Hormone replacement therapy (HRT) and the heart

The arrival of menopause can be particularly distressing both mentally and physically. A number of conditions are associated with menopause. These include hot flashes, an increase in incidence of osteoporosis, alzheimer’s, vaginal atrophy and cardiovascular disease. At the beginning of the 20th century, the FDA approved an estrogen replacement medication called Premearin for the treatment of hot flashes.
In the 1970s, it was found that unopposed estrogen therapy was associated with an increase in endometrial cancer and HRT became unfavourable.
Subsequently however researchers found that if the dose of estrogen was reduced and combined with progesterone then the risk of endometrial cancer was reduced and once again HRT in the form of combined therapy (estrogen and progesterone) became popular again.
In 1988, the FDA approved HRT as a treatment not only for hot flashes but also for prevention of osteoporosis. As confidence and usage increased, researchers became interested in cardiovascular disease prevention.
We know that the incidence of cardiovascular events increases in post-menopausal women. This was shown nicely in the SWAN study which found that in women with hot flashes, there was a higher incidence of sub-clinical cardiovascular disease which included more calcification in the walls of the big vessels in the body (aorta) compared to women without menopausal symptoms. GIven this observation, researchers became very interested in trying to work out whether replacement of hormones by giving patients HRT could in fact prevent or arrest the sub clinical cardiovascular disease and in some way prove protective.
A bunch of observational studies did in fact suggest that this could be the case and doctors became very interested in prescribing HRT to women to reduce the risk of heart disease.
In 1998, a study was undertaken to better study the effects of HRT on the most common causes of mortality and morbidity in women such as cardiovascular disease, cancer and osteoporosis. This was called the Women’s health Initiative study.
16608 women with intact uteruses were given either a combination of oestrogen and progesterone or placebo and a further 10739 women without uteri were given oestrogen or placebo. The results were published after 5 years and claimed that in women with intact uteri, there was an increase in coronary disease and breast cancer but there was a reduction in osteoporotic fractures and colon cancer. On the basis of these results the trial was stopped prematurely and the message sent out was that HRT was a bad bad thing and there was a huge drop in HRT prescription.
In the group of women without uteri, they found that there was a small increased risk of strokes and there did not appear to be any benefit in terms of cardiovascular risk or breast cancer (but there was no increase risk either) but again there was a consistent beneficial effect on osteoporotic fractures and colon cancer. Nevertheless the overall message still remained that HRT was not such a great thing and it could be used maybe sparingly for osteoporosis and symptoms relief (from hot flashes) but should definitively not be used in asymptomatic women.
Please watch the video to find out the rest

Пікірлер: 266

  • @betzib8021
    @betzib80213 жыл бұрын

    Watching what happens to your body with no estrogen...as you go into old age...is devastating...far beyond disliking hot flashes. Hot flashes are nothing. Take HRT. Change diet to reduce heart disease...but don't give up your estrogen. I'm in my 70s. HRT is ONLY thing that has arrested osteoporosis. Before HRT I lost 2 inches in height. This changes everything inside the body. Without estrogen the brain changes. HRT means so much more than an antidote to menopausal symptoms.

  • @yasmindavidson5171

    @yasmindavidson5171

    3 жыл бұрын

    betzi b 💝💝💝💯🙏

  • @mishca5116

    @mishca5116

    3 жыл бұрын

    I feel similarly. Women that don't have severe menopause seem to sometimes think others are giving in ... but severe symptoms are devastating. As soon as I started HRT, my so-called fibromyalgia and hip bursitits (that had haunted me for 10 years) stopped. I started sleeping through the night. My IBS stopped. And of course, the other devastating symptoms associated with severe menopause. As soon as menopause started, i felt like my brain was actually being attacked and I was 100 years old. HRT saved me, literally. I have Afib and heart disease in my family not breast cancer so I would prefer to stay on HRT as long as needed. Living life without it , was no life at all, for me.

  • @BlackMamba-lt8oe

    @BlackMamba-lt8oe

    3 жыл бұрын

    @@mishca5116 no family history doesn't mean u don't get cancer 😂😂😂😂, just need a trigger

  • @mishca5116

    @mishca5116

    3 жыл бұрын

    @@BlackMamba-lt8oe i didn't say it did prevent me from getting cancer. It is a matter of personal risk assessment. I am quite aware that no family history doesn't mean you are at no risk for bc. Again, everyone has to make decisions on their own personal situation.

  • @betzib8021

    @betzib8021

    3 жыл бұрын

    @@mishca5116 I agree. Life without it seems so full of inflammation that it is hardly worth it.

  • @margaretfrazier181
    @margaretfrazier1813 жыл бұрын

    This is my story. Only saying what worked for me. At 41 I went through menopause, my first worse symptom was memory loss and depression and as a nurse I was devestated and frantic to say the least. That was in 1982 . Thank God I had a doctor who recommended hrt. I also used progesterone for a few years then quit that as I didn't feel well with it. I did have a hysterectomy around 55 . I'm now 791/2 years of age. Good memory, no depression , no pain anywhere , thank you God. I've done hrt for 38 + years at a small dose .125 . This worked for me, I can't say for others. My quality is so much more I feel than it would have been. My present gynecologist has no problem with me taking the med because as he said since I'm a small woman I would need something for bone loss, depression , and maybe pain med as time went by, all of which have a list of adverse reactions , so I would be taking 3 at least meds with side effects vs 1 med with potential side effects. This is my story only. As a side my daughter is 60 no hrt is shrinking and has some slight anxiety / depression and alot of painful joints esp her back.. she didn't feel well on hrt . Would it have made a difference? Who can tell. Good luck and good health.

  • @koalamama2

    @koalamama2

    3 жыл бұрын

    Maybe she can try red clover for estrogen. It's the only source of estrogen that only gives me the good effects and none of the bad. I also like fenugreek for testosterone (rarely need it) and damiana for progesterone.

