HRT Not Working? 5 Signs Your Dose Is Wrong (OB/GYN Explains)

Jennifer Roelands, MD Perimenopause, Longevity
5 Signs Your HRT Dose Is Wrong — and how to fix it with your doctor.
If you finally started hormone replacement therapy (HRT) but you’re still not
feeling like yourself, don’t assume HRT doesn’t work for you. In most cases,
it’s not the hormones — it’s the DOSE, the TYPE, or the DELIVERY METHOD.
HRT is a dial, not an on/off switch.
I’m Dr. Jennifer Roelands, a double-board-certified OB/GYN and integrative
medicine physician. In this video I break down the 5 clear signs your HRT dose
needs adjusting — plus the exact questions to bring to your next appointment
so you can stop suffering through perimenopause and menopause symptoms.
👉 Take my free Perimenopause & Menopause Quiz → https://drjenniferroelands.com
✅ WHAT YOU’LL LEARN
• Why partial symptom relief means your estrogen or progesterone is too low
• The over-treatment signs: breast tenderness, bloating, headaches, weight gain
• When irregular bleeding on HRT is a red flag (and when it’s normal)
• Why progesterone can make you feel WORSE — and how to fix timing, dose & type
• The missing hormone most doctors ignore: testosterone for women
• The 4 questions to bring to your OB/GYN or primary care doctor
CHAPTERS
0:00 Why your HRT may not be working
0:41 HRT is a DIAL, not a switch
1:05 Sign #1 — Partial relief (dose too low)
2:30 Sign #2 — Over-treatment side effects
3:37 Sign #3 — Irregular or breakthrough bleeding
4:41 Sign #4 — Feeling worse on progesterone
6:00 Sign #5 — Energy, libido & muscle loss (testosterone)
6:42 4 questions to ask your doctor
7:32 Key takeaway: HRT is a dial
-TOPICS COVERED-
Perimenopause • Menopause • Hormone Replacement Therapy • Estrogen patch vs gel vs oral • Bioidentical progesterone • Testosterone for women • Hot flashes •
Night sweats • Vaginal dryness • Brain fog • Low libido • Weight gain •
Sleep issues • Breakthrough bleeding on HRT • Compounded progesterone • Duavee
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▶️ WATCH NEXT
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• Estrogen Patch vs Gel vs Pill — Which Is Right for You?
• Progesterone Side Effects: What’s Normal & What’s Not
• Testosterone for Women in Perimenopause: The Missing Hormone
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👩⚕️ ABOUT DR. JEN
Dr. Jennifer Roelands is a double-board-certified OB/GYN and integrative
medicine physician helping women in perimenopause and menopause stop feeling
dismissed and start feeling like themselves again.
🩺 See me as a patient: www.precisionhealthmdoc.com
📩 Weekly letter: www.drjenniferroelands.com
💕 STAY CONNECTED
• Instagram → https://www.instagram.com/drjen.md/
• Pinterest → https://www.pinterest.com/jenniferroelandsmd/
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⚠️ DISCLAIMER
This video is for educational purposes only and is not medical advice. Always
consult your physician before starting or adjusting any hormone therapy,
supplement, or medication.
#HRT #Perimenopause #Menopause #HormoneReplacementTherapy #WomensHealth
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