Cyclic HRT: benefits of cycling estradiol & progesterone for women in menopause

Cyclic HRT: benefits of cycling estradiol & progesterone for women in menopause | Felice Gersh, MD

Рет қаралды 11,884

Күн бұрын

Most doctors prescribe low static doses of estradiol and progesterone because that is the easiest way to treat hot flashes without period bleeding. And this approach is much, much better than nothing.
But! Low-dose static HRT does not give you enough hormones to optimize healthy longevity. Instead, I prefer to prescribe estradiol and progesterone in a cyclic manner at levels similar to those found in reproductive-aged women.
Likely benefits of this approach include:
* building healthy bone
* building healthy neurons
* repairing and rejuvenating the cardiovascular system
* lowering inflammation
* suppressing cancer tumor growth
* lowering the risk of cancer metastasis
To learn more about my approach to Cyclic HRT, including detailed information on dosing, check out my HRT Course:
felice-gersh-md-courses.teach...
Watch for my latest Instagram lives at
/ dr.felicegersh
I am a full time practicing doctor. I see patients in my office in Irvine, CA and worldwide via telemedicine. If you need more healthcare assistance than I can provide in a video series, please contact my office:
integrativemgi.com/
---- Contents of this video --------------------------
00:00 - traditional HRT
04:32 - Cyclic HRT for healthy longevity
05:50 - Estradiol helps the body grow
09:23 - Progesterone is the opposite
10:57 - The beauty of the period
14:34 - You want a pretend period

Пікірлер: 212

@cozinha8945 3 ай бұрын

KZfaq can be one of the most beneficial resources at no cost. Thank you, Dr. Gersh! You're helping countless women.

@FeliceGershMD 3 ай бұрын

Glad you think so!

@janinedance102 3 күн бұрын

@@FeliceGershMDI’m 52 and still on cyclical HRT. So after listening I’m wondering, Do I ever change to continuous HRT?

@StrideOrDie71 27 күн бұрын

This is amazing. My dr wants me on continuous HRT, but I’d rather go the cyclical route. Go back ten years and tell me that in the future I would actually WANT monthly bleeding. I’d have said you were insane. 😁 Knowledge is power!

@AliciasHealingChannel 3 ай бұрын

Please train these social media menopause “experts” there’s so much misinformation and poor protocol sharing by MDs in social media. ❤

@gina888warhol1 22 күн бұрын

Watch out for overpriced “doctors” or menopause “experts” needing 900.00 !!

@Erikalee-ki4hn Ай бұрын

Im 47 and post menopausal for 2 years. I believe its yway too soon and nobody is listening to me. Having this info i may believe i can go in and speak to my dr more educated to be able to get my point across better. Drs not listening seems to be a growing issue especially with women in my opinion. Only education can fix this. Ive watched a few of ur videos and I appreciate the knowledge ur offering

@alexandraferreira561 24 күн бұрын

Indeed in all around the world 🤍🇵🇹

@MS-sr1fe 3 ай бұрын

Heard so much of the brnefits of cyclic HRT but most OBGYN'S provide it durin perimenopuse and shift to continuous once you are post menopause. Thankyou for your insights.

@tangoone4047 Ай бұрын

i love this woman! too many ladies get misinformed during this time of their life!

@gina888warhol1 22 күн бұрын

Yes so much!!!!

@eviltwinnancy4561 3 ай бұрын

You just confirmed my thoughts on HRT. My Doc doesn't get it. I'm being under dosed for my doctors' piece of mind at the expense of my health.

@peacepocket 3 ай бұрын

may I ask, what dose did the doctor give you?

@auaticamazon 2 ай бұрын

I think I am too . I was told start with 0.05 mg day estradiol and no progesterone necessary post hysterectomy. I’m going back to debate this and found this info very empowering , thank you Dr Gersch

@cleanqueen75 2 ай бұрын

I’m 67. You don’t believe in daily progesterone when taking estradiol? My hormone doctor has me on those creams for 6 days a week for the last 12 years.

@deborahbonner9271 Ай бұрын

You just described the experience i jad with my doctor. So freaking frustrating. I starete doiig my own research and seekinf out doctoes that have kept with studies on HRT and menopause and keep themselves up-to-date on a regular basis!!

