
Why Am I Still Bleeding on HRT? Breakthrough Bleeding & Irregular Cycles Explained
Are you curious about how hormone replacement therapy can impact your menstrual cycle during perimenopause and menopause? Ever wondered why some women experience breakthrough bleeding with estrogen patches? This episode dives into these questions and more, unraveling the mysteries of HRT and its effects on your body. Why do some women face unscheduled bleeding when starting hormone therapy? How can balancing estradiol and progesterone help manage symptoms like heavy bleeding and brain fog? We explore these topics, providing insights that can help you make informed decisions about your hormonal health journey.
Feeling overwhelmed by the challenges of navigating menopause? You’re not alone. This episode shares personal strategies and expert advice to help you sail through hormonal changes with confidence. Discover the importance of context and support in optimizing your hormone health.
In this episode, we uncover:
- How estrogen and progesterone orchestrate the menstrual cycle.
- Why progesterone cycling can stabilize erratic periods.
- The impact of estrogen patches on uterine lining stability.
- Why nearly 40% of women experience breakthrough bleeding on HRT.
- How to identify when bleeding might signal a more serious issue.
Tune in to this enlightening episode and arm yourself with knowledge and strategies for navigating hormone replacement therapy. Discover how to transform your menopause journey into a season of empowerment and resilience!
Download in iTunes or on your favorite podcast platform.

Find Karen Martel on Apply Podcast
Karen Martel is a Certified Hormone Specialist and Transformational Nutrition Coach dedicated to empowering women through their health journeys.
As the host of the popular podcast The Hormone Solution, Karen tackles the complexities of hormonal health, weight loss resistance, and the challenges that come with perimenopause and menopause.
Her mission is to disrupt outdated narratives surrounding women's health, providing reliable information and practical solutions that help women reclaim their vitality. With personal experience overcoming her own health struggles, Karen offers insights into hormone optimization and sustainable weight management strategies.
Join her as she engages in enlightening conversations with experts and shares actionable advice, all aimed at helping women navigate their unique hormonal landscapes with confidence and clarity. Tune in to discover how to embrace life's stages while enhancing overall well-being.