Getting Off The Hormone Roller Coaster

Pellets, shots, creams, patches, pills, troches. If you're starting hormone therapy, or you're already on it and something still feels off, the number of options can be hard to sort through. It's one of the questions Dr. Terri hears most, from patients and from the clinicians she trains.

In this solo episode, Dr. Terri goes through each delivery method for testosterone, estrogen, and progesterone, drawing on 17 years of working with all of them. Her favorite is hormone pellets, and she explains her reasoning. She compares steady hormone levels with the peaks and drops of shots, creams, and tablets. She covers why the path a hormone takes through the body matters. She also explains where patches, vaginal estrogen, and oral progesterone still fit.

What you'll discover

How few testosterone options exist for women, and how long pellets have been around (00;01;30) Why individualized dosing matters for testosterone (00;02;29) The lollipop analogy for how pellets release hormones (00;03;24 What the "roller coaster" of testosterone shots feels like, and how split dosing helps (00;04;47) Dr. Terri's least favorite modality (00;05;52) How troches and rapid dissolve tablets compare (00;07;54) What first pass metabolism means for oral hormones (00;09;23) Estrogen options for women, from pellets to patches to pills (00;10;40) Oral estradiol and blood clot risk (00;12;26) What an FSH lab can show about whether your estrogen dose is enough (00;14;54) Treating symptoms versus optimizing hormones (00;15;17) When vaginal estrogen is the right choice (00;16;50) Progesterone versus progestin, and why the difference matters (00;17;12)

A clear map of your options to take to your next appointment.

Presented by EVEXIAS Health Solutions