1 00:00:03,360 --> 00:00:05,400 Speaker 1: In my family at least, there is a lot of 2 00:00:05,400 --> 00:00:09,160 Speaker 1: hormone imbalance and my mom her hormones were very off 3 00:00:09,200 --> 00:00:12,080 Speaker 1: before she passed. So I started hormone therapy a couple 4 00:00:12,119 --> 00:00:17,080 Speaker 1: of years back. Hair loss, fatigue, difficulty with losing weight, 5 00:00:17,640 --> 00:00:19,680 Speaker 1: That's all the stuff that I was going through. So 6 00:00:19,800 --> 00:00:22,880 Speaker 1: when I started it, it just it has changed my life. 7 00:00:23,160 --> 00:00:26,000 Speaker 2: As latinas and as our moms were older, like, we 8 00:00:26,040 --> 00:00:30,040 Speaker 2: didn't talk about colors or komeson. So now that we 9 00:00:30,200 --> 00:00:32,960 Speaker 2: know what we need, more people are going to realize 10 00:00:32,960 --> 00:00:34,640 Speaker 2: that we need to have this treatment. 11 00:00:38,520 --> 00:00:41,680 Speaker 1: Hello and happy Monday to all my lovely listeners. I 12 00:00:41,720 --> 00:00:44,680 Speaker 1: am so happy you're tuning into another episode of Cheeky's 13 00:00:44,680 --> 00:00:47,120 Speaker 1: and Chill. Thank you so much for being here today. 14 00:00:47,159 --> 00:00:50,159 Speaker 1: I'm going to share my experience with hormone therapy. This 15 00:00:50,240 --> 00:00:52,880 Speaker 1: is a topic I've spoken about before, but it's always 16 00:00:52,920 --> 00:00:55,200 Speaker 1: been a pretty brief conversation and I want to dive 17 00:00:55,280 --> 00:00:58,000 Speaker 1: into it a little deeper because I keep getting asked 18 00:00:58,040 --> 00:01:01,040 Speaker 1: about it. And after my experience, we'll dive into a 19 00:01:01,120 --> 00:01:04,319 Speaker 1: Q and A with an obgyn. She'll tell us all 20 00:01:04,360 --> 00:01:06,960 Speaker 1: about the pros and cons and everything in between. So 21 00:01:07,040 --> 00:01:09,639 Speaker 1: be sure to stay tuned for that. All right, Without 22 00:01:09,640 --> 00:01:12,840 Speaker 1: further ado, let's get into this week's episode of Cheeky's 23 00:01:12,840 --> 00:01:22,160 Speaker 1: and Chill. First things first, I'm not a doctor. I'm 24 00:01:22,200 --> 00:01:24,920 Speaker 1: just sharing my experience with hormone therapy. If this is 25 00:01:24,959 --> 00:01:27,800 Speaker 1: something you think you'd benefit from, you should absolutely consult 26 00:01:27,800 --> 00:01:29,800 Speaker 1: with your doctor to see if it's right for you. 27 00:01:30,319 --> 00:01:32,440 Speaker 1: All I can say is hormone therapy has been a 28 00:01:32,480 --> 00:01:34,560 Speaker 1: game changer for me, and so I wanted to come 29 00:01:34,600 --> 00:01:37,640 Speaker 1: on here and share my journey with you guys. That's it. 30 00:01:37,640 --> 00:01:39,800 Speaker 1: It's important to note that there are different kinds of 31 00:01:39,800 --> 00:01:43,319 Speaker 1: hormones and different types of treatments. Some women use hormone 32 00:01:43,360 --> 00:01:47,240 Speaker 1: therapy for menopausal symptoms like hot flashes, night sweats, and 33 00:01:47,319 --> 00:01:50,880 Speaker 1: mood swings, and others like me, use it for well. 34 00:01:51,080 --> 00:01:53,160 Speaker 1: I went in for weight loss, to be honest, but 35 00:01:53,280 --> 00:01:57,200 Speaker 1: also because I felt very tired. I was feeling so exhausted, 36 00:01:58,280 --> 00:02:01,080 Speaker 1: I was achy. It was just the weirdest thing. It 37 00:02:01,120 --> 00:02:04,440 Speaker 1: almost felt like I was in menopause, but without the 38 00:02:04,480 --> 00:02:07,640 Speaker 1: hot flashes. So that's why I went in. And I 39 00:02:07,800 --> 00:02:09,800 Speaker 1: was just frustrated, you guys, because I wasn't able to 40 00:02:09,800 --> 00:02:12,840 Speaker 1: lose weight, and I was like, I'm on this keto diet, 41 00:02:13,440 --> 00:02:18,040 Speaker 1: I am working out very hard and I'm not losing 42 00:02:18,120 --> 00:02:20,760 Speaker 1: as much weight as i'd like. So when I went in, 43 00:02:20,880 --> 00:02:24,720 Speaker 1: sure enough, they drew my blood and yep, there it was. 44 00:02:25,200 --> 00:02:29,160 Speaker 1: I had a hormone imbalance. And also one of the 45 00:02:29,160 --> 00:02:32,320 Speaker 1: reasons that I went was because my mom. I don't 46 00:02:32,320 --> 00:02:33,640 Speaker 1: know if I've ever shared this with you guys, but 47 00:02:33,680 --> 00:02:36,400 Speaker 1: my mother the last few months of her life, was 48 00:02:36,680 --> 00:02:39,720 Speaker 1: also on hormone therapy and that's how she lost a 49 00:02:39,720 --> 00:02:41,680 Speaker 1: lot of weight. Mind you, she was also doing this 50 00:02:41,760 --> 00:02:44,480 Speaker 1: like very vigorous, crazy ass diet, which I don't know 51 00:02:44,520 --> 00:02:46,680 Speaker 1: which one it is, but I know that the hormone 52 00:02:46,680 --> 00:02:50,240 Speaker 1: therapy helped her so much. So anyways, she went into 53 00:02:50,320 --> 00:02:54,040 Speaker 1: the doctor and they drew her blood, and her doctor 54 00:02:54,080 --> 00:02:57,600 Speaker 1: told her that she had the hormones of an eighty 55 00:02:57,680 --> 00:03:00,840 Speaker 1: something year old woman, and mind you, she was forty something. 56 00:03:01,400 --> 00:03:04,800 Speaker 1: So it runs in our family. And not only did 57 00:03:04,840 --> 00:03:08,960 Speaker 1: I find out that I had very high estrogen and 58 00:03:09,120 --> 00:03:12,680 Speaker 1: very low testosterrone, but my thyroid was at a whack. 59 00:03:12,800 --> 00:03:15,160 Speaker 1: That's something else that runs in my family. But I 60 00:03:15,200 --> 00:03:17,600 Speaker 1: didn't get it into like a few years ago, like 61 00:03:17,600 --> 00:03:21,480 Speaker 1: in my early thirties. You guys. So it's important, in 62 00:03:21,520 --> 00:03:24,280 Speaker 1: my opinion that you guys see your doctor and take 63 00:03:24,360 --> 00:03:29,080 Speaker 1: this very seriously. Some of the signs of having a 64 00:03:29,120 --> 00:03:34,800 Speaker 1: hormone imbalance is hair loss, fatigue, difficulty with losing weight, 65 00:03:35,840 --> 00:03:39,960 Speaker 1: your your body aches, especially like your knees and your 66 00:03:40,000 --> 00:03:42,320 Speaker 1: feet and things like that. Those are all signs and 67 00:03:42,640 --> 00:03:44,960 Speaker 1: that's all the stuff that I was going through. So 68 00:03:45,080 --> 00:03:48,200 Speaker 1: when I started it, it just it has changed my life, 69 00:03:48,240 --> 00:03:51,320 Speaker 1: you guys, Like I just felt instantly better. Like I 70 00:03:51,400 --> 00:03:53,680 Speaker 1: was doing the little drops. It gave me drops. There's 71 00:03:53,800 --> 00:03:56,760 Speaker 1: creams up toostosterone and like little drops. I would just 72 00:03:56,760 --> 00:03:59,680 Speaker 1: put it in my innert wrist and rub it every 73 00:03:59,680 --> 00:04:02,240 Speaker 1: morning and it would just give me energy and it 74 00:04:02,280 --> 00:04:05,040 Speaker 1: would give me strength. And not only that, but even 75 00:04:05,080 --> 00:04:08,040 Speaker 1: like my sex drive, you guys changed completely. Like the 76 00:04:08,080 --> 00:04:11,160 Speaker 1: doctor told me, Okay, how do you feel, are you 77 00:04:11,280 --> 00:04:13,880 Speaker 1: like ready to like get it on, and you know, 78 00:04:14,000 --> 00:04:16,000 Speaker 1: are you moist down there? I'm like, well, yeah, I'm 79 00:04:16,000 --> 00:04:18,320 Speaker 1: pretty moist, Like I'm pretty yeah, and we're good down there. 