Full Transcript Why your HRT may not be working 0:00 If you've finally 0:00 If you've finally started 0:01 started 0:01 started hormone therapy 0:02 hormone therapy 0:02 hormone therapy but still don't 0:03 but still don't 0:03 but still don't feel the way you 0:04 feel the way you 0:04 feel the way you hoped, don't 0:05 hoped, don't 0:05 hoped, don't assume that 0:06 assume that 0:06 assume that hormone replacement 0:07 hormone replacement 0:07 hormone replacement therapy isn't 0:07 therapy isn't 0:07 therapy isn't right for you. Because 0:09 right for you. Because 0:09 right for you. Because most often the problem is 0:10 most often the problem is 0:10 most often the problem is not whether 0:11 not whether 0:11 not whether you are taking hormones, 0:12 you are taking hormones, 0:12 you are taking hormones, but their dose, type, 0:14 but their dose, type, 0:14 but their dose, type, or method of administration. 0:15 or method of administration. 0:17 So in this video, I 0:17 So in this video, I want to show you 0:18 want to show you 0:18 want to show you five clear signs 0:19 five clear signs 0:19 five clear signs that your HRT dose 0:20 that your HRT dose 0:21 that your HRT dose is wrong, and 0:21 is wrong, and 0:21 is wrong, and specific questions 0:23 specific questions 0:23 specific questions for your 0:23 for your 0:23 for your next visit to your 0:24 next visit to your 0:24 next visit to your gynecologist or 0:25 gynecologist or 0:25 gynecologist or family doctor to get 0:26 family doctor to get 0:26 family doctor to get things right. I'm 0:28 things right. I'm 0:28 things right. I'm Dr. Jen, a 0:28 Dr. Jen, a 0:28 Dr. Jen, a gynecologist and 0:29 gynecologist and 0:31 integrative 0:31 integrative medicine specialist, and over the course of my 0:32 medicine specialist, and over the course of my 0:32 medicine specialist, and over the course of my 20 years of 0:32 20 years of 0:32 20 years of medical practice, 0:34 medical practice, 0:34 medical practice, I've helped thousands of 0:35 I've helped thousands of 0:35 I've helped thousands of women navigate 0:36 women navigate 0:36 women navigate hormone therapy. 0:37 hormone therapy. 0:37 hormone therapy. And I want to help 0:38 And I want to help 0:38 And I want to help you choose the 0:39 you choose the 0:39 you choose the right HRT regimen. 0:40 right HRT regimen. 0:40 right HRT regimen. Here is a view that
HRT is a DIAL, not a switch 0:41 Here is a view that 0:42 Here is a view that changes everything. HRT is not a 0:43 changes everything. HRT is not a 0:43 changes everything. HRT is not a switch, but rather a 0:44 switch, but rather a 0:44 switch, but rather a regulator, and 0:46 regulator, and 0:46 regulator, and almost no one 0:46 almost no one 0:46 almost no one talks about it. People 0:47 talks about it. People 0:47 talks about it. People think that just 0:48 think that just 0:48 think that just starting treatment and everything 0:49 starting treatment and everything 0:49 starting treatment and everything will magically work 0:50 will magically work 0:50 will magically work , but in reality, 0:51 , but in reality, 0:51 , but in reality, a lot of 0:52 a lot of 0:52 a lot of adjustments are needed. You may 0:53 adjustments are needed. You may 0:53 adjustments are needed. You may suffer from 0:54 suffer from 0:54 suffer from symptoms, think your 0:55 symptoms, think your 0:55 symptoms, think your condition is improving 0:56 condition is improving 0:56 condition is improving but not enough, and 0:57 but not enough, and 0:57 but not enough, and decide that 0:58 decide that 0:58 decide that hormone replacement therapy is 0:59 hormone replacement therapy is not for you. So, 1:01 not for you. So, 1:01 not for you. So, let's look at 1:02 let's look at 1:02 let's look at the signs that HRT 1:03 the signs that HRT 1:03 the signs that HRT needs adjustment 1:04 needs adjustment . Sign number one, and
