The Dr Louise Newson Podcast 04 - Dr Felice Gersh on oestradiol, natural vs synthetic hormones and standing by your beliefs in medicine
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Apr 22, 2025 Dr. Felice Gersh, an accomplished OB-GYN and women's health expert, joins the conversation to unpack the complex world of hormones. She discusses the differences in menopause care between the US and UK, and the lasting impact of the Women's Health Initiative study on hormone replacement therapy. Felice also addresses the controversies surrounding synthetic versus natural hormones and shares insights on how estradiol plays a critical role in weight management and overall health. Her candid reflections on past practices in women's medicine add a compelling layer to the discussion.
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Stay Clinically Active To Inform Care
- Maintain clinical practice to stay grounded and understand patient realities.
- Use broad therapeutic tools and continuous patient contact to individualise care effectively.
Refusing To Use Harmful Vaginal Mesh
- Felice Gersh refused to train others on synthetic vaginal mesh after feeling it would harm women and chose native tissue repairs instead.
- Her decision proved prescient as many women later suffered chronic pain and lawsuits from mesh implants.
Demand Mechanisms And Long-Term Safety
- Before adopting new drugs or devices, demand clear mechanisms and long-term safety data.
- Recognise that intervening in enzyme or peptide pathways often causes collateral effects across the body.