@gina888warhol1 22 күн бұрын

1 ) Find another doctor 2) Do not trust doctors on youtube that advertise tele health services at a coast of over $700.00 for a tele health visit!!! 3) Read educate yourself as much as possible! 4) If you feel a bad vibe with your gyn find another!!! I went through 5 drs and Nps and none of them seemed to have a clue about what they were doing!!! And finally most important than anything Never pay over 700.00 for someone’s advice. A women can see a doctor and get hrt even if they have money problems or no insurance. Try planned parenthood!!! And listen to Dr. Gersh so far she has been direct not misleading and I don’t see her charging outrageous money for an appt . It looks like her website is straight forward!!! Ladies this menopause thing is a hot topic now with all the baby boomers children generation x getting older. There are more scams out there targeting and misleading terrified women. I know because I was mislead. Then I educated myself and feel a power and knowledge no one can take away.

@lolasen1206 3 ай бұрын

What are the proper blood levels for estrogen and progesterone? Thank you!

@kjbrocky 2 ай бұрын

Fantastic explanation! Thank you so much!

@gina888warhol1 22 күн бұрын

Thank You for being direct about this!!❤❤

@user-lt7bh7gh1o Ай бұрын

Thanks so much dr Gersh. Your explanation is down to earth, highly informative and easier to understand. So grateful!

@sheilakelly6015 Ай бұрын

Very informative and enlightening. Thank you for this great resource.

@GodsChild-128 Ай бұрын

Dr Gersh…you are such a gift to this world. THANK YOU ❤

@melissalovelady5459 Ай бұрын

Thank you for explaining hormones so i can finally understand!

@musdoc Ай бұрын

I love this woman, Tracy, Marshall Bell

@equallove0 3 ай бұрын

Thank you so Much Doctor 💝💝New to your Channel

@kiramiftari9486 3 ай бұрын

Thank you - great video, Dr Gersh! What is yr opinion of WILEY PROTOCOL?

@gina888warhol1 22 күн бұрын

I ❤❤love your direct advice. It’s nice to listen to somebody like you who isn’t taking advantage of women by feeding them misinformation half truths and way overpriced 700 and up for a tele-visit!!! There is No reason a woman should ever have to pay over 700.00 for a patient consult!! Thank You for being straight forward and not taking advantage.. Also is starting at 1mg of estradiol patch effective????

@pennynichols 2 ай бұрын

Dr Hersh provides a very convicing and detailed explanation of the necessity in cycle the progesterone. Unfortunately she is not providing the simple way to do this. The people posting comments are trying to help and are also asking the same questions. Not sure why Dr Gersh can't answer. Maybe its in a book she sells. Does anyone know this?

@bluejean-1968 Ай бұрын

The Wiley Protocol. Be sure to use a progesterone cream that your body can absorb. I don't use the standard 20% cream. 5% works.

@SS-dp7lt 15 күн бұрын

@@bluejean-1968what?!

@SS-dp7lt 15 күн бұрын

She does this with everything. She wants to sell her book and for ppl to pay to work with her

@preeti9710 11 күн бұрын

I wish we had someone ike you in India. This is amazing information

@donnalynnk38 3 ай бұрын

Your talks are so incredibly informative! Much appreciated Can you give any feedback on your opinion of loestro fe in perimenopause?

@FeliceGershMD 3 ай бұрын

Oral contraceptives are not a favorite but sometimes need to be used to control uncontrollable bleeding. Of course they also are contraceptives. But as a general rule, I prefer human identical hormones over endocrine disruptors!

@stef3565 2 ай бұрын

Thank you making this video. I was just started on Estradiol patch and Progesterone. I am post menopausal. Have a womb and recently diagnosed osteoporosis.

@leenickshramko1100 24 күн бұрын

My insurer won’t pay for progesterone! How do you get yours paid or do you self pay? If so, what are you paying monthly.

@stef3565 24 күн бұрын

@@leenickshramko1100 I have bcbs. it's like $25 for both. testosterone is not covered, of course, and is $100 a month.

@Drd7682 Күн бұрын

@@leenickshramko1100I just looked it up. You can get 90 tablets of oral progesterone at Mark Cuban’s online pharmacy costplusdrugs for about 30 bucks.

