Menopause Hormone Therapy Dos and Don'ts
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- Опубликовано: 7 сен 2024
- Menopause Hormone Therapy Dos and Don'ts
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Prof. R. Baber: An update on MHT prescribing principles and options:
1. Global Consensus Statement on use of MHT
2. Benefits of MHT
3. Adverse effects of MHT
4. How to prescribe MHT
Prof. T Hillard: The do’s and dont’s of prescribing:
1. Consider the estrogen and progestogen parts of HT as 2 separate and variable components
2. Consider changing the type of progestogen if experiencing side-effects
3. Consider changing dose and/or route of estrogen if symptom control not achieved
4. Don’t start no bleed combinations too early or there maybe irregular bleeding
5. Don’t forget vaginal estrogens can be used in conjunction with systemic treatment if there are persistent VVA symptoms.
Folks have commented that they'd rather hear from female Drs. To be quite frank, I don't really care!!!!!! I want to hear from Drs who are able, qualified and "able" to interpret unbiased scientific evidence and have bags of compassion for their patients and a keen interest in making women's health and lives better. Oh and actual experience in clinical practice the icing on the cake. I couldn't care what gender/sex they are. Meet these qualities and they are superstars.
i want to appreciate DR RORPOPOR HERBAL for giving me back my life again, i was diagnose of PCOS virus after the use of DR RORPOPOR, medicine i got cured, all thanks to DR RORPOPOR HERBAL I will forever be grateful .......🤓🤓🤓
Agreed but the difference between a physician with knowledge and a physician with knowledge and experience is significant.
@@deemac9263contact DR RORPOPOR HERBAL with this link 👇 ruclips.net/channel/UCkZwKW6qES4dXDWzb0YQErA
@@deemac9263 Absolutely!
@@deemac9263 Well said!
I had hysterectomy in my late forty’s was put on HRT then big scare about cancer doctor stop immediately but on weight around middle hard to bend over body full of aches and pains very depressed. my sister had both hips replaced very worried about osteoporosis. Fell over couldn’t get up 😱 asked to go back on HRT had big lecture it’s causes cancer. No cancer in my family but heart attacks bone weakness and Alzheimer’s help doctors don’t want to listen. 😰 please get this message over we need HRT back in our lives 🙏😇🙏
Dear Janet, they will not prescribe for disease prevention. They only prescribe for menopausal SYMPTOMS. Tell them that you have horrible hotflashes 30x a day. You have mood swings. You snap at your husband, children, boss. You have insomnia. You have memory loss, can’t remember names, numbers, passwords, groceries. Google symptoms and make a list. They will prescribe it for symptoms only.
Thank you , i didn’t realise menopause plays such big part in mid-life and unfortunately not much awareness out there 😢 even today . Lack of funding i was told in Australia.
My mum suffered in silence after
Total hysterectomy gp's not trained well to address menopause management well
Only treatment was offered was AD sadly 😥 few years ago.
More training for GP's is a must
My generation now expects to work much longer and how if we hormone depleted ! And symptomatic not even realising
It due to lack of awareness
So important to show research about long term HRT. I have had excellent long term results taking HRT in pill form in Denmark 22 years which results in a bleed every month.
Sounds great! I am about to start. Can you please share what you are taking and how old you were when you started. Any additional details would be greatly appreciated too.❤
Is it Trisequens by any chance?
That was an excellent presentaton, chaps! I only wish the members of my group had doctors who knew all of this stuff. Sadly women often hit a wall of indifference, especially following the demonisation of HRT. Subbed! 👍
Dr. Baber delivered my baby boy in Sydney. He is the best doctor and very very humble.
OMG, these guys saying to try to come off HRT for a while to see how they are at 60 odd. oestrogen has protective properties for women beyond symptom control!! grrr, typical old men Drs!
Think about this for a minute. In men and women both , testosterone converts into tissues to estradiol. Testosterone has amazing benefits for bone strength, brain function and muscle preservation. Now I'm not discounting that some women may even need extra estrogen supplementation....but to ignore testosterone and natural Progesterone is a severe mistake. These IMS doctors are woefully ignorant of the correct way to do HRT for women....or they have a different motive. (like keeping women off balance and sick and moody and crazy so they have patients that are lifetime cash cows for them....."the love of money is the root of all evil". The IMS is run by greedy bastards. Sorry to say. They will do the littlest "good" they can while helping push women off a cliff slowly. I think they are satanic bastards who never took their Hippocratic Oath to first do no harm......to include....don't do much good either (it's more profitable to do so).
