In this episode of the You're Not Broken podcast, Dr. Kelly Casperson and Dr. Corinne Menn discuss the recent paper by Sasha Taylor and Susan Davis that revisits the recommendations for initiating menopausal hormone therapy. They explore the arbitrary nature of age cutoffs for hormone therapy, the timing hypothesis, and the implications of the Women's Health Initiative data. The conversation emphasizes the importance of understanding the risks and benefits of hormone therapy, particularly for women over 60, and addresses common misconceptions surrounding hormone therapy and its effects on bone health and dementia. The episode concludes with a call to action for women to advocate for their health and seek appropriate hormone therapy.

Takeaways

• Millions of women feel they have been overlooked in hormone therapy discussions.
• The age cutoffs for hormone therapy initiation are arbitrary and not based on solid evidence.
• The timing hypothesis suggests that starting hormone therapy earlier can lead to better health outcomes.
• The Women's Health Initiative data is often misinterpreted and does not reflect the current understanding of hormone therapy.
• Hormone therapy can provide long-term benefits for bone health and reduce the risk of osteoporosis.
• Many women experience symptoms beyond hot flashes that can persist for years after menopause.
• The risks associated with hormone therapy are often overstated and misunderstood.
• Women over 60 should not be denied hormone therapy based solely on age or years since menopause.
• Dementia risk associated with hormone therapy is not as significant as previously thought, especially with proper medication choices.
• Women need to advocate for their health and seek out hormone therapy options that are safe and effective.

Taylor S, Davis SR. Is it time to revisit the recommendations for initiation of menopausal hormone therapy? Lancet Diabetes Endocrinol. 2024 Oct 14:S2213-8587(24)00270-5. doi: 10.1016/S2213-8587(24)00270-5. Epub ahead of print. PMID: 39419045.

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