80 00:04:19,240 --> 00:04:20,919 Speaker 1: He's like, okay, cool. I was like, well, I'm young, 81 00:04:21,000 --> 00:04:23,960 Speaker 1: it's not like you know, I'm dry. But it was 82 00:04:24,040 --> 00:04:25,760 Speaker 1: just kind of like okay, well yeah, it's not like 83 00:04:25,800 --> 00:04:28,120 Speaker 1: I'm all like, yeah, ready, you know. So he's like, 84 00:04:28,120 --> 00:04:30,240 Speaker 1: oh okay, it's because a good thing is that it's 85 00:04:30,240 --> 00:04:32,720 Speaker 1: not like, you know, you're not too bad because you're 86 00:04:32,760 --> 00:04:35,880 Speaker 1: not dry. You know, your your juices are still flowing. 87 00:04:36,400 --> 00:04:39,440 Speaker 1: But once you start this hormone therapy, you're gonna just 88 00:04:39,960 --> 00:04:42,560 Speaker 1: be more excited about it. And I'm like, okay, perfect, 89 00:04:42,640 --> 00:04:45,680 Speaker 1: And I was more excited about it about sex sea time, 90 00:04:45,760 --> 00:04:48,640 Speaker 1: you know. So anyways, that's another sign you guys, especially 91 00:04:48,680 --> 00:04:51,520 Speaker 1: for women even men, even like men start losing to 92 00:04:51,600 --> 00:04:54,800 Speaker 1: soostrone at a certain age. And again, like with everything 93 00:04:54,800 --> 00:04:57,200 Speaker 1: in our food, you guys, even the air that we breathe, 94 00:04:57,240 --> 00:04:59,960 Speaker 1: sometimes it just really like gets us out of balance. 95 00:05:00,040 --> 00:05:01,840 Speaker 1: So it's important that you get it checked out. It's 96 00:05:01,839 --> 00:05:03,839 Speaker 1: all just blood work, and they will tell you where 97 00:05:03,880 --> 00:05:07,240 Speaker 1: you're at. And dudes too, Like sometimes dudes get to 98 00:05:07,279 --> 00:05:09,520 Speaker 1: a point where it's like damn, and go to the 99 00:05:09,560 --> 00:05:12,479 Speaker 1: gym and my muscles aren't growing as fast as I'd like, 100 00:05:12,760 --> 00:05:15,880 Speaker 1: or you know, my penis is happy but not that happy, 101 00:05:16,080 --> 00:05:18,600 Speaker 1: and those are signs of maybe you need a little 102 00:05:18,600 --> 00:05:22,040 Speaker 1: bit more to stosstroone. So it's nothing bad. It's nothing 103 00:05:22,240 --> 00:05:25,800 Speaker 1: like to be embarrassed about. I think a lot of women, 104 00:05:25,920 --> 00:05:29,360 Speaker 1: especially feel like, oh shit, like if I it's gonna 105 00:05:29,560 --> 00:05:31,760 Speaker 1: make me less of a woman if I do this, 106 00:05:31,880 --> 00:05:34,640 Speaker 1: or if I admit that I have a hormone imbalance, 107 00:05:34,640 --> 00:05:36,440 Speaker 1: and I'm like, no, it's changed my life. It's helped 108 00:05:36,440 --> 00:05:39,040 Speaker 1: me lose weight. My hair is growing more now, I 109 00:05:39,080 --> 00:05:41,240 Speaker 1: have a lot more energy. When I work out, I'm 110 00:05:41,279 --> 00:05:44,000 Speaker 1: lifting a little bit heavier. Now I feel good, like 111 00:05:44,040 --> 00:05:46,280 Speaker 1: my muscle mass, like my legs are looking good again. 112 00:05:46,360 --> 00:05:48,560 Speaker 1: That's another thing. My cellulate, you guys, was out of 113 00:05:48,600 --> 00:05:51,520 Speaker 1: fucking control. Like I was like, what is happening? I 114 00:05:51,600 --> 00:05:53,560 Speaker 1: work out so much, and it was because I had 115 00:05:53,560 --> 00:05:57,280 Speaker 1: so much damn estrogen. Granted, you know cellulite, it's hereditary. 116 00:05:57,640 --> 00:05:59,680 Speaker 1: I even see it on very thin girls. You know 117 00:06:00,120 --> 00:06:02,279 Speaker 1: that if you just if it runs in your family, 118 00:06:02,640 --> 00:06:03,560 Speaker 1: you can't get around it. 119 00:06:03,640 --> 00:06:03,840 Speaker 2: You know. 120 00:06:04,080 --> 00:06:06,480 Speaker 1: I do massages and everything. But it's gotten a lot better, 121 00:06:06,520 --> 00:06:08,520 Speaker 1: you guys, where I don't feel as shy to be 122 00:06:08,600 --> 00:06:11,000 Speaker 1: in like, you know, a two piece, or to show 123 00:06:11,040 --> 00:06:13,559 Speaker 1: my nagas at the beach. You know. Now I'm like whatever, 124 00:06:13,600 --> 00:06:15,760 Speaker 1: because it's gotten a lot better. So it all has 125 00:06:15,800 --> 00:06:17,799 Speaker 1: to do with like hormone therapy. And this is something 126 00:06:17,800 --> 00:06:20,760 Speaker 1: that a lot of women don't even know, don't even 127 00:06:20,839 --> 00:06:22,800 Speaker 1: think about when they're thinking, like why am I so 128 00:06:22,920 --> 00:06:25,680 Speaker 1: damn tired? Why is my hair falling? Why can't I 129 00:06:25,680 --> 00:06:28,440 Speaker 1: lose weight? Like, yes, it has a lot to do, 130 00:06:28,560 --> 00:06:30,400 Speaker 1: especially when it comes to like the weight loss part 131 00:06:30,400 --> 00:06:33,960 Speaker 1: of it. You have to make a lifestyle change, you guys, 132 00:06:34,000 --> 00:06:36,160 Speaker 1: Like you have to know, Okay, Monday through Friday, I'm 133 00:06:36,200 --> 00:06:38,240 Speaker 1: going to eat as healthy as I possibly can, and 134 00:06:38,320 --> 00:06:40,520 Speaker 1: on the weekends I'm going to indulge. I'm going I'm 135 00:06:40,560 --> 00:06:43,159 Speaker 1: not going to deprive myself. All of that has and 136 00:06:43,240 --> 00:06:46,279 Speaker 1: place apart, you know, working out, sweating every day, you guys, 137 00:06:46,279 --> 00:06:48,960 Speaker 1: as much as you can twenty thirty minutes a day. 138 00:06:49,160 --> 00:06:50,920 Speaker 1: If you can't do every day, to be at the gym, 139 00:06:50,960 --> 00:06:53,040 Speaker 1: do twice a week, do three times a week, whatever 140 00:06:53,080 --> 00:06:55,479 Speaker 1: it is you can do, but get those toxins out 141 00:06:55,480 --> 00:06:57,800 Speaker 1: of your body. So, yes, all of that has a 142 00:06:57,839 --> 00:07:02,640 Speaker 1: lot to do with weight loss, absolutely, nutrition and working out. 143 00:07:03,040 --> 00:07:05,680 Speaker 1: But also I was doing all of that, you guys. 144 00:07:05,839 --> 00:07:08,559 Speaker 1: I had a trainer. I would train five times a week, 145 00:07:09,000 --> 00:07:12,280 Speaker 1: and shit was just not happening for me. And it 146 00:07:12,320 --> 00:07:13,680 Speaker 1: had to do with my hormone. So this is why 147 00:07:13,720 --> 00:07:16,560 Speaker 1: I'm telling you, maybe that's why you're not feeling motivated 148 00:07:16,600 --> 00:07:19,480 Speaker 1: to go to the gym. You just feel so exhausted, 149 00:07:19,560 --> 00:07:22,160 Speaker 1: and it's probably because you're a low into stostroone. So 150 00:07:22,240 --> 00:07:24,480 Speaker 1: in my experience, I just kind of felt it in 151 00:07:24,520 --> 00:07:27,840 Speaker 1: my heart of hearts, like I had remembered my mom 152 00:07:27,880 --> 00:07:32,200 Speaker 1: mentioning her hormone imbalance, so I thought, well, maybe that's 153 00:07:32,200 --> 00:07:34,880 Speaker 1: what's happening with me, like maybe I need to get 154 00:07:34,880 --> 00:07:36,480 Speaker 1: that checked out. So it was like a six cent 155 00:07:36,600 --> 00:07:39,120 Speaker 1: sort of thing, and I just went for it, and 156 00:07:39,160 --> 00:07:42,480 Speaker 1: I just googled, and I found this doctor and he 157 00:07:43,160 --> 00:07:46,120 Speaker 1: you can't go to like your primary doctor and then 158 00:07:46,160 --> 00:07:49,200 Speaker 1: they can tell you, Okay, i'm gonna recommend you this specialist, 159 00:07:49,200 --> 00:07:51,600 Speaker 1: but it does have to be a hormone specialist, someone 160 00:07:51,600 --> 00:07:54,720 Speaker 1: that does this day in and day out. And that's 161 00:07:54,760 --> 00:07:58,400 Speaker 1: what I did. I googled and I found two. I 162 00:07:58,440 --> 00:08:01,760 Speaker 1: actually was through a zoom a zoom meeting, a zoom appointment, 163 00:08:02,440 --> 00:08:04,160 Speaker 1: and then I went in person because I'm more of 164 00:08:04,240 --> 00:08:07,120 Speaker 1: like a in person type of person, So I did 165 00:08:07,160 --> 00:08:09,880 Speaker 1: interview too doctors and the one that i'm with now, 166 00:08:09,960 --> 00:08:12,720 Speaker 1: I'm very happy with and he's an irvine and he's great. 