Why is there not a female doctor discussing this? It’s a joke these men discussing this!
@@The_Crusty_Old_Hag_Next_Door Not all men are unsympathetic like these guys. I'm quite fond of women and I hate to see women suffer. I had the peculiar life as a young man to actually hang around peri, pre and post menopausal women while babysitting one of their grandchildren in my early 20s. I regularly attended a lady's meeting to help the spokeswomen who was my best friend with her grand-daughter who was 2 at the time and quite a handful. So I also overheard much talk about menopausal symptoms and treatments from them as women of that age naturally talk about such things trying to get help or advise from each other's experiences and that their doctors weren't giving them. I learned a lot of what women go through during those years. Little did I know that that experience at least got me in tune with what can go wrong with hormones for women which I assumed might have some future relevance so I tucked that information away in my head ( I'm a very curious scientist/chemist) . Fast forward 25 years and I needed men's form of HRT also called TRT. I suffered tremendously at the hands of doctors who know virtually nothing about hormones and how to supplement with them correctly. Men and Women share all the steroidal hormones just in differing amounts. Very few HRT doctors care to address much of them properly. Most people can't even name the major steroidal hormones based upon cholesterol: FYI Pregnenolone, DHEA, Progesterone, Testosterone, DHT, Estrone, Estradiol, Estriol, Cortisol and Aldosterone. There are a few other intermediary ones like Androstenediol, Androstenedione, and the Cortical (Cortisone-like) hormones derived from Progesterone. None of these hormones works alone to perform important bodily functions. Progesterone: for example: is an important regulatory hormone that helps modulate the effects of testosterone, estradiol, cortisol, insulin, thyroid hormone and probably a few others. If a woman's (or man's) progesterone levels get too low as often is the case as we age, all sort's of bad things happen to both men and women. Yet doctors regularly ignore the importance of progesterone for health. If a man or women gets too low in progesterone....their bones will start to disintegrate as well as have malformation....think rampant Osteoporosis, Osteopenia and joint problems in hips, knees, shoulders and back. Testosterone is very important in brain function and bone preservation as well as muscle preservation in both men and women. It's very sad that most people are brainwashed to think that Testosterone is for men only and the Estrogens are for women only. If a man doesn't have enough estrogen, he will get heart disease. But a man gets his estrogens primarily from testosterone....so if a man goes low in testosterone, his estrogens will also go down and he'll get a major health whammy in low brain function, bone loss, muscle loss, libido loss, and heart disease on top of that. Women going low in testosterone will not be able to think clearly and often too will get heart disease just like men and then die of heart attacks.
@@josephmanning1647 thank you for writing all of this up, Joseph. My mother is 63 and has been given the run-around by different doctors for her entire menopause experience. She still gets hot flashes every 30-mins during sleep. She is osteoporotic and had her thyroid removed 3 years ago now. What books can I read to learn more or which doctors do you recommend following on RUclips/IG so I can learn more and potentially help her navigate this confusing area of healthcare?
@@Fritz.program Start with books by the late Dr John R Lee on "what your doctor won't tell you about menopause" I think that is the title. You can try to youtube search him and his accolite Susan griegges [sp]?. Also check into the RUclips channel"TRT and Hormone Optimization" lots of stuff for men but some for women too...also look up youtube video from tyna Moore on women need testosterone too
THANK YOU for this clear and straightforward information - knowledge is power and helps us women to make wise choices - thanks 🙏
Read the book Estrogen Matters by Dr. Avrum Bluming and Carol Tavris PHD. All the info you will ever need to know about HRT.
Heart Attack. Osteoporosis. Alzheimer’s in my family more people die of these illnesses than Cancer. Someone making money out of looking for cures that don’t work. 🤷♀️
Very informative, thank you!
What kinds of progesterones instead of micronize are there in the market? Thank you 🙏🏼
So informative!