  • @margaretfrazier181

    @margaretfrazier181

    3 жыл бұрын

    @@koalamama2 thanks so much. God bless

  • @lyricaldon9045

    @lyricaldon9045

    3 жыл бұрын

    I have had the same positive reactions as yours...am 78..which is unbelieveable to me! I still "feel" i benefit from a very low dose 37 mg...who knows? I sincerely do "feel" so positive about this.....

  • @indiacoon2933

    @indiacoon2933

    3 жыл бұрын

    Do you take estrogen in pill form or topical application?

  • @lezleyneill

    @lezleyneill

    2 ай бұрын

    Thanks so much for this video! I'm about to start taking HRT and hoping it will make a difference. My sister has been taking it for a year now and has just started experiencing heart palpitations and has increased BP. She's always had low HR and BP, eats very healthily and exercises regularly so this is unusual for her. Hard to work out whether the HRT is causing palpitations, high BP (these can be side effects) or if her symptoms are due to low estrogen (does she need her dose of HRT increased?)....or is it totally unrelated. It's a minefield 🙈🥴

  • @DRZGP
    @DRZGP3 жыл бұрын

    Probably one of the best summaries of HRT and CVD. Thank you Dr Gupta

  • @dawneanderson7176
    @dawneanderson71763 жыл бұрын

    You look great with the beard! And you’re gifted with eloquent speaking. This topic was extremely useful for me. Thank you for all you do for us.

  • @Zoe.TheBody360
    @Zoe.TheBody3603 жыл бұрын

    As I have studied BHRT I thought i'd add some more information. The Women's Health Initiative trial was NOT based on natural Progesterone it used a synthetic Progestin. Progestin's have been found to be extremely onerous both in promoting breast cancer and heart disease. It is imperative that a natural progesterone is used combined with bio-identical oestrogen. With regard to oestrogen, countless further studies clearly show that replacing E2 (estradiol) and E3 (estriol) a much weaker, but breast cancer protective oestrogen combined, with natural progesterone is the safest possible replacement (unless like you said there are contraindications or previous breast cancer or heart disease). E3 has actually been used currently in trials and is thought to have a similar effect to tamoxifen so it works almost like an anti-oestrogen on the receptor sites. It is also VITAL that oestrogen is ONLY administered transdermally. Progesterone can be oral. This bypasses the liver. If vaginal dryness is the only problem E3 can be used internally via pessary, etc, and can be compounded.

  • @time_traveller3

    @time_traveller3

    3 жыл бұрын

    Perfect. Absolutely agree with all you have said here! 😁

  • @annehaughton3968

    @annehaughton3968

    3 жыл бұрын

    is vagifem E3 please?

  • @SassyST

    @SassyST

    3 жыл бұрын

    Valuable info. Thank you!

  • @bethgillette948

    @bethgillette948

    2 жыл бұрын

    This has been my experience, as well. I've been on BHRT since 2006 and am still on it. I don't know how I would have managed without it. Although I was fit and healthy, after going off birth control at age 40 I had wicked early onset menopausal symptoms. I will be forever thankful that BHRT was made available to me by a very caring and knowledgeable doctor. My mother had been prescribed Premarin when she was in her 50's (30 years ago) while going through menopause. She was one of the unlucky ones who was later diagnosed with breast cancer several years later. There was no history of cancer in our family. Fortunately she survived the experience but I remembered the HRT controversy from back then and was determined go a more natural route. What a blessing it was that bio-identical hormones became available just when I needed them. I really feel for women who haven't had this opportunity and were left to suffer. My symptoms were relentless and exhausting. Thank you Dr. Gupta and Body360 for sharing this critical needed information!!

  • @purpose8141
    @purpose8141 Жыл бұрын

    I wish more doctors were like you and keen to educate themselves.

  • @anthonygrizzel4168
    @anthonygrizzel41683 жыл бұрын

    Luv the new look, your site is exceptionally helpful!

  • @elyssaberger5901
    @elyssaberger59013 жыл бұрын

    Thanks so much for this video. I’m a nurse and I love watching your videos because to be a good RN you must always be learning. That being said, this one was perfect for me because I went off Estrodial last year; exactly a year ago after my dr told me I’m nearing 60 and need to come off if. I am 57, had a hysterectomy at 40 due to anemia r/t fibroids and I have terrible hot flashes, sleep disturbances, moody and have brain fog. When I first went off it I was fine for a few weeks. But now it has become Unbearable! I’ve read different things So I was so happy to see you had this topic!! I have a MD appt next Tuesday to discuss going back on and now I feel armed with knowledge which was really broken down simply. Thanks again!!

  • @kikianne8788
    @kikianne87883 жыл бұрын

    I was told i can't have HRT as I had a heart attack 14 years ago. That was the end of the conversation. I'm now 54 and through the menopause. It was a nightmare but nightmares like all things end eventually. Thankyou so much for talking about this subject. It's interesting and extremely helpful to so many people. You're a very kind person.

  • @naegleriafowleri2230

    @naegleriafowleri2230

    2 жыл бұрын

    Being a woman with heart attack? Definitely have genetic factor so yeah not a good idea

  • @kikianne8788

    @kikianne8788

    2 жыл бұрын

    @@naegleriafowleri2230 How do you know it's a genetic factor???? Are you a doctor??????

  • @marilyndaley5998
    @marilyndaley59983 жыл бұрын

    Thank you for taking the time to share your knowledge.

  • @mrad1223
    @mrad12233 жыл бұрын

    Absolutely brilliant topic and thanks for yet another fantastic video. Really appreciate all your efforts to educate people.

  • @lyricaldon9045
    @lyricaldon90453 жыл бұрын

    Dr Gupta you are the best! I so wish i could have you or someone like you as my dr. Thank you for this information it is truely appreciated.

  • @patricerubin1599
    @patricerubin15992 жыл бұрын

    I had debilitating, embarrassing hot flashes, multiple per hour. They went on all night with sweating, insomnia, chronic uti and bladder infections. I thought the bladder infections might kill me. I felt horrible. The hot flashes literally stopped within hours of the application of the estrogen patch. I also take oral progesterone 12 days per month.. No more uti's, sleep like a baby. I've been on it 4 years now and never want to go off of it. It's been life changing for me. Dr Gupta, I just found your channel. You rock!!!

