Progesterone replacement (Part 1)

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Күн бұрын

Progesterone replacement: What you need to know before taking it (Part I)// In this two-part series I will demystify progesterone replacement and its use in perimenopause and menopause. I break down when it's necessary to take progesterone, and what its benefits are. I also discuss when NOT to use progesterone, and why it is so often marketed to you. I want you to be sure you are not being duped so watch the video to learn everything you need to know about progesterone replacement in midlife and at menopause.
#Progesterone #menopause #heatherhirschMD
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Пікірлер: 90

@heatherhirschMD 3 жыл бұрын

Did you learn more about progesterone replacement from this video? Comment below!

@selys78 3 жыл бұрын

Hello, I’m 42 ys old, I have regular but very light periods (2 days) I get some hot flushes, my main bothersome symptoms are fatigue, dizzyness, joint pains and overall unwell feeling and anxiety. My Dr gave me two options eather SSRI ( which I don’t want) or birth control but I do have high blood pressure. I need something😞 and don’t know where to start.

@mtntm5628 2 жыл бұрын

Very helpful!

@karenraycosta Жыл бұрын

@arasely what did you decide? I’m in same boat.

@madlenj.4644 8 ай бұрын

i disagree with what you´ve said about Progsterone

@marynow123 2 ай бұрын

This information leaves out a lot of women like me who can’t handle the progesterone pills. Taking progesterone pills is like taking an anxiety attack in pill form! It gives me major anxiety and spikes my blood pressure in the middle of the night. Thank god for the companies that make the higher dose progesterone creams. They work so well for many of us! I took p cream in peri only and it got rid of the weight, and yes the hot flashes and really lifted my mood. It was a complete life saver whereas the pill was nothing but misery. I even tried compounded progesterone in lower doses but it caused the same issues. Now in post I’m still using the progesterone cream with no issues. I’ve even tried the pills again because of all the hype but my body does not want them lol. Over all I’m so disappointed in our healthcare system and how there are no clear answers for anything for menopause.

@mariedawn- 21 күн бұрын

It works! This is a worrying point of view! For someone with PCOS who doesn’t make their own progesterone I can tell you the lack of it causes severe depression.

@onewomansjourney760 Жыл бұрын

Progesterone USP Micronized oral DOES have many other health benefits besides protecting the uterus. Please research.

@goodprevails2593 Жыл бұрын

Progesterone has helped me so much. My doc originally prescribed it to help with perimenopausal insomnia. It definitely helps, but I've experienced other benefits I didn't anticipate and hadn't heard of before. I was having frequent heart palpitations. Also, my appetite had become poor. To my surprise, since starting progesterone, I rarely have palpitations (now only when in stressful situations), and my appetite is great. My skin also looks better. I don't know if that's directly due to the progesterone or due to the effects of sleeping more and eating better. Every day, I'm glad that I have progesterone. It's really made a difference. As for the patients whose anxiety got worse, I wonder whether they were getting non-bioidentical progesterone. I take oral micronized bioidentical progesterone. I've been taking it for almost half a year, and it's made an incredible difference.

@onewomansjourney760 Жыл бұрын

I'm just starting USP Micronized Progesterone oral capsule 100 mg, Estradiol patch 0.025 & Estradiol vaginal cream 0.01%. I'm 49 & have been in perimenopausal several years but the last 12 months or so I've seen significantly increased symptoms & new sudden onset menopause symptoms. Hopefully I do great on this new hormone therapy. You're correct....synthetic hormones are worse & especially synthetic Progesterone.

@talithialee9608 11 ай бұрын

Same!!! I’m glad I’m not the only one. And not placebo effects

@giuseppinasanger6410 10 ай бұрын

@@onewomansjourney760I am on the exact same protocol and exactly your age. Do you take the 100 mg Prometrium 2 weeks on, 2 weeks off? Or constantly?

@Yuvsters 7 ай бұрын

How much progesterone did you take for perimenopausal insomnia? TY

@altonqueen5712 7 ай бұрын

I feel fine when on the two weeks of progesterone but within 4 days of stopping feel awful again especially anxiety and dizziness appears to go again when progesterone stars again?

@alicemcduff3416 5 ай бұрын

Dr John Lee stated the exact opposite regarding the ample benefits of bioidentical progesterone.

