Invaluable information which empowers me to go back to my obgyn and have to walk her through the rationale of why I should be prescribed progesterone . I had previously asked and was told it’s no longer necessary and that makes me pretty angry
@@autchicab human identical oral progesterone is a prescription item. Progesterone creams do not penetrate skin easily and you have no idea what’s in these creams because they aren’t fda regulated
Is the lack of progesterone the reason so many women get autoimmune diseases around the time of perimenopause such as MS, hashimotos, and what I have - autoimmune retinopathy? You mention it is anti inflammatory and is neuroprotective as it helps the myelin sheaths. So important!
@@muse3241 well ..good question...but If one is estrogen dominance than the progesteron is lacking . So there might be to answers to that. The body do not function If we don't have enough vitamins or minerals . The hormone system goes bazurk. I made a hair analasys and got all the answers needed. So all the immune diseases we girls get are always related to what we have in our system. Any problem with eyes just rember you have new eye every week and the body needs minerals to do the work. And if you have taken any antibiotics it takes up to 6 months for the body to heal,and the hormonal system and everything else is affected. MS is very much connected to Dvitamin. And we often get inflammation due to what the body does not have in store. So before taking any special supplement check the blood and do an hair analasys. And you can never check the estrogen with blood test, you need to do a saliva test! If we were guys we would probably gotten help ages ago!😊 Have a nice day all you strong girls. 🌻
I think it helps the nerves in general. Progesterone is usually the hormone that declines or is erased by toxins in our environment and of course if the woman isn't ovulating properly. It starts to decline after 30 but falls off a cliff around 37/38. That's why some women can't get pregnant. Pro gest one... pregnant hormone one. And it's where the anxiousness starts to arise in the morning.
Thanks so much for educating us all on the multiple roles that different hormones play in our bodies. I so appreciate you, Felice, and am grateful for how you are working so hard to educate other medical professionals about how hormones really work and how they ought to be prescribed. You are a treasure!
Following. My Dr took me off my progesterone pill after I had an IUD placed. my research shows that the progesterone in the Mirena iud is not helping the redtbof our body it is only helping the uterine area. I will be asking my Dr again for progesterone if she says no I will find a Dr that will understand the needs of my body needing progesterone. Fyi.this is the progesterone in my iud ..levonorgestrel, a synthetic form of progesterone Basically this synthetic progesterone is The same as the plan B pill that helps a person to abort an unwanted pregnancy.
I would not recommend an IUD. My doctor placed one. It's in the right place and I've tried 3 doctors and they couldn't get it out. It was expensive. $1,000 out of pocket one time. I wish I never did it
Seems to me ‘optimal’ prescribing for the female population is very very rare indeed. After I saw the charts of how low all hormones drop to and the impact on our health this is more than essential and the medical profession need to catch up like yesterday. We have one GP that has gone into this as a specialism in Guernsey (UK). Even she does not seem to know about progesterone more than ‘protecting the womb lining’. Shocking.. I’d like to know if it’s pulsed (only taken part of the month) how we don’t look puffy / water retentive as the progesterone really helps to avoid this. Young women don’t seem to get bloated and I noticed estradiol does cause this when unchecked by progesterone..
Would love a video about your opinion on HRT and Suzanne sommers - what went wrong as she died of breast cancer after many years of HRT. Maybe interview her husband to educate us. ❤ so we don’t walk through the chemical booby traps and die trying to do the right thing.
Cancer can develop independently from hormones . I had triple negative cancer so without estrogen and progesterone receptors. If you listen to Dr Gersh talks she says human identical hormones are not carcinogenic . It is possible to develop cancer while on HRT but not because of it . Speculating about a celebrity is not appropriate and interviewing her husband would be an invasion of privacy
SS had many cancers incl skin when she was young. Something about her. Highest rate of breast cancer is 70 years and older....20+ years after your estrogen stops.
Our beautiful Suzanne had a horrible fall a couple years ago. She fell down her deep set stairs broke her neck and shoulder i believe one other area. Shortly before or after that she had a hip replacement. She never really fully recovered from all the surgeries, that is my belief. Yes she also struggled with breast cancer but I don’t believe that is what took her.
I am post menopause, I always feel bloated during the time that I take progesterone. I would love to hear more about how can I take progesterone vaginally so it doesn't go thru my system.
You're insulin resistant. You must go keto or carnivore. Bloat is the hormonal domino effect that stems from insulin resistance. See Dr. Berg on YT. I use Source Naturals Progesterone and it works very well for me since I'm estrogen dominant which creates IR. I also took Shiitake Mushroom extract and cinnamon. Eat leaner mean and less than 20 grams of carbs. Carbs is what bloat you. Progesterone and low/zero carb will minimize bloat. No need to insert Progesterone vaginally.
Thank you so much!!! I listened to another MD on progesterone. You confirmed what he shared as well. I have been dealing with some issues that this speaks strong on. Post-Hyst-BSO I was on HRT, then when the pharmacy started to make the bio-identical with a "pharmaceutical" grade compound base, I was having problems. So I went off...weight gain, pain, scar issues, etc. Sometimes we have to venture out on our own to enhance our health journey.
