A Doctor's Guide to MENOPAUSE and Hormone Replacement Therapy

Рет қаралды 87,647

Күн бұрын

Dr. Rajsree Nambudripad is Board Certified in Internal Medicine and the founder of OC Integrative Medicine in Fullerton California.
This video is dedicated to all women looking to learn about their hormones, the changes that happen in menopause, and the latest updates in bio-identical hormone replacement therapy.
Learn the functions of estrogen, progesterone, testosterone, and DHEA. I explain the difference between older synthetic hormone replacement therapy and newer bio-identical hormone replacement therapy. Learn the most popular options among my patients and the pros and cons of each option.
What safety measures are important while on hormones?
00:00 Introduction
00:40 Symptoms of Menopause
01:41 Bio-Identical Hormone Replacement
02:57 Safety Measures
05:08 Types of Estrogen
06:33 Progestins vs. Progesterone
07:34 Estradiol Patch vs. Bi-Est Cream
10:08 Balance between Estrogen and Progesterone
10:20 Hormone Holidays
10:58 Testosterone
11:39 DHEA
13:07 Other Lifestyle Factors
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This information, including but not limited to, text, graphics, images and other material contained on this video and website are for informational and educational purposes only. No material in this video is intended to be a substitute for professional medical advice, diagnosis, treatment, or medical supplement approved by the Food and Drug Administration. The information provided should not be used for diagnosing or treating a health problem or disease, and those seeking personal medical advice should consult with a licensed physician. Never disregard professional medical advice or delay in seeking it because of something you have seen in this video. No physician-patient relationship is created by this video or the information provided. Furthermore, neither Rajsree Nambudripad, MD or any contributor to this video, makes any representations, express or implied, with respect to the information provided herein or to its use.

Пікірлер: 270

@drrajsree Жыл бұрын

Thank you all for watching! To sign up for my weekly email newsletter, click link below: eepurl.com/dPFHUb

@kanishkajoshi6667 9 ай бұрын

Plz make in hindi to better understand

@AliciasHealingChannel 4 ай бұрын

And avoid caffeine such a horrible hormone disruptor - adding cruciferous veggies and beans helped my menopause a lot - I didn’t realize how badly coffee was throwing off my hormones and HRT isn’t needed if no caffeine and processed foods sugar and oils.

@tonyas.6148 Жыл бұрын

This is one of the BEST videos I’ve ever encountered on hormone replacement therapy!!! I’m a nurse & I will definitely share this video w/ my patients as a resource. Thanks you so much!

@drrajsree Жыл бұрын

Thank you so much for you kind feedback! I really appreciate hearing from you! Best wishes, RN

@mississippiapple1078 8 ай бұрын

Ditto! I've seen so many and this is the best

@LC-bb6jd 2 жыл бұрын

Thank You for all your work developing these videos. They are filled with so much needed information. Easy to understand.

@drrajsree 2 жыл бұрын

Thanks for watching and commenting! Appreciate your kind feedback.

@walterdawson3008 Жыл бұрын

I would like to thank you for sharing these video jewels. I am an Integrative Medical physician in Orlando. I Have learned so much great information from you. This added knowledge has enabled me to provide a higher level of care to my patients. Keep rocking it🙂!

@drrajsree Жыл бұрын

That's amazing! Thanks so much for watching and commenting. There is certainly a great demand for integrative physicians these days! Best wishes to you, RN

@beverlyliesy7167 6 сағат бұрын

This is one of the most informative, easy-to-comprehend, videos on Menopause and HRT. Thank you for educating me as I navigate on being in menopause and the pros and cons of HRT. I’m a fairly healthy 51 year woman and wasn’t sure of the symptoms I was feeling when I was in perimenopause, mainly brain-fog, vaginal dryness and low libido. My PCP suggested a low-dose of the estrogen patch and progestoreron capsule. I learned from this video it’s important to track this, so I’m going to reach out to my PCP to ask about how to know my current levels. Thank you! 😊

@Anna-yh5kb 10 ай бұрын

This is one of the best videos I have seen for Bio identical hormone therapy. You just answered a question I had . Thank you Dr. Raj ❤️

@drrajsree 10 ай бұрын

Thanks so much for watching! 😊

@carolsjohnston4430 2 жыл бұрын

Thank you for a wonderful explanation of everything...very informative!

@drrajsree 2 жыл бұрын

Thanks Carol! Glad you found it helpful.

