W.O.W. MD - Your Wellness Optimizing Warrior

Concerns Around Vaginal Bleeding After Menopause While on HRT


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As you approach menopause, you may be considering hormone replacement therapy. Knowing what to expect can help you make the most informed decision possible. For example, if you are on HRT and are taking progesterone, you may experience vaginal bleeding.

Generally, there is a lack of options for exactly how you can take progesterone as a patient. If you go to a Naturopathic doctor, they may only give you the option to take progesterone therapy daily. However, you should be given the option to cycle your progesterone replacement to mimic how it would fluctuate during your cycle.

The standard of care in this area is lacking, despite how important it is to continue to balance progesterone as you approach and enter menopause. So, is it bad to bleed while you are taking progesterone?

Some women feel like having a cycle is inconvenient and annoying, whereas other women feel better physically and psychologically when they have a period. As a medical professional with over a decade of experience supporting progesterone HRT, I recommend cycling progesterone. Daily progesterone may feel easier, but it doesn't take into account the inner workings of hormonal balance.

Having an in-depth knowledge of the inner workings of a woman's delicate hormone balance is crucial to ensure her mental and physical health while on progesterone replacement. That's why it's so important to work with a doctor who is an expert in HRT. Using hormones with the most effective methods and the right doctor can help you avoid undesirable symptoms while still gaining positive outcomes.

Connect with Dr. Cernaianu

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W.O.W. MD - Your Wellness Optimizing WarriorBy Dr. Mirela Cernaianu

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