I learned more about Progesterone 10 years ago when I started Perimenopause (and didn’t know it until the 5th specialist doctor I saw told me what was going on). Since my science brain loves learning, I have asked my hormone doctor a gazillion questions these past 10 years. This enables me to help other females I meet, to share all sorts of info. Progesterone was my first part of BHRT which is what my body needed. Now 57 and post menopause, BHRT enabled my body to feel great inside and out, for the past 9 years as I traveled thru the different stages. I enjoy Dr. G since she is so detailed. Thank you!!! ☺️😊❤️
I would like to know how estradiol and progesterone affect the lining in post menopause? How does the pulsing affect the lining? If we pulse the progesterone how does it keep the lining from thickening? And why do most docs advise continuous progesterone? Thanks for all the info you’re sharing ❤
Yes, would love to know what she means exactly about pulsing, since when I do to much progesterone I get a headache and groggy. I would love to not take it at all, but I start to develop aches and pains if I completely stop. I am post-menop
I am 60 as of today 🎉 i was taking progesterone pill then my doctor placed a IUD and took me offy progesterone pill . The progesterone that is in the iud is Not the same our body needs especially for the brain My fr says i no longer need the progesterone pill! I had brain tumor removed in 2017 and feel that being on the progesterone helped me feel souch better. Thank you for this video and kind information it has helped me so much. Im going to find a dr who will listen and put me nack on progesterone OR if anyone can recommend a progesterone id greatly appreciate it ❤
@ingerlenestordrange219 Awww Thank you so very much 💖 How ironic My great grandparents were from Norway 🫶💖 Your kind message made my heart smile along with making my day 😀 Peaceful day to you ✨️ 🙏 🦋
My doctor put me on the iud with progesterone and 2.5 mg I’m wondering if it’s too much. I visited another Dr and they wondered about that and sent a message to my gynecologist
I since had the iud removed do to doing some research showing it's possible that the iud can effect the brain I've already had brain cancer in 2017 so no thank you!! so I had the iud removed yesterday and now gynecologist has placed me back on progesterone to start in 2 weeks
The post menopausal women on continuous micronized progesterone are generally advised that we don't need to stop it at all. The leaflet says take it for 25 days each month. Is that actually beneficial then, to have a few days break from progesterone? Even if you're using continuous oestradiol (eg patch)? I'd like to do what's best for my body ( but also don't want to be bleeding if I can help it) 😊xx
@@iss8504 I'm going to try 5 days off micronized progesterone, I think I can manage a few days of uterine shedding. But let's see. Not sure what to do about the continuous estradiol, I don't want night sweats back (at all). 😊xx
Also to my knowledge nowadays so many young women in childbearing age have low Progesterone. And even if their estrogen level is normal but the progesteronecream is low they're still estrogen dominant which is something that really endanger women's health.
That's me and I will find out this week if I have endometrial cancer hopefully not I never got pregnant and I have told them repeatedly there is something wrong.. even the last 3 years I have tried.. well this winter I got horrible cellulite in every part of my body.. bloated. Couldn't stop gaining weighting, horrible joint pain and cartilage deterioration. I had to ask for a ultrasound. It showed a thick lining ( no periods for months) and like she said, will feel like something is rotten inside. Which it is. The negligence of doctors today is actually criminal.
My friend has cysts on ovaries that cause a bit of pain, had them checked out & dr says they are cysts…….will natural progesterone cure these cysts or shrink them.
Purely amazing explanation Dr!! YOU are a joy to listen to and we are BLESSED to have access to your knowledge and teaching disposition. I am a new subscriber because of this video!! Thank you.
Thank you so much for this valuable information. I am late 40ies and in perimenopause. Trying to learn as much as I can about HRT as I am considering starting it both for mitigation of symptoms as well as long term health. Your videos have been an absolute treasure! Would you mind please sharing how best to “pulse” the progesterone? Should I try to time it with my menstrual cycle now? Or should I try to take it 2 weeks out of every 4 weeks?
@felicegershmd I would love to hear more on pulsing progesterone! My OB-GYN has me taking 200 mg daily; Even taking it at night makes me feel groggy part of the day
@@Melh05if taking it every night continuously, the normal dose is 100 mg . If it’s cyclical, then it would 200mg before bed on days 12-26 or two weeks on two weeks off .
So, taking progesterone during perimenopause or post menopausal won’t lower your testosterone and estradiol? I had a complete hysterectomy and I’m starting bio progesterone but I don’t want it to deplete my testosterone or estradiol. Thank you so much for the information!
I gained 12 pounds in a month after started HRT and that’s crazy since I never gained that much that fast. I am petite, 12lb is a lot. Is it too much progesterone or estradiol?
When I had my cycles, I had PMS and PMDD. Now menopausal, I have progesterone intolerance (Sleepiness, bouts of depression, bloating, constipation and sluggish liver). When I stop taking the progesterone, all of these things disappear. And when I start again, all is coming back. So, I can't take the right dosage of oestrogens because if I don't take enough progesterone I have signs of oestrogens dominance and I not feeling well. I currently take 1/3rd of the oestrogens minimum dosage daily and around 5 mg of progesterone every other day or third day. I feel that this dosage of oestrogens is not enough for me to feeling well (Have a clear mind, energy, sex drive...) Am I doomed to not feeling well and myself the rest of my life? Nobody seems to talk / care about this. I would like to try the cyclic HRT because it makes sense to me but I don't think I could take this form of treatment.
@@The_New_Abnormal_World_Order I did try the cream but had the same reactions than the pill ingested or places in the vagina. Even with a teeny tiny dose of cream, I feel the side effects.
Dr. Gersh is amazing. What a detailed educational journey. I have viewed so many videos on this topic, and hands down, her explanation and direction makes the most sense. With her guidance, I have decided to use the cream progesterone instead of the pills.
Thank you doctor! I am post menopausal and have uterine fibroids. I am currently on a continuous HRT regimen. Is it safe for me to cycle my HRT as suggested in the video?
I just started estradiol at 70 years old. I can't quiet my mind at night and am not sleeping. Would progesterone be something I could take? If so how do I go about it?
Would you do a video on how we metabolize estrogen? I have fibroids and understand I am metabolizing estrogen differently than others. I take EGCG, IC3, DIM and Calcium D Glucarate. Is this going to help? Thank you for all of your informative videos!
@@user-xs9835one and the same. Prometrium is just a brand. I have the generic form of micronized progesterone and my insurance covers it. My naturopathic dr prescribed it for me for sleep issues and night sweats and it works.
I don't expect a response from Dr Gersch but maybe someone else could comment. She says in this video when using transdermal progesterone be sure you are getting a uterine response. How would one know this? Blood work? Uterine ultrasound?
Some doctors do routine ultrasounds on their patients who use the transdermal progesterone to check the endometrial lining. I think this is mainly done for women who are progesterone intolerant and can't take it orally.
I have always been infertility, they were never able to tell me why and since I didn't remarried or found a suitable partner I didn't go to a fertility specialist ( the internet wasn't like today either) I was pretty sure I was estrogen dominant.. Now I have tried for 3 years to tell the gyno that I have a hormone imbalances that is becoming worse has I approach menopause fully. Totally ignored, made to feel I am just a hysterical menopausal woman. Now I have a thick endometrial lining, with no periods.. high or normal estrogen. Quite concerned Now if i can keep my uterus... supplementing with estrogen seems too much?
So if your menopausal with the hysterectomy and a history of endometriosis does that mean you should or shouldn't take progesterone? I want as many hormones as I can get. I'm miserable
No , progestin is man made snd the body cannot identify if to use Progesterone is body identical and safe , take at night and take two weeks on snd two weeks off . Ok taken orally or cream .
