Why Am I Spotting After Starting HRT? | Bi-Est, Progesterone & Night Sweats Explained by Experts | PYHP 176

Episode 176 July 28, 2025 00:34:10
Why Am I Spotting After Starting HRT? | Bi-Est, Progesterone & Night Sweats Explained by Experts | PYHP 176
Progress Your Health Podcast
Why Am I Spotting After Starting HRT? | Bi-Est, Progesterone & Night Sweats Explained by Experts | PYHP 176

Jul 28 2025 | 00:34:10

/

Show Notes

In this episode of the Progress Your Health Podcast, Dr. Valorie Davidson and Dr. Robert Maki answer a listener’s question about spotting and night sweats after starting hormone replacement therapy (HRT). Lisa, age 55, shares her experience using Bi-Est cream, oral progesterone, and testosterone—and why she’s now experiencing unexpected bleeding and sleep disruption. We break down: ● Why spotting can happen after starting HRT—even with low estradiol levels ● The difference between estradiol and estriol in Bi-Est cream ● How progesterone protects the uterine lining ● When to increase vs. decrease HRT doses ● The role of cortisol and adrenal

Other Episodes

Episode

October 29, 2019
Episode Cover

How Do Adrenals Get Exhausted? Zombie | PYHP 070

In this episode of the Progress Your Health Podcast, we continue explaining the three main types of Adrenal Fatigue/Dysfunction that we see often. Here...

Listen

Episode

September 26, 2023 00:44:36
Episode Cover

What Are Five of the Most Common Symptoms of Perimenopause? | PYHP 125

Perimenopause is the time in a woman’s life prior to entering menopause. Most people are familiar with menopause, which is when the ovaries stop...

Listen

Episode

May 01, 2020
Episode Cover

What Biest Dosage is Best for Menopause? | PYHP 086

Nathalie’s Question:  Hello Dr Maki, I am 45 full menopause and currently on biest 80:20 (0.5 mg) and progesterone 200 since July 2018. I...

Listen