Why Am I Spotting After Starting HRT? | Bi-Est, Progesterone & Night Sweats Explained by Experts | PYHP 176 episode artwork

EPISODE · Jul 28, 2025 · 34 MIN

Why Am I Spotting After Starting HRT? | Bi-Est, Progesterone & Night Sweats Explained by Experts | PYHP 176

from Progress Your Health Podcast · host Dr Valorie Davidson and Dr Robert Maki

In this episode of the Progress Your Health Podcast, Dr. Valorie Davidson and Dr. Robert Maki answer a listener’s question about spotting and night sweats after starting hormone replacement therapy (HRT). Lisa, age 55, shares her experience using Bi-Est cream, oral progesterone, and testosterone—and why she’s now experiencing unexpected bleeding and sleep disruption. We break down: ● Why spotting can happen after starting HRT—even with low estradiol levels ● The difference between estradiol and estriol in Bi-Est cream ● How progesterone protects the uterine lining ● When to increase vs. decrease HRT doses ● The role of cortisol and adrenal

Episode metadata supplied by the publisher feed · Published Jul 28, 2025

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Why Am I Spotting After Starting HRT? | Bi-Est, Progesterone & Night Sweats Explained by Experts | PYHP 176

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