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.
What Causes Bleeding on HRT in Perimenopause? | PYHP 157
Progress Your Health Podcast
21 minutes 21 seconds
6 months ago
What Causes Bleeding on HRT in Perimenopause? | PYHP 157
In this episode, we address a question from "Victoria" (name changed for privacy), who is experiencing prolonged bleeding while undergoing hormone replacement therapy (HRT). Victoria is in perimenopause and is taking compounded T4/T3 thyroid medication and progesterone. Despite normal test results, she often has bleeding that lasts up to 14 days, and her menstrual cycles are becoming shorter. These symptoms are quite common during perimenopause or when HRT is not properly balanced. Additionally, Victoria is dealing with joint pain and inflammation and wonders if these issues could be related to her hormones.
Topics Discussed:
The relationship between perimenopause and HRT
Causes of prolonged periods during perimenopause
Managing menopausal bleeding with HRT
Understanding estrogen dominance
Is estrogen therapy suitable for perimenopausal women who are still menstruating?
Optimal timing for progesterone HRT: continuous vs. cyclical use
The connection between hormones, inflammation, and joint pain
Victoria’s Question:
"Hi! Your podcast is awesome, thanks for making it available! I turned 50 four months ago. Still menstruating monthly - every 27-28 days (with one exception - see below). Generally feeling good - no hot flashes or night sweats that I can tell, sleeping 7-9 hours a night (might wake up once or twice on occasion but generally able to go back to sleep quickly). My brain is working fairly well and my mood is good. No vaginal dryness or libido issues so far. For reference, my mum had her very last period four months after she turned 54, and she has never ever had hot flashes (in case that's useful). For the last two years I have been taking 100mg bio-identical progesterone from day 14 (sometimes I might start it on day 12 or 13 of my cycle if I feel PMS-like symptoms). I have also been taking 1,5 grain compounded thyroid for the last two years. I can honestly say the progesterone and the thyroid medication saved me from a lot of suffering I had started to experience 6 months before I started taking them: I had just turned 48 and I started to gain weight, couldn't sleep, felt depressed and brain-fogged. After starting the progesterone capsule and the compounded thyroid medication I gradually returned to feeling normal again. Lately I have even managed to lose some of the weight I put on. My issues right now: My period, although still regular, is characterized by long bleeding. I can easily bleed for up to 14 days. Granted, the bleeding will lighten up after day 5 or 6 but it will continue for at least as many days, albeit light. And to cap it all, this month I finished bleeding on day 14 and started bleeding again on day 19 (this is the first time my cycle is that short for as long as I can remember). I do yearly vaginal ultrasound - all normal. My last one was in June this year. Questions: Could I manage the bleeding by starting the progesterone earlier in my cycle? If so, on which day? Or do I need to start adding a bit of biest into my regiment? My doctor suggested that I could introduce 2.5mg biest (80/20 ratio) from day 5 to day 25 of my cycle, but I am unclear on how this could solve the bleeding issues. Lastly, I am experiencing some joint pain and joint inflammation lately, and I keep reading that this could be a (peri)menopausal symptom. Could adding a bit of biest help the joint pain? Oh, my skin is also drying up and sometimes breaking out a bit, and I guess that's also related to the change of hormones. It's the bleeding and the joint paint though that I am mostly bothered about. I already have l...
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.