167 00:08:12,960 --> 00:08:13,480 Speaker 2: And what I. 168 00:08:13,400 --> 00:08:18,080 Speaker 1: Really loved about my doctor in particular was he was 169 00:08:18,320 --> 00:08:22,480 Speaker 1: very honest. He's very straight up. He takes to sawstrone. 170 00:08:22,480 --> 00:08:24,560 Speaker 1: He's on hormone therapy. He said he had been on 171 00:08:24,600 --> 00:08:26,640 Speaker 1: it for like more than ten years, and his wife 172 00:08:26,640 --> 00:08:29,800 Speaker 1: as well. He's like, it's very common, and it's so 173 00:08:30,000 --> 00:08:31,880 Speaker 1: common and it's so sad that a lot of people 174 00:08:31,960 --> 00:08:34,680 Speaker 1: don't know about it. So I felt like, oh my god, 175 00:08:34,720 --> 00:08:36,920 Speaker 1: what's wrong with me? I like felt like, oh my god, 176 00:08:37,040 --> 00:08:39,040 Speaker 1: my body, you know what I mean. And during that time, 177 00:08:39,080 --> 00:08:40,920 Speaker 1: I was also kind of going through like my cists 178 00:08:40,960 --> 00:08:42,760 Speaker 1: and my ovaries, and I'm like, oh my god. But 179 00:08:42,840 --> 00:08:44,720 Speaker 1: he also told me, oh my god, this is another thing. 180 00:08:44,760 --> 00:08:47,520 Speaker 1: Before I forget, He's like, you're producing so much estrogen 181 00:08:47,520 --> 00:08:50,240 Speaker 1: that that's probably why you're getting so many cysts and 182 00:08:50,280 --> 00:08:53,880 Speaker 1: your ovaries, and it's your ovaries really saying like hello, 183 00:08:53,960 --> 00:08:56,120 Speaker 1: like you are ready to be a mother, but also 184 00:08:56,160 --> 00:08:58,640 Speaker 1: it's the estrogen that's going on in your body that 185 00:08:58,720 --> 00:09:01,200 Speaker 1: you should be more fertile. But because you have these cysts, 186 00:09:01,240 --> 00:09:04,480 Speaker 1: it's not helping you get pregnant. That's another thing you guys, 187 00:09:04,520 --> 00:09:06,880 Speaker 1: oh my god. Now if I'm ready to get pregnant, 188 00:09:06,880 --> 00:09:08,839 Speaker 1: then I would have to lay off the disosterone. So 189 00:09:08,880 --> 00:09:11,920 Speaker 1: it's all important to be informed completely with your doctor 190 00:09:12,040 --> 00:09:14,280 Speaker 1: where you're at in your life. If you're done having kids, 191 00:09:14,320 --> 00:09:15,560 Speaker 1: you got to let him know that. If you want 192 00:09:15,559 --> 00:09:16,760 Speaker 1: to have kids, you got to let them know that. 193 00:09:16,840 --> 00:09:18,400 Speaker 1: If it's just for weight loss, you got to let 194 00:09:18,400 --> 00:09:21,040 Speaker 1: them know that, like be completely honest. Like when I 195 00:09:21,080 --> 00:09:22,920 Speaker 1: started hormone therapy, I was like, no, I'm good. I 196 00:09:22,960 --> 00:09:24,880 Speaker 1: just want to get myself leveled out. I want to 197 00:09:24,880 --> 00:09:27,480 Speaker 1: get myself balanced. I'm not trying to have kids right now, 198 00:09:27,679 --> 00:09:29,400 Speaker 1: which is why I think he gave me like the 199 00:09:29,400 --> 00:09:31,880 Speaker 1: dose that he gave me a disosterone. But now if 200 00:09:31,880 --> 00:09:33,440 Speaker 1: I want to start having a baby towards the end 201 00:09:33,440 --> 00:09:34,920 Speaker 1: of the year, then he's going to have to like 202 00:09:35,000 --> 00:09:38,000 Speaker 1: really completely take me off or lower it. That's something 203 00:09:38,080 --> 00:09:40,920 Speaker 1: that I have to figure out with him. But it 204 00:09:41,000 --> 00:09:43,959 Speaker 1: was very very clear about how common this is you guys, 205 00:09:44,080 --> 00:09:48,000 Speaker 1: And it's not that something's wrong with us, although kind 206 00:09:48,040 --> 00:09:50,000 Speaker 1: of because it's like, Okay, what's happening. It has a 207 00:09:50,000 --> 00:09:52,000 Speaker 1: lot to do with our food, you guys, A lot 208 00:09:52,040 --> 00:09:56,280 Speaker 1: to do with our food nowadays our food is injected 209 00:09:56,520 --> 00:10:02,000 Speaker 1: with preservatives and additives and crazy things and hormones. This 210 00:10:02,160 --> 00:10:04,920 Speaker 1: is why I'm always one to like especially my poultry, 211 00:10:04,960 --> 00:10:07,400 Speaker 1: my meat, my chicken, all that. I try to get 212 00:10:07,400 --> 00:10:11,240 Speaker 1: it organic, grass fed, all that stuff, just because a 213 00:10:11,360 --> 00:10:16,479 Speaker 1: lot of chicken, especially you guys, is injected with hormones 214 00:10:16,520 --> 00:10:19,680 Speaker 1: to make them grow faster, because it's all like in demand, 215 00:10:20,080 --> 00:10:22,960 Speaker 1: especially chicken. So for a long time I stayed away 216 00:10:22,960 --> 00:10:25,800 Speaker 1: from chicken. My doctor also told me to stay away 217 00:10:25,840 --> 00:10:29,360 Speaker 1: from soy because a lot of it is GMO, which 218 00:10:29,400 --> 00:10:33,600 Speaker 1: means genetically modified organism, and that's why it's like all 219 00:10:33,640 --> 00:10:36,720 Speaker 1: this like gluten free and you know, non GMO. I 220 00:10:36,760 --> 00:10:39,960 Speaker 1: personally follow that because it really messed me up. You 221 00:10:40,000 --> 00:10:42,280 Speaker 1: can have meat, but like be try to do a 222 00:10:42,320 --> 00:10:45,760 Speaker 1: little bit more clean and organic if you can, and 223 00:10:45,840 --> 00:10:49,720 Speaker 1: vegetarian if possible. Not telling you to be completely vegetarian, 224 00:10:50,200 --> 00:10:52,320 Speaker 1: but it is best to add more fruits and veggies 225 00:10:52,559 --> 00:10:55,400 Speaker 1: so that you're not in taking so much hormone, especially 226 00:10:55,400 --> 00:10:57,120 Speaker 1: like at restaurants and stuff like that. You know, if 227 00:10:57,120 --> 00:10:59,000 Speaker 1: you can cook at home, cook at home, like these 228 00:10:59,040 --> 00:11:00,600 Speaker 1: are all things that he suggests. Didn't of course with 229 00:11:00,640 --> 00:11:03,600 Speaker 1: my lifestyle. It's a little hard, but with the hormones 230 00:11:03,600 --> 00:11:06,400 Speaker 1: and everything, like, I feel like it hasn't really affected me, 231 00:11:06,440 --> 00:11:09,120 Speaker 1: even like when I'm out traveling, like it hasn't really 232 00:11:09,160 --> 00:11:11,400 Speaker 1: affected me as much. So make sure you ask all 233 00:11:11,400 --> 00:11:14,040 Speaker 1: the questions when you go see your doctor