HORMONE REPLACEMENT THERAPY: THE BEST TYPE FOR YOU! 

She lost me when she said she still prescribes synthetic progestin from horse urine.

Oh my gosh I wish sooo much I could find a doctor like you in my area!!

Thank you for this information! I am 54 and have recently started thinking about taking hormones. I have an appointment with my primary care physician to discuss my options and the info you've provided will really help me in my discussions with her.

I am absolutely thrilled that I founded you! This kind of education is so needed! You are doing an amazing job of bringing knowledge to many women. All your hard work is truly appreciated!!!! I spent 2 days listening to your posts. Personally entering the menopause phase (52 years old) of my life and I have been seeking more education on that topic. I am a dietitian and see so many of my clients struggle with symptoms of menopause and often don't even realized that there is a solution. Questions about dose for estrogen and progesterone, what do you start typing with? and do you do daily progesterone or only in phases? Since I am in MA, I hope I will be able to book an appointment with you shortly!!!

Thank you for sharing this very important information regarding Menopause. I always say that if MEN lost their Testosterone, they would be KICKING & SCREAMING to get it BACK!

Loving your videos Dr Hirsch, SO INFORMATIVE!

I just discovered you and I am obsessed. Between RU-vid, TikTok, Instagram etc… You are amazing🙌🏻♥️ I am 55, perfectly healthy. I tried every patch, gel and ring. I am currently on the Femring which I switch out once a month (although it should be every 90 days). I asked my gynecologist for a “boost” to the Femring as I still have symptoms. She added .5 Estrace oral pill. I am still having symptoms. Maybe the Femring isn’t for me. I am so confused on weather I should be using two forms of HRT at once. Thank you for your time. Not only you are so knowledgeable, but also have a great sense of humor. Thank you

Thank you so much for stressing the difference and n HRT. I’ve been duped in the past from a provider who denies from HRT therapy.

Premarin may be safe for the woman but it’s torture for the horses and their babies 😢 Love to hear your doggie 🐶 barking 😄

Yes , thank you ! The lack of education in this area is both very frustrating and sad ! I fought through menopause, had no insurance! Lost 6 relatives in a year , sadly starting with the gross willful negligence of my dads death from a hospital. Was seeing a DCP ( direct care pay Dr . ) we did hormone labs , I had none ! Still no suggestions referrals . I was just completely heartbroken at the murder of my dad , still working on his lawsuit ! I have been admitted to the psychiatric ward 2 xs in 3 year s ! The first was insomnia, 3 days of NO sleep ! The 2nd recently honestly just felt like a nervous breakdown! Just got insurance starting to get help and mske away , learning wow you have to be your own advocate and push snd push ! Found out I had tested positive for Epstein Barr virus , dealing with some mold in our house just got fixed ! I believe I still have a fungal infection so trying to see an infectious disease Dr! HORMONES, ok so I guess at 53 I’m Postmenepausal now . My Dr put me on I think .01 mg of testosterone injections 1x a week , my testosterone was a 1 ! My estrogen was a less than 5 . So I’ve been on the genetic of the Vivelle Estrogen patch for one month . Now estrogen is at 52 . Still on the low end but improving. My dose is .25 2xs week , it’s helping just a tiny bit. ! I still struggle with depression, mood swings , insomnia , my circadian rythem flipped about a year ago to that of like a night shift worker ! I cannot sleep till around 7 am then I have to get some sleep during the day , just causes more depression. Since I got insurance just 3 months ago I think I’ve had min like 12 Dr appts I’m tying ! My question is do you think my estrogen dosage should be increased? My main complaints were insomnia and depression! And maybe just a tiny noticeable change !! Thank you for all of your knowledge, we need more wonder/ educated drs like you !!💗

Thank you for such an informative video!!

How would hypothyroidism affect what I should take? Also wondering who should take estrogen and progesterone versus just the estrogen?

I'm 57 and started menopause at 54. I haven't slept since I was 46. It has been debilitating. I also suffer from terrible brain fog and memory problems. I have just been prescribed prepro 0.3mg-1.5mg pill. I also hope it slows down some of the aging process. I feel like I'm 90yrs old. Does that dose sound right?