@RodeaDrive 3 ай бұрын

This is so fantastic, Dr. Gersh. I will definitely sign up for your course. I am about to start HRT in perimenopause and have a lot of questions around this. Hopefully your course will help answer these questions. One question that I would really like to know as well is whether a woman in her 70ies could start HRT if she has never been on HRT before and went into menopause at 54. She has a lot of anxiety and trouble sleeping as well as vaginal dryness but otherwise very healthy, very physically active, healthy body weight, great insulin sensitivity, low APO-B, Coronary Calcium Score of 0, low blood pressure and no medication. Could she potentially benefit from HRT if the HRT is prescribed in the way you normally prescribe to patients? Thank you so much in advance.

@FeliceGershMD 3 ай бұрын

I can’t answer questions about any specific individuals … but as a general statement, I do not concur with the so-called timing hypothesis and strongly believe that even a late start on hormones is good. Early initiation of hormones is best … but if you don’t have any absolute contraindications, the present is the time to start on HRT! Better late than never … as they say!

@kidges3132 Ай бұрын

I have been prescribed an 0.1 estradiol patch and 100 mg of progesterone. Sooo I don’t have to take progesterone if I am post menopausal and have a uterus? I will have bleeding every month? I’m so confused and this is the first time I’ve heard of this approach. Do I not place the patch at certain times of the month or just use as prescribed? I’m actually excited about the possibilities. Thank you for sharing your knowledge.

@tangoone4047 Ай бұрын

Dr Gersch, is it safe to say estradiol cream is the preferred dose? BIEST is out there w confusing information w the cream being 80% usually as estriol ? thoughts? thats not strong enough for cyclic method. right?

@user-nw2cs6ex9o 3 ай бұрын

It seems estradiol therapy should be started along with progesterone prior to menopause. Does this affect ovarian production of these hormones, when they applied topically?

@smoothjazz1954 24 күн бұрын

I’m starting back on hormones at 69 years old. I took them for years then stopped for about 2 or 3 years! I don’t have any estrogen, 000 haha. What would be a good low mg of both Progesterone/estrogen/Dhea, ??? You so awesome! ❤️😊

@kathief3953 2 ай бұрын

Can you do a video on HRT with IUD Is it important to take oral progesterone for health benefits if you have the IUD?

@msm1309 2 ай бұрын

Thank you very much!! Please speak in details how to mimic the cycle. And for the “period time” you recommended to stop all hormones and restart after with a small dose ?

@melissalovelady5459 Ай бұрын

Yes. That is my question too. I want to understand exactly how the cyclic theory works out in day to day so I can have the conversation with a local doctor.

@jamiehoward6906 24 күн бұрын

@@melissalovelady5459Wiley protocol

@cm1906 3 ай бұрын

Thank you, Dr Gersh. I wonder if you could do a follow up video on the potential impact of long-term cyclical HRT on breast cancer risk. It’s my understanding that the number of menstrual cycles a woman has experienced has been identified as a risk factor for developing breast cancer - the more cycles, the higher the risk. Would cyclical HRT produce the same changes in breast tissues as “cycling” during a woman’s fertile years? Would love to know! 😊

@FeliceGershMD 3 ай бұрын

I will!!

@cm1906 3 ай бұрын

@@FeliceGershMD Thank you, Dr Gersh. Looking forward to it!

@lisao3041 Ай бұрын

There would need to be a long-term study in order to prove the benefits of any HRT after menopause. No one is going to fund that unfortunately. Anyone who makes a claim without studies is speculating.

@Hollowmoon007 3 күн бұрын

I’ve heard other doctors say that having periods increases risks for certain cancers while taking progesterone daily epsiclakh in iud form such as mirena reduces many risks including cancers. I am wondering if you can address that topic Dr Gersh. Thank you for your detailed videos. They’re excellent.

@lightladyq665 2 ай бұрын

What type of cycling is recommended for a women in menopause with endometriosis? Is it still safe to take estrogen unopposed for 2 weeks each month?

@TiffanyKramer-rv8fl Ай бұрын

I love Dr Gersh!! I have learned so much! I took the course and followed the instructions exactly. I had the worst mood swings of my life. I was depressed, weepy, and irrational. The cramps were so intense and the "period" lasted two weeks. I powered through for three months. I almost ended up in divorce court. I had horrible PMDD when I was in my reproductive years. The treatment was birth control pills without taking the inert pills. That worked for me but I only did it for a few years. When I stopped the PMDD came roaring back. So my question is how does a woman who can not handle the hormone drop each month proceed? I am currently using a static regime with a very high dose of estrogen and I am joyful and energetic. Do I just stick with that? Or maybe try the cyclic regime less often?

