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Unlocking The Mysteries Of HRT During Perimenopause: What You Need To Know! 

Heather Hirsch MD, MS, NCMP
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Unlocking The Mysteries Of HRT During Perimenopause: What You Need To Know! // Get your most common questions about the use of hormone replacement therapy in perimenopause answered by the nation's leading expert in HRT management.
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Video's to watch next!
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14 авг 2024

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Комментарии : 46   
@heatherhirschMD
@heatherhirschMD 3 месяца назад
What questions about HRT in perimenopause remain?! Comment below!
@americarocks3175
@americarocks3175 Месяц назад
@heatherhirschmd, Dr, would you consider doing a video on HRT for women who are considering HRT when in menopause, but those who have numerous fibroids and who had an embolization procedure? Thank you in advance.
@aawrnnc
@aawrnnc Месяц назад
I’d like to know the risks and benefits of using HRT in perimenopause when the recipient has a history of endometriosis.
@Ashley-hd7xf
@Ashley-hd7xf 3 месяца назад
Do you have a video or can you discuss cycling progesterone versus continuous use in perimenopause?
@BLE000
@BLE000 Месяц назад
This would be extremely helpful
@gildedview5500
@gildedview5500 3 месяца назад
Here’s one question I would’ve loved to have answered in this video: for the purposes of preventing the three big diseases (I.e. osteoporosis, heart attack, Alzheimer’s) DURING PERIMENOPAUSE should the estrogen found in birth control be used, or the estrogen found in HRT? I understand that the dosages are different, so I’m strictly asking about the type of estrogen. Is it true that birth control does not prevent the three diseases as well as HRT does because they are different estrogens (estradiol and estriol versus ethinyl estradiol)? Thank you.
@Yuvsters
@Yuvsters 3 месяца назад
Just started HRT estrogen patch and oral progesterone 🎉 for insomnia… 🤷‍♀️ Trialing, after everything else was ruled out. Age 44 (insomnia started at age 39-40) Estrogen patch 0.025mcg Prog 100 micronized oral daily. Normal cycles. Just started 2 weeks ago let’s see if it helps with my sleep. 😴
@maggiemagsbond83
@maggiemagsbond83 3 месяца назад
Where do you live if you don’t mind me asking? I need a provider who will give me this too but I can’t find one as I still have my period.
@kimwilson8311
@kimwilson8311 3 месяца назад
​@@maggiemagsbond83I'm on the same protocol as the above poster. I live in CA, I'm in perimenopause with consistent cycles.
@Yuvsters
@Yuvsters 3 месяца назад
@@maggiemagsbond83 Northern VA
@maggiemagsbond83
@maggiemagsbond83 3 месяца назад
Please advise on providers in Canada in telemedicine that are willing to prescribe estrogen and progesterone!! I am beyond losing my mind I have every single symptom of peri but because I still have periods no doctor will prescribe me anything more than progesterone. My life feels like it’s over being told this over and over again. I can’t sleep and just the progesterone doesn’t make a dent for me. The minute I say I still have periods they won’t give me estrogen and progesterone together, only progesterone. What are you thoughts on this?! I’m even having hot flashes and I am only 40. I really need someone’s help I wish you were in Canada 🇨🇦
@therobertsonadventures
@therobertsonadventures 3 месяца назад
Could you go on a birth control pill?
@ShylaMassaar-be1sf
@ShylaMassaar-be1sf 3 месяца назад
Hey! Where are you? After waiting months and months for a menopause program in Alberta, I found a trained pharmacist. I started getting symptoms at 35, BCP at 36 and now I have officially started HRT at 37. I have also been given the name of a clinic in Ontario.
@BLE000
@BLE000 Месяц назад
@@ShylaMassaar-be1sfAlberta
@maddydj1981
@maddydj1981 3 месяца назад
Can you do a video discussing testosterone as part of HRT. You’ve discussed estrogen and progesterone, but not testosterone. And I know that testosterone is also prescribed and my Dr has prescribed it along with estrogen and progesterone and I would like to be educated on it and it’s role in HRT.