I'm 73 and had a total hysterectomy when I was in my 50s. I think I need everything and don't know where to start. My Dr put me on estradiol but I think I need more progesterone. Then will that take care of the testerone. I want to feel like I did in my 20s. WHERE TO BEGIN?
For perimenopausal women who still have a regular period is it ok to take progesterone for the whole cycle? My prescriber said I should be on it all the time to prevent cancer while I’m taking estrodiol. Thank you.
😮😮😮😮 I want to start pulse progesterone. You don't explain how to pulse it. Can you please do a short video on pulsing? Until then, I guess I'll try using it every 2 days??? .... Or is it better to use one week on then one week off during the 3 week cycle???❤
You're supposed to use it for 2 weeks together starting from the first day of your cycle. In another video on progesterone she says 200mg progesterone two weeks in a row, off of it completely.
I wished i understood why i had endometriosis at my age of 35 . I would like to know if that affecs peri menaupase and what would be the optimum HRT to follow.
Very useful information. Thank you . I am peri-menopause and have uterus, and don’t suffer from hot flashes, only insomnia. Can I take micronised progesterone 100mg (Utrogestan known in uk ) orally every night without estradiol ,Is it okay to take it? Any advise would be great help. Many thanks!!
As you still have periods you should take 200 mg orally or vaginally 16-25 days of cycle. Just try and see if it helps. Yes, you can take progesterone without estrogen.
I’m on the lowest dose of estradiol (patch) and 100mg of progesterone. It is not pulsed. Should I ask my doctor about this? I am still having aches and pains and stiffness and think I’m on too low of a dose of estradiol. She wouldn’t up my dose after 5 weeks and wants me to (suffer) until I’ve been on it at least 2 months before discussing an increase. Just thinking that once I’m on a higher dose to cycle the progesterone pills on my own. Should I schedule it with my daughter’s cycle? (Women living in the same household).
Did I hear correctly? Post menopausal women have pulsed progesterone? Does that mean post menopausal women on natural estradiol and progesterone will continue to have a period?
What is your thinking on a pill like Ginet 35 to help control PCOS and hair growth on the face (and control acne). Is this damaging long term to the person or helpful between the ages of 20-23? What category is cyperotone acetate?
I tried to stop bc for pcos but it was a mistake, although it does affect my mood so there’s not a perfect answer. Agnus castus and saw palmetto daily can be helpful as an alternative to BC.
@VikkiSalari my gynecologist didn't want to prescribe it, saying I didn't need it after hysterectomy but I got it from another doctor. You just have to find a doctor who is more current in their education on hormones.
Thank you for this video, im perimenap doc says im menapsu but i still have awful periods up and down hormones wacky insomnia anixety hot flashes night flashes headache cramps clots irregular period mood up and down , low iron by blood work its terrible periods heavy heavy , i feel depeleted so i take ironfulmate gummy with b12 b6 b3 , the lunal phase two weeks before my period is exhausting feel terrible, im starting minni northidone low dose progestin soon i tired of this i jist want to feel better im early in change im 40 wowo progrstrin is inflamatory holy cow im have been dealing with inflammation different parts of my body snd cramps high extreme inflammation makes me feel terrible and sick, thank you so much for this plus i found cortisol robs your progesterine too that would make sense
Dr I’ve been on HRT for two months I am 44 years old. Would you recommend taking all life long my gyno wants to take me off at 51 years old. My Symptoms have minimized and he took off the copper iud and now on mirena he gave provera 2.5 mg plus what the mirena has. I was still spotting this year but my body wants to stop menstrual period. Can this be a lot of progesterone?
In young women you said that in there cycle when the estradiol dros there lining sheds. Yet i understand that in women on hrt when you cycle off the progesterone (as you recommend doing) this causes a bleed which i assume is shedding the lining. Why isnt it recommended for women on Hrt to cycle off the estradiol? To also thin the lining?
Estradiol runs the show. And it's always in the background before it severely declines. You don't want low Estradiol or you will be causing inflammation and depression. Think of your natural period or a few days before there is low Estradiol. You feel low and yucky. Well that's women after Estradiol disappears and Progesterone is literally non existent. It's a low inflammatory state on and off. No thanks.
The terms "bioidentical progesterone", and "micronize progesterone " are not based on scientific evidence , but are based on marketing strategies of these synthetic hormones in the competing market. What are the size of these synthetic micro hormones in comparison to their receptors?
@@thesorensens4849 I can recommend, either Pro-Gest by Emerita, or Platt-Pro, they are both really good. I did buy another brand and I could tell the progesterone didn't absorb at all, so it's good to go with a trustworthy brand.
I agree with GinaR21212. All these women messing around with their hormones. If a breast or ovarian cancer cell develops for whatever reason, estrogen will fuel it! Our grandparents didn’t have HRT and lived long lives. You have to get THROUGH menopause symptoms. They don’t last forever! Yes the transition sucks. Insomnia, hot flashes, weight gain, etc. But there is an end. If you eat clean, avoid sugar, exercise and lift weights, it makes the transition easier. I promise you the treatments for cancer are so much worse than losing your hormones in menopause.
It has nothing to do with accepting the aging process, rather it is about quality of life. When you have severe insomnia and go months and even years without sleep and then anxiety and depression on top of that, you'll do anything to function at some level of normalacy.
Feel free, your choice. I would rather age healthy and enjoy my life after 50 than be dement, have alzheimer, high blood pressure, heart attacks or other stuff. Hormones are essential for a healthy life.
Love the fact you mentioned that you dont want to be on progesterone constantly. Men dont ovulate or have this so maybe men on TRT need to consider not taking progesterone constantly. I know that TRT caused my progesterone and DHEA to fall greatly and I just didnt feel right and my teeth started weakening fast. Not knowing; I just took up to 200 mg of progesterone cream for 2 months strait and while it helped my teeth; I got bloating. I am wondering aloud if Men need to ramp progesterone up and down during a month to prevent this bloating but still get the bone and sleep benefits
@@anne-louisegoldie It helps everything in your mouth. I used it for jaw, gums and the teeth themselves. Teeth are living Bone and have blood supply to the. I had lost a filling from when I was 12 and that tooth cracked. I had to have that one pulled but I notced others were loose and gums receeding. 160-200 mg a day of progesterone for 2 months cleared all that mess up. But at that level; some weird side effects for a man [ LoL; no erections downstairs but my nipples got erect and sensitive when I was happy. Also I got quite moody...dancing one minute and crying at sad songs an hour late] Not at 60 mg a day, that doesnt happen but I sleep much bettee.
