Gosh, why on earth would people try to silence you, Dr Louise? You are an absolute gem of a woman, and our heroine. x

I have dealt with pmdd my whole life, reprieve during pregnancy and breastfeeding, struggled with eating disorders since I was 16, just started progesterone only birth control which will be available OTC soon. HUGE difference, I CAN manage my emotions!!!!

We truly love this doctor she is doing worldwide a mission helping us women suffering God bless her and her family ❤

Really interesting talk - the immediate prescription of SSRIs to any female with any physical symptom the doctor cannot (be bothered to) understand is so lazy and misogynistic and harks back to the concept of hysteria. I am so glad you were able to find and advocate for effective treatment.

This is so sad. Suffering with PMDD and knowing what we need but can't have it 😭 I wish yous were my doctors!

Thank you both, so much! I suffered with PND and was on SSRI's for a long time, wish I'd have known this 25 years ago!

Thank you so much for this, it’s very informative. I’ve suffered with PMDD for over 30 years and I found your comments about diet very interesting having also suffered from an eating disorder over the same time period.

Thank you ladies. All the work you do for all of us is so vital. Why are GPS reluctant or prevented to prescribe Testosterone as my GP. Yet a friend in next town was able to get it from her GP. Is there’s a postcode lottery for this hormone

What's fascinating is that some menopause experts, like Dr. Taylor, say progesterone is only for the baby and that we don't need it. And yet here it sounds like a very valuable hormone.

I would love a video on women and after effects of hysterectomy and hormones

Oh i wish i could see one of you. I'm so mentally unwell. I have pmdd, adhd and M.E, now Cauda equina syndrome and spinal disease for good measures 😢. It's took me 5 locum doctors to finally get HRT, i couldn't for love nor money get an appointment with the female gp in my practice. The first locum sent me away and said i was too young (I'm 45!!) The second locum sent me for blood tests which showed i am peri (the fsh numbers?!) He said he would see me back to look at treatment but didnt come back to the surgery. 3 locum i saw said he would have to refer me due to a blood clot which was never actually diagnosed because the hospital forgot about me! (Had suspected P.E after my second spinal surgery as i was immobile and wasnt given blood thinners!) I then got a call to go and see who i thought was the same gp as they got a reply from gynecology. It was a 4th locum who was incredibly arrogant and rude. He was more hung up about me complaining and blaming them if i took HRT then got a blood clot! He said on my head be it 😢. I was so upset and made to feel so small i didnt get to ask any questions. I picked up my prescription tonight and theres no instructions on how to take it. Why do they give one size fits all HRT?!? Im so scared as im certain most of my issues with histamine are because of estrogen dominance so putting a patch on will be like adding fuel to the fire! I have high inflammation, itching (ive always had hormonal itching when estrogen is at its highest) joint pain, itching watering eyes, skin flares and my fight or flight is bad, i feel so wired and mega depressed. I think i need more progesterone not more estrogen. How do i get an appointment at your clinic? Can i when i live elsewhere?

Questions that come to mind: Do estrogen receptors (in the brain) "re-grow" or re-awaken if starting HRT 10 yrs past menopause? And, so if one were to take progesterone rectally, you're effectively multiplying the dose by somewhere around 10x? And, do you have to take progesterone orally in order to get the sleep benefits?--can you experience improved sleep taking P as a suppository? What a puzzle it is to find all these little pieces.

Wow… I’ve been fighting so hard for progesterone. UK NHS doctors refuse as I’ve had a hysterectomy but my mother and Grandmother both committed suicide at menopause age. Progesterone makes me feel so much more stable mentally. When will the NHS accept this?

Thank you, Ladies. Really helpful. Appreciate the time you take.

Thank you! Very interesting again. Keep up the great work 💞

thank you. i am now on hrt and feel a little better every week!

Dr Wards story Sounds like my journey without the medical degree, we went through the PMS society for help, no internet in those days. Cyclogest was given to me by my GP on my request, but only for 3 months I bloated like crazy on it. It did make me feel better. The post natal depression was horrendous lasted 5 years ! I’m 55 on continuous regime using Oestrogel and utrogestan vaginally still struggling. What do I try next 🤦‍♀️ my GPs both women are fairly uninformed, its awful. I struggle with sugar cravings lol, was chocolate but anything sweet will do now. 🙄 I seem to be a work in progress as my symptoms are far from settled.

I have massive alcohol cravings in the second half of the month. I read that progesterone fall, in which Progesterone attaches to the same neurotransmitters than alcohol and benzodiazepine so it makes sense that I crave alcohol as I am withdrawing from feel good feeling of progesterone. I have aura migraines when I was young so cant take the combined contraceptive. The gyno wants me to go on medical menopause but I haven’t had a hormone test, no tests for thyroid or vitamin, and no conversation about hormone balancing. Feel like the approach is not holistic and a tick box. SSRI - tick. Combined contraceptive - No. ok, now we push you through menopause. It seems extreme

Progesterone, natural micronized, oral, or troche, or cream 100 mg or 50 mg....causes fatigue and depression, and irritability.. tried it all. I'm 61, having estradiol patch, have a uterus. What to do. So frustrating with the progesterone. May need to stop altogether but want the estrogen. Any suggestions would be helpful....

