Every available type of hormone therapy will effectively eliminate hot flashes and other menopause symptoms.   However, all hormone therapy is not the same.  Individual formulations impact bone health, breast health, and cardiovascular health differently.   In episode 123, Dr. James Simon and I discussed starting hormone therapy after the age of 60. In this episode, we discuss the nuances between different hormones and their impact on breast cancer and bone health. 




Why it is important to individualize hormone therapy
Why there is the perception that estrogen causes breast cancer
There is a difference between causing breast cancer and making breast cancer grow
The differences between conjugated equine estrogen (Provera) and a plant-derived bioidentical beta-estradiol in terms of breast cancer impact
The differences between the different estrogens and progestogens as far as bone health
Transdermal vs oral estrogen



Dr. Simon’s Article :
Levy B, Simon JA. A Contemporary View of Menopausal Hormone Therapy. Obstet Gynecol. 2024 Mar 14. 

Ms Magazine article with Lancet Rebuttal https://msmagazine.com/2024/04/15/menopause-treatment-the-lancet/

List of doctors who signed rebuttal


                                                James A. Simon, MD
                                     Clinical Professor George Washington University
                                                 www.IntimMedicine.com

The Menopause Society Find a menopause practitioner page 
Midi Health https://www.joinmidi.com/


For more information on this topic: 

Episode 51- Transdermal versus Oral Estrogen- What's the Difference? 

Episode 67- How Long Can you Safely Take Hormone Therapy?

Episode 114- Is Duovee the Ideal Hormone Therapy? 

Episode 123 Is Starting Hormone Therapy After Age 60 an Option?

 Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain


Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat



Dr. Streicher’s Inside Information podcast is not intended to replace medical advice and should be used to supplement, not replace, care by your personal health care clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.

Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society. 

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Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine. 


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Books by Lauren Streicher, MD

 Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain

Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat

Sex Rx- Hormones, Health, and Your Best Sex Ever

The Essential Guide to Hysterectomy