@@anne-louisegoldieBoth teeth and gums. Progesterone is very anti inflammatory and boosts immune system so yes it can help with gums that are swollen and maybe have some infection ( no progesterne is not an antibiotic). It also strengthens bones and teeth are alive bones that are a "canary in the coal mine" first indicator of low progesterone ( or too high cortisol as well)
I have had a radical hysterectomy due to cervical cancer last year. I am on hrt estrodial only. I have purchased progesterone cream and am using this. I do notice I am calmer while using it. Since I am not menstruating and have no uterus, how should I best use this. It is a cream created by doctor Lee. It says for non menstrating women. 25 days of using and than 5 days off. Can I follow this lead or do you recommend sonething else? I am not good with oral progesterone. ( utrogestan 100mg, we do not hae 50 mg in this country) It makes me depressed when i use it 3 days in a row for instance. I had pms in the past. Had symptoms like bloating. Fluid retention. Feeling very sad. Especially irritated at night one to two weeks before menstruation. Acne and everything. Once the menstration came through. I was totally fine again. I do notice I gave to keep the cream also at a relatively small dose ( 20 to 40 miligrams) or I indeed get this hangover feeling. How many days a month should I be using it as a woman who has no ovaries and no uterus? I am 45 years of age btw. Thank you for your video! It's very helpful so far!
Im a man and I take 60 to 80 mg a day as micronized progesterone USP cream on my skin each day. Progesterone IS THE MOST IMPORTANT HORMONE FOR REVERSING BONE LOSS for women and some men. If you have osteopenia, massive tooth loss, joint pain, arthritus or even osteoporosis......you have been progesterone deficient for probably 5 years or more....sonetimes even 15 years plus.
@@anne-louisegoldieIt is a shame that progesterone has been pigeon-holed to only women and mainly only for those with uteruses and pregnant women. Men need progesterone too and many dont know that. Granted men dont generally need much unless they are really stressed or on TRT. too much can give men erectile disfunction. But progesterone does help reverse bone loss and promotes good sleep. It also protects mens prostates
@@anne-louisegoldie Well i dont think men normally need progesterone unless it goes low. My experience is TRT for men does make progesterone go low. Malneutrition due to older age, stress also probably contributes to lower progesterone in men. Im 57
Invaluable information which empowers me to go back to my obgyn and have to walk her through the rationale of why I should be prescribed progesterone . I had previously asked and was told it’s no longer necessary and that makes me pretty angry
It's also available otc.
What brand and where can I purchase it?
@@autchicab human identical oral progesterone is a prescription item. Progesterone creams do not penetrate skin easily and you have no idea what’s in these creams because they aren’t fda regulated
Is the lack of progesterone the reason so many women get autoimmune diseases around the time of perimenopause such as MS, hashimotos, and what I have - autoimmune retinopathy? You mention it is anti inflammatory and is neuroprotective as it helps the myelin sheaths. So important!
I like your hypothesis here
F
@@muse3241 well ..good question...but If one is estrogen dominance than the progesteron is lacking . So there might be to answers to that.
The body do not function If we don't have enough vitamins or minerals . The hormone system goes bazurk. I made a hair analasys and got all the answers needed. So all the immune diseases we girls get are always related to what we have in our system.
Any problem with eyes just rember you have new eye every week and the body needs minerals to do the work. And if you have taken any antibiotics it takes up to 6 months for the body to heal,and the hormonal system and everything else is affected. MS is very much connected to Dvitamin. And we often get inflammation due to what the body does not have in store.
So before taking any special supplement check the blood and do an hair analasys. And you can never check the estrogen with blood test, you need to do a saliva test!
If we were guys we would probably gotten help ages ago!😊
Have a nice day all you strong girls. 🌻
I think it helps the nerves in general. Progesterone is usually the hormone that declines or is erased by toxins in our environment and of course if the woman isn't ovulating properly. It starts to decline after 30 but falls off a cliff around 37/38. That's why some women can't get pregnant. Pro gest one... pregnant hormone one. And it's where the anxiousness starts to arise in the morning.
Never new Progesterone is anti inflammatory.
Thanks so much for educating us all on the multiple roles that different hormones play in our bodies. I so appreciate you, Felice, and am grateful for how you are working so hard to educate other medical professionals about how hormones really work and how they ought to be prescribed. You are a treasure!
I appreciate this free education that you are giving women. I love this channel and am binge watching your videos ❤
Thank you for your videos. Who says you can't teach an old dog new tricks? I'm old (75) but am learning a lot of new "tricks"!
Can you also discuss about using IUD for menopause women as a way to take progesterone?
Following. My Dr took me off my progesterone pill after I had an IUD placed. my research shows that the progesterone in the Mirena iud is not helping the redtbof our body it is only helping the uterine area. I will be asking my Dr again for progesterone if she says no I will find a Dr that will understand the needs of my body needing progesterone. Fyi.this is the progesterone in my iud
..levonorgestrel, a synthetic form of progesterone Basically this synthetic progesterone is The same as the plan B pill that helps a person to abort an unwanted pregnancy.
I would not recommend an IUD. My doctor placed one. It's in the right place and I've tried 3 doctors and they couldn't get it out. It was expensive. $1,000 out of pocket one time. I wish I never did it
Seems to me ‘optimal’ prescribing for the female population is very very rare indeed. After I saw the charts of how low all hormones drop to and the impact on our health this is more than essential and the medical profession need to catch up like yesterday. We have one GP that has gone into this as a specialism in Guernsey (UK). Even she does not seem to know about progesterone more than ‘protecting the womb lining’. Shocking.. I’d like to know if it’s pulsed (only taken part of the month) how we don’t look puffy / water retentive as the progesterone really helps to avoid this. Young women don’t seem to get bloated and I noticed estradiol does cause this when unchecked by progesterone..
This was the most thorough and outstanding video I have ever listen to regarding progesterone and what it does for the female body. Thank you, Doctor
Thank you Dr gersch for this data driven deep dive into the uses and benefits of progesterone. You are a gem!!!!! 💎
Would love a video about your opinion on HRT and Suzanne sommers - what went wrong as she died of breast cancer after many years of HRT. Maybe interview her husband to educate us. ❤ so we don’t walk through the chemical booby traps and die trying to do the right thing.