@suesmith2360 18 күн бұрын

What is your dose of oestrodial. I take .05 but want to go up to 1 and my doctor won't go there 😕

@user-yn3pi3np1u Ай бұрын

Do you have any studies I can read that discuss the benefit of cyclical progesterone that I can show to my wife’s menopause doctor? Thanks

@danielleparillo1910 Ай бұрын

Can you explain how to do this if the typical prescription dose does not? Doctors just don’t want to prescribe differently than the “normal” dose. Thank you. 😊

@larainekiel2281 3 ай бұрын

What if you have had a hysterectomy? Does it still work to do it that way with the estradiol?

@jbonomo9 22 күн бұрын

Can a woman over 70 safely begin HRT? Unfortunately, I did not get this information after menopause. Now I have osteoporosis and very low energy with no explanation.

@erikacavalcante1811 3 сағат бұрын

Up to ten years after menopause !

@muchasalud2011 2 ай бұрын

Dr. Gersh...does your method follow the Wiley protocol or something similar? Thank you.

@lisao3041 Ай бұрын

In that it’s cyclical, it does follow the Wiley protocol. The levels in the Wiley protocol can be a little too high, though.

@cr-iv1el 3 ай бұрын

Is this ok for cancer survivors?

@NikasNeuroNuggets 2 ай бұрын

Do you prefer bio identical hormones is there a difference?

@user-bj3or8cz4q Ай бұрын

I'm post menopause and too much HRT aggravated my fibroids, caused polyps to grow in the cervix and uterine lining and caused the lining to get so thick that I had to have a D&C. While I believe in HRT in theory, it doesn't seem to like me.

@alexandraferreira561 24 күн бұрын

You did the HRT bio?

@tmc4771 7 күн бұрын

Because you probably need more progesterone than estrogen. Estrone the bad estrogens feeds fibroids

@Gannusya17 2 ай бұрын

Is it ok to be on cyclic HRT if there is a small uterine fibroid? Isn’t the cycle going to stimulate the fibroid to grow?

@Aisstylish Ай бұрын

Can I ask, what happens if you have uterine fibroids? Will having an 'optimum' amount of estradiol and progesterone stimulate the growth of fibroids and the existing ones, (I have 17 small ones currently) grow larger?

@user-wq3vg3nl8u 29 күн бұрын

I live in Colorado. Do you have a list of doctors who have taken your course and who prescribe hormones this way?

@mhrgall 2 ай бұрын

Ok so I've watched quite a number of your videos and Dr. Havers (thanks both!!)...but...WHAT amounts of estradial and progesterone should we be taking? Im utterly confused, and have no idea what to ask/tell my doctor! Thanks.

@SS-dp7lt 15 күн бұрын

Start low and titrate up until you have symptom relief. Patches start as low as 14mcg. That’s what I’m doing right now. Prometrium 100mg cyclical.

@SusiePettit Ай бұрын

I'm cycling my progesterone and am having worse pms than I ever did before and I think I'd probably be better off w consistent progesterone. thoughts?

@denisesorenson4000 19 күн бұрын

Where can I find a doctor that will do this in Kentucky?? I really want to do this!!

@katherinemoon8901 Ай бұрын

I don't have a uterus and am post menopause I have 0 hormones of estrogen and progesterone according to my blood work. I have history of brest cancer in my family. Should I be on hormones?

@222dyan 16 күн бұрын

What are your thoughts for this same protocol for woman who are post-menopause and have had a hysterectomy as a result of uterine cancer? But clear of cancer many years. They really scare people about estrogen after any forms of cancer.

@yiqinsun389 Ай бұрын

What about for these people who are on cyclical HRT BUT no bleeding? Does this mean the progesterone is not enough?

@michellemustari498 2 ай бұрын

What if you're doing this kind of rhythm if I've had an ablation does it really matter how great my hormones are as far as being at the right numbers will I not get a period I've heard you will not get a period if you've had an ablation done on the uterus

@susananderson9619 2 ай бұрын

So,is it a good sign that I never experienced any hot flashes, nor night sweat 15-20 years ago. I'm now 65 and went thru menopause around age 50-52 . But bizarrely ,a couple months ago, I suddenly was having hot flashes for a couple months. It really took me a couple weeks to figure out it was hot flashes,because of my age and never having them before.

