How to Use Topical Estrogen Cream For Aging Skin | Menopause + Skin | Dr. Sam Ellis

Summary

In this video, Dr. Sam Ellis, a board-certified dermatologist, discusses the impact of estrogen depletion on women's skin during perimenopause and menopause. He explains how topical estrogen application can potentially reverse skin aging effects, such as sagging and dryness, by improving collagen synthesis and skin hydration. However, he also addresses the potential side effects, including irritation and pigmentation issues, and emphasizes the importance of consulting with healthcare professionals, especially for those with a history of breast cancer or blood clots, before using topical estrogen for anti-aging purposes.

Takeaways

• 🌟 Topical estrogen is a subject of interest for anti-aging, especially for women experiencing skin changes during perimenopause and menopause.
• 🔬 Dr. Sam Ellis, a board-certified dermatologist, discusses the effects of estrogen depletion on women's skin and the potential benefits of topical estrogen application.
• ⚕️ Estrogen is a hormone primarily produced by the ovaries, adrenal glands, and fat cells, playing a role in sexual and reproductive health, as well as cardiovascular, bone, and cognitive functions.
• 📉 Women experience fluctuating estrogen levels throughout their menstrual cycle, with a significant drop during menopause, which can lead to skin issues like sagging, dryness, and dullness.
• 🧬 Menopause is defined as the cessation of menstrual periods for 12 months, indicating complete loss of ovarian function and a sharp decrease in estrogen levels.
• 📉 Collagen loss in the skin can be drastic after menopause, with statistics showing a 30% loss within the first five years post-menopause, contributing to the perception of sudden skin aging.
• 💊 Topical estrogen application has been studied for its potential to improve skin quality, including collagen synthesis, skin thickness, hydration, and elasticity.
• 🚫 Topical estrogen is not recommended for everyone; it's more beneficial for those in perimenopause or menopause experiencing estrogen deficiency.
• 📍 Common areas for topical estrogen application include the face, neck, and hands, where aging signs are most noticeable.
• ⚠️ Side effects of topical estrogen can include skin irritation, increased vascularity, and potential worsening of pigmentation problems like melasma.
• 🏥 The safety and potential risks of topical estrogen, including links to breast and uterine cancer, require careful consideration and discussion with healthcare professionals.

Q & A

What is the main topic of the video?

The main topic of the video is the relationship between topical estrogen and anti-aging, specifically how it affects women's skin during perimenopause and menopause.

Who is Dr. Sam Ellis?

Dr. Sam Ellis is a board-certified dermatologist based in Northern California who discusses skin health and products in the video.

What is the typical age range for women to start experiencing perimenopause?

Most women start experiencing perimenopause in their 40s, but some may begin in their late 30s.

What are some of the skin-related symptoms women may experience during perimenopause and menopause?

During perimenopause and menopause, women may experience sagging skin, increased sensitivity, dryness, dullness, and decreased wound healing ability.

How does estrogen affect the skin's collagen and hyaluronic acid levels?

As estrogen levels decrease during perimenopause, the skin loses collagen, leading to sagging, and hyaluronic acid, resulting in dry, less plump, and less healthy-looking skin.

What is the current definition of menopause?

Menopause is currently defined as the cessation of menstrual periods for 12 months, indicating complete loss of ovarian function and a sharp drop in estrogen levels.

What are some of the potential benefits of topical estrogen for the skin?

Topical estrogen may help with collagen synthesis, skin thickness, hydration, and elasticity, potentially reversing some signs of aging in the skin.

What are some possible side effects of using topical estrogen on the skin?

Possible side effects include skin dryness, irritation, increased vascularity leading to angiomas, and potentially worsening of pigmentation problems like melasma.

How does the use of topical estrogen relate to the risk of breast and uterine cancer?

The risk of breast and uterine cancer with topical estrogen is not fully studied, but systemic absorption from local application seems to be low, and it is generally not considered to increase these risks significantly.

What is the general recommendation for applying topical estrogen to the skin?

A pea-sized amount of topical estrogen is recommended for application to specific areas of the face, neck, or hands, rather than applying it broadly across the entire skin.

How does Dr. Ellis suggest obtaining a prescription for topical estrogen?

Dr. Ellis suggests obtaining prescriptions for topical estrogen from a healthcare provider, such as an OBGYN or oncologist, who can ensure proper health screenings and consider the patient's overall health.