Cancer can develop independently from hormones . I had triple negative cancer so without estrogen and progesterone receptors. If you listen to Dr Gersh talks she says human identical hormones are not carcinogenic . It is possible to develop cancer while on HRT but not because of it .
Speculating about a celebrity is not appropriate and interviewing her husband would be an invasion of privacy
SS had many cancers incl skin when she was young. Something about her. Highest rate of breast cancer is 70 years and older....20+ years after your estrogen stops.
I don’t think her taking hrt contributed to her passing
Our beautiful Suzanne had a horrible fall a couple years ago. She fell down her deep set stairs broke her neck and shoulder i believe one other area. Shortly before or after that she had a hip replacement. She never really fully recovered from all the surgeries, that is my belief. Yes she also struggled with breast cancer but I don’t believe that is what took her.
I thought her breast cancer metastatized to the brain
Is there ever a situation where continuous progesterone would be advised?
I wonder about that too. In my country women are given continuous progesteron combined with estrodiol (Netherlands).
@@l.beukema8570yes, exactly!! And with that system, I get no periods.
You should check out Carol Peterson... She is a progesterone expert
I am post menopause, I always feel bloated during the time that I take progesterone. I would love to hear more about how can I take progesterone vaginally so it doesn't go thru my system.
Me too. And is that enough to counter the Uteral cancer risk of estrogen
From what I've read, if you're experiencing bloating from it then you're not on a high enough dose.
You're insulin resistant. You must go keto or carnivore. Bloat is the hormonal domino effect that stems from insulin resistance. See Dr. Berg on YT. I use Source Naturals Progesterone and it works very well for me since I'm estrogen dominant which creates IR. I also took Shiitake Mushroom extract and cinnamon. Eat leaner mean and less than 20 grams of carbs. Carbs is what bloat you. Progesterone and low/zero carb will minimize bloat. No need to insert Progesterone vaginally.
I take it under my tongue (sublingually) each night paralelly to estrogel, I am 51. I have no side effect whatsoever. It helps me sleep so well.
Thank you so much!!! I listened to another MD on progesterone. You confirmed what he shared as well.
I have been dealing with some issues that this speaks strong on.
Post-Hyst-BSO I was on HRT, then when the pharmacy started to make the bio-identical with a "pharmaceutical" grade compound base, I was having problems. So I went off...weight gain, pain, scar issues, etc.
Sometimes we have to venture out on our own to enhance our health journey.
You are an excellent educator!
I learned more about Progesterone 10 years ago when I started Perimenopause (and didn’t know it until the 5th specialist doctor I saw told me what was going on).
Since my science brain loves learning, I have asked my hormone doctor a gazillion questions these past 10 years. This enables me to help other females I meet, to share all sorts of info.
Progesterone was my first part of BHRT which is what my body needed.
Now 57 and post menopause, BHRT enabled my body to feel great inside and out, for the past 9 years as I traveled thru the different stages.
I enjoy Dr. G since she is so detailed. Thank you!!! ☺️😊❤️
What is BHRT?
@@ayshafigueroa5511- Bioidentical Hormone Replacement Therapy 😊
@@ayshafigueroa5511BioIdentical Hormone Replacement Therapy
I would like to know how estradiol and progesterone affect the lining in post menopause? How does the pulsing affect the lining? If we pulse the progesterone how does it keep the lining from thickening?
And why do most docs advise continuous progesterone?
Thanks for all the info you’re sharing ❤
I’d love to hear the answer to this question as well.
Me also, so confusing since most doctors don’t adhere to these theory!
Estrogen grows the lining, progesterone sheds it. Take both together and you keep the lining in check.
Yes, would love to know what she means exactly about pulsing, since when I do to much progesterone I get a headache and groggy. I would love to not take it at all, but I start to develop aches and pains if I completely stop. I am post-menop
@@iss8504 yes, but she states to NOT take progesterone everyday. So its not clear.
This brilliant and kind Dr needs 1M subs! Thank you for the teachings💕
In Canada, doctors have been prescribing 300mg of progesterone over a decade now, for the very reasons you have described.
Do they prescribe progesterone for women that have had a hysterectomy?
@@VikkiSalariyes do they I have tried to get it for years!
I am in Canada and I had to fight to my teeth to get to gyno to get prescription for HRT. Family doc apparently does not prescribe hrt
U r right and Family docs are afraid of HRT, overall.
Edit.
But most obgyn docs will prescribe@1177margot
A good obgyn doc will prescribe hrt, especially in your case. @@VikkiSalari
Beautiful! And timely for me. Thank you! 🙏
Now I know why taking oral progesterone (progestin) made me “sick” (vertigo), thank you!👏🏽
I am 60 as of today 🎉 i was taking progesterone pill then my doctor placed a IUD and took me offy progesterone pill . The progesterone that is in the iud is Not the same our body needs especially for the brain My fr says i no longer need the progesterone pill! I had brain tumor removed in 2017 and feel that being on the progesterone helped me feel souch better. Thank you for this video and kind information it has helped me so much. Im going to find a dr who will listen and put me nack on progesterone OR if anyone can recommend a progesterone id greatly appreciate it ❤
Happy birthday from Norway!! 🎂💌
@ingerlenestordrange219 Awww Thank you so very much 💖 How ironic My great grandparents were from Norway 🫶💖 Your kind message made my heart smile along with making my day 😀 Peaceful day to you ✨️ 🙏 🦋
Emerita Progesterone Cream
My doctor put me on the iud with progesterone and 2.5 mg I’m wondering if it’s too much. I visited another Dr and they wondered about that and sent a message to my gynecologist
I since had the iud removed do to doing some research showing it's possible that the iud can effect the brain I've already had brain cancer in 2017 so no thank you!! so I had the iud removed yesterday and now gynecologist has placed me back on progesterone to start in 2 weeks
The post menopausal women on continuous micronized progesterone are generally advised that we don't need to stop it at all.
The leaflet says take it for 25 days each month.
Is that actually beneficial then, to have a few days break from progesterone? Even if you're using continuous oestradiol (eg patch)?
I'd like to do what's best for my body ( but also don't want to be bleeding if I can help it) 😊xx
Dr Gersh believes in cycles ie bleeding
@@iss8504 I'm going to try 5 days off micronized progesterone, I think I can manage a few days of uterine shedding. But let's see.