  • @opaqueluna5851
    @opaqueluna58513 жыл бұрын

    Thank you Dr Gupta, yet again, another vital explanation of important health information.

  • @sunithanaidoo5354
    @sunithanaidoo53543 жыл бұрын

    Oh wow... Thank you so much doctor🙏 for all this easy to understand information on hrt and menopause... extremely helpful and I now know the pros and cons of hrt... You're too brilliant and a wonderful soul👌👏🙏. Take care and God bless 🙏

  • @Mary-rg4tl
    @Mary-rg4tl3 жыл бұрын

    Yes! This information was extremely helpful! Thank you for posting! And I love your shirt 😁✌

  • @sl3763
    @sl37633 жыл бұрын

    Thank you so much! This gives me some peace of mind!

  • @Sandi533
    @Sandi5332 жыл бұрын

    Really helpful to analyze the results and make some sense of why doctors do what the do. I was in this situation. Now I understand the decision the doctor made to use HRT only for a limited time. Takes a lot of skill to analyze the results. Thanks you!

  • @smallfootprint2961
    @smallfootprint29613 жыл бұрын

    So good to hear from someone that does a lot of research, and talks to us with inteligence. It's always hard for me when someone calls heart problems CVD, because there's a lot that can go wrong with the heart. The most common problem is clogged arteries, all the way to hearts that don't beat right. What does HRT do to the heart to affect it negatively? Clogged arteries can be avoided with a low fat diet and exercise. Other than that, exactly how does the HRT affect the heart. Thanks for helping to inform us.

  • @cayaedwards798
    @cayaedwards7983 жыл бұрын

    I found hrt very effective in eliminating hot flushes. I'm 58 and I've been on it for 3 years. No hot flushes any more but i continue with one low dose patch per week as I feel it might be effective against osteoporosis. Thankyou for the video, as always.

  • @MS-sr1fe
    @MS-sr1fe Жыл бұрын

    Thankyou So much for covering this topic which is often not talked about and is going to affect every woman on this planet. Ty for sharing doc. Tc

  • @Clarefone_lifestylephysio
    @Clarefone_lifestylephysio Жыл бұрын

    Very clear and concise explanation . Brilliant and thank you.

  • @rsmith9923
    @rsmith99233 жыл бұрын

    Brilliant video, thank you.

  • @janicemillican9754
    @janicemillican97543 жыл бұрын

    Thank you for your explanation of HRT. It's very helpful.

  • @hannahotwa1047
    @hannahotwa10473 жыл бұрын

    Thank you for very informative video👍 you look better then ever.

  • @GlendaKing-ui4yd
    @GlendaKing-ui4yd5 ай бұрын

    I’ve been on HRT for approximately 15 years age 52…. Now 70 and continue using them . My doctor does nothing but the BioTe pellets and tells me testosterone is very good for my heart . Not only for my muscles but my heart and strengthens heart “ muscles “ . I am grateful for additional benefits from it since I had horrible hot flashes. Alzheimer’s runs in my family and I’m osteopenia… I have cardiovascular disease and had a double bypass now 3 years ago . All the while staying on my hormones minimal lapses. I 100% agree with the quality of my life and have no menopausal symptoms or anything else . Refuse statins and am very grateful for finding them . Thanks for the video it’s very reassuring . Love your videos keep them coming

  • @lauried4439
    @lauried44393 жыл бұрын

    Thank you! This video was very helpful.

  • @kashmeera6786
    @kashmeera6786 Жыл бұрын

    Thanks so much for taking time to educate yourself and us on hrt. I’m facing the dilemma of what will suit me best

  • @C-Rocks
    @C-Rocks3 жыл бұрын

    Excellent summary thank you!

  • @elizajoe2834
    @elizajoe28343 жыл бұрын

    In my opinion starting body identical hrt at 50 is the holy grail. I'm staying on it forever. I'm 55 now, life without it was upsetting in many ways. I had all symptoms doctor mentioned above. I'm so grateful its available as I can live a normal life again. Body identical is Utrogestan micronised Progesterone & Estradiol Sandrena transdermal gel. I'm not going to suffer as it won't get better just gets misreable and older. 🙄

  • @indiacoon2933

    @indiacoon2933

    3 жыл бұрын

    Do you feel estrogen pill or cream is safer?

  • @suziestokes9400
    @suziestokes94002 жыл бұрын

    I had a TAH back in jan 2013 at the age of 53, for 2 years I tried to get by without HRT but eventually being totally miserable all the time I begged my GP for help, a couple of non HRT options were tried but made me feel spaced out, so eventually I was prescribed estradiol 1mg, a few weeks later I felt ‘normal’ for the first time in years. I have been on this ever since and dread the time when I have to stop taking it, I rarely get hot flushes, I did gain about 40lbs, however 2 years ago I started a clean keto program (no grains, sugar or highly processed foods)and have lost all of the weight I gained and some besides. I take 400mg of magnesium, vitamin b complex and vitamin D daily. I haven’t felt so healthy for over 20 years, I only get IBS flare ups when I accidentally eat wheat and rarely get reflux anymore. I have found your videos incredibly informative and am using your information to tweak my nutrition so be the best me! I just need to increase my exercise and I’m hoping that I will have nailed it! Many thanks and keep well.

  • @dennistesdell3243
    @dennistesdell32433 жыл бұрын

    Good video! Glad you are well. Nice "pandemic beard." Thank you for all you do!!

  • @kathleenfubler431
    @kathleenfubler4313 жыл бұрын

    Thank you for this.

  • @nanahinsley6944
    @nanahinsley69443 жыл бұрын

    Helpful. Please keep ur coming especially HRT for over 60 yrs old. Thx

  • @suewilkinson910

    @suewilkinson910

    3 жыл бұрын

    Go and read the marvellous web site www.menopausedoctor.co.U.K. Full of up to date information. Talks about older women as well as young and has a regular podcast to listen too as well as videos. It’s an excellent resource.

