Bloodwork should ideally be done 8 weeks after starting or adjusting BHRT. If this isn’t possible: Consider testing 4 weeks before your trip. Schedule a follow-up 4 weeks after returning to reassess and adjust treatment as needed.

It’s common to experience temporary symptoms when beginning BHRT, as your body adjusts to the hormone levels. Remember: It can take 6-8 weeks to assess the effects of dosage changes. Short-term symptoms usually don’t require stopping treatment. Schedule a follow-up appointment with your practitioner to evaluate and adjust your plan Read more ...

Yes, the belief that "no uterus means no progesterone" is outdated. Progesterone in BHRT provides additional benefits: Improved mood and sleep Anti-cancer effects for breast tissue Hormonal balance alongside estrogen therapy Progesterone use is standard in modern BHRT practices, even without a uterus.

Yes, a slight increase in progesterone cream dosage during PMS days can be effective in managing estrogen dominance symptoms, such as: Breast tenderness Emotional shifts Discuss dosage adjustments with your practitioner for safe use.

Low libido, fatigue, and low energy often result from low testosterone, but birth control pills can increase Sex Hormone Binding Globulin (SHBG), reducing free testosterone levels. To improve symptoms: Consider discontinuing birth control if safe for your contraception needs. Testosterone supplementation may be prescribed but is not safe during pregnancy, Read more ...

Applying Biest cream at night ensures a 9-12 hour window from application to bloodwork, which provides the most accurate results. Avoid applying creams: Too close to your bloodwork, as it can cause artificially high readings. Too far in advance (e.g., 24 hours), as it may not reflect current levels. For Read more ...

These symptoms are often caused by intolerance to the cream’s base or medication. To address this: Apply the cream to the lower part of your inner forearms until your next refill. Discuss the symptoms with your pharmacist or practitioner. They may suggest a different base cream to eliminate irritation.

Yes, it’s recommended to discontinue vulvar creams (e.g., estrogen or testosterone) during menstruation. This temporary pause: Helps optimize absorption after your period ends. Allows hormone receptors to regulate properly. Resume cream application after 4-5 days.

Changes in cycle length and frequency are common during perimenopause, often due to the reduced quality of ovulating eggs. BHRT typically does not affect ovulation or cycle length. If cycle irregularity is disruptive: A low-dose birth control pill may help regulate cycles. You can continue BHRT if desired, as it Read more ...

It’s not uncommon to experience a brief return of menstruation at the start of BHRT, especially if it has been a shorter time since menopause when starting treatment. Generally, the doses of estrogen in BHRT are not high enough to result in a regular menstrual cycle. If you notice bleeding: Read more ...