@MYKEYCARD
@MYKEYCARD 12 дней назад
Brilliant I Have Put This Video Of You're Phenomenal Research in My Playlist, With All Of The Other Phenomenal Research, Thank You For You're Phenomenal Global Lightwork📡`````````````````````````````🗽 🙏💜🌍💜🌍💜🌍💜🌍💜🌍💜🙏
@aprilepp74
@aprilepp74 3 месяца назад
I love your videos! I started continuous Progesterone and Estradiol before post-menopause, at age 47, still had a period every few months. It did stop my periods, which my doctor said was totally ok.
@deuxjournalistes2993
@deuxjournalistes2993 Месяц назад
Can you please talk about cyclical HRT vs Continuous during Perimenopause? Are the hormones used in Perimenopause boosting your body's existing hormones or do they signal to your body to stop producing your own?
@Yuvsters
@Yuvsters 3 месяца назад
This was so helpful like all your videos! Thank you 🙏
@kimbackos8170
@kimbackos8170 3 месяца назад
So interesting thank you. I was diagnosed as being estrogen dominant and wonder if that excludes me from taking HRT because doing so will create excess estrogen. What are your thoughts? Secondly, do you see patients who are not US-based?
@honorinedelaveline
@honorinedelaveline 3 месяца назад
Hi! Thank you for your content. I'm 39 and my periods started to swing at 37. My FSH is high and my estradiol levels started to plum. Last month my body didn't produce any ovule, previously my periods cycle was shorter and now it's longer than normal (but I haven't had amenorrhea). My bones are OK. Would you say I am on early perimenopausa or on primary ovarian insufficiency? How to know? Should I start an hrt at 39? Best
@honorinedelaveline
@honorinedelaveline 3 месяца назад
My doctor suggested to start an hrt (oral pill, diu, etc.) but I wanted to know a bit more about perimenopausa before taking any decision. I also add that I've been through tough months at work and my cortisol is high.
@agnesjuhasz7715
@agnesjuhasz7715 15 дней назад
I am 49, still having periods, but I am experiencing low to no libido, brainfog, dry eyes, and I am very thin, prone to osteopenia. I have just been finally prescribed cyclic HRT (I really had to fight for it, doctor did not want to!!) , but am a little bit confused about it: I got Divigel+ Provera. Isn't Provera a little controversial? Does anyone have any experience? Thinking about pushing for Utrogestan or Mirena coil instead.... any thoughts?
@annmarie3573
@annmarie3573 3 месяца назад
I started .5 estradiol patch and 100 mg Micronized progesterone about 5 weeks ago. I am 45 and was still having very regular periods and ovulation. It's been amazing for my insomnia, anxiety, hear palpitations, hair falling out, joint pain. Everything is so much better, i can hardly believe it! But i have not ovulated since starting. Am on day 30 with no ovulation in sight. Is this normal when starting?
@maggiemagsbond83
@maggiemagsbond83 2 месяца назад
Do you take your estrogen during your period? Or do you take a break
@MGyoutube307
@MGyoutube307 22 дня назад
I thought perimenopause was missed irregular periods. How do you know the symptoms or perimenopause and not stress or autoimmune if you still get period regularly.
@ann-marietoney462
@ann-marietoney462 Месяц назад
Hello .. I’m 51 premenopausal.. my doctor has me on 0.05 Estradiol patch & 100mg progesterone.. my breat do feel very tender . I ever did any from of birth control when I was younger. Help? My doctor visit was about 15 Minutes & she told me I’ll see u in a year !!! Ugh !!
@EpicSillyPets
@EpicSillyPets 3 месяца назад
I live in Idaho and I would like to schedule with one of your NPs. Can they prescribe? Can they prescribe testosterone?
@tammycampbell6742
@tammycampbell6742 2 месяца назад
Can you do a video on brands of HRT patches , Imbon estrdoil patch, and I think I'm having allergic reactions to inactive ingredients on the brand that I'm on .