@TheSalonLife Жыл бұрын

Thank you kindly for all the information you are providing!

@drrajsree Жыл бұрын

Thanks for your support!

@angelao1953 3 ай бұрын

Wow! GREAT video!!! Very well done and thank you for your detailed information! I can't wait to talk to my doctor about this! I had a total hysterectomy in 1999 and I believe I am long overdue for a review of my hormones! Thank you!

@drrajsree 3 ай бұрын

Thanks so much for watching! Best wishes in your health, RN😊

@simonestewart2991 2 жыл бұрын

The doctors st the Hormone Rebalance Centre are the best!!! Great video

@drrajsree 2 жыл бұрын

Thanks for watching!

@claudinajames691 Жыл бұрын

Thanks for you video. It is very informative and helpful.

@drrajsree Жыл бұрын

Thanks so much for watching!

@jennifermizban1371 2 жыл бұрын

Great explanation. Thanks!

@drrajsree 2 жыл бұрын

Thanks for watching Jennifer!

@gracielaromero82 2 ай бұрын

Transformative information!! Thank you! Very easy to follow and understand! ❤

@drrajsree 2 ай бұрын

Thanks so much for watching! 😊

@Cupcakedrawings 10 ай бұрын

Amazing video ❤ thank you for all this information ❤

@drrajsree 10 ай бұрын

Thanks so much for watching! 😊

@rinagisela7459 Жыл бұрын

Great infovideo, excellent and professional explanation.

@drrajsree Жыл бұрын

Thanks so much for watching! Appreciate your support.

@petra2912 8 күн бұрын

I really enjoyed that video and learnt a lot, thank you! Having lost 4.9% bone density in 1 year on my DEXA scan, I am now seriously considering HRT. Your info was very helpful.

@drrajsree 7 күн бұрын

Thanks so much for watching! 😊 Glad it was helpful. Please check out my video on Osteoporosis!

@reneevidor6062 3 ай бұрын

Great info. Thank you!

@drrajsree 3 ай бұрын

Thanks so much for watching! 😊

@betheardley435 28 күн бұрын

I wish u were taking new virtual patients. Your knowledge is spectacular.

@drrajsree 25 күн бұрын

Thanks so much for your support and kind words.

@irmakalember9403 Жыл бұрын

I went in menopause at age 27. I got auto immune ovarian failure. My anxiety has been high ever since. As well as no sec drive. It’s sucks. I don’t get those. I went through menopause at early 30”s. Omg love ur videos dr. You are amazing

@drrajsree Жыл бұрын

Thank you kindly! I'm sorry to hear about the early ovarian failure. Best wishes in your health, RN

@irmakalember9403 Жыл бұрын

@@drrajsree I would love to see u. I have added my self on ur waiting list. I have SIBO. I got diagnosed 3 weeks ago. Thanks

@lilCaribbean77 10 ай бұрын

@@irmakalember9403Yikes, that's a true challenge. I had all sibo symptoms too & unfortunately went to a terrible dr which had never heard of it. Found great natural one and has helped greatly. Imagine sibo AND menopause UGH!! 🥵😭🥵😭😭😭😭😭

@chelseabrinkley2040 9 ай бұрын

I really enjoyed this video I really learned a lot. I’m struggling with hot flashes now and I can’t handle them and I really need something to balance them

@drrajsree 9 ай бұрын

Thanks so much for watching! 😊

@laburdette Жыл бұрын

I actually love the wedding music as the background. But seriously I love your channel!

@drrajsree Жыл бұрын

Thank you so much! I appreciate hearing from you.

@dabeezkneez8716 Жыл бұрын

Wow! Awesome video. Thank you.

@drrajsree Жыл бұрын

Thanks so much for watching!

@dabeezkneez8716 Жыл бұрын

@@drrajsree It was so well presented and informative that I subscribed immediately. Thanks again.

@drrajsree Жыл бұрын

@@dabeezkneez8716 Thanks for your support! Best wishes, RN

@breigedougan6612 6 ай бұрын

Good information in this video thank you doctor

@drrajsree 6 ай бұрын

Thanks so much for watching! 😊

@jeannejones5449 Жыл бұрын

Excellent video!! 🎉

@drrajsree Жыл бұрын

Thanks so much for watching!

@lovelyindid8460 Жыл бұрын

Thank you so much

@drrajsree Жыл бұрын

Thanks so much for watching.

