Commune with Jeff Krasno

The New Science of Menopause With Dr. Amy Killen

Aug 21, 2025
In this enlightening conversation, Dr. Amy Killen, a physician and entrepreneur specializing in women's health and longevity, unpacks the outdated myths surrounding menopause and hormone therapy. She discusses how recent research is reshaping our understanding of women's wellness. Topics include the importance of hormone therapy, hydration for pelvic health, and the intricate ties between lifestyle choices and hormonal balance. Dr. Killen also emphasizes the value of social connections and managing alcohol intake as we age, offering a holistic approach to vibrant living.
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INSIGHT

WHI Caused Lasting Fear

  • The Women's Health Initiative used the wrong hormones in the wrong population and released results prematurely to media.
  • That early fear still suppresses hormone therapy use despite better science now.
ADVICE

Remove Outdated Vaginal Warning

  • Vaginal estrogen's black box warning is likely outdated and should be removed for safety reasons.
  • Use low-dose vaginal estrogen for pelvic symptoms because it's very safe and effective.
ADVICE

Choose Bioidentical Estradiol

  • Prefer bioidentical estradiol when possible because its chemical structure matches what the body makes.
  • Avoid synthetic estrogens derived from equine urine when seeking more physiologic effects.
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