@Mia-vm6pl 5 ай бұрын

Progesterone helped me w heavy periods. It's a must if you are high in estrogen

@bellakim9404 2 жыл бұрын

I agree with Dr. Hirsch. I also believe ordering supplements from Amazon is a crap shoot. Regardless if it works or not, remember Amazon has a return policy. A product someone bought (that was stored in their car, home, in the Sun, rain, cold, wherever, etc for however long) could land in your hands. Order things that go in your body from a reputable site.

@tuxedoneko9837 3 жыл бұрын

Great info! Clear. Ty

@heatherhirschMD 3 жыл бұрын

Thanks for the kind comment!

@jillreiman3494 2 жыл бұрын

I’m confused. I’ve read from multiple sources that progesterone cream is good to take in peri to help with anxiety, irritability, and sleep issues.

@goodprevails2593 Жыл бұрын

My doc says oral is absorbed better than cream. Also, I heard that cream can saturate the tissues after a while. Bioidentical is the way to go if you try oral. I take oral micronized bioidentical progesterone. It helps with sleep, anxiety, heart palpitations and appetite. I mean, that's what it helps me with. It could vary with other people.

@onewomansjourney760 Жыл бұрын

@@goodprevails2593 increased appetite? Or decrease in appetite?

@ravenbarbour5319 9 ай бұрын

The research is inconclusive as to how well it's actually absorbed. Some studies show it does raise serum Progesterone and some studies show it does not.

@SamShank175 3 ай бұрын

I've heard that no progesterone creams are affecting.

@grashell4028 Ай бұрын

So need l

@brookemehmen8894 3 жыл бұрын

I just found your videos as I’m in young surgical menopause. I’m so confused as functional drs tell me I still need progesterone (not progestins) for balance of my estrogen replacement. But traditional drs tell me no progestins or progesterone. Id also really love your input on estradiol injections done at home twice weekly? I’m on Vivelle dot patch .075 but have been considering E cyp injections twice weekly into belly fat. Can you give your thoughts on E injections twice weekly at home? Do you script E or T injections?

@ccrider55 3 жыл бұрын

I used to have a lot of trouble with breakthrough bleeding from oral progesterone. I needed it as I am on a Climara patch with an intact uterus. I asked my doctor about the progesterone IUD which is typically used for birth control. She said it might be a good fit for me and it was. No more breakthrough bleeding. Plus the progesterone in concentrated in the uterus where it’s needed and nowhere else. Great solution.

@heatherhirschMD 3 жыл бұрын

Yes!!! I talk about this In Part 2!!

@onewomansjourney760 Жыл бұрын

But....Progesterone USP Micronized oral has so MANY MORE health benefits than just protecting the uterus. 😊

@surfnyolly 3 жыл бұрын

Thank you so much for posting this video. I just started a progesterone 3 month replacement due to spotting before/during ovulation for last 6 months. All of my testing came back negative. I cannot take estrogen due to having DCIS. Life has been really challenging. I’m just scared so this video is helpful to know there aren’t as many adverse effects.

@heatherhirschMD 3 жыл бұрын

Progesterone can be helpful in the right circumstance (like yours!) and I agree that there are not a lot of side effects to progesterone and it can be helpful for many women!

@surfnyolly 3 жыл бұрын

@@heatherhirschMD thank you so much for responding. That actually comforts me so very much. Looking forward to part II.

@surfnyolly 3 жыл бұрын

@@heatherhirschMD can I ask you one more question? My gyn wants to try 200mg of progesterone for 10 days/3 months. Then we will see if the spotting mid cycle stops. If it doesn’t then she suggested a D&C. Can I take progesterone long-term instead? (I’ll be asking her too). This video eased alot of my fear. My Mom and Aunt dies of ovarian. So when I got DCIS, it was traumatic. But I’m alive. Thank you from the bottom of my heart.

@kimberlyd5379 Жыл бұрын

Wow! Multiple other physicians say different. For me, no uterus ~ progesterone helps immensely with sleep has been amazing since started, anxiety way better, feel overall calm, and increased sex drive. This seems very biased .🤨

@SabrinaDawn444 6 ай бұрын

I agree... I'm having the same positive impact from taking slynd. 🤷‍♀️

@carries68 6 ай бұрын

I've been told estrogen and progesterone are the Yin and Yang to one another. These Dr's need to get it together lol

@jameswilsonstyle Жыл бұрын

I was recently put on Progesterone (my first time with HRT) because I'm estrogen dominant. If I have too much estrogen then how do I get rid of hot flashes?

@shawunminor1761 3 жыл бұрын

Hello my question is if I have hypertension can I take estrogen along with progesterone and does perimenopause affect the adrenal glands causing issues

@TonyaDCGurl 3 жыл бұрын

I’ve been on Estradiol since March, seems to be making a difference. No known side effects. Closely monitoring.💜I no longer have my uterus but still have my ovaries.