Sign #1 u2014 Partial relief (dose too low) 1:06 . Sign number one, and 1:06 . Sign number one, and it's the most common. 1:08 it's the most common. 1:08 it's the most common. Your symptoms become 1:09 Your symptoms become 1:09 Your symptoms become slightly less 1:10 slightly less 1:10 slightly less severe, but do not 1:11 severe, but do not 1:11 severe, but do not disappear completely. You 1:13 disappear completely. You 1:13 disappear completely. You start HRT, 1:14 start HRT, 1:14 start HRT, feel 1:15 feel 1:15 feel relief, and 1:15 relief, and 1:16 relief, and notice that your 1:16 notice that your 1:16 notice that your hot flashes are happening, 1:18 hot flashes are happening, 1:18 hot flashes are happening, say, twice a 1:19 say, twice a 1:19 say, twice a day instead of ten. 1:20 day instead of ten. 1:20 day instead of ten. But you still 1:21 But you still 1:21 But you still feel that the 1:22 feel that the 1:22 feel that the symptoms are causing 1:23 symptoms are causing 1:23 symptoms are causing you distress. You 1:24 you distress. You 1:24 you distress. You may wake up 1:24 may wake up 1:25 may wake up in the morning feeling 1:25 in the morning feeling 1:25 in the morning feeling exhausted throughout 1:26 exhausted throughout 1:26 exhausted throughout the day or still be 1:27 the day or still be 1:27 the day or still be dealing with vaginal 1:28 dealing with vaginal 1:28 dealing with vaginal dryness or frequent 1:29 dryness or frequent 1:29 dryness or frequent urges. Here is the rule 1:30 urges. Here is the rule I use 1:31 I use 1:31 I use for my patients. 1:32 for my patients. 1:32 for my patients. Progesterone begins to 1:33 Progesterone begins to 1:33 Progesterone begins to work in about 1:34 work in about 1:34 work in about two days. You 1:35 two days. You 1:35 two days. You sleep better. 1:36 sleep better. 1:36 sleep better. Estrogen takes 1:37 Estrogen takes 1:37 Estrogen takes two to three 1:38 two to three 1:38 two to three weeks to start 1:39 weeks to start 1:39 weeks to start working. And testosterone 1:40 working. And testosterone 1:40 working. And testosterone can take 1:41 can take 1:41 can take several months, 1:41 several months, 1:41 several months, even up to three 1:42 even up to three 1:42 even up to three months, to show its 1:43 months, to show its 1:43 months, to show its effects. With a stable 1:44 effects. With a stable 1:45 effects. With a stable dose of any 1:45 dose of any 1:45 dose of any medication, your 1:46 medication, your 1:46 medication, your main symptoms 1:47 main symptoms 1:47 main symptoms should begin to 1:48 should begin to 1:48 should begin to subside. Maybe not 1:49 subside. Maybe not 1:49 subside. Maybe not completely, but the 1:50 completely, but the 1:50 completely, but the dynamics should be 1:51 dynamics should be 1:51 dynamics should be positive. So if 1:53 positive. So if 1:53 positive. So if you don't notice any 1:54 you don't notice any 1:54 you don't notice any relief from your symptoms 1:56 relief from your symptoms , it's possible that your 1:57 , it's possible that your 1:57 , it's possible that your estrogen or 1:58 estrogen or 1:58 estrogen or progesterone dose is too 1:59 progesterone dose is too 1:59 progesterone dose is too low, or the method of 2:00 low, or the method of 2:00 low, or the method of administration just is 2:01 administration just is 2:01 administration just is n't right for you. So, 2:02 n't right for you. So, 2:02 n't right for you. So, if you're 2:03 if you're 2:03 if you're using a 2:03 using a 2:04 using a patch and it doesn't 2:05 patch and it doesn't 2:05 patch and it doesn't stick well, 2:06 stick well, 2:06 stick well, you may not be getting the 2:06 you may not be getting the 2:06 you may not be getting the right dose. Or 2:07 right dose. Or 2:07 right dose. Or if it's a gel 2:08 if it's a gel 2:08 if it's a gel applied to too 2:09 applied to too 2:09 applied to too large an area of skin, 2:10 large an area of skin, 2:10 large an area of skin, or you sweat a lot 2:11 or you sweat a lot , gels may not be the 2:12 , gels may not be the 2:12 , gels may not be the best option 2:13 best option 2:13 best option for you. Or maybe 2:14 for you. Or maybe 2:14 for you. Or maybe your dose was very 2:15 your dose was very 2:15 your dose was very low to 2:16 low to 2:16 low to begin with, and because of the 2:17 begin with, and because of the 2:17 begin with, and because of the cautious “ 2:18 cautious “ slow and incremental” approach 2:19 slow and incremental” approach 2:19 slow and incremental” approach that 2:20 that 2:20 that most of us take, you are 2:21 most of us take, you are 2:21 most of us take, you are still not getting the 2:22 still not getting the 2:22 still not getting the proper treatment. 