When Your Hormone Therapy Isn't Working with Dr. Jila Senemar

Описание: Disclaimer: The information shared in this episode is for educational and informational purposes only and is not intended as medical advice. Always consult your healthcare provider before making any decisions about your health or treatment. The views expressed by guests are their own and do not necessarily reflect the views of the host or Pleasure in the Pause.

Struggling with hormone therapy that's leaving you with brain fog, sleepless nights, and stubborn weight gain? You're not alone. In this conversation with Dr. Jila Senemar, we reveal why so many women are being undertreated and what truly optimized hormone therapy looks like. Watch to discover the missing pieces that could transform how you feel.

Dr. Jila Senemar, a board-certified OB-GYN with over 20 years of experience, shares her personalized approach to menopause hormone optimization that goes far beyond the standard "lowest dose, shortest time" mentality. We explore why checking your estradiol levels matters, the four pillars of complete hormone therapy, and how to address common issues like progesterone sensitivity and low libido. This isn't just about managing symptoms - it's about helping you feel like the best version of yourself in midlife and beyond.

Key Takeaways
• Optimal estradiol levels should be 65-150 picograms per milliliter - the same range you had when ovulating and feeling your best
• The 0.025 estradiol patch rarely works - most women need higher doses for symptom relief and long-term protection
• Regular hormone level monitoring is crucial - you can't assume everyone absorbs hormones the same way
• The four pillars of hormone optimization: systemic estradiol, progesterone, testosterone, and vaginal estrogen work together
• Progesterone sensitivity has solutions - from timing adjustments to IUDs, don't suffer in silence
• Lifestyle factors amplify hormone therapy success - nutrition, movement, and stress management are essential partners

Ready to advocate for better hormone care? Like this video and subscribe for more evidence-based menopause content that puts your health first.

Connect with Dr. Jila Senemar:
Instagram:   / drjilasenemar  
Website: https://jilamd.com/

Resources mentioned:
North American Menopause Society provider directory
Dr. Mary Claire Haver's provider resources
#MenopauseHormones #EstradiolLevels #HormoneTherapy #MenopauseOptimization #HormoneReplacement #WomensHealth #Menopause #Perimenopause #hormonebalance

Chapter Markers
00:00 Introduction - Why hormone therapy fails so many women
03:00 Dr. Jila's journey into menopause optimization
06:00 What women experience when seeking hormone therapy
14:00 The three pillars of hormone therapy explained
22:00 When HRT isn't working - the detective process
27:00 Progesterone problems and solutions
32:00 Why checking hormone levels matters
39:00 Addressing libido issues - testosterone vs Addyi
44:00 The role of vaginal estrogen
47:00 Metabolic connections and GLP-1 medications
51:00 Lifestyle factors that maximize HRT success
56:00 Mental and emotional aspects of menopause
1:04:00 Hope for the future of menopause care
1:07:00 How to find Dr. Jila and resources for better care

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