@heatherhirschmd: Replying to @Nicky Cole 40% of women on systemic menopausal hormone therapy will need to add local vaginal estrogen directly to the tissue to help treat genital urinary syndrome of menopause #menoapusedoctor #perimenopause #womenoftiktokover40 #hormonereplacementtherapy #womenoftiktokover50 #genitourinarysyndromeofmenopause #womenshealthcare

Heather Hirsch MD
Heather Hirsch MD
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Region: US
Tuesday 22 July 2025 02:36:41 GMT
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jeaniepayne9
Jeanie Payne485 :
I wish I knew this a couple weeks ago. I started HRT and my doctor prescribed the cream also but told me to wait and see if I needed it on top of the estradiol patch and progesterone pill. Shards of glass is how I just described it to my husband. He was horrified. I could have been getting relief by now if I would have started it right away. I'm starting it tonight.
2025-07-22 04:00:15
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stc1007
Sarah Crandall :
what are your thoughts on oestra
2025-07-22 20:13:26
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debinatrix
debinatrix :
I was really excited to try to make an appt with you but you have a waiting list and the price seems prohibitive :-(
2025-07-23 03:30:14
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karenm7917
KM :
can you do a video about estradiol gel and where the best place for it to absorb?
2025-07-22 23:18:47
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ranerie
Ranerie :
Good question! Thanks for answering!
2025-07-23 04:05:17
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nicki_coli
Nicky Cole :
Really appreciate you answering my question and makes sense ~ Thank You!!🌸
2025-07-22 06:14:25
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nicki_coli
Nicky Cole :
Really appreciate you addressing my question and this makes sense ~ Thank You!!!🌸
2025-07-22 06:21:53
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alevra33
alevra33 :
😂😂😂
2025-07-22 03:44:40
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thelittleplum
The little plum :
Is vaginal estrogen safe for someone who has a family history of uterine cancer? And do you need progesterone with it? Thanks 😊
2025-07-23 03:37:20
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jaims_j
Jaims :
I'm on oral HRT & still needed the vaginal cream. Works wonders! 👍
2025-07-22 19:16:26
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danaadams838
danaadams838 :
I use the vaginal estrogen cream it helps so much with the dryness and pain. Do I need to also be on progesterone?
2025-07-23 00:36:04
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smolfrog0
smol-frog 🇨🇦🏳️‍🌈 :
What are the best application practices? Applicator amount as high up as possible? Trying to spread it around? Only internally? Also external? UTI considerations?
2025-07-23 15:46:21
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metalcoreaberation
MetalcoreAberation :
Anyone know if Estradiol and oral progesterone can give you leg cramps? I’m really suffering & can’t pinpoint the cause
2025-07-22 12:25:21
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anniehem1
Annie Hembrough :
So you recommend local vaginal estrogen for prevention?
2025-07-22 10:17:36
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