2:23 proper treatment. 2:23 proper treatment. Partial relief 2:24 Partial relief is not the end, it is a 2:25 is not the end, it is a 2:25 is not the end, it is a signal that you need to 2:26 signal that you need to 2:26 signal that you need to continue and 2:27 continue and 2:27 continue and adjust the therapy 2:28 adjust the therapy 2:28 adjust the therapy until you 2:29 until you 2:29 until you feel like yourself again and that
Sign #2 u2014 Over-treatment side effects 2:30 feel like yourself again and that 2:30 feel like yourself again and that everything is 2:31 everything is 2:31 everything is great. The second sign 2:32 great. The second sign is the complete 2:33 is the complete 2:33 is the complete opposite. 2:33 opposite. 2:33 opposite. Instead of being 2:34 Instead of being 2:34 Instead of being 2:35 undertreated, women 2:35 undertreated, women may be given 2:36 may be given 2:36 may be given too much. 2:37 too much. 2:37 too much. So, the main sign 2:39 So, the main sign 2:39 So, the main sign here is the symptoms or 2:40 here is the symptoms or 2:40 here is the symptoms or combination of symptoms that 2:41 combination of symptoms that 2:41 combination of symptoms that appeared after 2:42 appeared after 2:42 appeared after starting 2:43 starting 2:43 starting hormone replacement therapy 2:44 hormone replacement therapy . You may 2:45 . You may 2:45 . You may notice swelling and 2:47 notice swelling and 2:47 notice swelling and tenderness of the 2:48 tenderness of the 2:48 tenderness of the breasts, nausea, 2:49 breasts, nausea, 2:49 breasts, nausea, weight gain, fluid retention 2:50 weight gain, fluid retention , and headaches. A 2:51 , and headaches. A 2:52 , and headaches. A short 2:53 short 2:53 short adjustment period, during 2:54 adjustment period, during 2:54 adjustment period, during which we may 2:55 which we may 2:55 which we may pause 2:56 pause 2:56 pause hormone therapy 2:57 hormone therapy 2:57 hormone therapy to allow 2:58 to allow 2:58 to allow the drug to wear off, 2:59 the drug to wear off, 2:59 the drug to wear off, or change the dose, 3:00 or change the dose, 3:00 or change the dose, may last a month 3:01 may last a month 3:01 may last a month or two. 3:02 or two. 3:02 or two. Your body may 3:03 Your body may 3:03 Your body may need more 3:04 need more 3:04 need more progesterone to 3:05 progesterone to 3:05 progesterone to counteract estrogen 3:06 counteract estrogen 3:06 counteract estrogen if its levels are 3:07 if its levels are 3:07 if its levels are too high, or you 3:08 too high, or you 3:08 too high, or you may need to lower your 3:09 may need to lower your 3:09 may need to lower your progesterone dose 3:10 progesterone dose 3:10 progesterone dose if you 3:11 if you 3:11 if you feel excessively 3:12 feel excessively 3:12 feel excessively tired and sleepy in the morning. 3:13 tired and sleepy in the morning. 3:13 tired and sleepy in the morning. So the right 3:14 So the right 3:14 So the right drug in 3:15 drug in 3:15 drug in the right dose 3:16 the right dose 3:16 the right dose will eliminate these 3:17 will eliminate these 3:17 will eliminate these side effects. 3:18 side effects. 