Hot off the back of the New York Times Magazine Feb 1st on Menopause Hormones - I gave a lecture to my local medical society about hormones.  It is a nice overview and I hope you enjoy it!


The best way to get rid of fear is education
Why the Women’s Health Initiative study took people off of hormones
Understanding the Healthy Cell Hypothesis
Repetition is the key to adult learning
The top two reasons women stop having sex in perimenopause and menopause
What we know about menopause hormone therapy in 2023
The more educated you are, the more you can advocate for yourself
By definition: menopause is one day - 366 days after your last natural period
Average age of menopause in western society is 51
Hormone therapy was popular in the 80’s and 90’s
If you still have a uterus you must protect the uterine lining with a progestin if you take systemic estrogen (not so for vaginal estrogen)
FDA approved indications for estrogen 1) preventing osteoporosis
2) treatment of vasomotor symptoms
3) treatment of premature ovarian insufficiency (going into menopause prior to age 40)
4) GSM

how did we get to the point where we thought estrogen caused cancer?
what does hormone therapy help?
the longer you go without estrogen, your arteries develop a fatty streak or plaque
who can’t be on HRT
who can be on HRT
Best practices for hormone replacement therapy
Non oral estrogen vs oral estrogen
Unanswered questions we have about hormones

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