and tell 234 00:11:14,040 --> 00:11:16,280 Speaker 1: them where you're atting your life, if you're done having 235 00:11:16,360 --> 00:11:18,160 Speaker 1: kids and all that stuff. You know, it is very 236 00:11:18,160 --> 00:11:20,720 Speaker 1: important to know that when going into to see your 237 00:11:20,920 --> 00:11:24,280 Speaker 1: hormone specialist. So going back to the whole low into 238 00:11:24,320 --> 00:11:27,920 Speaker 1: stosterone thing, there are women that are high into stosterone 239 00:11:27,960 --> 00:11:31,640 Speaker 1: and very low in estrogen, which means that's sometimes why 240 00:11:32,160 --> 00:11:34,880 Speaker 1: you know, some women grow more facial hair than others, 241 00:11:35,360 --> 00:11:39,120 Speaker 1: or they have like a stronger body odor. Those are 242 00:11:39,200 --> 00:11:42,760 Speaker 1: signs of like imbalanced hormones. So that's why it's important 243 00:11:42,800 --> 00:11:45,440 Speaker 1: to go just check it out. And I just googled, 244 00:11:45,440 --> 00:11:47,440 Speaker 1: you guys. I googled, and I was like, I need 245 00:11:47,480 --> 00:11:52,680 Speaker 1: to find a hormone specialist, and there are plenty, you 246 00:11:52,800 --> 00:11:56,480 Speaker 1: just have to research in your area. And my doctor 247 00:11:56,760 --> 00:12:00,360 Speaker 1: he's out here in Irvine and he's amazing. So gave 248 00:12:00,400 --> 00:12:05,040 Speaker 1: me to stosterroone drops. Because you're supposed to lift weights 249 00:12:05,120 --> 00:12:07,520 Speaker 1: so that your muscle grows so that you have less fat. 250 00:12:07,840 --> 00:12:10,880 Speaker 1: So I was working out really hard and I just 251 00:12:10,920 --> 00:12:13,920 Speaker 1: felt like I just was not retaining my muscle mass, 252 00:12:14,000 --> 00:12:16,920 Speaker 1: which in turn, I wasn't burning a lot of fat, 253 00:12:16,960 --> 00:12:19,000 Speaker 1: you guys, So that I had to do with. I 254 00:12:19,040 --> 00:12:23,280 Speaker 1: was low into stostroone and estrogen. Also, there's a lot 255 00:12:23,320 --> 00:12:25,520 Speaker 1: of estrogen in SOI, which is another reason why my 256 00:12:25,559 --> 00:12:29,040 Speaker 1: doctor said stay away from SOY because when you're producing 257 00:12:29,559 --> 00:12:32,960 Speaker 1: too much estrogen, you hold on to a lot of fat. 258 00:12:33,440 --> 00:12:36,000 Speaker 1: Especially that's for women, you know, to like take care 259 00:12:36,000 --> 00:12:38,760 Speaker 1: of the baby, like to nourish the baby, you know 260 00:12:38,800 --> 00:12:40,199 Speaker 1: what I mean. So it's like your mind in a 261 00:12:40,240 --> 00:12:42,760 Speaker 1: way feels like you're pregnant, so you got to hold 262 00:12:42,800 --> 00:12:45,640 Speaker 1: onto that. Anyways, I had a lot of estrogen and 263 00:12:46,120 --> 00:12:48,200 Speaker 1: I was holding onto my fat like no other you guys. 264 00:12:48,400 --> 00:12:54,160 Speaker 1: But I do suggest highly suggest women and gentlemen get 265 00:12:54,160 --> 00:12:57,880 Speaker 1: it checked out. It's not that expensive and it's definitely 266 00:12:57,880 --> 00:13:07,760 Speaker 1: a great investment and completely worth it. Alrighty guys, So 267 00:13:07,840 --> 00:13:11,960 Speaker 1: sitting here with me is doctor Erica Montes. She's a 268 00:13:12,240 --> 00:13:16,200 Speaker 1: board certified opgyn based in Arizona, and she's also the 269 00:13:16,200 --> 00:13:20,120 Speaker 1: creator of the bilingual health blog The Modern Mucher Doctor Montess. 270 00:13:20,120 --> 00:13:21,440 Speaker 1: Thank you so much for being on. 271 00:13:21,880 --> 00:13:24,600 Speaker 2: How are you? Thank you honey so much. I'm doing great. 272 00:13:24,800 --> 00:13:27,360 Speaker 2: I'm so excited to be talking to you today. So 273 00:13:27,360 --> 00:13:30,840 Speaker 2: that way we can get evidence based information out there 274 00:13:30,880 --> 00:13:34,120 Speaker 2: to your community. And I appreciate you having me on. 275 00:13:34,280 --> 00:13:37,439 Speaker 1: Of course, of course, absolutely, I'm very excited because I mean, 276 00:13:37,480 --> 00:13:39,599 Speaker 1: I just shared my experience with hormone therapy. But of 277 00:13:39,640 --> 00:13:41,240 Speaker 1: course I'm not a doctor, so I was like, I 278 00:13:41,280 --> 00:13:44,200 Speaker 1: need to get someone here that knows and is going 279 00:13:44,280 --> 00:13:46,840 Speaker 1: to give people solid information. So I mean, I guess 280 00:13:46,840 --> 00:13:49,520 Speaker 1: we can start with what exactly is hormone therapy. 281 00:13:50,120 --> 00:13:54,720 Speaker 2: Yeah, so hormone therapy or menopausal hormone therapy is essentially 282 00:13:55,320 --> 00:13:59,000 Speaker 2: medication or treatment that we give people who are going 283 00:13:59,040 --> 00:14:04,360 Speaker 2: through menopause. What does menopause mean? Menopause essentially is defined 284 00:14:04,400 --> 00:14:06,480 Speaker 2: as when you no longer have a period for one 285 00:14:06,520 --> 00:14:10,920 Speaker 2: full year. But even though we're talking about periods, you 286 00:14:11,080 --> 00:14:14,640 Speaker 2: still can actually start having some menopausal symptoms even prior 287 00:14:14,720 --> 00:14:16,400 Speaker 2: to no longer having a period. 288 00:14:16,800 --> 00:14:20,640 Speaker 1: Okay, yes, because I started hormone therapy a couple years back, 289 00:14:20,800 --> 00:14:23,440 Speaker 1: and I feel like I'm still fairly young, but I 290 00:14:23,480 --> 00:14:25,960 Speaker 1: know that there is in my family at least a 291 00:14:26,000 --> 00:14:30,440 Speaker 1: lot of hormone imbalance, and my mom was her hormones 292 00:14:30,480 --> 00:14:33,040 Speaker 1: were very off before she passed, so she was on 293 00:14:33,040 --> 00:14:35,680 Speaker 1: hormone therapy. So that's what made me go because I 294 00:14:35,680 --> 00:14:37,720 Speaker 1: started feeling a certain way, and I started feeling tired 295 00:14:37,720 --> 00:14:39,680 Speaker 1: and my hair started thinking just so many things. So 296 00:14:39,720 --> 00:14:42,200 Speaker 1: someone told me, go get your hormones checked. So it 297 00:14:42,240 --> 00:14:44,840 Speaker 1: could be menopausal. But you can, like you just said, 298 00:14:44,880 --> 00:14:47,520 Speaker 1: like you could start as early as how old. 299 00:14:48,240 --> 00:14:51,280 Speaker 2: Yeah, so I think that average age when patients starts 300 00:14:51,280 --> 00:14:54,840 Speaker 2: seeing more symptoms that were used to like when we 301 00:14:55,000 --> 00:14:59,120 Speaker 2: think of menopause symptoms such as like hot flashes, night sweats, 302 00:14:59,160 --> 00:15:04,800 Speaker 2: inability to lead, irritability, difficulty concentrating, you know, just a 303 00:15:04,920 --> 00:15:08,400 Speaker 2: change in your quality of life that typically happens we 304 00:15:08,400 --> 00:15:12,120 Speaker 2: would say between like forty five and fifty five, but 305 00:15:12,280 --> 00:15:15,760 Speaker 2: we do tend to see that women even as young 306 00:15:15,760 --> 00:15:19,240 Speaker 2: as forty can be experiencing these symptoms. So it is important, 307 00:15:19,280 --> 00:15:22,080 Speaker 2: like you said, I need to go get evaluated, Go 308 00:15:22,120 --> 00:15:26,200 Speaker 2: get your hormones check, because it definitely can can change 309 00:15:26,240 --> 00:15:29,080 Speaker 2: your quality of life and we want women who now 310 00:15:29,120 --> 00:15:31,960 Speaker 2: that we know, are living longer. We kind of go 311 00:15:32,120 --> 00:15:35,480 Speaker 2: through this like forty to fifty year old change and 312 00:15:35,520 --> 00:15:38,200 Speaker 2: we still possibly have twenty or thirty more years of 313 00:15:38,240 --> 00:15:40,240 Speaker 2: life left, so we definitely want to make sure that 314 00:15:40,320 --> 00:15:42,280 Speaker 2: we can have a good quality of life. 315 00:15:42,640 --> 00:15:46,320 Speaker 1: Absolutely, And do you think that maybe a lot more 316 00:15:46,320 --> 00:15:49,560 Speaker 1: women and even men are having hormone imbalances because of 317 00:15:49,600 --> 00:15:51,640 Speaker 1: what's in our food or is that like a completely 318 00:15:51,640 --> 00:15:52,960 Speaker 1: different conversation. 