Dr. Louise Newson debunks myths and discusses challenges of diagnosing perimenopause and menopause. The podcast explores the duration of the menopausal transition and impact of hormone deficiency. It also discusses the relationship between menopause and women's health, highlighting the impact on diseases like cardiovascular disease, osteoporosis, and dementia. Hormone replacement therapy as a way to address hormonal imbalance is addressed, along with concerns about breast cancer risk.
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Quick takeaways
Perimenopause is the period leading up to menopause characterized by hormone fluctuations and various symptoms.
HRT, or hormone replacement therapy, can effectively alleviate menopausal symptoms with a small increase in breast cancer risk compared to other lifestyle factors.
Deep dives
Understanding Perimenopause and Menopause
Perimenopause refers to the period when hormones start to fluctuate and reduce, leading to symptoms before menopause, which is when periods stop completely. The average age of menopause in the UK is 51, and many women in their 40s will experience perimenopausal symptoms. Symptoms vary widely among individuals but may include hot flushes, psychological symptoms, urinary symptoms, vaginal dryness, fatigue, brain fog, and more. The perimenopause phase can last for several years, during which women may experience hormone deficiencies that affect cells throughout the body.
Hormone Replacement Therapy (HRT)
HRT, or hormone replacement therapy, involves topping up the missing hormones during the perimenopause and menopause. There are body-identical hormones available, which have the same molecular structure as naturally occurring hormones and fit onto the receptors in cells. Estrogen and progesterone, given through patches, gels, tablets, or creams, can help alleviate symptoms and offer various health benefits. There have been misconceptions and concerns about HRT's risks, particularly regarding breast cancer. However, the actual increased risk is small and lower than the risks associated with factors like alcohol consumption and obesity.
Challenges and Misinformation
Despite the growing conversation around the menopause, getting accurate and helpful information can still be challenging. There is no proper test or blood test to diagnose the perimenopause or menopause. The lack of information and conflicting advice can make it difficult for women to make informed decisions about managing their symptoms or seeking treatment. Many women resort to alternative medications or overlook HRT due to fears and misconceptions. More research, individualized choices, and better access to evidence-based treatments are needed to address these challenges and help women navigate the menopause transition.
Madeleine Finlay meets menopause expert Dr Louise Newson to find out about some of the myths surrounding the menopause, how women can prepare for this stage in life, and why information and support can be so difficult to access. Help support our independent journalism at theguardian.com/sciencepod
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