Hormone Replacement Therapy Q&A Webcast Transcript
Susan: Hi, Dr. Northrup.
Dr. Northrup: Hi.
Susan: Excellent program. Just excellent.
Dr. Northrup: Thanks.
Susan: Okay. I'm 63 years old, and I was on bioidentical hormones during my late 50s, and then right around age 60 my doctor took me off of them without any testing. Just told me I no longer needed them. But I still had all this—some of the symptoms. And so a couple years later, you know, I was having a lot of adrenal fatigue, whether it was adrenals, I'm not really sure. But anyway, what he did is he had me do another test, a saliva test, and I was very high in the progesterone but in, you know, a lower range for estrogen and testosterone for my age. So he told me that when the progesterone is too high that the symptoms are very similar to when they're too low. And so then I went to another doctor and he flat-out said that I needed the progesterone and that there was no risk of any side effects of me getting too much and that I really needed it for bone loss. And so I've just been really confused in this area.
Dr. Northrup: You know, a lot of people are very confused in this area. You noticed on the show today, I don't know if you saw it, but we—
Susan: I didn't get to see it.
Dr. Northrup: But we had—you know, Suzanne Somers, who is doing a tremendous number of different treatments, and so she represented what I would call the far left. And then we had Dr. Lauren Streicher, who is a really superb clinician on the right, and then we had me somewhere in the middle. You have to understand this is a kind of a brave new world and there's so many ways for you to have your adrenals healthy and functioning. One of the main ones is working with your thoughts, working with your emotions, working with diet and exercise and making sure that all of that is in good shape. You live in paradise. That definitely helps.
Susan: I do.
Dr. Northrup: Yeah.
Susan: And I'll tell you, I—I'm actually a nutritional educator and a specialty chef in the raw and omega-3 rich diets, and there could be something I'm missing, but my diet is excellent. I get plenty of exercise. I'm thin, and I feel really pretty good. But I am a working woman in the world and sometimes my energy, and of course I do have the vaginal dryness, but I've already learned a lot about what to do on this show. I think specifically my worry is that I am toward the osteoporosis. I'm just entering into that, and I have had some bone loss. And so is progesterone, you know, really needed to even prevent that and build bone is what I was told.
Dr. Northrup: There are some studies, Dr. Jerilynn Prior in British Columbia has done a lot of work on that score. Progesterone can be helpful. I would think in your case, you might just try a little mix, a small amount of estrogen and progesterone together. Is that what you were on before?
Susan: Yes, I was. It was the trio mixed together.
Dr. Northrup: And you felt good on it.
Susan: Yeah, I did. I have absolutely no libido too.
Dr. Northrup: So—listen, I would check out the testosterone levels. You already said they were low, and see if you can work with someone who can help you out in that way. DHEA is another supplement that's available that's a good precursor for testosterone. Also, the Institute of HeartMath teaches a form of working with meditation and with your heartbeat coherence that increases DHEA naturally. You just go to Institute of HeartMath, Google that, and that's really wonderful research. Because when you increase your DHEA, that's the mother hormone that all your other hormones are made from. So we're out of time—
Susan: That's what we ended putting me on was the sublingual DHEA.
Dr. Northrup: Perfect. Well, we're out of time. Thank you so much for joining us tonight. Remember, pay attention to how—how you're feeling. And if you don't feel right, talk to your doctor or your nurse practitioner. You can find more information about menopause and bioidentical hormones on Oprah.com or in my book, The Wisdom of Menopause. And if you want to watch this webcast again or tell a friend about it, it will be available on demand tomorrow for free here at Oprah.com. And you can also download the podcast starting tomorrow at Oprah.com and on iTunes. Have a great night and thank you.
The information and advice being provided on this program is general in nature and is not intended to be medical advice specific to any one person. Each person should consult with his/her own personal physician before making any medical decisions, including, but not limited to, prescription changes and courses of treatment (ie: hormone replacement therapy). Harpo is not responsible for any losses, damages or claims that may result from a viewer's medical decisions and all viewers are strongly encouraged to do their own research before making any medical decisions or lifestyle changes.