@stacychapman561 14 күн бұрын

What if you are in perimenopause and you still have a cycle, albeit an erratic one? Do you need .05 if you’re still making some estrogen? How do we know if it’s too much estrogen at certain times during the month?

@kettymanno7256 2 ай бұрын

I am a good example of what you are describing Dr. Gersh. I started taking transdermal HRT since 57, I am now 60, my bone density has gone from-2.5 to -2.9 and my cognitive abilities have declined greatly. I was one of the strange women that always felt amazing during my period. I am not sure if my gynecologist will prescribe the hormones you describe. I wasn’t privileged to have kids and hopefully that does not matter and my questions is how can I get a doctor that prescribes it.

@olderandwiser127 2 ай бұрын

Fb group fixaflash is a good resource. Also, Womens Health Network

@peacepocket 3 ай бұрын

I tried cyclic HRT and the bleeding was very heavy, even heavier than it was when I had a period. I opted out. I'm currently on 0.05 estrogen patch and 100mg of progesterone daily. what you are saying makes a lot of sense.

@sabinehoehlmueller3190 2 ай бұрын

So did I! I was on 200mg progesterone two weeks on and two weeks off. I bled like two weeks each month and it was terribly heavy like something was slaughtered inside of me. My iron levels became very low too. It was nothing like a normal period. Ever since I'm taking 100mg progesterone daily, the bleeding stopped. Unfortunately, the nightsweats are back though :-(

@carlottataykowski143 2 ай бұрын

@@sabinehoehlmueller3190hello, what did you do to stop the heavy bleeding? I’m experiencing the same thing.

@lisao3041 Ай бұрын

@@carlottataykowski143 some women are incredibly sensitive and will start bleeding without continuous progesterone. Some women need to take it 12 hours apart. In order to prevent bleeding. if you were experience is inconsistent progesterone causes bleeding, you might just have to take it continuously.

@lisao3041 Ай бұрын

I hope you increase that patch dosage because it’s really low.

@peacepocket Ай бұрын

@@lisao3041 0.05 patch is low? I thought it was standard. I’m on my own because these doctors are clueless. Can you please tell me what’s a good dosage?

@NikasNeuroNuggets 2 ай бұрын

What about estriol creams?

@MarjanKeirk 29 күн бұрын

What about surgical menopause? Bilateral oophorectomy here

@debnorwood4642 20 күн бұрын

How do you go about cycling hormones ? Estradiol so many days and then progesterone with or without estradiol? I don’t understand

@charleedell92 3 ай бұрын

As much as having periods sucks, all the evidence shows better health outcomes, breast cardiovascular etc with cyclical than continous progesterone. I will take that.

@lisao3041 2 ай бұрын

please cite that evidence.

@peacelove7437 Ай бұрын

@@lisao3041 Progesterone goes up 2 weeks after period. She doesn’t need to cite anything. It’s a fact. The other 2 weeks is low so don’t take progesterone.

@lisao3041 Ай бұрын

Your response doesn’t substantiate her claim.

@lostgirlproductions Ай бұрын

@@lisao3041 if you're seriously looking for substantiation in youtube comments then I don't know what to tell you.

@lisao3041 Ай бұрын

@@lostgirlproductions It's easy to cite a link to a study, even on KZfaq. But I think any rather substantial claim should be able to be justified or it's just wild speculation.

@jackiegroden416 2 ай бұрын

What’s an optimal amount??

@fenellacorden375 Ай бұрын

I like this idea but 5 yrs ago I had fibroids.. what causes this and my doctor didn’t want me to go in HRT because she thought the estrogen would enhance this.. I am 61 and want to have HRT .. I don’t appear to have fibroids any longer but have all the other symptoms of menopause and over it.. please help thank you .

@nikc1520 Ай бұрын

Dr told my 70 year old my with hypertension that hrt is bad and could make her have a blood clot, is this true?

@dodiaydell3649 2 ай бұрын

Anyone have more hot flashes when using the estrogen cream (even a very small dose)rather than the injection ?

@tanaatkinson7833 Ай бұрын

How do I take the courses you offer?

@donnajohnson4842 Ай бұрын

So would you stop the estradiol patch when taking the progesterone pills (10 day period)?

@StrideOrDie71 Ай бұрын

@Optimization_Coach 2 ай бұрын

So Physiologic Restoration?

@SusanAnnePowerOfTruth 3 ай бұрын

I've had night sweats & hot flashes for at least 10 years 😢😢😢

@jackiegroden416 2 ай бұрын

Did she ever say how to cycle the 2 hormones??

