Is Biest Better Than Estradiol Patch? | PYHP 137

In this episode, we answer a listener’s question about her HRT dosing. ‘Donna’ is 63 years old and has been on some type of hormone replacement therapy for the last 13 years. Hormone therapy is not ‘one size fits all.’ There are so many types of menopause hormone therapies that each treatment needs to be tailored to the individual. And overtime hormone treatments will change due to age, specific health goals, symptoms, and life changes. Even stress can create a need to adjust hormone doses. Let’s Read Donna’s Question: Good morning, I am 63 & postmenopausal (menopaused @ 35). I was from age 50 to 58 on a combo bio identical hormones Biest (?) & progesterone 200mg. A few years ago the doses were dropped to Prometrium 100mg & Biest 0.3mg (1.5 mg divided by 4 days). My doctor isn’t interested in bioidentical hormones so I instructed myself. Now at 63, I am “reasonably” well but some vaginal atrophy/dryness, still some moodiness & bad sleep. I tried stopping & got really “weird” emotionally. I tried Estriol cream but it’s messy + Prometrium 100mg. Going back on the torches + Prometrium? I was going to try patches but your podcast made me reconsider. Any advises please. With kind regards We take Donna’s question and discuss: – What is vaginal atrophy or also known as genitourinary syndrome of menopause (GSM)? – Different types of hormone replacement: troches, patches, creams, and others. – Prometrium vs progesterone. – Not all doctors have a knowledge base of hormone replacement. – What is biest? – What is estriol? – How hormone replacement can help mood. – How to help treat vaginal dryness due to menopause. If you have a question, please visit our website and click Ask the Doctor a question.