Really helpful video: thanks! I’m 59 and have been on transdermal oestradiol (with Mirena IUS) since I was 48. I’m a former athlete and used to have such good muscle mass. But I’ve lost muscle, despite strength training over recent years. I’d like to try a physiological dose of testosterone to regain muscle and maintain my bone mass. But to do so in the UK I have to argue that I want testosterone for low libido, which is untrue.

What is the name of testosterone cream for men?

We have to do what the insurance company says more than what the doctor says. They seem to have a lot of say in my healthcare.

I take testosterone too.. There is no higher Libido, but it works antidepressive, gives me more focus, good mood, beautiful skin, helps me against muscle loss. Testosterone ist very important for me, it changed my live in a positive way ❤️

❤❤❤❤❤❤❤❤❤❤❤❤ 🙏🙏🙏🙏🙏🙏🙏🙏🙏

I applied the estrogen cream today, and the applicator 6 I used my finger. I am hoping this will help with dryness during intercourse. My man is ready before I am.He is satisfied and am not.

So I am 40 and I have had signs of low estrogen for a few years now. I have been with the same man 7 years and no babies with him and out of nowhere my vagina seemed looser and I was losing my bladder. I started 00.5 estrogen patches. Would this amount even help my sex life at all? Also, they gave me estrogen cream to use. I'm only a week in with the meds. I'm at the point we're I don't even have sensation in my clitoris, which used to be very sensitive. I feel like my sex drive bit the dust. Not very much interest, dry and not much sensation sucks.

Ok I understand the labs thing, but to a degree there has to be a general understanding of where the average population of women feel at their peak. Because symptoms like fatigue and brain fog etc can have other causes. If a woman comes in complaining of fatigue but has a testosterone of 80 then maybe checking for other causes is warranted. I had a doc give me pellets and my T shot up to 215. My hair fell out (never recovered yet and I'm 9 months post pellet), my boobs shrank, and I was so angry all the time. I did pellets for 6 months and I have no idea what my ideal range is. Pellets are horrible for women cause they shoot your T high and fast and then they plummet. They sucked for my husband too. Maybe if I could have done creams which would keep the T more steady I could have found an ideal range. But my doc just did pellets - which I suspect was bc he was making bank off of the pellets.

Thank you for a very informative video, because at the age of 71 I really was not very educated on this topic. I had a complete Hysterectomy when I was 29. Two months ago got diagnosed with Vaginal Atrophy and Vulva Lichen Sclerosis (LS) from my new GYN doctor. I am now at the point where I am on the maintenance doses of Estradiol Vaginal Cream twice a week and Clobetasol twice a week for the LS. This will be my maintenance routine for the rest of my life. I am okay with this if it will keep my vulva and vagina safe and healthy. I wish I had been put on the Vaginal Cream earlier to help with the dryness.

Good morning! I have a question. I use an aging repair cream from Musely that contains Estriol. I also have Premarin cream from my doctor for vaginal dryness. I’m post menopausal. Can I use both products? I want to use the Premarin under my eyes only.

Dr. Kelly, you make everything sound like common sense 👏 I've been on vaginal estrogen for a couple of years, starting E&P as soon as my doc calls it in and want testosterone. And it's a YES for the SEX talk for me!!! Thanks ❤

The numbers of estradiol vs testosterone are so confusing. If you convert testosterone to make it the same (units of measurement) as estrogen, you have to take testosterone x10 correct? Even if the testosterone looks "normal" it could be low in comparison to estrogen correct?

Very interesting, we all should be so lucky to have a doctor like Kelly, but the sound was bad and kept cutting in and out and pretty choppy. I’m right there with you…..I have no desire/interest what so ever. Addyi is available in Canada but my understanding is that it is recommended for use in women before menopause. I’ve been told that testosterone for women is best from a compounded pharmacy.