319 00:15:52,800 --> 00:15:55,800 Speaker 2: You know, I think that definitely has something to do 320 00:15:55,880 --> 00:15:59,520 Speaker 2: with it, right, Like our society is like quick, quick, quick, fast, 321 00:15:59,560 --> 00:16:02,200 Speaker 2: fast fast in terms of, like you know, we can 322 00:16:02,240 --> 00:16:05,280 Speaker 2: go down the street and get food that obviously isn't 323 00:16:05,280 --> 00:16:09,840 Speaker 2: the highest quality. It's obviously most of the time ultra processed. 324 00:16:10,240 --> 00:16:14,240 Speaker 2: So I think our food, which in turn has different 325 00:16:14,720 --> 00:16:19,200 Speaker 2: chemicals and possibly hormones as well, can affect right. And 326 00:16:19,240 --> 00:16:23,000 Speaker 2: then also we kind of tend to have also more 327 00:16:23,040 --> 00:16:26,840 Speaker 2: of like a sedentary lifestyle where people are becoming morabese, 328 00:16:27,080 --> 00:16:30,040 Speaker 2: and that's also leading to hormone and balances. So I 329 00:16:30,040 --> 00:16:33,080 Speaker 2: think it's kind of like our society in general. But then, 330 00:16:33,240 --> 00:16:36,800 Speaker 2: like I mentioned before, women are living longer, they're wanting 331 00:16:36,880 --> 00:16:40,120 Speaker 2: to lead similar lifestyles to what they had in their 332 00:16:40,240 --> 00:16:44,440 Speaker 2: earlier decades, and then that also contributes to women seeking 333 00:16:44,480 --> 00:16:46,440 Speaker 2: out care and wanting to not feel the way that 334 00:16:46,480 --> 00:16:48,480 Speaker 2: they're feeling, Yeah, for sure. 335 00:16:48,720 --> 00:16:53,560 Speaker 1: And what are things that people can that you can 336 00:16:53,560 --> 00:16:56,120 Speaker 1: tell them like Okay, there's something going on, Like what 337 00:16:56,280 --> 00:16:58,920 Speaker 1: are you know knowing like okay, my hormones might be off? 338 00:16:59,000 --> 00:17:01,760 Speaker 1: Like what are some simple dumbs or signs? 339 00:17:02,200 --> 00:17:05,879 Speaker 2: Yeah. So, I mean, I think most complaints that I 340 00:17:05,920 --> 00:17:08,840 Speaker 2: get from patients, if it's not going to be the 341 00:17:09,000 --> 00:17:12,160 Speaker 2: more common like hot flashes and night sweats, I'm gonna 342 00:17:12,160 --> 00:17:14,439 Speaker 2: see that patients are like you know what, I just 343 00:17:14,560 --> 00:17:17,520 Speaker 2: am so irritable, like or I cry at the drop 344 00:17:17,560 --> 00:17:20,439 Speaker 2: of a hat. I can't sleep anymore, Like I used 345 00:17:20,480 --> 00:17:22,520 Speaker 2: to be able to sleep all night and now I'm 346 00:17:22,560 --> 00:17:24,640 Speaker 2: waking up at one am and I can't go back 347 00:17:24,640 --> 00:17:27,600 Speaker 2: to sleep. I feel like I have some brain fog. 348 00:17:28,240 --> 00:17:31,760 Speaker 2: I feel like I can't concentrate those kinds of things. 349 00:17:31,840 --> 00:17:35,679 Speaker 2: So hormones are so important, and not only our female 350 00:17:35,720 --> 00:17:39,240 Speaker 2: hormones or our sex hormones, but also hormones such as 351 00:17:39,240 --> 00:17:41,440 Speaker 2: the thyroid and things like that. So when you are 352 00:17:41,480 --> 00:17:44,440 Speaker 2: going to get evaluated for these symptoms, you also want 353 00:17:44,440 --> 00:17:47,520 Speaker 2: to make sure that they're checking other hormones such as thyroid, 354 00:17:47,520 --> 00:17:49,720 Speaker 2: which can sometimes overlap in symptoms. 355 00:17:50,160 --> 00:17:53,240 Speaker 1: Now that you mentioned the thyroid, that's something that I've 356 00:17:53,240 --> 00:17:56,200 Speaker 1: been taking medication for that and now that I've lost weight, 357 00:17:56,680 --> 00:18:00,399 Speaker 1: can you go back or like stop your medication for thyroid? 358 00:18:00,480 --> 00:18:02,040 Speaker 1: Is it something that you have to take forever? 359 00:18:02,160 --> 00:18:05,960 Speaker 2: For instance, I would say most of the time, hypothyroidism 360 00:18:06,119 --> 00:18:09,280 Speaker 2: or a thyroid disorder is going to be a lifelong 361 00:18:09,400 --> 00:18:16,120 Speaker 2: medication because I know because whenever your thyroid is underfunctioning 362 00:18:16,240 --> 00:18:20,080 Speaker 2: or overproducing it's it can be from various things. But 363 00:18:20,160 --> 00:18:24,040 Speaker 2: a lot of times hypothyroidism can be from an autoimmune 364 00:18:24,119 --> 00:18:29,200 Speaker 2: disorderat like how SHEI motives disease, something along those lines. 365 00:18:29,480 --> 00:18:32,800 Speaker 2: So those antibodies are always going to be in your 366 00:18:32,840 --> 00:18:37,439 Speaker 2: system regardless of what you can, unfortunately do. So most 367 00:18:37,440 --> 00:18:39,000 Speaker 2: of the time, I would say this is going to 368 00:18:39,000 --> 00:18:40,160 Speaker 2: be a lifetime medication. 369 00:18:40,600 --> 00:18:42,600 Speaker 1: Oh I was hoping to hear something different, but I 370 00:18:42,600 --> 00:18:43,840 Speaker 1: mean it's hereditary. 371 00:18:43,880 --> 00:18:45,120 Speaker 2: I feel just because. 372 00:18:44,840 --> 00:18:47,960 Speaker 1: My grandma just got her thyroid gland removed, and I 373 00:18:48,000 --> 00:18:50,960 Speaker 1: have a couple of family members that are on thyroid 374 00:18:51,000 --> 00:18:54,159 Speaker 1: medication as well. So oh well, okay, that was a 375 00:18:54,240 --> 00:18:56,400 Speaker 1: question that I just had a little side question for myself. 376 00:18:56,680 --> 00:19:00,119 Speaker 1: But is this something that insurance covers like hormone therapy. 377 00:19:00,760 --> 00:19:04,520 Speaker 2: Yeah, so overall insurance does cover the more what I 378 00:19:04,600 --> 00:19:08,520 Speaker 2: call traditional hormone therapy. And so what that means is 379 00:19:08,600 --> 00:19:13,720 Speaker 2: like hormones that are quote unquote like technically FDA approved, 380 00:19:13,760 --> 00:19:17,480 Speaker 2: So that would be like the oral preparations, the patches. 381 00:19:18,040 --> 00:19:23,919 Speaker 2: There's some topicals like gels, those are all covered under insurance. 382 00:19:23,960 --> 00:19:26,720 Speaker 2: Now there's other hormones that are in a different class 383 00:19:26,760 --> 00:19:31,760 Speaker 2: called bioidentical hormones, and those essentially, for the most part, 384 00:19:32,359 --> 00:19:35,040 Speaker 2: I would say more than ninety percent ninety five percent 385 00:19:35,080 --> 00:19:36,440 Speaker 2: are not covered by insurance. 