggest getting progesterone gel caps and use them as a suppository fir better absorption and less side effects.