I Have All Of These Symptoms But Currently Waiting On My Appointments So I Can Be Diagnosed I'm Having A Hard Time Accepting The Conceiving Part Because I Really Want A Baby but with the help of DR RORPOPOR HERBAL on RUclips medications am Cured from PCOS
When should you start HRT in your cycle? Day 1 of period or can you start anytime. For perimenopause and heavy bleeding
im 52 no more periods for 2 yrs now im scared to take HRT so im suffering chronic insomia and sleep anxiety so im taking sleeping pills instead and i run out waiting for the refils no sleep at all i can handle most of the symptoms but the sleep problem i cant im not that lucky i got the worst symptoms grrrrr
Not sure what your personal reasons are for being so scared but you need to get some sleep. SSRIs may also help you. A combination of these and hormones helped me get some sleep for a couple of years. With sleep maybe then you can think clearly about your options.
Watch menopause barbie.Will save ur life.Watch all her podcasts.She is an american obgyn.
News flash: old men are NOT the experts on menopausal HRT! They have no idea what it means to go through menopause. Do yourself a favor and make sure your OB GYN is a woman over 55!!!
Many female OB/GYNs have no interest in menopause, just delivering babies. If there is no baby inside you they do not care.
@@susank3986 that’s why you need a referral for a specialist. It took me a year to get the right person to help me properly.
All women experience the menopausal pathway differently. A doctors own experience is not relevant to making a diagnostic decision. One does not need to have experienced something in order to have compassion, for example teachers, nurses firefighters etc…
@@lunan491 my anecdotal experience (along with many hundreds of thousands of women) is that not understanding the female body firsthand is inherently problematic when you actually need help. This is not to say male doctors or young female doctors are incapable of helping menopausal women but it puts them at a natural disadvantage. Personally I don’t have time to train these people as specialized medical care is hard to come by and expensive. What I want are results and having a female menopausal specialist physician is how I got helped properly. The many younger female OB/GYN doctors were absolutely useless! Do yourself a favor; get someone who can appreciate what you are going through. Most of us know this is similarly miserable if untreated!
You are wrong! And rude! Just because there is a doctor with a vagina over 50 does not mean they experience the same symptoms as you! Only 60% of women experience menopause symptoms and every one experiences it differently. What matters is accredited qualifications Nd experience. A doctor with yrs of experience treating menopausal women is better than a doctor with a vagina whonis over 50 who has never treated menopausal women or has has less than 1 yrs' experience, for example
Hi I was put on low dose estrogen and progesterone 2 weeks on 2 weeks off. I still had menopausal symptoms I had my last period 4 moths ago. My doctor has now put me a combined patch with a higher dose - Femseven 7 micrograms is this safe to take bearing in mind I have not had a break from bleeding for more than a year I feel better on this combination
Thank you 🙂🙂💯💯
Why no mention of Testosterone, which decreases in our 30s, and DHEA for tissue repair and brain health???? It is as if they only want to include the minimum instead of optimizing a woman's health. Oh, and lets not forget getting our D3 above 50nmol... it is a hormone, after all.
Good Question: It's as if these HRT "doctors" are just giving the bare minimum to make sure that women can't really figure out any rational solution to their problems. There are plenty of videos about women who went the Testosterone/Progesterone HRT first and could think clearly and sleep again and not have all these bad issues and brain fog and confusion and bone loss that these poor women that go to the IMS or other standard HRT clinics for women. Testosterone and Progesterone (and DHEA and pregnenolone too) are very important hormones....yet the IMS will not talk about these much at all or will downplay them and point to their flawed regulations to strongly discourage talk or treatment for women using these hormones. It is a sorry state of affairs. I'm a man and I fixed much of my liver problems and diabetes and gave myself a much better health situation by getting on testosterone, progesterone, pregnenolone and DHEA. Sure women may need different levels than men....but those 4 hormones are extremely important for good health. The IMS must want women to be mental vegetables and moody/crazy (and on anti-anxiety mood altering drugs) and with brain fog and bad bones..........sort of fits into having such sick patients for the rest of their lives. It is sick.
Vitamin K2 is also important. Anti-aging and preserves bone, etc.
Yep. D3 needs it to work properly.
@@josephmanning1647 You seem to be quite knowledgeable on the hormone subject. Glad I found your comment. Can you please recommend a good read on the DHEA and pregnenolone and advise on how to supplement those two? Many thanks🙏
@@tallulah_b.1368 Go to youtube channel for "TRT and Hormone Optimization ". subscribe to it and then look up DAVE LEE and DHEA and Pregnenolone....good stuff...think there is like 2 or 3 videos
No female experts that could have been invited?
just what I thought :/
Especially ones that are of menopausal age as I found the young ones have no clue what they're in for themselves and therefore underestimate how some woman feel during menopause.
