89: 3 Things I've Changed My Mind About as a Hormone Doctor

Hormone therapy advice can sound strangely absolute, with one "safe" route, one "right" dose, and a list of options you have been told to avoid entirely. But research changes, medicine changes, and after 21 years as a hormone doctor (and now living in perimenopause myself), I do not see things the same way I did when I started. In this solo episode of Hello Hormones, I am sharing three things I have changed my mind about: oral estrogen, hormone pellets, and how much say women should have in adjusting their own hormone dose. I also talk about what shifted my thinking, why monitoring matters so much, and the one opinion I would happily change if better research came out. If you have ever been told there is only one acceptable way to do hormone therapy, or felt like you were not allowed to trust what your body was telling you, this episode will give you a more realistic picture of your options. The best hormone plan is the one built around you, with the right monitoring in place. What's Discussed: (00:38) How hormone therapy research has shifted since the WHI. (01:06) Why being in perimenopause myself has changed my perspective. (02:08) Why oral estradiol is not the devil. (02:29) The real risks of oral estradiol, including blood clots and stroke. (02:58) How oral estrogen finally stopped one woman's nonstop hot flashes and night sweats. (03:55) Why transdermal estrogen should not be the only option on the table. (04:41) Why I used to be so skeptical of hormone pellets. (05:57) What changed my mind about pellets. (07:41) Why I stopped micromanaging my patients' hormone doses. (10:13) Adjusting vaginal estrogen frequency as your periods spread out. (11:52) Why the estrogen patch is harder to adjust than other options. (14:33) The one opinion I would change with better research: topical progesterone. ✍️ FREE GUIDES: Top 7 Perimenopause Myths You Need to Stop Believing ASAP: drcarriejones.com/myths Hormones 101 Cheat Sheet: drcarriejones.com/hormones101 The Perimenopause & Menopause Labs Test Checklist: drcarriejones.com/labs The 101 on Stress, Cortisol And Your Nervous System Ebook: drcarriejones.com/stressfreebie Which Stage of Perimenopause Am I In? Ebook: drcarriejones.com/stages Thank You to Our Sponsor: OmneDiem: To give your body the histamine support it's been missing, head to omnediem.com/coupon/drjones & explore their full range of products, and use code DRJONES for 25% off. Find more from Dr. Carrie Jones: Website: drcarriejones.com Newsletter: drcarriejones.kit.com/newsletter Instagram: @dr.carriejones Facebook: @drcarriejones TikTok: @drcarriejones YouTube: @drcarriejones Pinterest: @drcarriejones Disclaimer: Information provided on this channel is for informational purposes only. This information is NOT intended as a substitute for the advice provided by your physician or other healthcare professional, or any information contained on or in any product. Do not use the information provided on this channel for diagnosing or treating a health problem or disease, or prescribing medication or other treatment. Always speak with your physician or other healthcare professional before taking any medication or nutritional, herbal or other supplement, or using any treatment for a health problem. Information provided on this channel and the use of any products or services related to this podcast by you does not create a doctor-patient relationship between you and Dr. Carrie Jones. Information and statements regarding dietary supplements have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent ANY disease.