3:19 side effects. For example, 3:19 For example, 3:19 For example, taking 3:20 taking 3:20 taking estrogen orally may be 3:21 estrogen orally may be 3:21 estrogen orally may be a little more difficult for you 3:22 a little more difficult for you 3:22 a little more difficult for you than using a 3:23 than using a 3:23 than using a patch or gel. Or 3:25 patch or gel. Or 3:25 patch or gel. Or maybe the 3:25 maybe the 3:25 maybe the progesterone dose is too 3:27 progesterone dose is too 3:27 progesterone dose is too high, you 3:27 high, you 3:27 high, you wake up too 3:28 wake up too 3:28 wake up too tired, and it should be 3:29 tired, and it should be 3:29 tired, and it should be taken earlier 3:30 taken earlier 3:30 taken earlier in the evening. Therefore, some of 3:31 in the evening. Therefore, some of 3:31 in the evening. Therefore, some of these parameters 3:32 these parameters 3:32 these parameters need to 3:32 need to 3:32 need to be adjusted or 3:33 be adjusted or 3:33 be adjusted or changed together with 3:34 changed together with 3:34 changed together with your doctor; it is 3:35 your doctor; it is 3:35 your doctor; it is important 3:35 important 3:35 important to consult 3:36 to consult 3:36 to consult him. The third sign is
Sign #3 u2014 Irregular or breakthrough bleeding 3:38 him. The third sign is 3:38 him. The third sign is irregular 3:38 irregular 3:38 irregular bleeding. This is something you 3:40 bleeding. This is something you 3:40 bleeding. This is something you shouldn't turn a blind 3:41 shouldn't turn a blind 3:41 shouldn't turn a blind eye to. Even if you 3:43 eye to. Even if you 3:43 eye to. Even if you have a uterus and still have 3:44 have a uterus and still have 3:44 have a uterus and still have menstrual cycles, 3:45 menstrual cycles, 3:45 menstrual cycles, if the bleeding 3:46 if the bleeding 3:46 if the bleeding becomes 3:46 becomes 3:46 becomes heavier or 3:47 heavier or 3:47 heavier or irregular, it 3:48 irregular, it 3:48 irregular, it may indicate 3:49 may indicate 3:49 may indicate excess estrogen and 3:50 excess estrogen and 3:51 excess estrogen and we need to 3:51 we need to 3:51 we need to increase the 3:52 increase the 3:52 increase the progesterone dose or 3:53 progesterone dose or 3:53 progesterone dose or decrease the estrogen. But 3:54 decrease the estrogen. But 3:55 decrease the estrogen. But if you haven't 3:56 if you haven't 3:56 if you haven't had a period in a long time and are already 3:57 had a period in a long time and are already 3:57 had a period in a long time and are already postmenopausal, 3:58 postmenopausal, 3:58 postmenopausal, any bleeding 3:59 any bleeding 3:59 any bleeding should be taken 4:00 should be taken 4:00 should be taken seriously. We 4:01 seriously. We 4:01 seriously. We need you to 4:02 need you to 4:02 need you to see a doctor, 4:03 see a doctor, 4:03 see a doctor, have an 4:03 have an 4:03 have an 4:05 ultrasound, and 4:05 ultrasound, and check how 4:06 check how 4:06 check how hormone replacement 4:07 hormone replacement 4:07 hormone replacement therapy is affecting 4:08 therapy is affecting 4:08 therapy is affecting your uterus. Women 4:09 your uterus. Women 4:09 your uterus. Women who still have a cycle and who, 4:10 who still have a cycle and who, 4:10 who still have a cycle and who, for example, 4:11 for example, 4:11 for example, follow a 4:12 follow a 4:12 follow a cyclical regimen, 4:13 cyclical regimen, 4:13 cyclical regimen, may notice 4:14 may notice 4:14 may notice changes in their cycles 4:15 changes in their cycles 4:15 changes in their cycles and even their periods, 4:16 and even their periods, 4:16 and even their periods, but they should not 4:17 but they should not 4:17 but they should not become 4:18 become 4:18 become more intense, 4:19 more intense, 4:19 more intense, be accompanied by 4:20 be accompanied by 4:20 be accompanied by bleeding, or 4:21 bleeding, or 4:21 bleeding, or be perceived as 4:21 be perceived as 4:21 be perceived as abnormal. If you are 4:23 abnormal. If you are 4:23 abnormal. If you are postmenopausal and do 4:24 postmenopausal and do 4:24 postmenopausal and do not have periods, you 4:25 not have periods, you 4:27 should report any bleeding to 4:28 should report any bleeding to your doctor. This is 4:29 your doctor. This is 4:29 your doctor. This is normal in the first three 4:30 normal in the first three to four months after 4:31 to four months after 4:31 to four months after starting hormone 4:32 starting hormone replacement therapy, but 4:33 replacement therapy, but 4:34 replacement therapy, but is not typical once you 4:35 is not typical once you 4:35 is not typical once you are already on 4:36 are already on 4:36 are already on HRT; This requires 4:37 HRT; This requires 4:37 HRT; This requires examination, and it is important 4:38 examination, and it is important 4:38 examination, and it is important to seek 4:39 to seek 4:39 to seek help from a doctor. 4:40 help from a doctor. 4:40 help from a doctor. So, sign number
