197. 2023 Hormone Education 101

Hot off the back of the New York Times Magazine Feb 1st on Menopause Hormones - I gave a lecture to my local medical society about hormones.  It is a nice overview and I hope you enjoy it!

• The best way to get rid of fear is education
• Why the Women’s Health Initiative study took people off of hormones
• Understanding the Healthy Cell Hypothesis
• Repetition is the key to adult learning
• The top two reasons women stop having sex in perimenopause and menopause
• What we know about menopause hormone therapy in 2023
• The more educated you are, the more you can advocate for yourself
• By definition: menopause is one day - 366 days after your last natural period
• Average age of menopause in western society is 51
• Hormone therapy was popular in the 80’s and 90’s
• If you still have a uterus you must protect the uterine lining with a progestin if you take systemic estrogen (not so for vaginal estrogen)
• FDA approved indications for estrogen 1) preventing osteoporosis
  2) treatment of vasomotor symptoms
  3) treatment of premature ovarian insufficiency (going into menopause prior to age 40)
  4) GSM
  
• how did we get to the point where we thought estrogen caused cancer?
• what does hormone therapy help?
• the longer you go without estrogen, your arteries develop a fatty streak or plaque
• who can’t be on HRT
• who can be on HRT
• Best practices for hormone replacement therapy
• Non oral estrogen vs oral estrogen
• Unanswered questions we have about hormones

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