  • @misj604
    @misj6043 жыл бұрын

    Great video Dr. Gupta. ❤️

  • @carolinearmstrong7178
    @carolinearmstrong71783 жыл бұрын

    Excellent video. Very informative. 👍

  • @cherylcampbell7495
    @cherylcampbell74953 жыл бұрын

    Bio identical therapy made my hair and my sisters hair fall out. Premarin made me sick plus animal cruelty. Estrace killed my mom with ovarian cancer. I’m eating vegetables and organic turmeric. Hot flashes are minimal. Sweets and alcohol are really bad and cause night sweats. Thank you Doctor. Stay away from stress! Happy Thanksgiving everyone.

  • @suewilkinson910

    @suewilkinson910

    3 жыл бұрын

    @L.M. Wallace Almost no one prescribes Premarin anymore. I think if you have been on it for years and are resisting change you can, but everyone else is on body identical oestrogen in the form of gel, patch, spray or tablet and either body identical progesterone Utrogestan or a progestin if they prefer. No need to pay a fortune. It’s all available on the NHS.

  • @justbecause9219

    @justbecause9219

    3 жыл бұрын

    Premarin is not bio identical....and the right dosage would not have caused hair loss.

  • @connieeash7935
    @connieeash79353 жыл бұрын

    A long time ago, I was in CV pharmaceutical research and I love to keep up with the scientific literature. This is such a clear, interesting explanation of the studies about the effects of HRT, especially about the age/distance from menopause. What strikes me is that, while the natural state of hormones is cyclical and the dosage of Premarin is evidently 3 weeks on, 1 week off, if the estrogen and progesterone are combined, there is no way to separate the cycles of each. Best case scenario would be to try to replicate the natural sequence and also the natural estrogens in the body, which horse urine does not do. I also wondered why certain female traits increase with menopause. Don't we have a decrease in estrogen? Then I discovered that the ratio of progesterone and estrogen is more important than the actual levels and that progesterone decreases the 2 years approaching menopause, before the decrease in estrogen. Therefore, the P/E ratio decreases, causing those premenopausal symptoms like weight gain. I also had the privilege of working with chicken farmers. Those white chickens are CornishX, bred to be estrogen dominant. When fed soy (estrogen), they become fat on very little feed. Even if given access to the field, they are too lazy to forage and just sit around eating all day, gaining weight so fast that they have heart disease and even broken legs by 8 weeks, at which time they are 8 lb dressed weight. If fed without soy, but with protein like fish meal, they are only 3 lb dressed at 3 weeks, yet eat more. I identified with the estrogen dominance and changed my diet and lifestyle. Menopause at 58 with no big issues. Instead of controlling symptoms with drugs, I've learned the the first action should be to be healthy. Detox (yes that is a necessary physiological process) and eat healthy and move.

  • @jmc8076

    @jmc8076

    3 жыл бұрын

    I’m glad you found what works best for you. My husb is a data consultant w/clients incl commercial chicken farmers and large feed mills he’s analyzed data on growth patterns and many factors involved. Good meta analysis show benefit of soy to women incl menopausal. Most fish incl ‘wild’ now carry pesticides and micro plastics in their system esp fat. Farmed fish often escape and taint wild areas (watch Artifishal doc film) I’ve been vegan whole food plant based for yrs. Menopause symptoms are min and weight stayed at/below healthy BMI range naturally w/o any effort. My husb same is in no medication at the age of 70 plus the blood work and every of those half his age. For me after yrs of studying data and quality studies and found vast bal of it not funded (directly or indirectly) by food industry like meat/dairy/fish/poultry all very powerful lobby juggernauts to govts and WHO show plant based diets incl soy and phytoestrogens to be the best at lowering all cause mortality and (only) at reversing CVD. I’m a student not a follower and look at many diff sources and who incentivized them, ie I don’t automatically believe a vegan MD over a non. Dr Kim Williams cardiologist does have some excellent talks and videos. I respect everyone’s right to look at the info they find and decide for themselves. Many blue zones do eat some animal protein (less then 10%) and soy. More studies are showing our unique microbiomes play role in how we process food, drugs etc. We’ll see what good quality (independent of big pharma) studies show. Women like us have seen good health is key - however we get there. Best wishes.

  • @gloriamaryhaywood2217

    @gloriamaryhaywood2217

    3 жыл бұрын

    @Connie Eash Thank you so much for your post. I had been watching other videos recently of how soy has become so dominant in the American diet. It's virtually in so many, many products. From what I've gathered it surely seems to play a major role in America's obesity explosion starting in the 1970's. Also with males developing female traits such as breast tissue. Thank you again for your info!!😉

  • @pambain9415
    @pambain9415 Жыл бұрын

    Very thorough discussion and so helpful to me. Being past 10 years post menopausal and a history of a PE, I am sad that HRT is not for me.

  • @teresanaron9064
    @teresanaron90643 жыл бұрын

    You are exceptional !

  • @trampoline5020
    @trampoline50203 жыл бұрын

    Excellent summary....

  • @maryjeffries5255
    @maryjeffries5255 Жыл бұрын

    Very well explained. Thank you

  • @gillianmillar5962
    @gillianmillar59623 жыл бұрын

    You posted a video some time ago regarding magnesium and the benefits for the heart. I researched the subject and found that it was thought to be a good remedy for menopausal hot flushes too. I am 58 years old and had been having flushes quite regularly (particularly at night) so decided to give it a try. As far as I am concerned it seems to have solved the problem. I was taking magnesium tablets for about 1 week before I noticed any difference, but do feel better now. I never liked the idea of having HRT so if anyone else is a bit wary, it might be worth trying magnesium tablets as an alternative.

  • @gloriamaryhaywood2217

    @gloriamaryhaywood2217

    3 жыл бұрын

    Magnesium for the Win!!!😉 I use magnesium to help keep my heart rate calm and to feel relaxed and sleep well. My body chemistry seems to looove this mineral!😉😎

  • @AdelleRamcharan

    @AdelleRamcharan

    2 жыл бұрын

    Amazing! There are many types of magnesium, which type did you take? Magnesium citrate?