Sign #4 u2014 Feeling worse on progesterone 4:42 So, sign number 4:42 So, sign number four. You actually 4:43 four. You actually 4:43 four. You actually feel worse 4:44 feel worse 4:44 feel worse after starting 4:45 after starting 4:45 after starting something 4:46 something 4:46 something like progesterone. 4:47 like progesterone. 4:47 like progesterone. Some women may 4:48 Some women may 4:48 Some women may notice a decrease in 4:49 notice a decrease in 4:49 notice a decrease in mood, drowsiness, 4:51 mood, drowsiness, 4:51 mood, drowsiness, feelings of 4:51 feelings of 4:51 feelings of depression, 4:52 depression, 4:52 depression, anxiety, 4:53 anxiety, 4:53 anxiety, increased 4:54 increased 4:54 increased worry, 4:54 worry, 4:54 worry, heavier periods, 4:55 heavier periods, 4:56 heavier periods, fatigue—things you might 4:57 fatigue—things you might 4:57 fatigue—things you might not have expected at all. 4:58 not have expected at all. 4:58 not have expected at all. They seem to have a 4:59 They seem to have a 4:59 They seem to have a general intolerance to 5:00 general intolerance to 5:00 general intolerance to 5:02 progesterone from the 5:02 progesterone from the very beginning. 5:02 very beginning. 5:03 very beginning. Maybe it's 5:03 Maybe it's 5:04 Maybe it's not about progesterone at all 5:04 not about progesterone at all 5:04 not about progesterone at all . 5:05 . 5:06 . It may be the 5:06 It may be the 5:06 It may be the wrong dose, 5:07 wrong dose, 5:07 wrong dose, the wrong time 5:08 the wrong time 5:08 the wrong time of day, or the 5:09 of day, or the 5:09 of day, or the wrong type of 5:10 wrong type of 5:10 wrong type of progesterone. 5:11 progesterone. 5:13 For example, if you 5:13 For example, if you take it at night 5:14 take it at night , you may want to 5:15 , you may want to 5:15 , you may want to change the time to an 5:16 change the time to an 5:16 change the time to an earlier bedtime. 5:17 earlier bedtime. 5:17 earlier bedtime. Instead of taking it at 10:00 PM 5:19 Instead of taking it at 10:00 PM 5:19 Instead of taking it at 10:00 PM when you go to bed 5:20 when you go to bed , try taking 5:21 , try taking 5:21 , try taking it at 9:00 PM or 8:00 PM, 5:22 it at 9:00 PM or 8:00 PM, 5:22 it at 9:00 PM or 8:00 PM, as the drug 5:23 as the drug 5:23 as the drug has a long 5:24 has a long 5:24 has a long half-life, 5:25 half-life, 5:25 half-life, which can leave you feeling 5:26 which can leave you feeling 5:26 which can leave you feeling groggy when you wake up 5:27 groggy when you wake up . You may 5:28 . You may 5:28 . You may need a different dose. 5:29 need a different dose. 5:29 need a different dose. There are many 5:30 There are many 5:30 There are many FDA-approved doses of 5:31 FDA-approved doses of 5:31 FDA-approved doses of progesterone, so 5:32 progesterone, so 5:32 progesterone, so some women may 5:33 some women may 5:33 some women may benefit from certain doses, 5:35 benefit from certain doses, 5:35 benefit from certain doses, while others may benefit from 5:35 while others may benefit from custom- 5:36 custom- 5:36 custom- made 5:37 made 5:37 made progesterone 5:38 progesterone 5:38 progesterone because it does not 5:39 because it does not 5:39 because it does not contain the additives 5:40 contain the additives 5:40 contain the additives found in FDA-approved 5:41 found in FDA-approved 5:41 found in FDA-approved options. Or 5:42 options. Or 5:42 options. Or maybe you need a 5:43 maybe you need a 5:43 maybe you need a different 5:43 different 5:44 different input method. 5:45 input method. 