@user-rm5dh8zt7b 10 ай бұрын

It's really useful thank you ❤

@drrajsree 10 ай бұрын

Thanks so much for watching! 😊

@athinna1 6 ай бұрын

thanks so much for this video. I live in New York and I would love to see a doctor as knowledgeable as yourself .I was wondering if you happen to know and recommend a physician in New York?

@drrajsree 6 ай бұрын

Thanks so much for watching! 😊 To search for a functional medicine provider, please go to IFM.org Best wishes in your health, RN

@showcaserome 3 ай бұрын

Absolutely positively ❤️ it

@drrajsree 3 ай бұрын

Thanks so much for watching! 😊 Love hearing from you!

@armel369 9 ай бұрын

A million thank you’s to you

@drrajsree 9 ай бұрын

Thanks so much for watching! 😊

@adnankaramat1606 2 жыл бұрын

Very Informative Dr.

@drrajsree 2 жыл бұрын

Thanks so much Adnan! Hope you're doing great.

@adnankaramat1606 2 жыл бұрын

@@drrajsree yeah Dr. I am doing great and how about you?

@drrajsree 2 жыл бұрын

@@adnankaramat1606 Doing well thanks for asking.

@trevorlove7290 2 жыл бұрын

Awesome content 🙌

@drrajsree 2 жыл бұрын

Thank you so much Trevor!

@DarsanaBhattacharyya 2 жыл бұрын

Good Job Rajshree Baa 👍🙌❤️

@drrajsree 2 жыл бұрын

Thanks Darsana! Appreciate your support.

@mrsmc2612 2 жыл бұрын

Wonderful Video 😊

@drrajsree 2 жыл бұрын

Thank you so much!

@mississippiapple1078 8 ай бұрын

You are amazing!

@drrajsree 8 ай бұрын

Thank you so much! 😊

@kathryncooper4001 11 ай бұрын

VERY informative video! I'm 74 years old, post-menopausal since age 38, and have always refused to take Premarin for ethical reasons. I have insomnia, weight control issues, dry skin, sore joints, and osteoporosis. I eat well and am otherwise in excellent health -- no heart disease or diabetes. Am I too old and far-gone to benefit from bioidentical hormones?

@drrajsree 11 ай бұрын

It’s rare to start hormones at age 74. Sometimes there are other non-hormonal ways to improve those symptoms. Thanks for watching!

@andriidanylov9453 3 ай бұрын

What a great video to figure out the problem from the men's side. Do You know if accepting estrogen can increase the risk of any form of cancer?

@drrajsree 3 ай бұрын

Thanks for watching. Estrogen does stimulate breast and endometrial (uterine) tissues to that's why it has to be balanced with progesterone.

@goldenbay69 11 ай бұрын

Great video - my male doctors in New Zealand are not keen to prescribe- however this will give me the knowledge - so if I had the patches will I need progesterone as a tablet ?

@drrajsree 11 ай бұрын

Yes if you use estradiol as a patch, you need progesterone as a capsule to balance it. Thanks for watching!

@feleciasmith6246 Жыл бұрын

Thanks for sharing what do you think about Harmon pellets

@drrajsree Жыл бұрын

Hormone pellets are not recommended since they can make your hormone levels really high, and can't be removed and then the hormone levels just gradually wane over a 3-6 month period. Hence, they don't mimic the natural body physiology. Thanks for watching.

@littlevoice_11 2 жыл бұрын

Please do a part 2 on diet and lifestyle. I think low carb grain free is best in this instance. Plus dr Barnard release research on omitting dairy

@drrajsree 2 жыл бұрын

Sure -- you may enjoy my videos on Autophagy, Insulin-Resistance, and Fatty Liver they have a lot of information on diet, lifestyle. Yes most of my patients do great on a paleo (grain-free) diet and dairy free.

@littlevoice_11 2 жыл бұрын

@@drrajsree when you release the diet video I plan to share it with my mum to inspire her to eat more healthy and cut out the grains, processed foods and frequent snacks/calorie drinks. I think I.F. Will be helpful too

@anilsah0870 2 жыл бұрын

#thankyouDrRajsree #informative

@drrajsree 2 жыл бұрын

Thanks for watching and commenting!

@Uradha1 Жыл бұрын

I have been using HRT for the last year. 100mcg micro Progesterone and divigel 1mcg. First 6 months, I had no problems with spotting. After that, it started spotting or acting like a regular period. Immediately I called my doctor, and she said to continue the dosage. she checked the blood test but continued the same. When getting the spotting, what do I need to do? Do I need to stop the medication or continue? Am I taking a higher estrogen dose? I want to know your thoughts. Please help me!!