386 00:19:36,800 --> 00:19:39,560 Speaker 1: Okay, And how much can someone expect to pay for 387 00:19:39,600 --> 00:19:40,440 Speaker 1: this type of treatment? 388 00:19:40,640 --> 00:19:44,760 Speaker 2: Roughly, you know, I would say on average, most patients 389 00:19:44,800 --> 00:19:51,040 Speaker 2: are paying between thirty to fifty dollars a month. The 390 00:19:51,119 --> 00:19:54,760 Speaker 2: different types of hormone therapies are going to be just 391 00:19:55,240 --> 00:19:59,880 Speaker 2: generalized like estrogen therapy, progesterone therapy, and then there's bad 392 00:20:00,040 --> 00:20:04,679 Speaker 2: general estrogen therapy or localized therapy for the vagina or 393 00:20:04,720 --> 00:20:10,240 Speaker 2: the genital area. Estrogen and progesterone therapy go hand in 394 00:20:10,280 --> 00:20:13,080 Speaker 2: hand if a woman still has a uterus, But if 395 00:20:13,080 --> 00:20:15,639 Speaker 2: you don't have a uterus, you can use what we 396 00:20:15,680 --> 00:20:18,679 Speaker 2: call unopposed estrogen where we don't have to give you 397 00:20:18,680 --> 00:20:22,359 Speaker 2: progesterone necessarily because you don't have a uterus that could 398 00:20:22,520 --> 00:20:26,520 Speaker 2: start having thickening of the endometrium or the uterine lining. 399 00:20:26,960 --> 00:20:31,719 Speaker 2: And then some women use the vaginal estrogen therapy just 400 00:20:31,880 --> 00:20:37,720 Speaker 2: for what we call genital ural syndrome amenopause, which essentially 401 00:20:37,840 --> 00:20:42,040 Speaker 2: is like vaginal dryness, painful intercourse, those types of things. 402 00:20:42,119 --> 00:20:45,119 Speaker 2: So you can be using all three or you can 403 00:20:45,320 --> 00:20:47,119 Speaker 2: use a combination of those. 404 00:20:47,840 --> 00:20:50,680 Speaker 1: Oh my goodness. Okay, all right, well now that explains it. 405 00:20:50,680 --> 00:20:53,760 Speaker 1: Because I have endometriosis and I was producing a lot 406 00:20:53,800 --> 00:20:57,560 Speaker 1: of estrogen, so my hormone doctor put me onto stostrone, 407 00:20:58,040 --> 00:20:59,760 Speaker 1: which was weird because I'm like, okay, I feel like 408 00:20:59,760 --> 00:21:02,400 Speaker 1: I I did this in like my early thirties, and 409 00:21:02,480 --> 00:21:04,640 Speaker 1: I'm like, what's going on with my body? But now 410 00:21:04,640 --> 00:21:06,280 Speaker 1: that you're saying that, I didn't know that one had 411 00:21:06,280 --> 00:21:09,560 Speaker 1: to do with the other endometriosis with like overproducing estrogen. 412 00:21:10,119 --> 00:21:14,399 Speaker 2: Yeah, so that's good you brought up testosterone because testosterone 413 00:21:14,680 --> 00:21:18,199 Speaker 2: technically is more that would be more in one of 414 00:21:18,200 --> 00:21:23,800 Speaker 2: those bioidentical hormones because technically there's not a treatment that 415 00:21:23,880 --> 00:21:29,560 Speaker 2: is FDA approved for testosterone therapy for women. But essentially 416 00:21:29,640 --> 00:21:32,679 Speaker 2: what happens is is when you we know that, and 417 00:21:32,800 --> 00:21:35,600 Speaker 2: especially now that I'm focusing more on hormones in my 418 00:21:35,640 --> 00:21:39,040 Speaker 2: new practice, you know, I do tend to see that 419 00:21:39,280 --> 00:21:42,680 Speaker 2: as women kind of go into that menopausal realm, those 420 00:21:42,760 --> 00:21:45,720 Speaker 2: that testosterone level goes down and sometimes some of the 421 00:21:45,760 --> 00:21:49,080 Speaker 2: symptoms that I mentioned before, they actually can be due 422 00:21:49,080 --> 00:21:55,240 Speaker 2: to a lack or a deficiency and testosterone. So with endometriosis, 423 00:21:55,400 --> 00:21:58,680 Speaker 2: it's it's kind of different because we want to avoid 424 00:21:58,920 --> 00:22:03,480 Speaker 2: estrogen because we know that estrogen feeds intometriosis, and that's 425 00:22:03,560 --> 00:22:06,520 Speaker 2: kind of like something that we want to avoid if 426 00:22:06,560 --> 00:22:11,439 Speaker 2: we can. But progesterone can be a treatment for endometriosis, 427 00:22:11,840 --> 00:22:14,320 Speaker 2: So you have to kind of do have a fine 428 00:22:14,359 --> 00:22:18,400 Speaker 2: balance between what you're giving these patients, especially when they're 429 00:22:18,520 --> 00:22:20,320 Speaker 2: kind of having those menopause symptoms. 430 00:22:20,560 --> 00:22:22,160 Speaker 1: I need to take a trip to Arizona. I need 431 00:22:22,160 --> 00:22:26,080 Speaker 1: you to check me out please, because now I'm like, oh, guys, 432 00:22:26,760 --> 00:22:29,040 Speaker 1: I need you to check all this all this bulba 433 00:22:29,119 --> 00:22:29,520 Speaker 1: and everything. 434 00:22:30,600 --> 00:22:32,680 Speaker 2: Fine, we can do it. Yeah, we could do it 435 00:22:32,760 --> 00:22:35,679 Speaker 2: in person, telement visit. It's fine, heading it's perfect. 436 00:22:35,760 --> 00:22:37,160 Speaker 1: Yes, I think I'm going to take a little flight 437 00:22:37,200 --> 00:22:39,040 Speaker 1: over there. It's only forty five minutes or now or 438 00:22:39,080 --> 00:22:48,800 Speaker 1: something like that. So your hormones eventually self regulate or 439 00:22:48,840 --> 00:22:50,600 Speaker 1: is it something that like I'm going to have to 440 00:22:50,640 --> 00:22:51,800 Speaker 1: do for the rest of my life. 441 00:22:52,480 --> 00:22:55,320 Speaker 2: So this is what happens when you when you start 442 00:22:55,440 --> 00:22:59,040 Speaker 2: going through menopause or kind of your body is showing 443 00:22:59,160 --> 00:23:02,400 Speaker 2: signs of mentomal pause. We know that your ovaries produce 444 00:23:02,720 --> 00:23:06,560 Speaker 2: all three of the hormones estrogen, progesterone, testosterone. As we 445 00:23:06,720 --> 00:23:11,120 Speaker 2: get older, those cells don't function appropriately, and in the end, 446 00:23:11,240 --> 00:23:16,440 Speaker 2: our ovaries almost become they essentially almost disappear, like if 447 00:23:16,440 --> 00:23:19,080 Speaker 2: we do surgery on patients who are like menopausal, like 448 00:23:19,119 --> 00:23:22,720 Speaker 2: their ovaries are tiny, tiny little little balls like that 449 00:23:22,880 --> 00:23:25,400 Speaker 2: you almost like don't see them. They're what we call 450 00:23:25,640 --> 00:23:27,919 Speaker 2: they become a trophic is what we call them in 451 00:23:28,000 --> 00:23:32,359 Speaker 2: like medical terms. So essentially what happens is is though 452 00:23:32,720 --> 00:23:35,439 Speaker 2: when you get when you go through that change, you 453 00:23:35,520 --> 00:23:41,199 Speaker 2: do need replacement obviously, if you don't have any severe contraindications, 454 00:23:41,280 --> 00:23:43,359 Speaker 2: like you don't have a history of blood clouds, you 455 00:23:43,359 --> 00:23:46,119 Speaker 2: don't have a history of liver disease, you don't have 456 00:23:46,240 --> 00:23:51,280 Speaker 2: a estrogen or progesterone, dominant cancer things like that. Then 457 00:23:51,640 --> 00:23:55,920 Speaker 2: giving you back those hormones is definitely something that will 458 00:23:55,960 --> 00:24:00,199 Speaker 2: help you during that time. The societies essentially say, you know, 459 00:24:00,240 --> 00:24:03,240 Speaker 2: give the lowest dose for