Spotting or Bleeding on HRT? How to Adjust Estrogen, Progesterone & Testosterone in Menopause

Progress Your Health Podcast

Spotting or Bleeding on HRT? How to Adjust Estrogen, Progesterone & Testosterone in Menopause | PYHP 185

Sep 29 2025 | 00:29:35

00:00 / 00:29:35

Show Notes

Are you experiencing bleeding or spotting while on hormone replacement therapy (HRT)? In this episode, Dr. Valorie Davidson and Dr. Robert Maki from Progress Your Health dive deep into one of the most common — and frustrating — concerns women face on HRT: when and how to adjust estrogen, progesterone, or testosterone. Using a real-world patient example (shared with permission and anonymized), we break down: ● Why some women continue bleeding on HRT despite progesterone support ● The role of estradiol sensitivity and early heavy periods in predicting uterine response ● Static vs rhythmic dosing for estrogen — and how

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