In this episode of the Progress Your Health Podcast, we dive into an important listener question from Amanda, a 57-year-old who is navigating uterine bleeding while on hormone replacement therapy (HRT). Amanda is using a transdermal estrogen cream and a separate progesterone cream but is experiencing bleeding every three weeks. She’s concerned about the safety of her uterus, the risks of endometrial hyperproliferation, and how to balance her hormones without reducing the benefits of estrogen.

We explore the root causes of uterine bleeding during menopause and share practical tips for balancing estrogen and progesterone to reduce bleeding, protect the uterus, and maximize the benefits of HRT. If you’re on HRT and struggling with similar issues, this episode is packed with insights tailored for you.

What You'll Learn in This Episode:

• What hormones can trigger bleeding during menopause


• How HRT supports muscles, reduces inflammation, and improves bladder control.


• Understanding the 12-month rule for menopause diagnosis.


• Comparing oral progesterone and transdermal creams: Which is best for you?


• What is Biest, and how do you determine the right dosing and ratios?


• Strategies to balance estrogen and progesterone to stop bleeding.


• Rhythmic vs. static HRT approaches

Why This Episode is a Must-Listen

Whether you’re newly navigating menopause, adjusting to HRT, or dealing with side effects like uterine bleeding, this episode provides clear, actionable advice to help you make informed decisions about your hormonal health.

Amanda’s Question:

"Hello, thank you for your informative content. I’m using 80:20 biest 2x a day taking off Sunday plus 30 mg transdermal progesterone for the last 6 months and am doing pretty well. My numbers look good, no breast tenderness, muscles feel better, bladder stronger etc., however, I am having light bleeding for a few days every 3 weeks or so. I’m not yet menopausal but close as before hormones I did go 5 months without a period. I want to avoid any hyperplasia and am slightly concerned however I don’t think i can lower my dose of biest without negative side effects. Any advice would be helpful! I’m 57 years old. Thank you"

If you have a question, please visit our website and click Ask the Doctor a question.

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