@effiefr6182 3 ай бұрын

I understand cycling the progesterone, you only bring progesterone in on your second half of the cycling ..But the estrodial? Is that continuous? Same levels throughout the month? Or cycling the estrodial also? If yes, when do you bring estrodial in and for how long? How do i cycling an estrodial patch?

@auaticamazon 2 ай бұрын

My guess is to follow what you would see on a graph over a month

@bluejean-1968 Ай бұрын

The estrogen dosing is cycled and continuous.

@anonanonymous1970 3 ай бұрын

What should estradiol blood tests measure to know you have enough?

@cozinha8945 3 ай бұрын

I am wondering about this too

@auaticamazon 2 ай бұрын

I think she had said above 50 -150

@cozinha8945 2 ай бұрын

@auaticamazon thank you!

@aggieag1866 28 күн бұрын

Do you see patients over Zoom? A lot of us live outside your state.

@liznaber880 3 ай бұрын

Thank you for your explanation of cycling. I do that… estradiol daily and progesterone every four months for 5 days/100 mg progesterone vaginally when I go to sleep. I have a vaginal bleed about 5-7 days later. I’ve been doing this for about 25 years. At 70 years of age I may cut back on estradiol due to aging changes at 70. But will continue but at a lower dose. I’ll seek out a doctor that will help me with this change. I’ve subscribed to your channel. Many thanks😊.

@equallove0 3 ай бұрын

Hello I am glad to hear that I take progesterone 100 mg every other day for about 3 years now I am starting to believe now I have to go and get a biopsy I am very nervous

@dodiaydell3649 2 ай бұрын

So you only have to take progesterone for five days out of four months? I’m on estrogen and progesterone, but I cannot and do not take the amount of progesterone that they give me because I cannot tolerate it, I would love to know I can only take it every four months!

@liznaber880 2 ай бұрын

Yes 100 mg insert into the vaginal before you go to sleep for 5 days in a row. About 5-7 days a period. For me it lasts about 4-5 days. No side effects from the progesterone. About 20 years ago I tried progesterone orally and I felt hot and sleepy. This is not acceptable because I work full time. I’m close to 70 years old and still work full time because I want to. Progesterone daily made me feel awful so this regimen I presently follow works with hardly any side effects. Just a menstrual bleed. Eat plenty of protein and veggies to balance your hormones and carbs with fiber. Mini meals works best for best. I learned all this from retired gynecologist Dr. Larrian Gillespie. She wrote books like the Goddess Diet and the Menopause Diet. Maybe it’s on Amazon. Take care.

@janeta3509 5 күн бұрын

@@liznaber880wow Thought I was the only one who can't tolerate progesterone. I've been taking rstradiol for about fifteen years. Have tried progesterone in every form and always brings back the tortuous night hot flashes. Because I do not take progesterone I have had seven D&Cs for uterine lining build up in 15 yrs. . I discovered vaginal progesterone for 5-6 days causes a bleed. Unfortunately, the bleed is so heavy that the last one I just had I was going through a super tampon every 45 minutes. I was up four times one night to change. I like the idea of continuing to do this, but the bleed is so intense!

@mwo2629 3 ай бұрын

How do you know what your physiologic levels are?

@FeliceGershMD 3 ай бұрын

Test with a blood test Estradiol goal - over 50 More info in my course!

@user-bj3or8cz4q Ай бұрын

What about weight gain?

@beckyo489 2 ай бұрын

I want the hormones but not a period again. Is that achievable?

@user-nw2cs6ex9o 3 ай бұрын

Doctor does topical progesterone, estradiol, or estriol downregulate your, natural production?

@olderandwiser127 2 ай бұрын

Good question. I think it does. Consider, also, that healthy adrenal glands produce hormones in menopause; I wonder what hormone replacement does to this natural source. Watch Dr Elizabeth Bright's video "Menopause, What it is and What it is not".

@jamiehoward6906 24 күн бұрын

It does not. The ovary is done. N

@JackieUnfilteredASMR Ай бұрын

You’re talking about menstrual but it’s about menopause??? Menopause is no menstrual cycle 🔁 I’m confused 😢

@cathybell4295 6 күн бұрын

What if you no longer have ovaries or uterus

@daniellebilson2612 2 ай бұрын

Can someone please explain exactly how to cycle? Do you continue estrogen for the whole 28 days with 12 days of progesterone or do you totally stop both for a number of days?? 🙏😊

@auaticamazon 2 ай бұрын

Look up a graph of a menstrual cycle. Use progesterone for last 2 weeks

@daniellebilson2612 2 ай бұрын

Thank you 🙏

@carlottataykowski143 2 ай бұрын

@@daniellebilson2612can you share the graph you found? Did you figure out how much estrogen to use each day?