What is Dr. Ellis's personal view on the use of topical estrogen for skin health?

Dr. Ellis finds the use of topical estrogen for skin health to be exciting and personally interesting, and she would consider it for herself when she reaches perimenopause, despite having a strong family history of breast cancer.

Outlines

00:00

🌟 Introduction to Topical Estrogen and Anti-Aging

Dr. Sam Ellis, a board-certified dermatologist, introduces the topic of topical estrogen's role in anti-aging. He discusses how women in their mid-40s to early 50s often experience sudden skin changes due to estrogen depletion. Ellis emphasizes the importance of understanding perimenopause and menopause's impact on skin health, including the loss of collagen, hyaluronic acid, and changes in wound healing abilities. He mentions the significant collagen loss post-menopause and hints at the potential benefits of topical estrogen replacement as an anti-aging treatment.

05:02

📚 Research and Benefits of Topical Estrogen

The script delves into the scientific research behind topical estrogen, highlighting its potential benefits for collagen synthesis, skin thickness, hydration, and elasticity. Ellis acknowledges the limitations of current studies but suggests that topical estrogen could be beneficial for women experiencing estrogen deficiency, typically in their early 40s and beyond. He also addresses the question of who might not need supplemental estrogen and discusses the process of determining estrogen deficiency beyond just age.

10:03

💊 Application and Sources of Topical Estrogen

Dr. Ellis provides guidance on where to obtain topical estrogen and how to apply it, particularly for women experiencing menopause-related symptoms in the vaginal area. He mentions the common prescription of 0.01 estradiol cream for intravaginal use and the emerging options of compounded creams with varying levels of estriol and estradiol. Ellis advises on the appropriate application amount and areas for topical estrogen use, such as the face, neck, and hands, while considering systemic absorption and potential side effects.

15:04

⚠️ Side Effects and Safety Considerations

The script addresses potential side effects of topical estrogen, including skin irritation, increased vascularity, and the development of angiomas. Ellis also discusses the risk of exacerbating pigmentation problems like melasma. He emphasizes the importance of safety, particularly the concerns related to breast and uterine cancer risks associated with supplemental estrogen. Ellis suggests that the decision to use topical estrogen should be made in consultation with healthcare professionals, considering personal risk factors and the balance of potential benefits and risks.

🤔 Personal Perspective and Future Outlook

In the final paragraph, Dr. Ellis shares his personal perspective on the excitement surrounding topical estrogen creams and his interest in their potential. He acknowledges the current lack of extensive long-term data and the need for further research. Ellis encourages viewers to consider their options carefully and to stay informed about new research. He also invites feedback from those who have tried topical estrogen and expresses his commitment to monitoring developments in this area of dermatology.

Keywords

💡Topical Estrogen

Topical Estrogen refers to the application of estrogen directly to the skin. In the video, it is discussed as a potential anti-aging treatment, as it may help with collagen synthesis, skin thickness, hydration, and elasticity. The script mentions that topical estrogen can be applied to specific areas like the face, neck, and hands to address skin aging concerns, particularly during perimenopause and menopause when estrogen levels naturally decrease.

💡Anti-Aging

Anti-Aging is a broad term encompassing treatments and practices aimed at slowing down the appearance and effects of aging. The video script discusses how topical estrogen may contribute to anti-aging by improving various skin qualities that typically decline with age, such as elasticity and hydration, thereby potentially reversing some of the skin changes associated with estrogen deficiency.

💡Perimenopause

Perimenopause is the transitional period leading up to menopause, typically starting in a woman's 40s. The script describes perimenopause as a time when estrogen levels begin to decrease, which can cause various symptoms and changes in the skin, setting the stage for discussing the potential benefits of topical estrogen in managing these changes.

💡Menopause

Menopause is defined in the script as the point when a woman has ceased to have menstrual periods for 12 months, indicating complete loss of ovarian function and a sharp drop-off in estrogen levels. The video discusses the impact of menopause on skin health and the potential for topical estrogen to mitigate some of these effects.

💡Collagen

Collagen is a protein that provides structural support to skin and other connective tissues. The script highlights the loss of collagen in the skin as a result of estrogen depletion during perimenopause and menopause, which contributes to sagging and a less youthful appearance. Topical estrogen is suggested as a means to potentially improve collagen synthesis and skin health.