5:45 input method. You might be able to use something 5:45 You might be able to use something 5:45 You might be able to use something like Duavee, a 5:46 like Duavee, a special 5:47 special 5:47 special oral 5:47 oral 5:47 oral progesterone, or 5:48 progesterone, or 5:48 progesterone, or use an 5:49 use an 5:49 use an oral capsule 5:50 oral capsule 5:50 oral capsule vaginally. So, don't 5:51 vaginally. So, don't 5:51 vaginally. So, don't dismiss all 5:52 dismiss all 5:52 dismiss all possibilities just because 5:53 possibilities just because 5:53 possibilities just because one dose didn't 5:54 one dose didn't 5:54 one dose didn't work for you. By the way, I 5:55 work for you. By the way, I 5:55 work for you. By the way, I created a video 5:56 created a video 5:56 created a video specifically about the 5:57 specifically about the 5:57 specifically about the side effects of 5:57 side effects of 5:58 side effects of progesterone, so 5:58 progesterone, so 5:58 progesterone, so you can watch 5:59 you can watch 5:59 you can watch it here. So,
Sign #5 u2014 Energy, libido & muscle loss (testosterone) 6:00 it here. So, 6:00 it here. So, the last, fifth sign: 6:01 the last, fifth sign: 6:01 the last, fifth sign: the tides are getting 6:02 the tides are getting 6:02 the tides are getting weaker, but the energy is 6:04 weaker, but the energy is 6:04 weaker, but the energy is still lacking. 6:04 still lacking. 6:05 still lacking. The feeling that something is 6:06 The feeling that something is 6:06 The feeling that something is still missing. 6:07 still missing. 6:07 still missing. Many women 6:08 Many women 6:08 Many women think it's 6:08 think it's 6:09 think it's just aging, but 6:10 just aging, but 6:10 just aging, but estrogen isn't the 6:11 estrogen isn't the 6:11 estrogen isn't the only piece of the puzzle. 6:12 only piece of the puzzle. 6:12 only piece of the puzzle. Things like 6:13 Things like 6:13 Things like motivation, libido, 6:14 motivation, libido, 6:14 motivation, libido, stamina, muscle 6:16 stamina, muscle 6:16 stamina, muscle mass—all of these can 6:17 mass—all of these can 6:17 mass—all of these can be linked to a 6:18 be linked to a 6:18 be linked to a lack of the hormone 6:19 lack of the hormone 6:19 lack of the hormone testosterone, 6:20 testosterone, 6:20 testosterone, which I like to talk about 6:21 which I like to talk about because so many 6:22 because so many 6:22 because so many women who 6:23 women who 6:23 women who need 6:24 need 6:24 need testosterone 6:25 testosterone 6:25 testosterone are denied its 6:26 are denied its 6:26 are denied its prescription. 6:27 prescription. 6:27 prescription. Testosterone is 6:28 Testosterone is 6:28 Testosterone is extremely important 6:29 extremely important 6:29 extremely important for our body, 6:30 for our body, 6:30 for our body, and it is worth 6:31 and it is worth 6:31 and it is worth telling your doctor if 6:32 telling your doctor if 6:32 telling your doctor if you 6:33 you 6:33 you are experiencing 6:33 are experiencing 6:33 are experiencing low 6:34 low 6:34 low energy, libido, 6:35 energy, libido, 6:35 energy, libido, concentration, loss of 6:36 concentration, loss of 6:36 concentration, loss of muscle mass, or 6:37 muscle mass, or 6:37 muscle mass, or a feeling of " 6:38 a feeling of " 6:38 a feeling of " head fog" that does not go away 6:39 head fog" that does not go away 6:39 head fog" that does not go away even after taking 6:40 even after taking 6:40 even after taking estrogen. So, how do you
4 questions to ask your doctor 6:42 estrogen. So, how do you 6:42 estrogen. So, how do you discuss this with your 6:44 discuss this with your 6:44 discuss this with your doctor? Here are 6:45 doctor? Here are 6:45 doctor? Here are the questions I 6:45 the questions I 6:45 the questions I recommend asking 6:46 recommend asking 6:46 recommend asking your doctor so you 6:47 your doctor so you 6:47 your doctor so you can choose the 6:48 can choose the 6:48 can choose the right 6:49 right 6:49 right hormone replacement therapy. 6:51 hormone replacement therapy. 