So happy I found you! Omg! I am 46, 1 year of menopause. Flushes were crazy, like every 40 minutes non stop. On the patches now estradiolum 50mg+ norethisteroni 170mg. Tried tibolob but had very much of burning sensation on my breasts, so doctor recommended patches. A bit worried as read that one component medication is safer than 2 component. Is this true? Thank you!

Hi! Angie talked about you on one of her videos, so here I am. I am 52, taking estradiol/norethindrone orally, I've been overall happy with it, I still get some hot flashes at night, should I explore another one? Also, can you talk about the cost of oral vs patch vs gel. Another question, does one take HT for the rest of our lives? Thank you!

Fabulous relevant information. Thank you.

I had one ovary removed (left ) 2 years ago and now having all kinds of symptoms I was told by the md that did my surgery that the other ovary would cover for the missing ovary

Hello, any information on HRT after a total hysterectomy? I do not see anything…

good evening thank you for your time such great info - I am 57 years old and just had my estrogen tested it came back

Good info thanks for sharing your field of profession

Hi doctor Recently diagnosed Adenmysois I’m in merina iud

Thank you for all of the information but if I had breast cancer that was hormonal positive, do I have an option? Thank you so much!

Hi Heather !! You are the best ♥️ Do you do a video on SERMS? Can you tell me your thoughts on Duavee ? Might be nice not to have to take progesterone or have breast tenderness.

I tried oral Estradiol and gained 10 lbs of belly fat which I’ve learned can happen with oral Estradiol. Then I did nothing for a while. Now I’m on first round pellets of pellets and not pleased. Heart palpitations.. acne. More weight gain. And messed up my synthroid dose. I have type 1 diabetes and hypothyroid. Considering patch now but do tend to have issues with adhesives. But still want to give them a try.

I began taking tribolone but did not find it as good as the Estradiol patch. May this be because it is a steroid rather than a bio identical

I’m 51 and had a full hysterectomy at 33 because my CA125 was highly elevated, and I had pain and bloating. I’ve tried estrodial, and I gained 20 pads immediately. I then switched to a cream for years and now am on pellets. What are your thoughts on HRT pellets?

I would like to know if I can see you?...my God Dr's like you are hard to find!!

I used to use the patch but it started to irritate my skin. Switched to a different brand, tried moving it around but it still caused irritation. Why is this? Is it the adhesive I'm reacting to? Now I use the gel which is great!

Do you believe that USP has any value as a guide for using over the counter phytoestrogen and progesterone products, and also other supplements? I know that they are far from the rigor of the FDA, but I feel like I need some kind of guide when I buy over the counter products.

What should I take if I have a family history of breast cancer

Is this the pellet?

When I was in my 50s and was going thru the transition I begged for hrt but my doctor said no in his defense it was frowned at now at 65 have I aged out I would like the benefits for my bones and heart and brain

Ughh, hot flashes when does it ever end! Can’t take estrodiol it caused a lump and had to remove it!

Are there vascular side effects of the patch and progesterone? .

I give myself a shot of estradiol and testosterone. I have been doing this for 25 years. What are your thoughts on injections?

Can we talk about foods? Is there a diet that is best during pre or full menopause? There are lots of hormonal diet programs around the Internet, however, is there a better diet during menopause or its just a fad?

I’ve been struggling for the last year with almost every symptom you mentioned with the exception of anxiety I don’t feel like that’s a concern for me but everything else I’ve struggled with of all of them I feel like the insomnia is the worst I just feel like if I could get a good nights sleep other things would improve I haven’t taken hormone replacement therapy have always been kind of scared of it don’t want to gain unwanted weight like my friends say I will what would be your best suggestion to help regulate my body if sleep is my number one issue( I do feel like my sleep at night is disrupted by hot flashes although I don’t sweat the way other people do I just feel like I’m burning up inside) I have had some blood work done and my FSH was 89IU/L My LH 69IU/L and my Estradiol was 532 pmol/L

Heather, my doctor will not subscribe hormones for my menopause symptoms because I had blood clots in my lungs from covid. But this was the only time I've had issues with blood clots, so will I never be able to use hormone therapy?