💡Hyaluronic Acid

Hyaluronic Acid is a component of the skin that contributes to its plumpness and elasticity. The script notes that levels of hyaluronic acid decrease with lower estrogen levels, leading to dry and less supple skin. Topical estrogen is presented as a possible way to counteract these effects by supporting skin's hydration and bounce.

💡Estrogen Depletion

Estrogen Depletion refers to the reduction of estrogen levels in the body, particularly as women age and approach menopause. The video script discusses how estrogen depletion can lead to various skin issues, such as dryness, sensitivity, and a decline in collagen and hyaluronic acid, emphasizing the role of estrogen in maintaining skin health.

💡Systemic Absorption

Systemic Absorption refers to the process by which substances applied to the skin are absorbed into the bloodstream and can affect the entire body. The script addresses concerns about the potential systemic effects of topical estrogen, such as the risk of breast or uterine cancer, and discusses the relative safety of local application compared to systemic hormone therapy.

💡Menopausal Hormone Therapy

Menopausal Hormone Therapy, also known as Hormone Replacement Therapy, involves the systemic administration of estrogen and sometimes progestin to alleviate menopause symptoms. The script contrasts this with topical estrogen application, noting that while systemic therapy has been studied more extensively, topical use is an area of growing interest with potential benefits for skin health.

💡Cosmetic Side Effects

Cosmetic Side Effects pertain to changes in appearance that may result from the use of certain treatments. In the context of the script, these include potential skin irritation, increased vascularity, and the development of angiomas from topical estrogen use. The video acknowledges these side effects while weighing them against the potential benefits for skin health.

💡Risk Assessment

Risk Assessment involves evaluating the potential risks and benefits of a treatment or intervention. The script discusses the need for individual risk assessment when considering topical estrogen, particularly for those with a history of breast cancer or other health concerns, emphasizing the importance of discussions with healthcare providers to make informed decisions.

Highlights

Dr. Sam Ellis discusses the effects of topical estrogen on anti-aging and skin health.

Estrogen is a hormone affecting not only reproductive health but also cardiovascular, bone, and cognitive functions.

Menopause leads to a significant drop in estrogen levels, impacting skin health and appearance.

Perimenopause, starting in the early to mid-40s, is associated with decreasing estrogen levels and symptoms like hot flashes and fatigue.

Topical estrogen can potentially reverse skin changes associated with estrogen deficiency.

Studies support the use of topical estrogen for improving collagen synthesis, skin thickness, hydration, and elasticity.

Topical estrogen application is suggested for women experiencing menopause or perimenopause symptoms.

The use of topical estrogen should be considered based on individual estrogen deficiency rather than age alone.

Common topical estrogen products include 0.01% estradiol cream and compounded creams with estriol and estrad.

Topical estrogen can be applied to specific areas like the face, neck, and hands to target aging changes.

Potential side effects of topical estrogen include skin dryness, irritation, and increased vascularity.

There is a theoretical risk of breast and uterine cancer with topical estrogen, but data is limited and more research is needed.

Women with a history of breast cancer should discuss the use of topical estrogen with their oncologist.

Topical estrogen does not appear to increase the risk of blood clots, unlike oral estrogen.

Dr. Ellis expresses personal interest in topical estrogen and its potential benefits for skin health during menopause.

The video concludes with a call for more research on topical estrogen to better understand its long-term effects and benefits.

