Do you feel like a “hot hormonal mess”?
You are not alone. Many of us are told we are healthy but don’t feel great. You feel tired, your sex drive has disappeared and you are frustrated with your weight, despite a healthy diet and exercise. At night you are exhausted, but your sleep quality is poor from waking up throughout the night.
Needless to say, you’re irritable and your patience is short, which makes you feel guilty for overreacting. It is not your fault! These are all signs of hormone-imbalances.
Our hormones can affect our mood, weight, energy, sleep, libido, memory, hair, skin and even promote disease if they are out of balance.
Dr. Robert Maki and Dr. Valorie Davidson are Naturopathic Physicians and graduates of Bastyr University. They specialize in Bioidentical Hormone Replacement Therapy (BHRT), Functional Medicine and are the co-hosts of The Progress Your Health Podcast.
This podcast is intended to educate listeners about hormonal conditions, such as hypothyroid, Hashimoto’s, adrenal fatigue, PMS, PCOS, perimenopause, menopause and low testosterone to name a few.
The Progress Your Health Podcast will focus on cutting edge information and therapies to help you lose weight, balance hormones and age gracefully. It is Dr. Maki and Dr. Davidson’s mission to motivate, educate and empower you to take your health to the next level.
All content for Progress Your Health Podcast is the property of Progress Your Health, Inc and is served directly from their servers
with no modification, redirects, or rehosting. The podcast is not affiliated with or endorsed by Podjoint in any way.
Do you feel like a “hot hormonal mess”?
You are not alone. Many of us are told we are healthy but don’t feel great. You feel tired, your sex drive has disappeared and you are frustrated with your weight, despite a healthy diet and exercise. At night you are exhausted, but your sleep quality is poor from waking up throughout the night.
Needless to say, you’re irritable and your patience is short, which makes you feel guilty for overreacting. It is not your fault! These are all signs of hormone-imbalances.
Our hormones can affect our mood, weight, energy, sleep, libido, memory, hair, skin and even promote disease if they are out of balance.
Dr. Robert Maki and Dr. Valorie Davidson are Naturopathic Physicians and graduates of Bastyr University. They specialize in Bioidentical Hormone Replacement Therapy (BHRT), Functional Medicine and are the co-hosts of The Progress Your Health Podcast.
This podcast is intended to educate listeners about hormonal conditions, such as hypothyroid, Hashimoto’s, adrenal fatigue, PMS, PCOS, perimenopause, menopause and low testosterone to name a few.
The Progress Your Health Podcast will focus on cutting edge information and therapies to help you lose weight, balance hormones and age gracefully. It is Dr. Maki and Dr. Davidson’s mission to motivate, educate and empower you to take your health to the next level.
Can You Take HRT If You’ve Had Endometriosis? | PYHP 167
Progress Your Health Podcast
22 minutes 19 seconds
6 months ago
Can You Take HRT If You’ve Had Endometriosis? | PYHP 167
In this episode, Dr. Valorie Davidson and Dr. Robert Maki respond to a great listener question from April, who’s navigating hormone replacement therapy (HRT) while dealing with a history of endometriosis, polyps, and chronic cramps.
April’s experience is all too familiar: spotting, cramping, hormone experimentation, and the frustrating search for symptom relief. So, can women with endometriosis safely use HRT—especially estrogen?
The answer: Yes, but it has to be customized.
�� In this episode, we cover:
Why HRT is absolutely possible for women with endometriosis—but must be individually tailored
The difference between static vs. rhythmic dosing and why rhythmic HRT may be better tolerated for some women
Dr. Davidson’s personal story of having endometriosis, cysts, and polyps—and how she now uses rhythmic dosing herself without flaring
The important role of progesterone in managing endometriosis and minimizing estrogen reactivity
How to approach spotting, cramping, and cyst formation during HRT ● Why estrogen isn’t the enemy—but why it must be dosed thoughtfully
✉️ Here’s April’s full question:
“Hi—I am a 57-year-old woman in perimenopause. My question is: is it possible for women with endometriosis or adenomyosis to do HRT?
I started oral progesterone 2 years ago, got as high as 300 mg, but didn’t get much symptom resolution. Switched to a progesterone troche—50 mg morning and night. About 3 months ago, I added testosterone (0.25 mg once daily, 5 days/week) and
Biest 80/20 (1 ml daily, can go up to 2 ml).
Everything was good for a while, but now the cramping and spotting have returned. I’ve had heavy bleeding as long as I can remember. My main complaint is menstrual cramps throughout the month—not just during my period. I do not have fibroids, but I’ve had many cysts and polyps over the years and have had many ultrasounds and transvaginal ultrasounds because of this.”
If you have a question, please visit our website and click Ask the Doctor a question.
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Progress Your Health Podcast
Do you feel like a “hot hormonal mess”?
You are not alone. Many of us are told we are healthy but don’t feel great. You feel tired, your sex drive has disappeared and you are frustrated with your weight, despite a healthy diet and exercise. At night you are exhausted, but your sleep quality is poor from waking up throughout the night.
Needless to say, you’re irritable and your patience is short, which makes you feel guilty for overreacting. It is not your fault! These are all signs of hormone-imbalances.
Our hormones can affect our mood, weight, energy, sleep, libido, memory, hair, skin and even promote disease if they are out of balance.
Dr. Robert Maki and Dr. Valorie Davidson are Naturopathic Physicians and graduates of Bastyr University. They specialize in Bioidentical Hormone Replacement Therapy (BHRT), Functional Medicine and are the co-hosts of The Progress Your Health Podcast.
This podcast is intended to educate listeners about hormonal conditions, such as hypothyroid, Hashimoto’s, adrenal fatigue, PMS, PCOS, perimenopause, menopause and low testosterone to name a few.
The Progress Your Health Podcast will focus on cutting edge information and therapies to help you lose weight, balance hormones and age gracefully. It is Dr. Maki and Dr. Davidson’s mission to motivate, educate and empower you to take your health to the next level.