Do you have any thoughts, pos or neg, regarding BioTe Pellet HT therapy?

Hi Dr. Heather, I had a TAH/BSO at 55. Also, my mother is a breast cancer survivor after taking HRT for over 25 years after her TAH/BSO ( Premarin). I'm considering using the transdermal patch (0.5) estridol. I'm trying to figure out if I'm beyond the 10 year window. Given my age ( currently 63) and my mother's breast cancer history at 65 am I a candidate for the 0.05 transdermal patch? My concern is protecting my heart and bones. Thank you!

Love your channel. I read a comment about birth control pills. I was on birth control pills which was masking menopause symptoms. My doctor took me off because he felt my body was getting something it didn’t need. Is there any type of pill out there to take to help with hot flashes and astrophy?

Love this I went through some form of crazy at 36! No one knew what it was but it continued till last year I had everything night sweats missed periods crazy anxiety it took 4 years to figure out what it all was until a doctor said peri menopause i am now 42 and it’s been a year no periods but I feel nearly normal again, should I take HRT I ’m worried that I’m quite young to go without ?

What are you thought on injectable estradiol. I just switched from pellets to depo estradiol 5 mg and 25 mg is testosterone

I have been taking the Estradiol patch 0.1 mg/day which I change twice a week. I also take Progesterone 100 mg each evening. After about a month I started to have tender breasts and break through bleeding. At first my obgyn doubled the dose of progesterone. I continued to have break through bleeding.I have also had a vaginal ultrasound (lining was slightly thicker)and I am going to have a biopsy of my uterus today to make sure everything is ok. Listening to other podcasts, I don’t want my physician to just pull me off all hormones. I love that I am eventually sleeping again and I hear all the benefits of estrogen. Is it a matter of getting the correct dose for me?

Please dr Hirsh please could i take HRT at age of 66 have all the symptom and I am on other meds ?

I need help!! I am 49 having issues and not much help

I started my HTR treatment last fall and I'm happy with it. I take a progesterone pill daily and an estradiol patch 0.05 twice a week. I'm thinking I would like to stay on it for at least 6 more years (maybe my entire life) and because I'm thinking long term, I wonder if replacing my progesterone pill for an IUD is a good move. I just worry about the side effects of the progesterone pill on my liver, after all, it is for my uterus protection. Is there any brand that you recommend Mirena, Liletta?

How can get an appointment for tele visit for you ?

If you are overweight or obese as I am, the estrogen PATCH DID NOT WORK. I wasted money and time with the patch. It has not been 'proven' with the estrogen patch, but gynecologists know birth control patches do not work in overweight/ obese women. P.s. have been on oral estrogen for about six months and my hair is denser at the scalp, so do not think you will lose that perk by not using the patch.

Can you at least mention the utter suffering the horses go through when you mention Premarin as you just say it’s from horses and some people are ignorant about the process. You shouldn’t provide this either.

What are your thoughts on bio-identical pellets? Are they FDA approved? I have been having BioTe pellets implanted. Want to find out if I'm doing the right thing. Thanks!

My doctor prescribed me climera pro patches but my insurance doesn’t cover it and it’s too expensive for me to pay out of pocket monthly. Do you know if there is a alternative? My doctor says I need a combination of estrogen and progesterone and I’m on cholesterol medication so I think that’s why she wants me to take a patch. This all happened today and she’s out of the office till Thursday. Tbh I’m going through such horrible hot flashes and other symptoms I was praying I could start on something today. Any information would be helpful 💗

Ouch Felice Gersh won't agree with this

Do I talk to my MD or my OBGYN?

I enjoyed listening to you until you said you prescribed progesterone from pregnant mares. This is wrong and inhumane.

Not relevant at all! Where sis you get that sweater? I want it!!!

Premarin is not cruelty free. Thousands of horses are tortured to provide this product. 😮

Slow down girl!