Transcripts

I posted a Tik Tok video talking about

topical estrogen and how it relates to

anti-aging and so many of you requested

a deeper dive on the topic so that's

what we're going to do

today I'm Dr Sam Ellis I a board

certified dermatologist in Northern

California and I'm here to help you

understand your skin and find products

that work for you so if that sounds good

give this video a thumbs up and don't

forget to subscribe to the channel aside

from you guys requesting it I really

wanted to make this video because as as

a practicing dermatologist every day in

clinic I see the effects of what

estrogen depletion does to women's skin

and the story often goes like this it's

a woman who comes in who's in her mid

40s or early 50s and goes I really feel

like I woke up one day and my skin had

completely changed like it started

sagging and becoming more sensitive and

more dry and dull seemingly overnight

and I feel like some people would look

at that situation and go yeah well like

you're getting older and it caught up to

you but the reality is

that time period in your life sort of

like your early to mid 40s is where per

menopause which we're about to talk

about sort of starts to come into play

and menopause affects so many systems in

our body our skin just being one of them

but of course as the dermatologist I'm

going to come at this from a skin

focused angle also later in this video

I'm going to get into who should and

maybe who should not use topical

estrogen so make sure you stick around

for that let's start with the basics

here what is estrogen estrogen is a

hormone produced mainly by your OV but

also in part by your adrenal glands and

a little bit by your fat cells and it

serves mainly for your sexual and

reproductive Health however over time we

have come to realize that estrogen isn't

just a sex hormone but it also helps

with your cardiovascular health your

bone health your cognitive function it

essentially plays a role in all of the

major organ systems in your body

naturally as a woman you are going to

have fluctuating levels of estrogen

throughout your menstrual cycle you're

also going to have surges of estrogen

during pregnancy and finally you're

going to have a steep drop off of your

estrogen levels as you approach and go

through menopause the current definition

of menopause is when you have ceased to

have menstrual periods for 12 months and

it is really the indication of complete

loss of ovarian function and you get a

sharp drop off of your estrogen however

in the Years leading up to menopause you

are in something called perimenopause

and when you are in a per menopausal

State your estrogen is also decreasing

and you may feel some of the symptoms

that we associate with menopause like

hot flashes irritability fatigue brain

fog and just overall discomfort in your

body everyone's timeline for going

through menopause and per menopause will

be slightly different but most people

will start per menopause in their 40s

but some will start it in their late 30s

as well and as women Trend towards

losing their estrogen when they are in a

per menopausal State this has some

significant impacts on the skin we lose

collagen in our skin we have poorer

blood flow more sensitivity more dryness

we also lose hyaluronic acid in our skin

which is what gives our skin bounce and

plumpness and when you decrease that the

skin looks dry creepy and just less

healthy wound healing is also dependent

on estrogen so as your estrogen levels

fall your ability to heal also changes

and decreases and the statistic that has

really sort of always blown me away is

that once you hit menopause you lose 30%

of your Skin's collagen within the first

5 years but it also explains why when

women hit menopause they feel like their

skin suddenly takes a turn for the worst

overnight and this is just what's

happening in your skin but there are so

many other negative changes that happen

in the body with menopause and for so

long I feel like the outlook on

menopause was just well suck it up this

is something that naturally happens to

the body and you have to deal with it

and now finally we are realizing that

maybe supplementing with the hormones

that are lost during the menopausal

period can be incredibly beneficial for

overall female wellness and health it's

funny I was listening to an

endocrinologist talk and

endocrinologists are doctors who

specialize in all hormones and what she

was saying is you know you lose any

other hormone in your body your thyroid

hormone

testosterone insulin and you replace it

that is the normal thing that we do and

for so long we have not done that with

estrogen as a reminder this video is

focusing on topical estrogen replacement

so local application of estrogen to the

skin at specific sites but I do want to

note that in menopausal hormone therapy

also known known as hormone replacement

therapy in which you are getting

systemic doses of estrogen and sometimes

progestin as well that has been shown to

improve skin quality and health as far

as Skin health and appearance goes when

it comes to estrogen we know that

estrogen deficient skin so when we are

in perimenopause starts to look and

behave differently and when you apply

topical estrogen to the skin you can get

some reversal of those changes and

several studies now exist to support the

use of topical estrogen when addressing

ing concerns of the skin and I'll link

the studies that I'm referencing in the

description box so you can check those

out if you want to read them yourself

now I will say these studies are pretty

small and I will get into the

limitations overall of the current data

but these Studies have looked at varying

forms of topical estrogen and shown that

they have helped with things like

collagen synthesis skin thickness skin

hydration and elasticity most of these

Studies have been done on people who are

already in menopause but the current

thinking is if you have estrogen

deficient skin meaning that you are

paing menopausal so typically in your

early 40s and Beyond you could probably

benefit from topical estrogen in terms

of how it will help your skin so if all

of your estrogen is still there and