Can Utrogestan be used vaginally even if we had hysterectomy - no womb? I had similar experience but after hysterectomy and was treated with SSRI (no suspect on hormones 😞) and now after 5 years again the similar episode of high intensity PMS. Again dr with SSRI but I got curious and after few months went to a gin. which diagnosed stoped ovaries function and I started with bio-id. hormones - Lenzetto and Utrogestan orally. Still month after struggle and my gin said never enough of prog. or estrog. and that statement made me change my gin because this did not resonate with me and I got curious further and learnt on estrogen dominance and low progesterone by my own. I took a blood test and see that I had now enough estrogen but the ratio was so low and it resonated with my symptoms. Obviously here I had first low est and prog and estr dominance, while now I have low prog and estr domin. Hope to resonate with my new gin. and find a way out of this disabil. state and later engage to promote education to woman here in my area. There is still so much luck of knowledge in medical specialists area alone. Thank you so much for this video and others you do to help us understand!

No mention of mirena as progesterone, 3 months is ridiculous to wait for something to work. Im 40 on hrt for months not working, actually my pms and heart palpitations are worse. I had mirena 4 days ago on estrogen estradiol gel 2 pumps a day. Im like this since 36 , last 2 years been hell on earth. I really hope this combination works. Only hope i have left.

Very interesting. Does the same go for synthetic oestrogen, does it not fit the receptors properly either? Because I'm on the combined pill and still experience a lot of perimenopausal symptoms. And I always wondered if that's possible whilst on the pill, or whether my symptoms have a different cause?

I really enjoyed this podcast dr Louise . Peri menopausel lady here 50 years of age , was put on sR i 7 years ago which never helped only watching you I suggested HRT to my GP . Been on HRT 2 1/2 years now on 4 pumps of estrogel but 100 of utrogeston. But am still having very low mood day’s specially around my period time . I may ask my gp can I up my utrogeston I already take it vaginally. If that don’t work then maybe an goin to try testosterone

My GYN just prescribed me Estrodil PMDD but you say progesterone:/ now im scared to try the estrogen

How much progesterone should you be on of you are on 75 oestrogen? Thanks

What is your opinion/experience on using the mirena IUD as the progesterone piece of hrt?

Can you explain why taking natural progesterone could alleviate your symptoms when PMDD is defined as "progesterone hypersensitivity"? Progesterone is thought to be the cause of PMDD, so how is taking more going to help??

I’m from the US so trying to understand the terminology.. when you say “presaries” do you mean oral or vaginal progesterone?

I made comment on one of your other vids which I was pro progesterone becus it has changed my life in a good way. It is the first time I can sleep with decades long insomnia and all I did was rub in progesterone cream into my skin about a dime size or more twice a day? After that, I am able to sleep like a baby and rarely even wake up all night long. Not to mention the bountiful energy I have now too. To narrow down or better maybe to say 'isolate' a hormone to only having one function seems really obtuse somehow? So because if a woman who no longer can have children, either post menopause, or without a uterus. doesn't have capacity to bear children then we don't need progesterone? Based on my experience, some of us do need it anytime or any age because evidently I needed progesterone even in my 20s 30s etc etc and suffered these things for nothing because had I known I would have requested hormone therapy in my earlier years, for sure. Thanks for all your doing and best wishes!

If taking micronized progesterone cyclically (12 days a month) with the estradiol patch to induce a monthly cycle, will taking progesterone vaginally produce the same effect? I hope some one can answer this

When taking progesterone, it moves the estrogen and needs Estroblock to assist in some cases.

I'm 62 and had hysterectomy 5yrs ago. No hormone replacement what can I do? Is Premarin low dose good?

Does Dr. Hanah Ward say, she´s taken not only P. but also E. ? I think tis dosen´t make sence, because if your are deffidient in progesteron or in other words Estrogendominant, think it dosen´t make any sense to also take estrogen up.Then you will never balance E:P out. And the balance we´re seeking is E: P = 1:200! I´ve got a question, what if my P. level is really empty (due to high cortisol) so that taking P. chronically still dosen´t stop my body from bleeding (Period after Period) -> which must mean, the P. value will need a much higher dose of. P. to be filled up. In this case , is there still hope for me, that filling up P. will solve my mental problems like beeig lethargic and depressed or is it more likely that the imbalance of Progestron already has cause a dysbalance of Neurotransmitters? And therefore i will need anti depressant to solve the dysbalance?

Its a bit sad imo. If you can't tell your life story on the top of your head, and have to read it, scared that you might miss something....just sad