Not sure what to do about the continuous estradiol, I don't want night sweats back (at all). 😊xx
the uterine needs to shed the lining it is natutal
@@anne-louisegoldie estradiol has to be taken every day or patches that need to be changed on certain days , it’s a continuous dose .
Can't thank you enough for all the education 🙏 ❤
Also to my knowledge nowadays so many young women in childbearing age have low Progesterone. And even if their estrogen level is normal but the progesteronecream is low they're still estrogen dominant which is something that really endanger women's health.
That's me and I will find out this week if I have endometrial cancer hopefully not
I never got pregnant and I have told them repeatedly there is something wrong.. even the last 3 years I have tried.. well this winter I got horrible cellulite in every part of my body.. bloated. Couldn't stop gaining weighting, horrible joint pain and cartilage deterioration.
I had to ask for a ultrasound. It showed a thick lining ( no periods for months) and like she said, will feel like something is rotten inside. Which it is.
The negligence of doctors today is actually criminal.
@@MysticRainDropsDid it end up being cancer?
Thank you so much...this is so helpful to me at this time....
If we take it vaginally will we still have the benefits. Ty
Taken this way it only benefits the lining of the womb .
My friend has cysts on ovaries that cause a bit of pain, had them checked out & dr says they are cysts…….will natural progesterone cure these cysts or shrink them.
What about wild yam?
Purely amazing explanation Dr!! YOU are a joy to listen to and we are BLESSED to have access to your knowledge and teaching disposition. I am a new subscriber because of this video!! Thank you.
Thank you so much for this valuable information. I am late 40ies and in perimenopause. Trying to learn as much as I can about HRT as I am considering starting it both for mitigation of symptoms as well as long term health. Your videos have been an absolute treasure!
Would you mind please sharing how best to “pulse” the progesterone? Should I try to time it with my menstrual cycle now? Or should I try to take it 2 weeks out of every 4 weeks?
My hope is to create a course on use of progesterone.
@@FeliceGershMD That would be very helpful. I would be very much interested in going through such a course. Thank you. 🙏
@felicegershmd I would love to hear more on pulsing progesterone! My OB-GYN has me taking 200 mg daily; Even taking it at night makes me feel groggy part of the day
@@FeliceGershMD yes make a course
@@Melh05if taking it every night continuously, the normal dose is 100 mg . If it’s cyclical, then it would 200mg before bed on days 12-26 or two weeks on two weeks off .
Thank you so so much Dr I have learned so much with your thorough explanations ❤❤❤
So, taking progesterone during perimenopause or post menopausal won’t lower your testosterone and estradiol? I had a complete hysterectomy and I’m starting bio progesterone but I don’t want it to deplete my testosterone or estradiol. Thank you so much for the information!
Im not sure what you mean by pulsed? Im in post menopause?
I gained 12 pounds in a month after started HRT and that’s crazy since I never gained that much that fast. I am petite, 12lb is a lot. Is it too much progesterone or estradiol?
How much should you be taken ? My sleep has been taken a hit lately and I love my sleep...
Wow thank you for your wisdom and explaining it ❤
When I had my cycles, I had PMS and PMDD. Now menopausal, I have progesterone intolerance (Sleepiness, bouts of depression, bloating, constipation and sluggish liver). When I stop taking the progesterone, all of these things disappear. And when I start again, all is coming back.
So, I can't take the right dosage of oestrogens because if I don't take enough progesterone I have signs of oestrogens dominance and I not feeling well. I currently take 1/3rd of the oestrogens minimum dosage daily and around 5 mg of progesterone every other day or third day.
I feel that this dosage of oestrogens is not enough for me to feeling well (Have a clear mind, energy, sex drive...)
Am I doomed to not feeling well and myself the rest of my life?
Nobody seems to talk / care about this.
I would like to try the cyclic HRT because it makes sense to me but I don't think I could take this form of treatment.
Hi look up DIM a natural estrogen blocker that comes from cruciferous vegetables. It may balance your estrgogen naturally. Hope you get relief
Did you try progesterone cream instead of taking it orally?
@@The_New_Abnormal_World_Order Yes I did. I tried orally, vaginally and on the skin.
@@The_New_Abnormal_World_Order I did try the cream but had the same reactions than the pill ingested or places in the vagina. Even with a teeny tiny dose of cream, I feel the side effects.
@@jennybadl7840 Oh Ok, I'm sorry to hear that!! Maybe if you can find a better Dr they will help you to figure out a way forward.
Dr. Gersh is amazing. What a detailed educational journey. I have viewed so many videos on this topic, and hands down, her explanation and direction makes the most sense. With her guidance, I have decided to use the cream progesterone instead of the pills.
How would You pulse it in a practical way?
Follow what your normal cycle would be. (You take progesterone two weeks a month)
What would a normal cycle look like im 73 i forget😅@@birdgirl1516
@@birdgirl1516at the beginning of your cycle?
Thank you doctor! I am post menopausal and have uterine fibroids. I am currently on a continuous HRT regimen. Is it safe for me to cycle my HRT as suggested in the video?
I just started estradiol at 70 years old. I can't quiet my mind at night and am not sleeping. Would progesterone be something I could take? If so how do I go about it?
I think you need to be taking progesterone if you are on estradiol that isn’t good taking it on it’s own
And if we are prescribed to take progesterone daily, how do we know what days to pulse it?
Is the estrogen + progesterone (Norethisterone) combo patch a good idea?
What about women who are postmenopausal and have no uterus? Can we take progesterone every day?
Great question
Would you do a video on how we metabolize estrogen? I have fibroids and understand I am metabolizing estrogen differently than others. I take EGCG, IC3, DIM and Calcium D Glucarate. Is this going to help? Thank you for all of your informative videos!
How often to take progesterone when taking estradiol during menopause
What about progesterone intolerance? I'm deficient but have horrible reactions to prometrium, compounded progesterone and prog cream.
Do you happen to know what kind of progesteron is better: micronized progesteron or prometrium?
@@user-xs9835one and the same. Prometrium is just a brand. I have the generic form of micronized progesterone and my insurance covers it. My naturopathic dr prescribed it for me for sleep issues and night sweats and it works.
Same question 🙋🏻♀️
It’s the same. Use cream option.
Prometrium is micronized progesterone.