@drrajsree Жыл бұрын

Spotting is often a sign of too much estrogen. You might want to get a second opinion from another doctor.

@sandys.548 2 жыл бұрын

Thank you. Excellent video. I have a question: can vaginal suppositories also be used?

@drrajsree 2 жыл бұрын

Yes, some women like them for vaginal dryness. Thanks for watching!

@shannac3141 10 ай бұрын

What do you recommend to minimize the skin irritation with the estradiol patch. Unfortunately, my skin has been breaking out with the patch! However, I really see the benefits of the medicine!

@drrajsree 10 ай бұрын

Sorry to hear this -- perhaps you have an allergy to the adhesive in the patch.. You might want to try a different form of hormone replacement. Like the Bi-est cream I mentioned in the video. Please discuss this with your doctor. Thanks so much for watching! 😊

@denisedann9761 Жыл бұрын

Love to hear your thoughts on menapause and intermittent fasting...

@drrajsree Жыл бұрын

Intermittent fasting is great in Menopause since you don't have to worry about it affecting hormones. You might enjoy my video on Autophagy and Fasting: kzfaq.info/get/bejne/rJuodahi39zbhY0.html

@lilCaribbean77 10 ай бұрын

@@drrajsreedoc, immediately after a horrible intestinal challenge that had me bed bound for 2 months, dr. Said it was highly probable to have been caused by very high stress levels. With that said I have had a LOT of gas from both ends. Burping throughout the night and sometimes day. Intestines seem to get flared up very easily. Does this have anything to do with menopause?

@chandelie4 2 жыл бұрын

Does it make sense to consider hormone replacement therapy if I have already entered menopause (stopped menstruating about 3 years ago)? I continue to have hot flashes (10 years now). I also have psoriasis (since the age of 15), Sjogren's syndrome (onset a few years ago) and SIBO. I follow a dairy-free, grain-free, low starch, low FODMAP, low-lectin, almost vegan (salmon weekly hydrolyzed collagen daily), organic diet. I eat cruciferous vegetables 2 to 3 times a day. My main sources of protein are homemade organic soy milk kefir and yogurt, and walnuts. I am currently treating SIBO for the third time, despite maintaining this strict diet and taking a ton of nutritional supplements. I adore all of your videos! They're so well made. If you ever move to Montreal, Canada, I'll be your first patient 🙂

@drrajsree 2 жыл бұрын

Yes if you have hot flashes you can consider hormone replacement therapy at any time and it can improve your quality of life. Thank you for watching.

@robinoudsema8736 5 ай бұрын

Are you following Dr Rajsree SIBO treatment protocol? I started in November and by the end of January, my SIBO was gone! I haven't felt this good in almost 2 years. (It started with a C-diff infection)

@SavannahHere 7 ай бұрын

THANKYOU♥️

@drrajsree 7 ай бұрын

Thanks so much for watching! 😊

@nazneensultana2899 2 жыл бұрын

You make sense

@drrajsree 2 жыл бұрын

Thanks for watching!

@alexiaward-gonzalez9995 11 ай бұрын

Hi I have just started watching your videos. They are easy to watch with very important information and I am now following you on Facebook and Instagram. I am 57 and post menopause I have never taken Hrt . At the beginning of my menopause I had a few hot flushes . The last year I have started to get more belly fat . I have started fasting and going to the gym. I am vegetarian and I am trying to cut down on sugars. I don’t eat pasta or bread very often if I eat bread is usually sourdough bread. Only drink water sometimes green tea or peppermint tea . I take MCT oil with aloe Vera juice and take a daily gut supplement . Is there anything else I can do to lose the belly fat? Thanks

@drrajsree 11 ай бұрын

You might like my recent video on the Hormones That Control Your Weight and Metabolism.

@scarantinos Жыл бұрын

I have 1 of the MTHFR genes. Is it possible to take bio hormones…I’m 58. After children I had problems w blood clots while using birth control..had to stop. I do feel great though. Thank you, and yep your videos are amazing! I’ve been sharing lots w my family and friends

@drrajsree Жыл бұрын

Thanks so much for watching!