  • @consuga72

    @consuga72

    2 жыл бұрын

    @@AdelleRamcharan I take Magnesium citrate and it really help me.

  • @rubythecraftgirl7097

    @rubythecraftgirl7097

    Жыл бұрын

    Hi Gillian, thank you for sharing your experience with magnesium. Could you please let me know, which form of magnesium has helped you? I know your comment is from one year ago, how are you doing now?

  • @gillianmillar5962

    @gillianmillar5962

    Жыл бұрын

    @@AdelleRamcharan Hello, Sorry I have only just seen your reply. I take 2 Magnesium Glycinate tablets before bed. Hope it helps you.

  • @afshansadaf81
    @afshansadaf813 жыл бұрын

    Always Like your videos very informative also your new look Doc 👌

  • @akosw1977
    @akosw19773 жыл бұрын

    Very timely, with the current establishment of a menopause charity in the UK; this subject is all too often ignored by GPs, and the effects of menopause are generally not considered or kinked to other health issues. For example, i have read that more post-menopausal women die from heart attacks than from breast cancer. If this is true, then we need better education. Thank you for addressing this

  • @BlackMamba-lt8oe

    @BlackMamba-lt8oe

    3 жыл бұрын

    Die of heart attacks how ,estrogen is protecting them

  • @zabeth1968
    @zabeth19683 жыл бұрын

    The best information every where 😊

  • @YorkCardiology

    @YorkCardiology

    3 жыл бұрын

    Glad it was helpful!Thank you for your support- it would mean a tonne if you’d consider subscribing to the channel. Also I try and do some regular broadcasts via WhatsApp on +44795131008

  • @judithbrighton3040
    @judithbrighton30403 жыл бұрын

    Thank you. I am 66, and I STILL have flashes, though they are greatly mitigated by my bioidentical HRT regimen. I definitely feel disapproval from most of my doctors (all in the same medical system, and one of them is a ob/gyn, though not a menopause specialist). But I've heard conflicting views from people who ARE menopause specialists. I take minimal doses of bioID progesterone and transdermal estrogen, and am much more comfortable because of it - better sleep, etc. Appreciate your balanced take. Stay safe!

  • @annehaughton3968

    @annehaughton3968

    3 жыл бұрын

    so even the menopause specialists disagree ?

  • @judithbrighton3040

    @judithbrighton3040

    3 жыл бұрын

    @@annehaughton3968 No, my observation is more like non-specialists are still clinging to outdated research.

  • @kctbldrama
    @kctbldrama3 жыл бұрын

    Thank you!!! This has been so helpful in figuring out if HRT is right for me. I'm not symptomatic and bloodwork shows I'm heading into menopause. I appreciate your very detailed explanation. Wish we had more doctors like you. Stay safe.

  • @telephassarose3501
    @telephassarose35013 жыл бұрын

    My sister developed breast cancer at age 50. The medics themselves told her it was related to oestrogen use. After a mastectomy and therapy for a year she had a heart attack and had developed cardiomyopathy. She was then on severely strong drugs for the rest of her life - amiodorone I think- experienced side affects from this in her liver and lungs, and so sadly died at just 61. Just my experience..I realise it’s only one person, but it was a tragedy for us.

  • @Zoe.TheBody360

    @Zoe.TheBody360

    3 жыл бұрын

    I am so very sorry for your loss. I think it is easy to blame HRT, but we do now know because of testing hormone metabolites, that many women do not even metabolise and detoxify their own endogenous oestrogen and progesterone efficiently. In these cases, if you then put a synthetic or BHRT oestrogen or progesterone on top you are asking for trouble. IMHO any female or male taking hormone replacement should test metabolites as this hopefully will pick up problems. This is not something offered or promoted by the NHS! I am very sad to say.

  • @annehaughton3968

    @annehaughton3968

    3 жыл бұрын

    @@Zoe.TheBody360 what does test metabolites mean please?

  • @jacquelineelmawey2669
    @jacquelineelmawey26693 жыл бұрын

    Thank you ! I went into full menopause at 44 had pedi menopause at 39 and was told HRT was bad but the riisk of all that you said in this video was so high for me . Nearly 2 years ago after suffering everything you could think of , my well being turned up side down a cousin of mine suggested bio identical natural hormones and I’ve been on them for 17 months and they have changed my life !! Hot flushes gone , heart palpitations gone , anxiety gone , vaginal dryness gone . I even got oestopiana , which is scary . I restored my well being and reduced my risk of dying of other things . Know I do bone building classes so I don’t lose anymore bone and have protected my self as much as I can from the effects of menopause .

  • @marsha2875

    @marsha2875

    2 жыл бұрын

    Wow! Do you take estrogen and progesterone or only estrogen?

  • @jacquelineelmawey2669

    @jacquelineelmawey2669

    2 жыл бұрын

    @@marsha2875 yes I take both and a little testosterone. Honestly the best thing I did .

  • @valerieobrien5521

    @valerieobrien5521

    2 жыл бұрын

    Can HRT cause Cataracts ?

  • @MS-sr1fe

    @MS-sr1fe

    Жыл бұрын

    @@jacquelineelmawey2669 how much T do u take and is it a cream which is compounded.ty

  • @jacquelineelmawey2669

    @jacquelineelmawey2669

    Жыл бұрын

    @@MS-sr1fe I take 10mg of testosterone with 0.25mg oestrogen in a trouche that dissolves inside your mouth

  • @terimurphy4009
    @terimurphy40092 жыл бұрын

    I wish I watched this 6 months ago . I'm starting hrt tonight. I'm in hell with hot flushes,vaginal dryness,headaches etc. I'm 47 and feel optimistic now after watching your video. Thank you so much

  • @maryking5579
    @maryking5579 Жыл бұрын

    I was having many palpitations every day and this was the worst symptoms for me....I was in and out of the hospital...hrt has really helped with this

  • @AshleyMartinez-mb3sz

    @AshleyMartinez-mb3sz

    Ай бұрын

    How long were you on HRT until your palpitations went away?

