Hormone Replacement Therapy Explained: What Actually Happens in a Menopause Doctor Consultation - with Dr. Nadya Chami, Menopause Gynecologist

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Most menopause advice on social media comes from doctors who don't see patients. Dr. Nadya Chami actually works with menopausal women every single day.

In this conversation, she explains what really happens in a menopause consultation, how specialists make treatment decisions, and why individualised care matters more than blanket protocols from social media.

What you'll learn:

• What actually happens during a menopause consultation and how treatment decisions are made

• The 2002 study that scared a generation off hormone replacement therapy (HRT) - and what's changed since

• Body-identical hormones vs. synthetic: why type and delivery method matter

• Testosterone therapy for women: research on libido, muscle, bone, and cognition

• Why sex hormone binding globulin (SHBG) can block testosterone effectiveness

• Non-hormonal options when menopausal hormone therapy isn't suitable

• Sleep solutions: night sweats vs. anxiety vs. bladder issues

• Why body composition changes are the hardest menopause problem to solve

• Whether you can stay on hormone therapy indefinitely or should wean off at 60

Key insight: Menopause care requires working with a specialist who considers your complete medical history and individual circumstances - not following rigid social media protocols.

Guest: Dr. Nadya Chami is a specialist obstetrician and gynecologist working exclusively in menopause gynecology at Prince of Wales Private Hospital and the Menopause Hub (Royal Hospital for Women).

Resources:

• Dr. Nadya Chami → drnadyachami.com.au

• The Menopause Hub → Royal Hospital for Women, Sydney

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