@helenalovelock1030 Жыл бұрын

Do you take Progesterone?

@TonyaDCGurl Жыл бұрын

@@helenalovelock1030 no

@shawunminor1761 3 жыл бұрын

Also I had one ovary removed in 2019 in July of 2020 I had my first panic attack and I have been dealing with a lot of different issues including sensitivity to medications and allergic rhinitis and sinusitis could perimenopause have something to do with this please help!!!!! Lol I feel horrible most days

@sherrievams2603 3 жыл бұрын

Hi what if another Dr gave you progesterone. I'm only on estrogen which isn't working. Should I take both of them.

@loomcc70 3 жыл бұрын

Thank you so much for cutting through the BS on this topic and providing proper medical advice! I would love to hear more about the negative impacts of progesterone, particularly on mood and if it is effective to use micronised progesterone tablets intravaginal?

@user-xs9835 3 жыл бұрын

I take 200mg of micronized progesteron in tablets, one tablet vaginally, one by mouth. Tried 2 tablets by mouth but was too groggy in the morning.Would be very thankful if Heather can give me her opinion! Thank you!

@MariaSCarr 3 жыл бұрын

I was sent to the ER this morning because of ongoing heavy bleeding and clots causing some anemia. It was so debilitating to be trapped in my hotel room all week and missed out on the beach and pool because I had to stay close to the bathroom due to so much flooding. They prescribed me with 5mgs of norethisterone (aygestin) to take twice daily to help it slow the flow. I hope that it helps! This is miserable.

@helenalovelock1030 Жыл бұрын

I have this due to Adenomyosis

@beatricefrask5230 4 ай бұрын

What a pleasant feminine voice! Clear explanation!

@JessyGreene 2 жыл бұрын

Thank you for this video. I am confused though- are there the same issues with taking progesterone with estrogen? Also if you have to take progesterone with estrogen if you have a uterus how can it be snake oil?

@heatherhirschMD 2 жыл бұрын

I say it’s “snake oil” when it’s not a prescription written by a doctor- but you are right you need it if you take estrogen then it’s medical! Make sense? I know it’s very confusing!

@natalieroy4849 4 ай бұрын

I was prescribed norethindrone, a progesterone only birth control for perimenopausal symptoms and I hated it. It caused constant spotting but worse diarrhea, stomach pain and bloating. The doctor insisted this wasn’t a symptom of this medication but funny as soon as I stopped takijg it all my symptoms disappeared. This has made me leary of HRT. I want the estrogen but I know I need progesterone with it and I don’t want the same experience.

@jayvanan4944 3 жыл бұрын

Thanks for the video. But still didn’t get why I was prescribed progesterone for all symptoms you said in this video. Now at 2 months with progesterone I feel better with my symptoms. So it’s a placebo effect, not a resolution? I’m worried. Look forward to hearing your part 2 video.

@goodprevails2593 Жыл бұрын

It's not a placebo effect. Progesterone has helped me with the issue I mentioned to my doc, along with other issues, which I didn't mention to her. I was surprised that it helped with so much more than sleep. I take oral micronized bioidentical progesterone. Bioidentical is very important.

@SabrinaDawn444 6 ай бұрын

I've been dramatically helped from slynd for severe pmdd and perimenapause. I 100% know it isn't a placebo. Please don't worry if you're having success♡

@wild8wire Жыл бұрын

Disagree. People with MCAS cause histamine release and those taking estrogen replacement therapy makes symptoms significantly worse. Progesterone does help with hot flashes.

@grashell4028 Жыл бұрын

Yes it does; I agree

@slippersmomma Жыл бұрын

I sincerely hope so. I'm desperate.

@tevans70 3 жыл бұрын

Hi! So if progesterone rises naturally right before my period and I notice I’m moodier the week or so before my period, does that mean I’d be in the group that would not benefit from it because taking it would make me moody as well? I’m 51 and still get my period periods. Also, I don’t sleep as well right before my period.

@helenalovelock1030 Жыл бұрын

Progesterone drops low then

@questioneverything1776 2 ай бұрын

@@helenalovelock1030that’s not what the Dr said

@katebruno9255 2 жыл бұрын

My obgyn recently did a uterine biopsy and said maybe the progesterone is contributing to some changes in uterine tissue cells? He said this on the heels of thinking progesterone could help with my frequent bleeding once I told him I was already on progesterone. I’m so confused!