@@sylviaking8866 There’s nothing like interest when one has skin in the game!
Honestly, 20 years ago, I did not care. Now, as a menopausal pharmacist, I am nearly an expert! 🤷🏼♀️
But, to add - these guys did a great job, and ultimately we just want accurate, up to date data from an expert ! Lets not get picky….
@@Ayyeliki Exactly.
I love these experts! They explain everything so thoroughly!
My mom is 62. She have very dry skinn, thin hair, intensiv hair fall, skin itching, red cheeks, sometimes headache.
Can you give me some tipps please what should she do get better ?
Thank you.
She needs estradiol sounds like
@@JesusSaves7012
Thank you for answering.
Which type and how much ?
@@pinkertondom_7442 you’re welcome!
She will need a blood test to check her level and a doctors prescription to get the estradiol.
I would recommend the estradiol patch because insurance will cover it, and I find it more effective than cream.
@@JesusSaves7012
Thank you PK S. OK. Understand.
@@pinkertondom_7442 Please search Dr. Westin Childs videos on RUclips about estradiol
If I’ve been prescribed to apply 0.5 ML estradiol cream twice daily, would my total daily dosage I’m receiving be considered 1 MG ?
Whats the strength of your cream ?
Can you take collagen whilst on hrt patches please?
Yes.
Collagen is steak, pig skin, jello, bone broth and lots of lots of things. Of course you can have collagen on HRT. 😳😳😳
None of you are asking about family history (sisters, mother, aunts) for a good guide of what works
A lot of the modern day treatments were not available when our mothers and aunts started peri and menopause.
Most Dr would ask in consultation.
That's what it means to take a medical history
How do you control the levels of the hormones?
With controlling the dose of oestrogen and progesterone
@@natalied9022 nonsense
Interesting topic.
I would love to have an opportunity to connect with you Nick Panay and discuss this topic even deeper. I’ve been laser focused in treating women for over 25 years. At the moment teaching medical professionals how to treat women in menopause. Let me know if you will be open to connect?!
Dr R
Thank you.
why dominated by male docs...need more females who have experienced menopause
I would like to know why you never talk about men they are having the same health problems as women their health goes downhill as well and are dieing sooner than they should because of hormones. Get onboard, please!
Not To Sound Derogatory, In Reference To The People Or Persons That Have Made Such Life Changing Decisions, But I There Are A Few Questionable Concerns.
Following Societies Current Merit In Reference To Sex Changes And The Ability to Acknowledge Ones Self In Terms Of Ones Identification , I Ask What The Long Term Affect Hormonal Therapy
Has On The Standing Population?
Does It Affect The Future Of Medicine ?
In Terms Of The Question Of " Are You Allergic To Any Medications" How Does That Correlate With The A Physician Taking Balancing Drugs?
How Does it Affect In Reference To The Schooling System With The Youth Having To Grow Amongst The Many, Does This Factor or Tie Into The Distribution Of Transported Goods?
Post Ones Change What Lasting Side Effects Are There ?
* Such As Fruits , Vegetables, And Dairy*
*Seeing That Most Times Things Are Rendered Organic*
Again In No Form Are My Questions Here to Pass Any Judgement. But Education Is One Thing That Can Not Be Taken Away. With All eagerness to Learn And Engage. Comment
Why only male docs?🤯
I’d like to know why this panel wasn’t made up of women
I would rather hear from FEMALE DOCTORS
Men doctors , completely talking nonsense
These docs know more than the 4 female OB/Gyns I have been to lately. The females just know about delivering babies. They know NOTHING about menopause.
Dr Nick Panay is my Menopause consultant who is excellent. It stopped my horrible symptoms and depressive mood swings which have given me more energy and better skin and bones. I ll take it for as long as possible
Absolutely indefensible not inviting female experts. There are lots of them out there.
I agree! Like Louise Newson. Learned so much from her on RUclips. A woman should be able to be on HRT for as long as she wants! Imagine the men having to deal with all this horrible symptoms! They would die.
Exactly!
Lol- just came to note NO WOMEN!!??!!
Can't take this seriously.