  • @sspicer549
    @sspicer5492 жыл бұрын

    Yes, estrogen is great for heart, bones, brain, joints, skin, mood, vaginal issues, bladder health, etc. Quality of life after menopause is quite bad for many women, estrogen improves quality of life significantly. There is a small but significant increase in the risk for breast cancer. But I keep remembering what a doctor said to me--without HRT if you have a heart attack after menopause you have a 50% chance of dying. With HRT, there is a small increased risk but if you get breast cancer you have a 10-year survival rate of 84%. Risk/benefit decision.

  • @davecalico3273
    @davecalico32739 ай бұрын

    Glad you delved into this controversial subject ~ iT Affects Everyone ~ all of us out here in the frying pan are begging for solutions! My wife, after 50, is encountering these issues. She has fibroids, cysts, and having heavy bleeding issues which thrust us into the er for transfusions. Gynecologist is young and really mainly delivers babies. Been on a roller coaster ever since. some Dr recommend Hysterectomy but refuse to operate due to Heart. Can you do a Vid on having surgery (like a Hysterectomy) and it’s implications if you have Heart Disease and What you should do to try to get the surgery that you are in need of!

  • @texassissy9845
    @texassissy98453 жыл бұрын

    I'm on hrt bio identical pellet..I'm 70 and feel great.. Thanks doc!

  • @AnnieAnnie-kw1iy

    @AnnieAnnie-kw1iy

    2 жыл бұрын

    I've had hrt now on estrogen only. Had fracture of public rami.sum

  • @sonnurguner3267
    @sonnurguner32673 жыл бұрын

    Thank you 🙏🙏

  • @royamanzaran1985
    @royamanzaran19853 жыл бұрын

    Oh wow I am so thankful for this video and all the info. I just turned 50 and going through menopause. I was contemplating over HRT but your video helped make the decision a lot easier. Thank you again. Love all your videos 🙏

  • @teresanaron9064
    @teresanaron90643 жыл бұрын

    Love the shirt btw😎

  • @terleenm1
    @terleenm13 жыл бұрын

    Thank you

  • @moon_struck6573
    @moon_struck65733 жыл бұрын

    Thank you for your videos. Menopause night sweats and palpitations/ectopics, sleep deprivation are life ruining symptoms, sadly I can't tolerate any form of HRT.

  • @kctbldrama
    @kctbldrama3 жыл бұрын

    I really appreciate your videos, thank you for giving us the information we need. Other than HRT for meno, which I've been asked not to take. I take magnesium taurate daily but my PVCs have been crazy on days. What else can I do???

  • @tamaraegan680
    @tamaraegan6803 жыл бұрын

    Hello Dr. Gupta, Thank you for the information you provide to help us. I am a 56yr old woman who suffered a silent MI sometime in the last 2yrs. I have CVD along with triple vessel disease. I've had a TT from PTC and started menopause at 47. My current Doctor placed me on bio-identical HRT. And now I'm wondering if I'm in danger. I'm right side dominant with an 85% blockage. I've been on the Esselstyn no-oil diet and my cholesterol ldl is 130 my total is 200. Hdl is 150. I've been feeling really good with the hormones and look like my self again. I've only been on the HRT for 4mths. I seem to have plenty of blood flow considering. Thank you in advance for any help

  • @annealdred2389
    @annealdred23892 жыл бұрын

    I’ve had hot flushes and sleep disturbance now for around 15 years. I had a short spell of hrt patches during peri menopause and it sure did help. I was taken off hrt for fibroid investigation and told the hot flushes wound die down eventually. However they didn’t! I’m now 65. Still have sleep problems and hot flushes. Not recommended for hrt as I had breast cancer 6 years ago. I’m now 10 years past menopause but it still has a big impact on my quality of life 🙁. I’m active, not overweight, stopped smoking 21 years ago, eat well, drink little, do yoga, walking and take magnesium (for PAF). Is there anything else I can do and is HRT still definitely out of the picture (as it seemed to be the only thing that worked for me)?

  • @annehaughton3968
    @annehaughton39683 жыл бұрын

    such a tough one.Im 5 years in and 59 and if i thought it would help my heart at all i would have taken it as there are so many things about the menopause that make me miserable. i wish i had known this sooner

  • @PM-bz9ep
    @PM-bz9ep3 жыл бұрын

    Very informative thanks. Love your shirt 😂

  • @Lilylibra
    @Lilylibra Жыл бұрын

    Hi Dr Gupta, I noticed that this video was uploaded a year ago. I’m hoping there is a chance you would have perhaps since heard of Louise Newson GP. She has made many KZread videos on the subject and is known as the Menopause Doctor. She has her own clinic, a free help app called ‘Balance’ and is a rather well known authority on the subject. She has made many appearances on TV programmes such as This Morning.

  • @Michelle-72
    @Michelle-723 жыл бұрын

    Bio identical hormones helped relieve my POTS symptoms (what I thought was POTS, but a tilt table test was negative. I also have M.E). I was prescribed HRT for severe PMT. The cardiology nurse said that because I responded so well to HRT, it showed that my POTS symptoms were clearly hormone related.

  • @Zoe.TheBody360

    @Zoe.TheBody360

    3 жыл бұрын

    Was this because you had adrenal weakness in menopause? Did they ever test your DHEA which is a precursor hormone to testosterone and oestrogen but produced by the adrenal gland. Often people with POTS type symptoms have adrenal weakness/fatigue.

  • @Tracergoose

    @Tracergoose

    Жыл бұрын

    I can't believe I just read your post about this. I know it's been 2 years, but I truly think you are onto something here... dysautotonomia and peri/menopause symptoms! Thank you!!