@questioneverything1776 2 ай бұрын

Maybe you’re not at the right dose

@hairbyjennifer2820 2 ай бұрын

What about for migraines. I am estrogen dominant

@lisabrinton2614 3 жыл бұрын

Very informative!! I just decided to go off Progesterone, and I actually feel less bloated!

@bubblesbubble5264 3 ай бұрын

Maybe just depends on the dose of the progesterone , you have to adjust it to where you find the right spot ... just like people have to adjust their thyroid meds or BP meds depending

@tuneintotarot 4 ай бұрын

What about pregnenalone?

@shelleypope-keitt6271 2 жыл бұрын

Does progesterone cause weight gain? I have a Mirena and Vivelle Dot and I have gained 15 lbs in the last 4 months.

@heatherhirschMD 2 жыл бұрын

Its always different for each person. the IUD has not been shown to cause weight gain and is not systemic (or body levels) of hormones.

@monicavantassel7884 Ай бұрын

Listen to Dr Mary Claire Haver

@laveshiayarborough-wall8232 Жыл бұрын

I used to take it but I had a complete hysterectomy. I slept better...would've to start on it again I wake up at 3am just about everyday. My Gyn said I don't need it ..just estrogen

@goodprevails2593 Жыл бұрын

Can you see another doctor? Some think that even women without a uterus can benefit from it, for sleep as well as protection from hormonal cancers, such as breast cancer. That is, if you have estrogen still or are taking estrogen. If it helps you sleep, I don't see why your doc won't let you have it. Might be worth getting a second opinion.

@GiGi-fd6om 3 жыл бұрын

This makes me so frustrated. I've learned things from reputable doctors like you about peri-menopause and post menopause. How can you say that progesterone is like a snake oil and then say in your next video you will discuss when and how to use progesterone? We know that peri-menopause causes a drop in estrogen and even more of a drop in progesterone, which can cause heavy or longer periods. So, why wouldn't taking micronized oral progesterone help during peri-menopause? I've learned that it does help very much. Why call it a snake oil? (Maybe you will discuss that over the counter "progesterone" is not real progesterone. It's more estrogenic. But I hope you will clear things up, because this video was not helpful as it seems misleading.

@heatherhirschMD 3 жыл бұрын

Yes, I mentioned in this video that I use FDA-approved oral micronized progesterone a lot. The snake oil is the over-the-counter creams that are often marketed to women that I want you to be weary off.

@GiGi-fd6om 3 жыл бұрын

@@heatherhirschMD Thank you. I don't think you conveyed that message well in this video. You didn't explain what those creams actually are and why they don't work. Just confusing for those that don't know. I do appreciate the contact you provide though. You are so helpful and I've learned a lot from you. TY.

@carlyeslinger 7 ай бұрын

I agree. Over the counter preparations are not actually bioidentical progesterone. This needed to be explained further. The only way to get bioidentical progesterone is to get it prescribed. No one wants to confuse women further on this subject. It is hard enough to figure out by itself, lol!

@bubblesbubble5264 3 ай бұрын

But the over the counter progesterones , just because they don't cost 200 dollars a jar , do have side effects , and that means there indeed is something in there . Those creams say micronized progesterone . They help with sleep. They work. Vitamin D is it FDA approved , but has a side effect on the body. So does iodine in salt , is it FDA approved ? Just because something doesn't come from a pharmacy doesn't mean it doesn't work. It's the logical fallacy of just because something might not be FDA, like brands of vitamin D, iron supplements , doesn't mean all their good effects is just a darn placebo. It's a big logical fallacy issue I hear throughout the video

@robinberman9756 3 жыл бұрын

Do you do tele/visits? 😍

@shawunminor1761 3 жыл бұрын

Hello I saw one of her videos and she mentioned that you have to have one office visit and there after she can do tele/visits

@chastity5214 Жыл бұрын

Do I need progesterone if I had a hysterectomy and an oophorectomy?

@angelahitchcox2078 2 жыл бұрын

I’m on the lowest dose of topical estrogen. I had horrible rashes to all the vaginal and topical estrogen. Finally, got compounded estrogen topical with grape seed oil and finally no rashes. It still isn’t helping me with vaginal dryness. Desperate to find something for vaginal dryness.

@heatherhirschMD 2 жыл бұрын

You need to use Your vaginal estrogen more perhaps daily for a while and then I maintenance of perhaps three or four times a week please talk to your doctor about increasing your frequency of vaginal estrogen there’s no side effects or risks to doing this