Dr. Chapa’s Clinical Pearls.

The HRT Makeover

May 3, 2024
The podcast delves into the evolution of menopausal HRT since the WHI study, highlighting new research trials and patient awareness campaigns. It discusses the implications of the WHI study, explores hormone therapy advancements, and emphasizes the importance of understanding menopause in healthcare. Additionally, it touches on the evolving landscape of hormone replacement therapy and recent research investments.
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INSIGHT

HRT Makeover

  • The Women's Health Initiative (WHI) study, initially causing fear around HRT, is now being reevaluated after 30 years.
  • New research suggests that HRT may not be as risky with proper patient selection and choice of HRT.
ADVICE

HRT Cessation Age

  • Continue HRT until the patient chooses to stop, as there's no set age limit for cessation.
  • Shared decision-making, considering risks, benefits, and patient preferences, is crucial.
INSIGHT

HRT Initiation vs. Continuation

  • Continuing low-dose HRT, especially through a transdermal and bioidentical route, seems safer than starting it later.
  • New initiation of HRT post-menopause carries higher risks than continuation.
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