  • @balancedactguy
    @balancedactguy3 жыл бұрын

    Dr. Gupta. Based on your knowledge of Cardiology, what can you say about the claims that are made that Coronary Artery Disease (CAD) can be reversed partially or even completely by a strict plant Based Diet? Would you please comment on the viability of such a claim?? I have Two Stents in my heart and am a candidate for a possible third stent. I'd like to know if reversing this problem is possible for me or anyone else similar afflicted by CAD. Thank You !

  • @cratonin
    @cratonin3 жыл бұрын

    Your help revakidate my own experience with hrt. I am one of those people started hrt right after onset of menopayse. I am 76 years old on vivelle-dot 25 -the lowest dose which is still safe and effective. Thank you.

  • @tayadipede2322
    @tayadipede23223 жыл бұрын

    Great video! What about HRT for women who went through natural early menopause (early 40’s) and who have a family history of maternal heart disease, BUT...did not suffer from hot flashes etc or any other menopause symptoms.?

  • @Mo-gq6fn
    @Mo-gq6fn3 жыл бұрын

    Very helpful. More if possible on using HRT patches in women over 60. Anything on menopause and ectopic beats?

  • @warqamilton1604
    @warqamilton16042 жыл бұрын

    I’ve been using Premarin vaginal cream for 16 years (.5 mg every 5 days. Because I had breast cancer I am vigilant in testing the thickness of my uterus lining as that, according to my gynecologist, gives an indication of uterus cancer if it thickens, I’ve been ok so far. Thank you Dr Gupta for letting us know the benefits of taking HRT such as strengthening bones, which I totally agree with, as a 74 year old that has fallen a couple of times but didn’t break a bone😃. But the main reason I take it is to avoid urinary incontinence which is the best benefit for me.

  • @lozb1631
    @lozb16313 жыл бұрын

    Thankyou for the information Dr Gupta. I am going through perimenopause and was prescribed combined pill for heavy periods. After 3 years on it I came off it to see how things were and within 2 weeks I started with horrible ectopics that even kept me awake at night. I saw my Dr and had ECG and it was normal. After 5 weeks I concluded that the only thing I had changed was stopping the pill so I went back on it. Within 3 weeks the ectopics were hardly there. On 6 months and I tried to come off it again but same pattern happened. To me this suggests that not having the right level of oestrogen and progesterone must cause the ectopics not to mention the horrendous faint like flushes that happen when I'm not on it. I daren't come of it now unless I try going onto hrt which is oestrogen and progesterone but in a different format I think. Any information anyone has would be gratefully received. Thank you

  • @queenvickyv
    @queenvickyv Жыл бұрын

    Hi there, this is an important topic for me right now. I'm 50 and thought I was breezing through Perimenopause but things have taken a turn. I have developed severe arthritis in my toe (although the Dr says no evidence related to MP) also knuckles on my fingers deforming (though not picked up on X-ray) I feel, at least with the fingers there may be a link to oestrogen decline ? I've also started having hot flushes. However I am anxious about taking HRT, I was considering going on it for a short amount of time, but worry I will get too used to it or I will get breast cancer. Even with the risks explained, there seems so much room for doubt, it seems to be a gamble. However I am leaning towards it for a short term remedy. I wish there was even more research as it's so difficult to make a decision.

  • @peggymicsky8607
    @peggymicsky8607 Жыл бұрын

    I was on HRT for many years in my Forties for Hot Flashes, night sweats, etc., which was minimal for me. I was more concerned with what it did for my skin, hair, etc. I've never had female problems. My period only lasted one or two days while most of my friends were 5-7 days. At the time I was concerned so I asked my doctor but he said to consider myself lucky, as long as it came regularly, I was fine. To this day, I've never had any female problems. I got pregnant, gained 18 lbs, had two hours labor and went to the beach after two weeks and back to work after three. Health wise, I've been very fortunate. I hardly ever get sick, not even colds and flu. Its January and I haven't had a cold or the flu this winter. Did not have the COVID vaccine, mainly for fear of blood clots while I'm taking a blood thinner. My family history is one of death by heart attacks, strokes and my sister had a blood clot in her neck that traveled to her brain and she died. I am afraid of blood clots and heart attacks for I feel its my destiny.

  • @Nothing90167
    @Nothing901673 жыл бұрын

    Wonderful Topic!!! Thank you. I am 43 symptomatic in Perimenopause and have been for 3 years. I do have ANRT Tachycardia. And am wondering if replacement therapy could benefit or harm. Seeing my doctor at the end of this month. Any thoughts on wether i should or shouldnt?

  • @valman008
    @valman0083 жыл бұрын

    Hi doctor Gupta, can you do a video on QRS duration? When is it dangerous? Are there any studies that we should know about? Thank you for your time.

  • @workshop3301
    @workshop33013 жыл бұрын

    There is that flambouyant 1950's Raj Kapoor filmi shirt I like to see you wear. Okay, now I watch video. 😊

  • @whatiexperiencedat6919
    @whatiexperiencedat69195 ай бұрын

    Hi, love your videos. I get more information from your videos about my current Afib and heart failure diagnosis than from my doctors. I have a question - why can't you stay on HRT if you are diagnosed with early stage heart failure. What are the risks of staying on HRT with heart failure. Thanks in advance.

  • @randyhalvorson3060
    @randyhalvorson30603 жыл бұрын

    I had surgical menopause at age 45 and now at age 68 I’m still on it. I have great bones, muscle tone, healthy sex life and no metabolic issues. I do have autoimmune (lupus and arthritis). Can I continue HRT? I use estrogen, progesterone (for sleep) and testosterone.

  • @Myownperson54
    @Myownperson54 Жыл бұрын

    Interesting information thank you. I’m sure there are many women like me who are interested in the effects of estrogen on the heart and heart function if you could give us information on that.

  • @luismora8871
    @luismora88713 жыл бұрын

    Hello dr.Gupta i have been watching your videos ever since i was diagnostic with high blood pressure im following all yours recomendations and feel ok ,but also need to tell you that i had left side removed because of thyroid cancer nodule,would that have any thing to do with my hp.since i do not smoke or drink alcohol,my diet is limited to sugar and carbos,still im in the level 2 hb.160??