But what if we had a bilateral oophorectomy, no ovaries but still have uterus?
I don't expect a response from Dr Gersch but maybe someone else could comment. She says in this video when using transdermal progesterone be sure you are getting a uterine response. How would one know this? Blood work? Uterine ultrasound?
Use it in capsules, it is better.
Some doctors do routine ultrasounds on their patients who use the transdermal progesterone to check the endometrial lining. I think this is mainly done for women who are progesterone intolerant and can't take it orally.
I have always been infertility, they were never able to tell me why and since I didn't remarried or found a suitable partner I didn't go to a fertility specialist ( the internet wasn't like today either)
I was pretty sure I was estrogen dominant..
Now I have tried for 3 years to tell the gyno that I have a hormone imbalances that is becoming worse has I approach menopause fully.
Totally ignored, made to feel I am just a hysterical menopausal woman.
Now I have a thick endometrial lining, with no periods.. high or normal estrogen.
Quite concerned
Now if i can keep my uterus... supplementing with estrogen seems too much?
So if your menopausal with the hysterectomy and a history of endometriosis does that mean you should or shouldn't take progesterone? I want as many hormones as I can get. I'm miserable
Try it and see and know I'm in shock it can help with inflammation I'm prrimnapuse and it's been terrible for me I'm going to try progesterine
Is it ok to take 200mg daily? I can’t sleep without it and it also helps my brain activity. Thanks
Thank you so much for this video
Does progesterone help with hair thinning in perimenopause or is that estrogen?
So, how to take the progesterone if not every day? TY
Two weeks on
Two weeks off
Great information - thank you
Progestins are as good as progesterone? Norethindrone a good option?
No , progestin is man made snd the body cannot identify if to use
Progesterone is body identical and safe , take at night and take two weeks on snd two weeks off . Ok taken orally or cream .
I'm 73 and had a total hysterectomy when I was in my 50s. I think I need everything and don't know where to start. My Dr put me on estradiol but I think I need more progesterone. Then will that take care of the testerone. I want to feel like I did in my 20s. WHERE TO BEGIN?
I heard a doctor once say women that are going through postpartum depression do well when given progesterone.
I have came to believe this too and I’m going to share this with my daughters so they will have the knowledge in the future !❤
How much progesterone can a woman take?
For perimenopausal women who still have a regular period is it ok to take progesterone for the whole cycle? My prescriber said I should be on it all the time to prevent cancer while I’m taking estrodiol. Thank you.
😮😮😮😮
I want to start pulse progesterone.
You don't explain how to pulse it.
Can you please do a short video on pulsing?
Until then, I guess I'll try using it every 2 days??? ....
Or is it better to use one week on then one week off during the 3 week cycle???❤
You're supposed to use it for 2 weeks together starting from the first day of your cycle. In another video on progesterone she says 200mg progesterone two weeks in a row, off of it completely.
I wished i understood why i had endometriosis at my age of 35 . I would like to know if that affecs peri menaupase and what would be the optimum HRT to follow.
Can you use it if have no ovary’s & no uterus?
Very useful information. Thank you . I am peri-menopause and have uterus, and don’t suffer from hot flashes, only insomnia.
Can I take micronised progesterone 100mg (Utrogestan known in uk ) orally every night without estradiol ,Is it okay to take it? Any advise would be great help. Many thanks!!
As you still have periods you should take 200 mg orally or vaginally 16-25 days of cycle. Just try and see if it helps. Yes, you can take progesterone without estrogen.
A woman without a uterus and no ovaries on estrogen patches shouldn't take progesterone with CVD though. Correct?
My Medicare advantage will not pay for progesterone
I’m on the lowest dose of estradiol (patch) and 100mg of progesterone. It is not pulsed. Should I ask my doctor about this? I am still having aches and pains and stiffness and think I’m on too low of a dose of estradiol. She wouldn’t up my dose after 5 weeks and wants me to (suffer) until I’ve been on it at least 2 months before discussing an increase. Just thinking that once I’m on a higher dose to cycle the progesterone pills on my own. Should I schedule it with my daughter’s cycle? (Women living in the same household).
Did I hear correctly? Post menopausal women have pulsed progesterone? Does that mean post menopausal women on natural estradiol and progesterone will continue to have a period?
Has anyone tried this?
What is your thinking on a pill like Ginet 35 to help control PCOS and hair growth on the face (and control acne). Is this damaging long term to the person or helpful between the ages of 20-23? What category is cyperotone acetate?
It's none of my business but I wonder if you have tried eliminating dairy from your diet. Dairy products have hormones.
I tried to stop bc for pcos but it was a mistake, although it does affect my mood so there’s not a perfect answer. Agnus castus and saw palmetto daily can be helpful as an alternative to BC.
Recently diagnosed with Estrogen positive BC and blood test showed SHBG hormone out of whack high...is there any correlation?
Over diagnosis is what the cancer industry does best.
Is progesterone prescribed for women who have had a hysterectomy?
Could anyone answer this ……
@VikkiSalari my gynecologist didn't want to prescribe it, saying I didn't need it after hysterectomy but I got it from another doctor. You just have to find a doctor who is more current in their education on hormones.
@@rosej9686 what symptoms did the progesterone help?
@@VikkiSalari it helped with my sleep.
Thank you for this video, im perimenap doc says im menapsu but i still have awful periods up and down hormones wacky insomnia anixety hot flashes night flashes headache cramps clots irregular period mood up and down , low iron by blood work its terrible periods heavy heavy , i feel depeleted so i take ironfulmate gummy with b12 b6 b3 , the lunal phase two weeks before my period is exhausting feel terrible, im starting minni northidone low dose progestin soon i tired of this i jist want to feel better im early in change im 40 wowo progrstrin is inflamatory holy cow im have been dealing with inflammation different parts of my body snd cramps high extreme inflammation makes me feel terrible and sick, thank you so much for this plus i found cortisol robs your progesterine too that would make sense
Dr I’ve been on HRT for two months I am 44 years old. Would you recommend taking all life long my gyno wants to take me off at 51 years old. My Symptoms have minimized and he took off the copper iud and now on mirena he gave provera 2.5 mg plus what the mirena has. I was still spotting this year but my body wants to stop menstrual period. Can this be a lot of progesterone?