@HabibeBoyraz-hg2nk 11 ай бұрын

I have benign breakfast lamps. Is it safe to use estradiol as a HRT? MANY THANKS

@drrajsree 11 ай бұрын

It's best to discuss with your doctor. Thanks so much for watching! 😊

@dianamick764 Жыл бұрын

Enjoyed your video. I have been taking BI-Est cream with progesterone and testosterone as well as DHEA in pill format for 8 years. Many of the symptoms are lessened but I cannot control my weight. I am 40 lbs heavier than before I started the regime. Should the dosage be adjusted or should I discontinue using these products?

@drrajsree Жыл бұрын

It's good to discuss with your doctor to see if there are other causes of weight gain and check your hormone levels. I typically don't find the BI-est to cause weigh gain if dosed appropriately.

@tanabarr7114 Жыл бұрын

I use forefront health biodentical progesterone from wild yam is that safe this one is to rub on gums I don’t like that so I put on my thin fast of wrist is this safe

@drrajsree Жыл бұрын

Thanks for watching!

@reneedaoud7613 28 күн бұрын

@drrajsree I have been using the wild yam cream for the first 3 weeks of the month. I have only just started and would love to know if this is the correct way. Is wild yam cream beneficial for menopause

@INAGUAPLACE Жыл бұрын

Awesome Awesome Awesome video!!!

@drrajsree Жыл бұрын

Thanks so much for watching!

@soumyatp8957 2 жыл бұрын

Hello doctor.... I m new subscriber to ur channel.... Ur videos r good informative.... Plz do a video on rhumetoid arthritis...

@drrajsree 2 жыл бұрын

Welcome and thank you for subscribing! Great suggestion I will keep this in mind.

@frozenauna8733 Жыл бұрын

I have tried bioidenticle hormones but I get so tired or sick. When I was pregnant every time I had to have iv’s because I would get so sick. But I’ve been having hot flashes and no sleep for 6 years. My hair has been falling out that whole time. What can I do?

@drrajsree Жыл бұрын

Thanks for watching. It's best if you can work with a provider directly for personalized guidance. Please check out my video on Hair Loss. Best wishes, RN

@redinarasha3229 Жыл бұрын

Thank youuuuuuuuuuuuu!

@drrajsree Жыл бұрын

Thanks for watching!

@kellys6164 Жыл бұрын

Thank you so much for this video. How long do women need to be on the Bi-Est?

@drrajsree Жыл бұрын

Some choose to use it long term since it helps them feel better. Others go off after a few years. It's a personal decision. Thanks for watching!

@migeorge8791 Жыл бұрын

A quick question dr.is it always recommended a progesterone supplement along with any form of estrogen supplement like vagifem or Premarin vaginal cream for any one with uterus ?? Even if it is a short trial of vagifem ??

@drrajsree Жыл бұрын

For vaginal creams, some would argue progesterone not needed. For systemic estrogens, for sure needs to balance with progesterone. To be safe however, may be good to balance with progesterone.

@susieandrews3025 2 ай бұрын

Thank you Dr Raj very helpful. I thought the increased risk of breast cancer was unfounded and due to a poor study done many years ago. Is that not the case?

@drrajsree 2 ай бұрын

Yes, but estrogen still stimulates breast tissue which is why we have carefully monitor hormone replacement, balance with progesterone, provide hormone holidays, do mammograms, etc. If you're under a care of a knowledgable provider, usually it's quite safe.

@valerieassar8263 Жыл бұрын

After grade 1 breast cancer 10 years ago would you recommend hrt please?

@drrajsree Жыл бұрын

No, especially if ER+ Thanks for watching.

@angelayan8712 9 ай бұрын

I had cryptogenic cerebellar stroke which am now on Lipitor and Plavix. Can i take patch estrogen so it doesn’t go through the liver?

@drrajsree 9 ай бұрын

That's a gray zone. It's best to discuss with your physician to review the pros and cons of hormone replacement therapy.

@debbiereichwein5228 5 ай бұрын

I’m 59 years old. I have not had a menstrual cycle for at least 10 years I found out I was in menopause after I stopped taking the provera shots for birth control. I don’t get hot flashes or brain fog , I have gained weight in the last 4-5 years and I do have increased muscle aches . I sleep ok and I don’t really have mood swings. I am also seeing signs of sagging skin and aging. Also my ob doctor switched me from regular birth control to provera in my mid forties because I have varicose veins in my legs which have been less painful since I stopped taking any kind of birth control. My Question is if I have some symptoms but not all of menopause what treatment would be best and does a ob doctor do all the testing or is there a special doctor that I need to see?