the shortest amount of time, 460 00:24:03,280 --> 00:24:05,920 Speaker 2: and of course, obviously what does that mean, Like that's 461 00:24:06,000 --> 00:24:09,280 Speaker 2: kind of like vague and it's different for every individual. Right, 462 00:24:09,920 --> 00:24:13,439 Speaker 2: most menopausal symptoms do last on average. They did a 463 00:24:13,440 --> 00:24:16,720 Speaker 2: study and it's at about seven point four years, So 464 00:24:16,800 --> 00:24:20,680 Speaker 2: if you need hormone therapy during that time, I think 465 00:24:20,720 --> 00:24:24,240 Speaker 2: that less than ten years is very safe. But one 466 00:24:24,240 --> 00:24:26,920 Speaker 2: thing that I tell patients is there's a difference between 467 00:24:26,960 --> 00:24:29,600 Speaker 2: the systemic hormones that we talked about, which is the 468 00:24:29,720 --> 00:24:34,200 Speaker 2: estrogen and progesterone or testosterone, and then there's that other 469 00:24:34,480 --> 00:24:38,600 Speaker 2: vaginal estrogen therapy, which I think honestly people need to 470 00:24:38,600 --> 00:24:41,600 Speaker 2: be on that their whole life because that kind of 471 00:24:41,680 --> 00:24:43,880 Speaker 2: helps with a lot of other different things, like I said, 472 00:24:43,880 --> 00:24:47,679 Speaker 2: painful intercourse, vaginal dryness, It can decrease your risk of UTIs, 473 00:24:48,040 --> 00:24:51,600 Speaker 2: decrease your risk of vaginal infections. So you know, in 474 00:24:51,680 --> 00:24:54,960 Speaker 2: a way, it doesn't mean that you're going to necessarily 475 00:24:55,000 --> 00:24:58,320 Speaker 2: be on like systemic hormones the rest of your life. 476 00:24:59,080 --> 00:25:00,679 Speaker 2: I mean, have I had paid to her in their 477 00:25:00,680 --> 00:25:02,920 Speaker 2: eighties and they're like, you better not take away my hormones, 478 00:25:02,960 --> 00:25:05,320 Speaker 2: doctor Montus, And I'm like, okay, lady, we're gonna keep 479 00:25:05,320 --> 00:25:08,400 Speaker 2: them going. But because they you know, they don't want that. 480 00:25:08,480 --> 00:25:12,240 Speaker 2: But vaginal estrogen therapy is something that probably could be 481 00:25:12,320 --> 00:25:15,040 Speaker 2: a lifetime hormone that you may need. Yes, I mean, 482 00:25:15,080 --> 00:25:18,480 Speaker 2: once you stop them, you may feel some symptoms, and 483 00:25:18,680 --> 00:25:21,639 Speaker 2: some of the symptoms can return, but by the time 484 00:25:21,680 --> 00:25:24,360 Speaker 2: that the majority of the symptoms are gone, I think 485 00:25:24,359 --> 00:25:26,280 Speaker 2: it's gonna you won't feel as bad. 486 00:25:26,600 --> 00:25:28,199 Speaker 1: And see, that's something I had never heard of. So 487 00:25:28,240 --> 00:25:30,359 Speaker 1: I'm so glad that I'm speaking to you because I 488 00:25:30,400 --> 00:25:34,640 Speaker 1: didn't know about, you know, the vagina hormonal because will 489 00:25:34,640 --> 00:25:37,840 Speaker 1: it make me like more aroused for the lack of 490 00:25:37,880 --> 00:25:39,720 Speaker 1: a better word, like corni or yeah. 491 00:25:39,960 --> 00:25:43,440 Speaker 2: So okay. So we know that that vaginal estrogen therapy 492 00:25:43,560 --> 00:25:46,280 Speaker 2: and sometimes we even give a little bit of testosterone 493 00:25:46,320 --> 00:25:48,919 Speaker 2: with it. We know that that can increase arousal to 494 00:25:48,960 --> 00:25:52,320 Speaker 2: a certain extent. But you know, I you can just 495 00:25:52,400 --> 00:25:54,560 Speaker 2: tell the difference like between like if I see a 496 00:25:54,640 --> 00:25:58,920 Speaker 2: sixty year old woman and I and she's on vaginal 497 00:25:59,080 --> 00:26:03,280 Speaker 2: estrogen therapy versus not being I mean, it's the difference 498 00:26:03,280 --> 00:26:06,480 Speaker 2: between me even being able to do like a speculum 499 00:26:06,600 --> 00:26:10,199 Speaker 2: exam on them, like they're so uncomfortable if they're not 500 00:26:10,320 --> 00:26:14,840 Speaker 2: on therapy. I see an increase in infections, an increase 501 00:26:14,880 --> 00:26:18,520 Speaker 2: in like symptoms. There's even a condition called a trophic 502 00:26:18,600 --> 00:26:22,520 Speaker 2: vaginitis where just because of the lack of estrogen you're 503 00:26:22,800 --> 00:26:26,160 Speaker 2: having symptoms that you think are infections, but it's actually 504 00:26:26,200 --> 00:26:29,520 Speaker 2: just because you don't have estrogen. And so there's so 505 00:26:29,720 --> 00:26:33,600 Speaker 2: many conditions and there's so many things, and unfortunately, you know, 506 00:26:33,680 --> 00:26:36,680 Speaker 2: as Latinas and as our moms were older, like they 507 00:26:36,680 --> 00:26:39,560 Speaker 2: didn't they would just think it was normal, like they 508 00:26:39,560 --> 00:26:41,800 Speaker 2: didn't bring it up, or we didn't talk about like 509 00:26:42,320 --> 00:26:45,280 Speaker 2: you know, the lotus or comes on like things like that. 510 00:26:45,600 --> 00:26:48,360 Speaker 2: So I think I think overall it's one of those 511 00:26:48,400 --> 00:26:51,520 Speaker 2: things where like now that we know what we need 512 00:26:51,920 --> 00:26:54,840 Speaker 2: as we continue to age, and we are bringing it 513 00:26:54,840 --> 00:26:58,040 Speaker 2: out there to the forefront for our communities to know. Now, 514 00:26:58,119 --> 00:27:00,240 Speaker 2: more people are going to start talking about it. More 515 00:27:00,240 --> 00:27:02,560 Speaker 2: people are going to realize that it is necessary and 516 00:27:02,600 --> 00:27:04,520 Speaker 2: we need to have this treatment. 517 00:27:04,960 --> 00:27:07,879 Speaker 1: Yes, you guys, And that's what I'm here for and 518 00:27:07,920 --> 00:27:09,959 Speaker 1: we're here for, and I just want It's something it's 519 00:27:10,040 --> 00:27:12,800 Speaker 1: very taboo in our culture. So get your cookie, your flour, 520 00:27:12,840 --> 00:27:15,320 Speaker 1: you're goncta whatever you want to call it. You guys 521 00:27:15,320 --> 00:27:18,200 Speaker 1: got to take care of it. And you know, anyways, Okay, 522 00:27:18,280 --> 00:27:20,320 Speaker 1: and this is the last question, doctor amant this. Are 523 00:27:20,320 --> 00:27:23,080 Speaker 1: there any risks or side effects that we need to 524 00:27:23,119 --> 00:27:24,639 Speaker 1: worry about? And that's something I didn't even ask my 525 00:27:24,720 --> 00:27:28,200 Speaker 1: own doctor my hormone therapy. Uh, doctor, like, is there 526 00:27:28,280 --> 00:27:30,399 Speaker 1: is there a site like anything I gotta worry about? 527 00:27:30,760 --> 00:27:33,720 Speaker 2: Yeah, that's a great question. So let me just do 528 00:27:33,800 --> 00:27:37,679 Speaker 2: a quick little history of hormone therapy. So in the 529 00:27:37,760 --> 00:27:41,920 Speaker 2: eighties and nineties, like everyone was like, oh wooh, hormone therapy. 