  • @shashimoghe3920
    @shashimoghe39203 жыл бұрын

    Good morning dr sanjay gupta sir will listen your video shortly thanks 29/11/2020

  • @Rossiegirl
    @Rossiegirl3 жыл бұрын

    Thank you for clarifying the reality of HRT. The menopause is not a joke, it is not a process that everyone finds easy to go through, and it's effects can be devastating physically and mentally-and by no means limited to hot flushes. So many women are suffering needlessly and losing their quality of life, due to outdated research. I really appreciate that you took the time to learn more about this issue, and are giving it the level of importance it deserves. Thank you Dr. Gupta!

  • @62346
    @623463 жыл бұрын

    Dr. what's your thinking on the Watchman procedure?

  • @annquinn1623
    @annquinn16233 жыл бұрын

    Slight confusion. If a woman starts HRT at a younger age and/or hear the start of menopause, does she need to discontinue after 60 for safety or can she continue for benefits?

  • @marjoriemackenzie2111
    @marjoriemackenzie21113 жыл бұрын

    I would like to know if there are any cardio vascular implications to coming off HRT?Thank you

  • @natashapetric1145

    @natashapetric1145

    3 жыл бұрын

    I am sorry to say but i have developed etopics for the first time when i tried to stop hrt. Once back on it, the etopic beats disappeared...

  • @lacedrewkirkor7780
    @lacedrewkirkor77803 жыл бұрын

    HRT patches are allowed if previous blood clots. Just not oral.

  • @roopkaur2931
    @roopkaur2931 Жыл бұрын

    Dr Gupta , thank you for your insight and care. I’m a healthy 46yo women .Very recently I have had rapid heart rate, occasional BP if checked and have had recent acidity and anxiety . I also had a night sweat for the first time . My blood work has all coke back okay and the doctor is suggesting anxiety medicine. What should I do next ?

  • @chrishunter5331
    @chrishunter53313 жыл бұрын

    Quick question I have palpitations and recently it feels like inside of stomach and left arm are vibrating what does that mean?????

  • @cesarneri5091
    @cesarneri5091 Жыл бұрын

    Doctor, I do have PVCs but, lower than 100 a day, can I still have HRT? Or I’m considered a person with a heart issue?

  • @jorgerivas1424
    @jorgerivas14243 жыл бұрын

    What about women who have PCOS and who are allergic to oral HRT meds? Is bio-identical a good choice for them?

  • @nanasadiq2396
    @nanasadiq23963 жыл бұрын

    C est de bonnes informations, de France!

  • @doriskesse5630
    @doriskesse5630 Жыл бұрын

    Yes its really controversial. Im premenoposal and have symptoms yet so scared of HRT. Im 46 and very aches from most of my joints but still worried to take HRT. Any advice on nutrition that could help instead?

  • @debbiepeters1647
    @debbiepeters16472 жыл бұрын

    Is there a difference between traditional hrt and bhrt as far as studies go?

  • @ToriSwartzentruber
    @ToriSwartzentruber3 жыл бұрын

    I'm 23 on hrt (testosterone) because I'm a trans male. I have a family history of heart disease, lung disease, diabetes, breast cancer and I think some other cancer. Recently was diagnosed with asthma, non dangerous arrhythmia that happens often, adhd (on medication). What are the long term effects of taking testosterone for my case? 🤔. Should I be concerned?

  • @KKing55
    @KKing553 жыл бұрын

    Would Phytoestrogen not help with all that with out the cancer risk~?~? Much Safer~!

  • @gzmz1993
    @gzmz19933 жыл бұрын

    How about evidence of a whole food plant based diet on hormones and the benefits of overall health. Sy

  • @jmc8076

    @jmc8076

    3 жыл бұрын

    There’s literally 1000s of studies now showing benefits incl lowering of all cause mortality. Search Dr Neil Barnard for hormones and Dr Kim Williams cardiologist/past head of ACA. Also watch Forks over Knives, Food Matters, What The Health, Eating you alive, Plant Pure Nation. They’re all very well researched and show truth about food industry esp meat/dairy/poultry/fish and their power over govts, govt orgs and legislation etc. Artifishal is doc film on fishing industry. Decide for yourself after taking time to look at all info. Best wishes. One Review of studies: www.nature.com/articles/s41398-019-0552-0 nutritionfacts.org/topics/hormones/

  • @mssh7080
    @mssh70803 жыл бұрын

    God Bless you. I suffered a lot during menopause and instead of hormones treatment dr have me medicines for depression At that time I had no idea of depression at all. I was told to take it for 2 to 3 months But it went on for more than 7 yrs now. I am still struggling.

  • @umayaswellcallmejesus1489

    @umayaswellcallmejesus1489

    3 жыл бұрын

    Have you kept a diary of what you’re doing/eating when you get hot flashes? I tried HRT for one month Premarin, found out it was made from pregnant mares, grossed me out so bad I stopped taking it. Looked for holistic ways to help. Found out starchy sugary foods were my enemy , gave them all up and no hot flashes since. Of course I eat clean and exercise to increase serotonin and support my adrenal glands. It’s a process but no man made pills involved. Hope this gives you a starting point to figure out a better way for you !

  • @mssh7080

    @mssh7080

    3 жыл бұрын

    @@umayaswellcallmejesus1489 . Thank you very much for your advice. With me its connected with the feeling of hot flushes , lot of fear, anxiety and weakness. Food I prefer to have light food with more of fruits and vegetable juices. Used to do regular yoga and breathing exercise .

  • @cm1906

    @cm1906

    3 жыл бұрын

    I highly recommend Dr. Louise Newson’s excellent website menopausedoctor.co.uk or Barbara Taylor’s menopause videos here on KZread. Knowledge is power. You can be helped by an up-to-date menopause specialist! You deserve it. Good luck!

  • @KKing55
    @KKing553 жыл бұрын

    Is the Lack of Magnesium not the cause or osteoporosis?