@drrajsree 5 ай бұрын

Some OB/GYN's do testing and treatment. Otherwise you could see a functional medicine provider trained in bio-identical hormone replacement.

@sherryament3458 Жыл бұрын

I'm curious about the window of HTR. I'm 56 and had my last period at 51. Have I missed my opportunity?

@drrajsree Жыл бұрын

No, I can be started at any age if there are symptoms that need to be addressed.

@mihaelacrainic5334 2 жыл бұрын

Thank you dr. Rajsree. Is hormon replacement indicated in the absence of menopause simptoms, just for maintaining the youth?

@drrajsree 2 жыл бұрын

Not usually, but that is a personal decision each patient should make. Thanks for watching!

@marivicasuncion4878 9 ай бұрын

Thanks for sharing ...I wanted to ask 2 questions….1.how many patches used a month? I'm 53 yrs old and 26 months ago stopped my cycle...2.better I use hrt patches.? Thank you..

@drrajsree 9 ай бұрын

It depends on your symptoms. Please discuss with your doctor for personalized guidance.

@mimidang3632 11 ай бұрын

Question? Why aren’t you mentioned troche compounds as one of the HRT? What is the pro and con of troche in HRT? Thanks

@drrajsree 11 ай бұрын

I use them rarely. For estradiol troches, some of it gets swallowed so it does get metabolized by the liver which is not ideal (oral estradiol should be avoided as it increases blood clotting factors). Progesterone troches are fine.

@l.lindaludempsey8468 5 ай бұрын

What type of testing is best when analyzing a patients hormone levels?

@drrajsree 5 ай бұрын

I order routine blood tests for estradiol, progesterone, testosterone, DHEA-sulfate, thyroid hormones (TSH, free T4, free T3)

@Sylvia1976 11 ай бұрын

I loved this but now I am very confused. I have an appt to get a pellet type hormone replacement not covered by insurance. I also tried to find someone here in NC that specializes in hormone replacement, an impossible task near me.

@drrajsree 11 ай бұрын

I don't recommend pellet type hormone replacement. It causes very high levels of hormones and can't be taken out once inserted. The levels gradually decline over a 3 month period.

@Sylvia1976 11 ай бұрын

Thsnk you!

@lyudapope2457 2 жыл бұрын

Dear Dr. Nambudripa, thank you very much for a very important and timely video! I have been on a hormonal therapy for a year, but unfortunately not very good results. How can I become your patient? Many thanks, Lyudmila.

@drrajsree 2 жыл бұрын

Thanks for watching. If you are local to my office in California, please call us to be on our waiting list 714-523-8900.

@meenakumari7886 Жыл бұрын

How ca n I become your patient

@meenakumari7886 Жыл бұрын

i, m in the stage of menopause . useful video❤️

@Uradha1 Жыл бұрын

If I take a DHEA supplement, should I use it like a lifetime hormone supplement?

@drrajsree Жыл бұрын

Blood levels should be monitored to determine if continued supplementation is needed.

@patriciapyper4617 11 ай бұрын

Why do you get neausa vertigo in post menopause thank you ♥️

@drrajsree 11 ай бұрын

You should discuss with your doctor since there could be many reasons for this. Best wishes, RN

@Uradha1 7 ай бұрын

For the last two years, I have been using bio-identical HRT treatment. Now, my thyroid TSH level is high. Do I need to increase my armor thyroid? Please help me out?

@drrajsree 7 ай бұрын

If your TSH is high, please discuss with your doctor about increasing your Armour dosage.

@patriciapyper4617 11 ай бұрын

Can you up your evorol Conti patches l am on evorol Conti patches small dose

@drrajsree 11 ай бұрын

Thanks so much for watching! 😊

@LuLU-ep7wf Жыл бұрын

I am on one pump on Estrogel .06% estradiol and 100mg prometrium, but lately i am having a bit of hot flashes etc, so i increased to two pumps and i feel better my question is do i have to increase the progesterone as well? Please help Thank you so much for all the info

@drrajsree Жыл бұрын

I apologize I can't advise you directly on dosing. Please discuss with your doctor and have your labs tested as well. Best wishes, RN

@LuLU-ep7wf Жыл бұрын

Thank you ❤️

@brendastrickland9321 9 ай бұрын

Get the yearly mammograms, self exams every month because breast cancer is a reality

@saintonerism 8 ай бұрын

Hi Doctor...I love your videos, talks, advise. Can you do a video about male hormones. Also, how can I become your patient?