present in your body you know you're in

your teens 20s 30s you don't need

supplemental estrogen however if you are

in a different stage of your life where

your estrogen levels are dropping off

that's where this can be beneficial now

we can't just simply go on your age to

determine whether or not you are

estrogen deficient this is a process

that's going to happen differently in

everyone but what my OBGYN C colleagues

who I've spoken to about this have said

is if you are experiencing other par

menopausal symptoms whether that's night

sweats new fatigue brain fog joint pains

things that are attributed to that drop

in estrogen that's how you can know and

where you might start thinking about

using supplemental estrogen either

systemically or topically now a lot of

the questions I got on that Tik Tok

video were where do I get the estrogen

and how do I apply it where do I apply

it so for many women as they approach

and go through menopause they will

experience symptoms in the vaginal area

whether that's dryness atrophy bleeding

discomfort and estrogen can be used

topically in those areas to add more

suppleness and comfort back to those

tissues I would say probably over the

last decade or two the prescription that

has been used the most commonly when it

comes to topical estrogen is actually

the 0.01 estradiol cream that is

typically prescribed for intravaginal

use so when providers were prescribing

topical estrogen to be used in other

places for anti-aging principally the

face and sometimes the neck and hands

that vaginal estrogen is what we were

recommending and that's still

recommended all the time and there's

nothing wrong with that but now there

are also compounding phes that will put

together varying levels of estriol and

estrad which are two forms of estrogen

that can be used in a topical cream and

there are online companies that

specialize in women's health like musle

and alloy and midi where you can get

these prescriptions from as well and for

most women we are thinking about having

people apply it to the face that's

usually where people are noticing the

most aging changes especially like

around the eyes for example the neck is

another common place that people will

apply estrogen and the hands as well and

you might say okay like why don't I just

bathe in topical estrogen it's affecting

all of my skin shouldn't I put it

everywhere and we'll get to that point

but of course we have to start thinking

about systemic absorption as well just

because we put it on our skin doesn't

mean it's only going to stay there but

if I were counseling a patient on how to

appropriately use topical estrogen I

would say you should apply about a p

sized amount to your face ni lately it's

kind of the same way I instruct my

patients to apply their retinoid like

troin now this almost sounds too good to

be true an easily accessible cream that

tends to be relatively affordable that

rejuvenates the skin but we should talk

about the side effects and the drawbacks

as well as the limitations to the data

that exists in regard to topical

estrogen and the side effects I'm going

to talk about are a combination of

what's been reported in the literature

as well as anecdotal things that I've

heard from friends and patients who have

tried topical estrogen so anytime you're

applying anything topically to the skin

there is a risk of dryness and

irritation and there are certainly

people I know who have tried topical

estrogen creams that have developed

irritation to the skin that was really

uncomfortable and they never wanted to

use the product again also some people

will report increased vascularity to the

skin and in some respects that can be

good having improved blood flow to the

skin is really nice but what some people

report is the development of something

called angomas which are little blood

vessel clusters in the skin that are

visible and kind of unsightly the other

thing I always think about selfishly

because I deal with this is molas MMA or

the worsening of pigmentation problems

melasma is a disorder of irregular

pigment formation typically seen on the

forehead cheeks upper lip sometimes on

the arms and chest and it's primarily

hormon driven yes you are genetically

predisposed to developing melasma but

often times we see it get worse in women

when they have surges in estrogen and

progesterone for example when they start

on a birth control pill or when they get

pregnant we know that women who are on

menopausal hormone therapy so who are

having systemic doses of estrogen and

sometimes progestin can have flares of

their melasma and I've certainly had

patients report that when they were

using topical estrogen it made their

melasma worse and this is something

that's very important to be mindful of

because if you're using topical estrogen

to improve the quality of your skin but

you're making another skin condition

worse you have to weigh the risk and

benefits now those are really like

cosmetic side effects that you can have

from using topical estrogen but I do

want to spend some time talking about

the safety profile of topical estrogen

because I think rightfully that's what

people are most concerned about while

estrogen does so many wonderful things

for our body there is this concern

around supplemental estrogen and whether

or not it increases our risk of things

like breast cancer and uterine cancer

and this is a very nuanced topic so I

will give an overview here in this video

but the bottom line is this is going to

be a discussion between you and your

oncologist as well as your gynecologist

when it comes to cancer there are so

many different factors at play when it

comes to your personal risk factors and

your risk tolerance so it's really

important that any decisions you are

making about your health and what

products and prescriptions you are using

is made among your Healthcare team so

things that we know people who are on

menopausal hormone therapy or hormone

replacement therapy are at a slightly

higher risk of breast cancer and what we

really have to think about here is if

topical estrogen applied in small

amounts in local areas on the body gives

you that same risk and the reality is