530 00:27:42,000 --> 00:27:44,679 Speaker 2: We need to give them to patients. It's helping their 531 00:27:44,800 --> 00:27:49,680 Speaker 2: quality of life. It's decreasing osteoporosis, it's decreasing their incidence 532 00:27:49,760 --> 00:27:53,840 Speaker 2: of like cardiovascular disease. Everyone gets hormones when they're going 533 00:27:53,840 --> 00:27:57,520 Speaker 2: through menopausa. And then in two thousand and two, this 534 00:27:57,800 --> 00:28:02,320 Speaker 2: major landmark study came out that included twenty seven thousand 535 00:28:02,400 --> 00:28:08,399 Speaker 2: postmenopausal women, and it shut hormone therapy down because what 536 00:28:08,520 --> 00:28:12,280 Speaker 2: happened was is they basically saw they showed that there 537 00:28:12,359 --> 00:28:17,280 Speaker 2: was adverse outcomes which included like an increase of cardiovascular disease, stroke, 538 00:28:17,520 --> 00:28:20,720 Speaker 2: blood clots, and breast cancer, and all the doctors and 539 00:28:20,760 --> 00:28:23,040 Speaker 2: all the patients were like, heck, no, we're not taking 540 00:28:23,080 --> 00:28:27,520 Speaker 2: hormones anymore. Unfortunately, what happened from that study is that 541 00:28:27,640 --> 00:28:31,320 Speaker 2: two things happened. It basically caused an impact in the 542 00:28:31,400 --> 00:28:35,000 Speaker 2: health and even in the economy, and for these women 543 00:28:35,040 --> 00:28:38,480 Speaker 2: because they were getting so bad that their quality of 544 00:28:38,520 --> 00:28:40,920 Speaker 2: life wasn't good and they actually couldn't work and there 545 00:28:41,000 --> 00:28:43,560 Speaker 2: was all these things happening kind of like in that realm. 546 00:28:44,000 --> 00:28:47,920 Speaker 2: And then also it essentially made these women like just 547 00:28:48,400 --> 00:28:50,720 Speaker 2: scared right like, hey, we're not going to take hormones 548 00:28:50,760 --> 00:28:54,160 Speaker 2: because of this new study. And what they found though, 549 00:28:54,320 --> 00:28:57,240 Speaker 2: is that after a few years they kind of analyzed 550 00:28:57,280 --> 00:29:00,760 Speaker 2: the data and they said, you know what these patients 551 00:29:00,800 --> 00:29:04,160 Speaker 2: that were in this study, yeah, twenty seven thousand, but 552 00:29:04,520 --> 00:29:08,960 Speaker 2: the average age was actually sixty three. So remember we 553 00:29:09,040 --> 00:29:12,520 Speaker 2: talked about the average age that we tend to see 554 00:29:12,560 --> 00:29:15,360 Speaker 2: patients that are symptomatic or with these symptoms, it's like 555 00:29:15,480 --> 00:29:18,520 Speaker 2: forty five to fifty five. So these patients were a 556 00:29:18,520 --> 00:29:22,000 Speaker 2: good like almost ten years older than what we would 557 00:29:22,040 --> 00:29:26,120 Speaker 2: typically consider menopausal. So yes, what they found was that 558 00:29:26,280 --> 00:29:29,120 Speaker 2: this study, because of the age of the women in 559 00:29:29,160 --> 00:29:33,400 Speaker 2: the study, it was showing the increased risk of cardiovascular disease, 560 00:29:33,440 --> 00:29:36,960 Speaker 2: the increased risk of breast cancer and blood clots. So 561 00:29:37,000 --> 00:29:40,000 Speaker 2: it kind of changed the way that people thought of hormones. 562 00:29:40,360 --> 00:29:43,320 Speaker 2: I mean, yes, with anything that we give patients, of 563 00:29:43,360 --> 00:29:46,640 Speaker 2: course there are risks, but I think if you take 564 00:29:46,680 --> 00:29:50,760 Speaker 2: it with what are your risk factors, like an individualized approach, 565 00:29:50,800 --> 00:29:54,920 Speaker 2: What are your risk factors, what's your family history, how 566 00:29:54,960 --> 00:29:58,280 Speaker 2: good are you about getting your annual screenings? You know, 567 00:29:58,440 --> 00:30:01,800 Speaker 2: all that plays a role or a factor in what 568 00:30:01,840 --> 00:30:04,400 Speaker 2: your risk can be for these hormones. And like I 569 00:30:04,440 --> 00:30:07,760 Speaker 2: mentioned before, if you need them for a few years, 570 00:30:07,840 --> 00:30:11,520 Speaker 2: like the systemic hormones, and then you ultimately are just 571 00:30:11,600 --> 00:30:15,320 Speaker 2: on the vaginal estrogen therapy, you're still gonna do great. 572 00:30:15,360 --> 00:30:17,920 Speaker 2: You're still gonna do fine. But what we do know 573 00:30:18,080 --> 00:30:22,120 Speaker 2: is that hormone therapy overall, for women that initiate it, 574 00:30:22,720 --> 00:30:26,560 Speaker 2: like either within ten years of menopause or less than 575 00:30:26,600 --> 00:30:32,080 Speaker 2: sixty decreases the risk of mortality of cardiovascular disease. It 576 00:30:32,160 --> 00:30:35,640 Speaker 2: also decreased Its undeniable that it decreases the risk of 577 00:30:35,760 --> 00:30:40,680 Speaker 2: osteoporosis or fractures. We don't want to give this therapy 578 00:30:40,720 --> 00:30:43,480 Speaker 2: as a treatment for osteoporosis, but it can be a prevention. 579 00:30:44,240 --> 00:30:48,520 Speaker 2: And then obviously it decreases all the menopause symptoms and 580 00:30:48,560 --> 00:30:49,960 Speaker 2: improves quality of life. 581 00:30:50,400 --> 00:30:55,000 Speaker 1: Well, you guys, there you have it. And doctor Monte, honestly, 582 00:30:55,040 --> 00:30:57,160 Speaker 1: thank you so much. Thank you for your insight, like 583 00:30:57,440 --> 00:31:01,160 Speaker 1: for everything, for your professionalism, for I just honestly, I'm 584 00:31:01,200 --> 00:31:04,120 Speaker 1: really grateful. And you guys just go as you as 585 00:31:04,120 --> 00:31:06,520 Speaker 1: you heard it here. You know, go to your gynocologists, 586 00:31:06,560 --> 00:31:10,120 Speaker 1: your doctor, ask questions. I always want to say, ask 587 00:31:11,080 --> 00:31:12,959 Speaker 1: and just go do your check ups. You know, your 588 00:31:12,960 --> 00:31:16,440 Speaker 1: pap smears, all that good stuff. Ladies and gentlemen too. Okay, 589 00:31:16,520 --> 00:31:18,920 Speaker 1: so what's your social real quick? If you could just 590 00:31:18,960 --> 00:31:21,640 Speaker 1: plug in your your social media. 591 00:31:21,320 --> 00:31:25,080 Speaker 2: It's at the dot modern dot mohead because where modern 592 00:31:25,080 --> 00:31:27,680 Speaker 2: mohead is, and we need to learn everything about our 593 00:31:27,920 --> 00:31:28,760 Speaker 2: about our health. 594 00:31:29,200 --> 00:31:31,200 Speaker 1: I love that, by the way, I love that. Share 595 00:31:31,240 --> 00:31:33,000 Speaker 1: this one you guys, with your sister, with your cousin, 596 00:31:33,040 --> 00:31:35,000 Speaker 1: with your friend, anyone that you love that is a 597 00:31:35,000 --> 00:31:37,640 Speaker 1: woman and a man. I always say, you know, share 598 00:31:37,680 --> 00:31:39,239 Speaker 1: with the man too. He needs to know. Now we're 599 00:31:39,280 --> 00:31:48,200 Speaker 1: shifting gears to our motivational Monday quote and it is 600 00:31:48,920 --> 00:31:53,160 Speaker 1: today is your opportunity to build tomorrow you want there. 601 00:31:53,160 --> 00:31:57,120 Speaker 1: It is our motivational quote. Again. Thank you guys for listening. 602 00:31:57,720 --> 00:31:59,720 Speaker 1: Los Muo, I love you guys. I love you guys. 603 00:31:59,760 --> 00:32:08,080 Speaker 1: So my, do you need advice on love, relationships, health emails? 604 00:32:08,480 --> 00:32:10,720 Speaker 1: I'm so excited to share with you that my Cheeky's 605 00:32:10,760 --> 00:32:14,160 Speaker 1: and Chill podcast will have an extra episode drop each week. 606 00:32:14,480 --> 00:32:17,400 Speaker 1: I'll be answering all your questions. Just leave me a 607 00:32:17,440 --> 00:32:22,840 Speaker 1: voice message person, Menday. 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