@drrajsree 8 ай бұрын

Here's my video on Male Hormones: kzfaq.info/get/bejne/mLF7oKSc0KuzoHk.html I apologize I'm not taking new patients at this time. I hope some of the tips in this video can help you. To search for a functional medicine provider, please go to IFM.org Best wishes in your health, RN

@cathybedwell1877 2 жыл бұрын

Women have reported their menopausal symptoms disappearing after having celery juice - 2 cups every morning, pulp removed, 30 minutes before breakfast. I was doing it every morning for 3.5 months this year, and have personally not experienced period pain since.

@drrajsree 2 жыл бұрын

Thanks for sharing! Celery juice is great for reducing inflammation.

@udombank1960 8 ай бұрын

Thanks Dr, for the info, just subscribe to your channel. i just started using CEE few days ago to curb the effect of my severe hot flashes. But seeing you explained it consequences i became afraid. Please can i use DHEA . Thanks in anticipation❤

@drrajsree 8 ай бұрын

Thanks for watching and subscribing! Yes maybe you can ask your doctor about Estradiol Patches -- it's the easiest and most popular option these days for HRT, generally also covered by insurance. Yes I recommend DHEA if patients' levels are low. Optimal is 150-250 on lab for DHEA.

@udombank1960 8 ай бұрын

@@drrajsree Thanks Dr for your time 🌹

@MichelleWatkins2 Жыл бұрын

What is a good balance between E and P? Is there a general ratio as a guideline?

@drrajsree Жыл бұрын

Not exactly.... There's a range Thanks for watching.

@lorimurphy8262 Жыл бұрын

My dr has me on bioidentical troches. How do you feel about them?

@drrajsree Жыл бұрын

Yes they are used sometimes and can provide good absorption. I prescribe these for a few select patients.

@patriciapyper4617 11 ай бұрын

I use evorol Conti patches

@drrajsree 11 ай бұрын

Thanks so much for watching! 😊

@annlopinto2797 Жыл бұрын

My doc recommended Premarin but I don’t want it cause of side effects should I ask for Bi Estrogen cream my vagina very dry

@drrajsree Жыл бұрын

Yes you can ask for it; hopefully your doctor is knowledgable in this area. Best wishes, RN

@ushalovekrishna 2 жыл бұрын

I am 31 doctor has told i have premature ovarian failure. So early menopause I can never have child. Can this be reversed doctor. Or I can have child with my own egg. My fsh is 28 and amh is 0.01

@drrajsree 2 жыл бұрын

For definitive premature ovarian failure FSH should be > 40, but low AMH does suggest low ovarian reserve. You may want to get a second opinion from another provider. Thanks for watching and best wishes, RN

@nichmon3221 9 ай бұрын

I started my first bio-identical hormones two days ago and I feel much better. Unfortunately, this brand (Xiromed) is made with peanut oil and contains titanium dioxide, therefore my peanut intolerance makes my nose run and sometimes stuffy. Who knows what the titanium will do. Maybe it's worth the price I will pay.

@drrajsree 9 ай бұрын

Sorry to hear this! There are compounded pharmacies that make without peanut oil and fillers.

@poonamrallan8003 10 ай бұрын

Very informative nd helpful. I m a perimenupausal woman , we don’t have trained doctors here in India. How can I seek consultation from you.?? Pls, guide.

@drrajsree 10 ай бұрын

Thanks so much for watching! 😊 I apologize I'm not taking new patients at this time. I hope some of the tips in this video can help you. To search for a functional medicine provider, please go to IFM.org Best wishes in your health, RN

@N17sd 6 ай бұрын

Hi doctor, a question: if pregnenolone is converted to DHEA why do we need DHEA too? Thanks

@drrajsree 6 ай бұрын

It's helpful when taken together. Thanks for watching!

@N17sd 6 ай бұрын

@@drrajsreehelpful in which way doctor? Thanks ❤

@bthelight4444 10 ай бұрын

From juicy 🍇 to dried raisin.. nailed it

@drrajsree 10 ай бұрын

Thanks so much for watching! 😊

@sanamoyeshnazarova4527 11 ай бұрын

I didn't have my priode and i have pain i feel i will have my priode but no priod . Please can you tell me how i can take Progesteron in one day how much? How long ?for take my priode back

@drrajsree 11 ай бұрын

It's hard to advise you here. Please discuss with your doctor. Thanks so much for watching! 😊

@rhondaurb 3 ай бұрын

This is an excellent video. Just one question, would a woman have a period during the hormone holidays?