6:51 hormone replacement therapy. First question: 6:52 First question: 6:52 First question: can you discuss 6:53 can you discuss 6:53 can you discuss my symptoms 6:54 my symptoms 6:54 my symptoms and dosage with me? How 6:55 and dosage with me? How 6:55 and dosage with me? How will we track 6:56 will we track 6:56 will we track progress, or in other 6:57 progress, or in other 6:57 progress, or in other words, can I 6:58 words, can I 6:58 words, can I make an appointment with you 6:59 make an appointment with you 6:59 make an appointment with you in three 7:00 in three 7:00 in three months? Would 7:01 months? Would 7:01 months? Would another method of 7:02 another method of 7:02 another method of administering the drug be suitable for me, 7:04 administering the drug be suitable for me, 7:04 administering the drug be suitable for me, such as a patch, 7:05 such as a patch, 7:05 such as a patch, gel, or pills? 7:06 gel, or pills? 7:06 gel, or pills? In other words, why did 7:07 In other words, why did 7:07 In other words, why did you choose this particular 7:08 you choose this particular 7:10 hormone replacement therapy option 7:10 hormone replacement therapy option and why this particular 7:11 and why this particular 7:11 and why this particular dosage? Last 7:13 dosage? Last 7:13 dosage? Last question: can 7:14 question: can 7:14 question: can we adjust the type 7:15 we adjust the type 7:15 we adjust the type or time of reception? If it 7:16 or time of reception? If it 7:16 or time of reception? If it doesn't work for me, what should I 7:18 doesn't work for me, what should I 7:18 doesn't work for me, what should I do? How do I 7:19 do? How do I 7:19 do? How do I know what 7:20 know what 7:20 know what the monitoring will be like in 7:21 the monitoring will be like in 7:21 the monitoring will be like in the future? And one 7:22 the future? And one 7:22 the future? And one last question: 7:23 last question: 7:23 last question: ask about 7:24 ask about 7:24 ask about testosterone. If you 7:25 testosterone. If you 7:25 testosterone. If you feel your 7:26 feel your 7:26 feel your symptoms match, 7:27 symptoms match, 7:27 symptoms match, please ask 7:29 please ask 7:29 please ask about it to know 7:29 about it to know 7:29 about it to know your doctor's opinion 7:30 your doctor's opinion 7:30 your doctor's opinion regarding testosterone. 7:31 regarding testosterone. 7:31 regarding testosterone. If you remember
Key takeaway: HRT is a dial 7:32 If you remember 7:32 If you remember only one thing from this 7:33 only one thing from this 7:33 only one thing from this video, let it 7:34 video, let it 7:34 video, let it be this: HRT is a 7:35 be this: HRT is a 7:35 be this: HRT is a regulator, not an 7:35 regulator, not an 7:35 regulator, not an on-off switch. You can't 7:36 on-off switch. You can't 7:36 on-off switch. You can't just start HRT and 7:38 just start HRT and 7:38 just start HRT and let things take their 7:38 let things take their 7:38 let things take their course. If your 7:40 course. If your 7:40 course. If your symptoms do not 7:41 symptoms do not 7:41 symptoms do not completely resolve or you 7:42 completely resolve or you 7:42 completely resolve or you notice side 7:43 notice side 7:43 notice side effects, your therapy 7:44 effects, your therapy 7:44 effects, your therapy needs to be adjusted 7:45 needs to be adjusted 7:45 needs to be adjusted and you should contact your 7:47 and you should contact your 7:47 and you should contact your doctor to 7:47 doctor to 7:47 doctor to discuss the correct 7:49 discuss the correct 7:49 discuss the correct dose, timing, and type of 7:50 dose, timing, and type of 7:50 dose, timing, and type of medication that is 7:51 medication that is 7:51 medication that is right for you. 7:52 right for you. 7:55 If you want to 7:55 If you want to dig deeper into which is better 7:56 dig deeper into which is better 7:56 dig deeper into which is better for you—the patch or the 7:58 for you—the patch or the 7:58 for you—the patch or the gel—I 7:59 gel—I 7:59 gel—I broke it down in detail in a video 8:00 broke it down in detail in a video 8:00 broke it down in detail in a video about estrogen. 8:01 about estrogen. 8:02 about estrogen. Watch it, and 8:03 Watch it, and 8:03 Watch it, and I'll see you later.
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