@angelaperez2288 3 ай бұрын

I am on the highest dose patch 0.1 and 200mg P oral every night. Is that dose of patch enough?? What level of estradiol should I be looking for? If i wanted to cycle how many days would I stop taking progesterone? 7? Thank you for any advice.

@bellaevidencias 2 ай бұрын

No progesterone for the first 14 days of the month. Nightly progesterone for next 14 days the no progesterone for final two or three days of the month. The period/bleeding will start as soon as you stop the progesterone and last a few days. Restart cycle next month.

@pennynichols 2 ай бұрын

Where did you see this cycling protocol?

@bellaevidencias 2 ай бұрын

@@pennynichols various lectures and anecdotal information. A woman would adjust for what works for her. Generally 10 - 14 nights of progesterone each month. However some women take a progesterone for 14 days every 3 months.

@lostgirlproductions Ай бұрын

@@bellaevidencias Thx for the info. When going off progesterone for those 2-3 days do you think it's a good idea to stop the estradiol too before cycle restart?

@bellaevidencias Ай бұрын

@@lostgirlproductions If you have the flexibility, it will better mimic a natural cycle if you reduce estradiol at the end of the cycle. But your low estrogen symptoms may come back. You can self-adjust your dosage if you take estradiol orally or transdermal. You can better adjust if you take estradiol sublingually.

@123STEP23 2 ай бұрын

What’s you have no uterus ?

@r-anne7375 Ай бұрын

But all that growth that the estrogen does also causes fibroids to grow and cysts in the uterus by feeding them.

@brendayurch7624 23 күн бұрын

What is the right amount of estradiol? And how do you cycle it? Two weeks on for progesterone and how much? Please share the optimal dosages for the average person

@Anjulie7 23 күн бұрын

I think it depends on your own body. You are already producing some…it’s just a matter of what level is optimal, which would change the dose from person to person. Only once in my life 20+ years ago did I have a midwife test my hormones on a cyclic basis to know how they were moving up and down. I think that would be important. I wish there were more knowledgable people who really wanted to help, who were more easily accessed.

@brendayurch7624 23 күн бұрын

@@Anjulie7 thanks .. I am not fully menopausal yet, and I am on continuous HRT (tried cycling my progesterone to have my periods but my anxiety was unmanageable off progesterone) but I do feel it’s unnatural to suppress my periods when I’m not fully menopausal. So hard to find the best information. Thanks

@JeanetteBalland 3 ай бұрын

Should you always start HRT even if you have no menopause symptoms?

@lisao3041 Ай бұрын

Yes because you can’t see osteoporosis developing. It also has benefits of heart health protection and preventing dementia. I didn’t really have symptoms, but it’s best to start BHRT.

@3hotspuds 3 ай бұрын

What are the healthy levels of estadiol for a woman to have?

@Aki-wq6xh 3 ай бұрын

I use Estrogen one ruler a day… wonder if that’s enough

@estelled389 2 ай бұрын

Between 75- 100 anywhere in between is how we used to make ir.

@Aki-wq6xh 2 ай бұрын

@@estelled389 does that mean taking BC which is 200-300mg is too much? Or am I thinking in different ref range it doesn’t convert like that?

@KC-kh5dv Ай бұрын

⁠⁠@@Aki-wq6xhBC isn’t the same thing as HRT . It is actually opposite. BC are endocrine disrupters which prevents the body producing natural estrogen. This doctor had it explained very well I just cant find the post now. You are way better off BC if you can.

@Aki-wq6xh Ай бұрын

@@KC-kh5dv Anotehr youtube 'expert' insists I must be on BC dose HRT is too low for me.I am only 37 and I have been menopausal since 21

@jeand7768 3 ай бұрын

My doctor told me to stop HRT bc my bleeding was causing my uterus lining to get too thick. It’s so confusing!!

@diann3880 3 ай бұрын

Check levels of progesterone

@karintatum7424 2 ай бұрын

did you stop your hrt as dr suggested? How is it going?