Thank you for getting this info out there, it is so needed! ❤

This woman is fabulous 🙌🏼💕 17:35

So glad this popped up today, all adds to our knowledge and self help. I'm going between the private help and NHS. Just had a blood test where my GP said testosterone is a little high but I'll have another blood test in 3 or 4mths. I feel quite good but maybe my hair thinning that has been another problem is more hypo thyroid but I don't want them to stop my hrt.

What about SHBG increase when starting androfem? Also mood swings. I do feel happier sometimes but then really anxious. Thankyou for your videos. I've been on androfem low dose .03 for 3 weeks

It would be great if you could direct us to the papers that show long term safety. You mentioned there are papers that show long term safety for transgender men. Could you post the link? Thank you

I know we shouldn't focus on lab work but what if your total testosterone is within range but your free testosterone is extremely low. If you go on testosterone cream will that increase the total T or the free T that is extremely low?

Please talk about Hysterectomies and bladder urgency at night. Thank You

Thanks Kelly love Jayne great guest for a very important topic. 😂

I’m just catching up on your podcasts and this one is so interesting at many levels! I hope they got the 1M$ so that the clitoral device might soon be an option🤞🙏🏻

Why would women be prescribed keto DHEA?

What about a woman who has had an ablation at age 43, she is now 63, how does the ablation affect going through menopause, is the same effects as having a hysterectomy?

❤❤❤❤❤❤❤❤❤😂❤❤❤🙏🙏🙏🙏🙏🙏🙏🙏

Regarding the notion of not testing for testosterone. It only makes sense to set the goal of a blood level showing free testosterone similar to the level present during a woman’s thirties. Partly because this is when we are functioning well- full of energy and clarity of thought, full of motivation, a zest for life, full of a desire to plan for the future and enjoying a healthy interest in the bedroom. But also partly because testosterone is critical for bone health, brain health and heart health. There is increasing data that suggests it may play a protective effect against autoimmune disorders, and dementia. Get on testosterone. It is just as critical as is estrogen and progesterone.

15 years without hormones and I am 2 inches shorter, haven’t had sex in 20 years, have osteopenia, incontinence, and weight loss. Plus I’m widowed now after 38 yrs of marriage. My generation definitely missed out on many good years due to the lack of good research on hormone therapy.

Thank you 💛 I wonder why hormone products are expensive to buy. Are they also expensive to produce, or is there a big mark-up? I'm in the UK and so we have NHS prescriptions, but interestingly the most affluent areas have the highest number of HRT prescriptions, so cost isn't the only factor. But if it were inexpensive, it would be easier for women to access privately if not getting anywhere with their GP. Good discussion, Dr Casperson is such a good force for women 🤩xx

I believe that we have to fight misogynistic thinking on women health even in our medical care system !!! 😤Thanks from 🇬🇷Dr Kelly Gasperson you make me feel stronger ❤❤

Please Talk About Bladder Urgency at Night. I'm up Every 2 hours having to pee. I do not have a Prolapse. I had a Hysterectomy at 35. Thank You

🌟🌟🌟🌟🌟🌟🌼💛

🎉❤👏🙌"Getting women to feel better is my drug." Dr. Kelly Casperson

I heard the cream will help develop back lost sensation, is this true? I feel like my clitoris has been numb for years.

Yes, very important discussion.

Very informative, I’d be up for the sec ed session!

I have just turned 50. I have been late with 3 periods so far within the last 8 months, no real issue there… BUT the brainfog, memory issues, bad sleep, bad mood and nooo libido is just mindblowing, and I do not have any hot flashes yet, so I am not even in the middle of it- yet. I wanted to get in front of it all and went to 3 doctors for starting HRT.. first wrote me a prescription for an oral HRT pill without any examination at all. Didn’t listen to me at all when I insisted for an estadiol gel, not pill. Second doctor said that he did not really prescribe HRT, as it causes breast cancer. When we spoke further and I gave him a few points I learned from youtube doctors, he was more open and said that yes, it does matter how a woman lives her second half. So first he offered me tibolone but said I have to come back when I have not had a period for 1 year. I insisted more so he finally gave me estradiol gel BUT with the MPA progestin that was used in the WHI study. So this scares me a little… Third doctor said on the phone that I shouldn’t take Provera and go see him in person to discuss. In his office 1 week later, he now says that MPA progestin is fine and I should take it without worry. I feel like I am the crazy one, I am totally clueless now what is the right route. By now, I’m not even sure if it was the right thing to request HRT “this soon” at 50. Am I just being vain and stupid for wanting to start as preventitive measures?