In young women you said that in there cycle when the estradiol dros there lining sheds. Yet i understand that in women on hrt when you cycle off the progesterone (as you recommend doing) this causes a bleed which i assume is shedding the lining. Why isnt it recommended for women on Hrt to cycle off the estradiol? To also thin the lining?
Estradiol runs the show. And it's always in the background before it severely declines. You don't want low Estradiol or you will be causing inflammation and depression. Think of your natural period or a few days before there is low Estradiol. You feel low and yucky. Well that's women after Estradiol disappears and Progesterone is literally non existent. It's a low inflammatory state on and off. No thanks.
What is the best way to pulse progesterone? If using cream is it best to do daily for 3 weeks and one week off? Or every other day?
I get my period every 17 days suffer PMDD do I have low progesterone due to estrogen dominance
Progesterone is Nero protective &!is made in the brain
Also any inflammatory
OMG GOT TO ASK BERKEINSTEIN
Niceky done.
The terms "bioidentical progesterone", and "micronize progesterone " are not based on scientific evidence , but are based on marketing strategies of these synthetic hormones in the competing market.
What are the size of these synthetic micro hormones in comparison to their receptors?
I think you are confusing progestin (MPA- medroxyprogesterone acetate ) with real progesterone
I started the cream a few weeks ago, it's quite miraculous stuff.
What one works for you?
Do you mind sharing?
@@lolasen1206 I use Pro-Gest by Emerita, off I-herb.
Can you share which one you use please
@@thesorensens4849 I can recommend, either Pro-Gest by Emerita, or Platt-Pro, they are both really good. I did buy another brand and I could tell the progesterone didn't absorb at all, so it's good to go with a trustworthy brand.
@@lolasen1206 Hi, the replies to my comments sometimes switch off for no reason. I have mentioned 2 brands in my comment below.
If you're not supposed to have these hormones as you age, why would you supplement them, just accept that you're getting older and live with it!
Then why not just live on booze, junk food and cigarettes, too!
I agree with GinaR21212. All these women messing around with their hormones. If a breast or ovarian cancer cell develops for whatever reason, estrogen will fuel it! Our grandparents didn’t have HRT and lived long lives. You have to get THROUGH menopause symptoms. They don’t last forever! Yes the transition sucks. Insomnia, hot flashes, weight gain, etc. But there is an end. If you eat clean, avoid sugar, exercise and lift weights, it makes the transition easier. I promise you the treatments for cancer are so much worse than losing your hormones in menopause.
It has nothing to do with accepting the aging process, rather it is about quality of life. When you have severe insomnia and go months and even years without sleep and then anxiety and depression on top of that, you'll do anything to function at some level of normalacy.
@@LG-wm1nwAMEN!
Feel free, your choice. I would rather age healthy and enjoy my life after 50 than be dement, have alzheimer, high blood pressure, heart attacks or other stuff. Hormones are essential for a healthy life.
Love the fact you mentioned that you dont want to be on progesterone constantly. Men dont ovulate or have this so maybe men on TRT need to consider not taking progesterone constantly.
I know that TRT caused my progesterone and DHEA to fall greatly and I just didnt feel right and my teeth started weakening fast. Not knowing; I just took up to 200 mg of progesterone cream for 2 months strait and while it helped my teeth; I got bloating.
I am wondering aloud if Men need to ramp progesterone up and down during a month to prevent this bloating but still get the bone and sleep benefits
It helps your jaw bone or helps your gums?
@@anne-louisegoldie It helps everything in your mouth. I used it for jaw, gums and the teeth themselves. Teeth are living Bone and have blood supply to the. I had lost a filling from when I was 12 and that tooth cracked. I had to have that one pulled but I notced others were loose and gums receeding. 160-200 mg a day of progesterone for 2 months cleared all that mess up. But at that level; some weird side effects for a man [ LoL; no erections downstairs but my nipples got erect and sensitive when I was happy. Also I got quite moody...dancing one minute and crying at sad songs an hour late] Not at 60 mg a day, that doesnt happen but I sleep much bettee.
@@anne-louisegoldieBoth teeth and gums. Progesterone is very anti inflammatory and boosts immune system so yes it can help with gums that are swollen and maybe have some infection ( no progesterne is not an antibiotic). It also strengthens bones and teeth are alive bones that are a "canary in the coal mine" first indicator of low progesterone ( or too high cortisol as well)
I have had a radical hysterectomy due to cervical cancer last year. I am on hrt estrodial only. I have purchased progesterone cream and am using this. I do notice I am calmer while using it. Since I am not menstruating and have no uterus, how should I best use this. It is a cream created by doctor Lee. It says for non menstrating women. 25 days of using and than 5 days off. Can I follow this lead or do you recommend sonething else? I am not good with oral progesterone. ( utrogestan 100mg, we do not hae 50 mg in this country) It makes me depressed when i use it 3 days in a row for instance. I had pms in the past. Had symptoms like bloating. Fluid retention. Feeling very sad. Especially irritated at night one to two weeks before menstruation. Acne and everything. Once the menstration came through. I was totally fine again. I do notice I gave to keep the cream also at a relatively small dose ( 20 to 40 miligrams) or I indeed get this hangover feeling. How many days a month should I be using it as a woman who has no ovaries and no uterus? I am 45 years of age btw. Thank you for your video! It's very helpful so far!
Im a man and I take 60 to 80 mg a day as micronized progesterone USP cream on my skin each day.
Progesterone IS THE MOST IMPORTANT HORMONE FOR REVERSING BONE LOSS for women and some men.
If you have osteopenia, massive tooth loss, joint pain, arthritus or even osteoporosis......you have been progesterone deficient for probably 5 years or more....sonetimes even 15 years plus.
I haven't heard of men taking extra progesterone before. Very interesting. Are men talking about this? 😊xx
@@anne-louisegoldieIt is a shame that progesterone has been pigeon-holed to only women and mainly only for those with uteruses and pregnant women.
Men need progesterone too and many dont know that. Granted men dont generally need much unless they are really stressed or on TRT. too much can give men erectile disfunction. But progesterone does help reverse bone loss and promotes good sleep. It also protects mens prostates
@@anne-louisegoldie Well i dont think men normally need progesterone unless it goes low. My experience is TRT for men does make progesterone go low. Malneutrition due to older age, stress also probably contributes to lower progesterone in men. Im 57
This is new and helpful information! No wonder my teeth were so bad with pcos!
I think it's awesome a man who wants to know his body
Wow. Thank you so much for this information. ❤