HRT for Vaginal Dryness in Menopause | PYHP 155

In this episode, we discuss a listener’s question regarding her hormone replacement therapy, testosterone dosing, and vaginal dryness.

In this podcast, we discuss:

• Vaginal dryness and menopause
• Testosterone for women
• Testosterone injections, pellets, and transdermal cream hormone therapy for women
• Estrogen, estradiol, estriol, and biest hormone treatments
• Hormone testing for menopause

Question:
"Hi! I am 52 currently on Cypionate 200mg/1ml 0.06 injection once a week, Progesterone 200mg orally, and Biest 50:50 1mg a day. I came off of pellets to this regime now. I was doing fine until the past 3 months. I all of a sudden got back my vaginal dryness pretty bad. My testosterone had gotten pretty high 334 from my normal 219 because the compounding pharmacy gave me Depo-Testosterone instead of my normal Cypionate. I know the depo is just brand name but it really through everything off. I have stopped the depo and have been on the Cypionate now for the past month. With that said I am still having vaginal dryness. Do you think it could have been due to being Testosterone dominate? Do you think I need to up my Biest Cream? I do use and have used the Estridol vagina cream for years and it's not helping. I tried one night doing one and half pumps of my Biest cream and the next day I had more discharge. Any help is greatly appreciated!"

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