that is not fully studied we do not have

long-term data of women applying

estrogen cream for cosmetic purposes

over long periods of time and what their

health outcomes are however we do have

something that we can kind of

extrapolate from which is women who

apply estrogen locally inside the vagina

to deal with some of those per

menopausal and menopausal symptoms it

does not seem to increase their risk of

breast cancer or uterine cancer

essentially the systemic absorption from

local application of estrogen to the

vagina does not seem to be significant

enough to cause those problems and what

a lot of dermatologists and OBGYN will

say from that is well if you are

applying estrogen to a mucosal surface

like inside the vagina and it's not

getting systemically absorbed then you

are probably fine applying it to a small

surface area of your face or your hands

without issue in fact it's a general

consensus among oncologists and

gynecologists that even women who have a

history of breast cancer can safely

apply vaginal estrogen however I think

it's really important to note that this

is touching on a quality of life issue

for these women often times when they

have gone through therapy for their

breast cancer they are having

significant vaginal problems whether

that's atrophy pain discomfort issues

with UTI and so the benefits of

incorporating estrogen in that way far

outweigh the small risk of an increased

risk of breast cancer so when we're

trying to apply that information to the

use of topical estrogen creams for a

cosmetic benefit we really have to look

at ourselves and think is that potential

risk worth it for that benefit I do want

to take a second to talk about the risk

of uterine cancer as well for people who

take systemic estrogen if they have a

uterus they also need to be on some form

of progestin which is another hormone so

that their risk of uterine cancer is

diminished now Studies have also shown

that people who use estrogen topically

within the vagina don't get enough

systemic absorption to increase their

risk of uterine cancer and those women

don't need to be on some form of

progestin and so what we can take away

from that is if we are applying topical

estrogen to other parts of our body like

small areas of our face we also don't

need to be on some type of progestin to

protect us against uterine cancer what

some doctors will argue and I understand

where they're coming from is that when

you are getting these compounded

medications they're poorly studied and

so we actually don't know how much of

that topical is specifically absorbed

and so in theory you are at risk for

uterine cancer or breast cancer however

this is really just Theory and I totally

understand where these doctors are

coming from they're trying to look out

for these patients and make sure that

people don't develop a uterine or a

breast cancer just because they're

trying to do something topically for the

benefit of their skin appearance and

function but I don't think we should

assume from that that estrogen creams

everywhere and what's being manufactured

today and used properly is dangerous to

summarize if you personally have had a

history of breast cancer it's going to

be a conversation with your oncologist

as to whether or not topical estrogen in

any form intravaginally or topically on

your skin for cosmetic benefits is worth

that small amount of risk another

question I got is well if I'm already on

menopausal hormone therapy or hormone

replacement therapy is there additional

benefit to applying estrogen cream

topically and although this isn't well

studied what a lot of the leading

menopausal experts will say is that yes

there are additional benefits to

applying topical estrogen in certain

spots on your face or on your body I

also got the question is if I have a

history of blood clots can I use topical

estrogen and the answer to that is

generally yes the risk of blood clots

with estrogen is when you take estrogen

orally and it passes through the liver

that increases your clot risk however if

you are using estrogen through the skin

like transdermally as a patch or you're

applying it locally to your facial skin

or inside the vagina it does not

increase your blood clot risk because

the use of topical estrogen is not that

straight forward and there are some

specific nuances risks and benefits that

need to be part of a proper discussion

in general as a dermatologist I feel

much more comfortable with my patients

obtaining these prescriptions from their

OBGYN and or oncologist these are the

doctors following them longterm who are

ensuring that they are getting their

proper health screening like their

mammograms and I think if you are using

any type of estrogen or hormone therapy

that needs to be followed by a

professional who is looking at your

health overall and although as a

dermatologist I take my patients entire

Health into consideration that's not

something that falls within my full

purview and as a final thought on all of

this my personal feeling is that topical

estrogen cream is really exciting it's

something that personally interests me

and when I get to the point in my life

where I am per menopausal I will

certainly consider it even with having a

very strong family history of breast

cancer but I do want to say that the

studies that we have so far are quite

small we don't have tons of long-term

data yet but I'm hoping that will change

because people are more interested in

menopause and understanding how to

holistically take care of a woman

through all phases of her life and not

just through her reproductive years so

I'm very invested in this and I will

definitely keep an eye out for any new

research that comes to light when it

comes to topical EST EST creams but I

hope that answered a lot of the

questions that you had and will help you

make the right decision for yourself I'm

curious would you try topical estrogen

and if you're out there and you have

been using topical estrogen please let

us know what your experience has been in

the comments thank you so much for being

here don't forget to subscribe to the

channel and like the video and I'll see

you next time