I developed lichen sclerosis because I didn’t know I still needed estrogen. I’m 68 and I wish I had know this even 10 years ago. Thanks

I started with 100mg progesterone from pharmacy and I felt so crabby, tired and exhausted 😴 I asked to try lower 50mg SR progesterone from compound. Total game changer! The benefits help sleep but mood next day too!!!Keep trying as everyone is different 👍 Great conversation.. my one question …..is being 48 and I am on estrogen patch, progesterone and testosterone and feel so so so so much better …BUT I would say in the time since starting HRT I have put on 15-20 lbs. Exercising but not cortisol crazy type, eating healthy but not true keto and not crazy intermittent fasting.. but still can’t drop a pound! Just curious as to reason .. still some imbalance between the hormones ? I know they keep saying HRT helps lose weight but not for everyone. Thank you for all you both do for women’s health ❤

Thank you Dr. C for doing the podcast and for articling everything in the show notes!

I am just loving Dr. Maria Uloko! What a superstar!

Can we get progesterone otc?

I am prone to milia and it's soooo annoying. I have a few around my eyes but they aren't really noticeable. It makes me very leery of certain products on my face due to this. But I am definitely trying an estrogen cream on my face. I am 48 and was pregnant last year (sadly lost the child in pregnancy). I haven't been told that I am in peri-menopause but it seems to be dismissed that I could be going through it since I still have periods and was pregnant last year. I also have PCOS. I am pushing to see a urogynocologist as I also have interstitial cystitis/painful bladder syndrome. My psychiatrist actually told me about this channel here on youtube and I am so glad she did!!

Hi. I want to take HRT but I suffer badly with GERD and HRT made it so much worse and uncontrollable. I only managed 7 days before I had to stop and it took 14 days for the acid reflux to improve. No-one ever mentions this side effect and wonder if this means I'll never be able to tolerate HRT.

Hi Dr C. My gyn put me on 1/4 ml of testosterone cream this past Feb. It worked for 6 weeks and since then I can't find a dose that works. In May she increased the cream amount to 1/2 ml. I'm going back again in 2ks to discuss what to do. How many increases in amounts have you done with women ? Ik everyones bodies are different but I was curious how long it can take to get the dose right. I also do bloodwork before each visit and the past 2 bloodworks have not shown much of an increase in testosterone. The progesterone pills have been working. Thx so much

🌟🌟🌟🌟🌟🌟I just discovered your channel and so thrilled that I did! You have such an endearing personality: highly intelligent, quick-witted, straight forward, keeps up on latest research, etc. etc. etc. Thank you for such helpful, amazing content! 💛🌼

So inspiring to me! Thank you for having Marcella share her story!

Compounded is the best 👌 🎉

I started using estriol cream about ten years ago in my mid 30s (I researched it for the face out of curiosity and found “one” convincing article-I thought it was odd there wasn’t more out there), and I feel my skin looks much younger than my age, but I do have some mild melasma, but it’s mild enough that it doesn’t bother me, and it’s only on my upper cheek bones. I will also say it could just be good genes too though. My grandmother barely had a wrinkle in her 80s and her skin was firm for her age, so who knows? 🤷🏻‍♀️ She was beautiful on the outside but even more so on the inside-I think it’s her beautiful soul also that helped keep her looking so young. ❤️

Peptides and ceramides are needed to. Especially for older skin.

She was 92.. who cares 🤣 average age is 82. Too old in my opinion. Everyone is gone by then.