You Are Not Broken

345. Ethics and Informed Consent in Hormone Care

16 snips
Nov 16, 2025
Jennifer Lanoff, a board-certified women's health nurse practitioner and attorney, shares her journey from law to clinical care focused on reproductive health. She discusses the ethical implications of healthcare, emphasizing that informed consent goes beyond just signatures. Topics include the role of hormones in women's health, the challenges posed by social media misinformation, and the importance of shared decision-making. Lanoff advocates for thorough patient discussions to empower informed choices, highlighting the evolving conversation around menopause and hormone therapy.
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ANECDOTE

Law To Women's Health Pivot

  • Jennifer Lanoff described shifting from a 25-year public defender career to women's health because she wanted direct patient care.
  • She trained as a midwife then moved into menopause and hormone care after clinical rotations sparked her interest.
INSIGHT

Redefining Medical Ethics

  • Jennifer argues ethics must include the harm of inaction, not just doing harm.
  • She says denying care (e.g., gender-affirming, abortion, hormone therapy) can itself be unethical.
ADVICE

Make Consent A Conversation

  • Jennifer and Kelly recommend true informed consent as extended dialogue, not a signature.
  • They advise clinicians to explain evidence, risks, benefits, and ask patients, "What are your questions?"
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