@debbiemartell8100
@debbiemartell8100 3 месяца назад
Great video 😊
@amycohn2216
@amycohn2216 3 месяца назад
Thank you for this information. How often and how should thyroid be checked? I'm currently on 75 mg of synthetic for hypothyroidism. I'm in perimenopause and started HRT 4 months ago.
@LT-pp1je
@LT-pp1je 23 дня назад
I'm in perimenopause and was having regular periods. Started 0.25 estradiol and 100 mg promethium. My period stopped. Is this normal? She just said it doesn't stop your period.
@susiedbc
@susiedbc 3 месяца назад
Thank you so much. Your channel is what encouraged me to persist after two separate providers completely invalidated my experience and denied HRT. Question: I am 53, perimenopausal, and have a patch and mirena iud - going on about a year. I missed my first period, but am still having very light periods most months. How will I know when I am in menopause if the iud will lessen/stop the bleeding? Or does that even matter? I cannot tolerate oral progestin because it makes me sleepy all day even if I take it at bedtime. Thanks!
@caseyisabell2911
@caseyisabell2911 3 месяца назад
Almost 41, saw a new gyno for all symptoms perimenopause. She said, I'm too young to start HRT...... TOO YOUNG??? Is this TRUE??? She did say I could start testerone pellets, I go next Monday. Oh and my blood pressure is too high for birth control.🙄 ***Is it safe just to have testosterone pellets and estradiol cream applied at entrance???? I had both my tubes removed at 33 for birth control, they were healthy. 3 yrs later everything changed and has only gotten worse. 😢 Thank you for making videos, you are wonderful!!!❤ Reading your book 📖 ❤😊
@Karikk72
@Karikk72 3 месяца назад
She has a video about pellets. Really do your research on pellets and testosterone. Please research
@ShylaMassaar-be1sf
@ShylaMassaar-be1sf 3 месяца назад
You’re not too young! My symptoms started at 35, BCP at 36 and now at 37 I started HRT. Keep trying for a practitioner or pharmacist who can help! I found one on the NAMS site.
@carolynholzer5202
@carolynholzer5202 2 месяца назад
I’m on .05 estradiol and 200 mg oral promethium I still have bleeding at times. I’ve even on it 5 months and am age 51
@angieberger898
@angieberger898 3 месяца назад
I’m peri and on .375 estradiol and 100 progesterone for the past 10 months and now feeling bloated the majority of the time again. Increase estradiol?
@natalieconvey5782
@natalieconvey5782 3 месяца назад
Hi I’m on HRT patches but I get my period now twice a month! It’s very light but I’m on my period more than not. I’m also experiencing all the PMS symptoms What can I do?
@dd-fy2mh
@dd-fy2mh 3 месяца назад
What's the reason behind not being able to have hrt when on combined pill ? Is it because combined pill contain hormones too ?
@courtneyblue15
@courtneyblue15 3 месяца назад
The combined pill contains much higher levels of synthetic hormones, so yeah, adding HRT would be way too much!
@DK-tq3fy
@DK-tq3fy 2 месяца назад
I need to find a doctor who can help me with this in Oklahoma. Can anyone help me?
@LT-pp1je
@LT-pp1je 23 дня назад
Use online telehealth like midi health, alloy. I can get an appointment in a day or two.
@JillUdocon
@JillUdocon 3 месяца назад
The biggest hurtle is finding a doctor who is willing to prescribe MHT. I've approached my GP, Endo, and Gyno, and all they do is talk negatively and use scare tactics, and drop the subject as quickly as possible. What's a woman to do when so many doctors refuse it.
@athenachloewoodrow6356
@athenachloewoodrow6356 3 месяца назад
🙏
@latehowie9671
@latehowie9671 3 месяца назад
If you really want to help women , why are you charging them so much to get help? Only rich people could access your help. No thanks ridiculous!
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