@user-wq3vg3nl8u 29 күн бұрын

Good question. Did you try the cyclical process Dr Gersh suggests?

@hrt2art 3 ай бұрын

What about those of us who no longer have a uterus?

@RodeaDrive 3 ай бұрын

I have heard Dr. Gersh point out that progesterone does not only have the function of protecting the uterus. It has many other functions in the body (which makes sense evolutionarily speaking) so one would want to cycle progesterone as well if your goal is optimal health even if you do not have a uterus.

@FeliceGershMD 3 ай бұрын

No problem! The uterus is a good marker of the hormonal effects … but is completely unnecessary for giving hormones and the regimen is the same with or without that organ.

@laurafuller8528 Ай бұрын

Is 1 mg estradiol considered very low dose?

@energeticsoulhealer888 18 күн бұрын

Yes

@viktoriyafurman8177 3 ай бұрын

For cyclic protocol: do you use oral progesterone or creams? I read that transdermal progesterone is not well absorbed. And what is the upper limit of Estrodiol that we are looking for on this protocol?

@bluejean-1968 Ай бұрын

You can use either. Cream is better. Be sure to use a cream that isn't too concentrated or your body won't absorb it though.

@CreamySymphony 3 ай бұрын

I wonder, Do you recommend cycling progesterone for post menopausal women as well or just perimenopausal?

@RodeaDrive 3 ай бұрын

My understanding of what Dr. Gersh says regarding cycling refers to both perimenopausal and menopausal women.

@FeliceGershMD 3 ай бұрын

I prefer cyclic hormones for every stage of menopause … if the patients agrees to it!

@katrinabennett2759 Ай бұрын

Dear Dr. Gersh, I am post-menopausal 52 years old my Dr wants me to take Progesterone 1st 12 days of the month only. Will my uterus/other be healthy and safe doing this? I use 0.50mg Estradiol patch and 200 mg Progesterone. ❤

@sjandrk 28 күн бұрын

So how do you do the cyclic HRT? Can someone explain pls? Thanks

@StrideOrDie71 24 күн бұрын

Estrogen all month and add in progesterone the last 10-14 days

@sjandrk 24 күн бұрын

@@StrideOrDie71 thank you for your reply. Can I do it if I’m 50 and my last period was Jan and Nov last year. It’s getting further apart and not expectable. Thanks

@carnicavegirl7214 Ай бұрын

I missed the whole point😭 so should i take progesterone or not😂 and what about us woman that break out like a teenager Everytime we take higher doses of estrogen...it drives me nuts

@robinham2796 2 ай бұрын

I’m soooo confused! 64, Donnie want to bleed! Four clicks of progesterone, 30 gm, Four clicks Biest, .05 Nightly?!? I feel Awful!!

@anne-louisegoldie 3 ай бұрын

So, are the current maximum licensed doses of oestradiol ie 100mcg patch too small for physiological levels? And also, in the UK, we take continuous micronized progesterone without any breaks. Would a break from day 25-28 be enough each month to provide any benefits? Thank you 😊xx

@Aki-wq6xh 3 ай бұрын

Same question ❤

@MS-sr1fe 3 ай бұрын

That patch delivers how much oestrodial. Is it 2mg ?

@FeliceGershMD 3 ай бұрын

For many women the 100 mcg patch provides an adequate amount of estradiol. The best break is 14 days off progesterone … and there is no data for a break of only 4 days … but I would prefer 4 days to no days.

@fionalawaczeck9955 3 ай бұрын

So are you saying we should take progesterone for only 14 days out of 28? And what serum level of oestrogen is required for the longevity benefits please?

@Aki-wq6xh 3 ай бұрын

@@FeliceGershMD I don’t care for any current symptoms, only future disease - dementia- prevention. In that case do you think HRT dose is enough? Or would I need a birth control dose?

@doodieevanshenagan3330 Ай бұрын

My dr. put me on a 200mg pill of progesterone at night…..& a 2mg. Estradiol pill in morning…..& a testosterone injection…..should I change any of these, oh I’m also on bio progesterone cream from compounding pharmacist…..should I switch to a patch for Estrodiol & testosterone cream?

@bluejean-1968 Ай бұрын

Testosterone injections are superior to the cream.

@bluejean-1968 Ай бұрын

If I were you, I would switch to the patch and not swallow my estrogen. Be sure to not take synthetic hormones.