@drrajsree 3 ай бұрын

Great question. No, typically the hormone levels are not high enough to cause a period. We want to avoid any bleeding or spotting which could be a red flag of too much estrogen or abnormal cells in the uterus.

@rhondaurb 3 ай бұрын

@@drrajsreethank you 😊

@lovelyindid8460 Жыл бұрын

I am in my 60s loosing hair not shut if hormones therapy can help

@drrajsree Жыл бұрын

Yes it can sometimes help, but there are other factors that cause hair loss. Please watch my video on Hair Loss for more details.

@aashiqaabrahams666 9 ай бұрын

What's the name of the song in the background

@drrajsree 9 ай бұрын

I believe that's Pachabel's Canon in D Thanks so much for watching! 😊

@mrsmc2612 2 жыл бұрын

What is the name of the actual FDA approved progesterone prescription that is NOT a progestin? I would like to ask a local physician about a prescription.

@drrajsree 2 жыл бұрын

It can be prescribed as generic "progesterone" now, but the other brand name is Prometrium.

@mrsmc2612 2 жыл бұрын

@@drrajsree thank you so much.

@nounan1013 2 жыл бұрын

Can you talk to us about hormonal IUD? How they impact menopause? I’ve had one for three years now and I’m premenopausal.

@drrajsree 2 жыл бұрын

@@mrsmc2612 you're most welcome!

@drrajsree 2 жыл бұрын

@@nounan1013 Great suggestion for a future topic/ video. Thanks for watching.

@marlarangeloff5163 10 ай бұрын

Only if your at risk for blood clots. Oral estradiol is more studied then the patch or gel. Both pose same risks besides blood clots

@drrajsree 10 ай бұрын

Thanks for watching!

@bobbiierullo2673 Жыл бұрын

My last period was January 2021 I was 46 turning 47 in July that year. Should I be on HRT? Does that seem too young to have finished menstruating?

@drrajsree Жыл бұрын

That is a little early. You should have your doctor check your labs to verify if you are truly in menopause.

@bobbiierullo2673 Жыл бұрын

@@drrajsree Thank you. 🙏🏼

@drrajsree Жыл бұрын

@@bobbiierullo2673 You're welcome

@sulaikhaa2835 9 ай бұрын

I am at 54.l am in post menopause. Suffering severe hot flashes since four👍🏻years. Severe means so severe. Hot flashes with fluttering. Both day time and night. Insomnia💐also. Can l possible hormone therapy? Is it safe for me?

@drrajsree 9 ай бұрын

It's best to discuss with your doctor to discuss the pros and cons. regarding safety.

@patriciapyper4617 11 ай бұрын

Were is the best place to put the patch l put mine on my bum cheek 😊❤

@drrajsree 11 ай бұрын

Usually the estradiol patch is placed on lower abdomen near bikini line

@user-uc4fx5tn8s Жыл бұрын

Can a woman get preagnent after menopause at the age of 43? HRT will effect her preagnency or not.

@drrajsree Жыл бұрын

Hormone replacement therapy cannot allow a menopausal woman to become pregnant

@debraresman6310 2 жыл бұрын

How long should a person stay on bioidentical hormones?

@drrajsree 2 жыл бұрын

It's a personal decision. Some of my patients choose to stay on it long term due to the great benefits. That's why I encourage the "hormone holidays" (days off from the hormones as I described in this video) to help improve the safety for long term use. Of course they should be closely monitored by a qualified provider.

@debraresman6310 2 жыл бұрын

@@drrajsree Thank you for your response. I just started watching your videos and appreciate the time and effort you spend on them to educate us.

@drrajsree 2 жыл бұрын

@@debraresman6310 Thank you kindy!

@jaynelesley4983 Жыл бұрын

I never went through it becoz of omega 3s evening primrose oil and then advocados

@drrajsree Жыл бұрын

Thanks for watching. Yes that’s a great tip!

@70goddess 13 күн бұрын

Hi I am struggling to loose weight menopause what can take?

@drrajsree 11 күн бұрын

We see good results with Berberine Pro and Metabolism Support. Thanks for watching! You can shop for any of our supplements here: dr-rajsrees-public-supplement-store.myshopify.com/