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The Dr Louise Newson Podcast

195 - Health risks and treatment of surgical menopause with Dr Walter Rocca

The Dr Louise Newson Podcast

Dr Louise Newson

Health & Fitness, Mental Health, Medicine

4.8798 Ratings

🗓️ 14 March 2023

⏱️ 33 minutes

🧾️ Download transcript

Summary

Dr Walter Rocca is a neurologist from the Mayo Clinic in Minnesota, USA, where he studies common neurological diseases as well as the aging processes between men and women. He has a particular focus on estrogen and the effects of menopause on health risks. In this episode, Dr Rocca explains how sex hormones have a much greater role in many of the body’s functions than simply regulating the menstrual cycle and reproduction. He explains why it’s so important to treat women with hormone replacement after bilateral oophorectomy with or without hysterectomy or early menopause, especially younger women. Dr Rocca’s three take home messages: The ovaries are a tremendously important organ for healthy functioning of our heart, brain, bones, kidneys, lungs and more. For healthcare professionals: be very careful when thinking about removing the ovaries and/or the uterus, unless there is a very clear clinical indication. The longer-term harmful effects of these surgeries are greater than the apparent short-term benefit to symptoms. If a woman has a high genetic risk of ovarian cancer (>40% risk level), removal of the ovaries is appropriate, but she should be given estrogen therapy afterwards as the risk associated with this treatment is very low (including for BRCA carriers). If a natural menopause occurs early or prematurely, these women should also be offered estrogen therapy, unless there is a specific contraindication. More about Dr Walter Rocca

Transcript

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0:00.0

Hello, I'm Dr. Louise Newsome and welcome to my podcast. I'm a GP and menopause specialist and I run the Newsome Health Menopause and Wellbeing Centre here in Stratford-Bron-Avon. I'm also the founder of the Menopause charity and the Menopause support app called Balance.

0:29.9

On the podcast, I will be joined each week by an exciting guest to help provide evidence-based

0:36.5

information and advice about both the perimenopause and the

0:40.9

menopause.

0:45.1

So today I'm very, very excited actually to introduce to you someone that I've been stalking

0:50.7

from afar without him realising for quite a few years.

0:55.6

Someone called Dr Walter Rocker who works out of the Mayo Clinic in Minotota, I first heard him lecture a few years ago

1:01.8

at a conference about what happens when younger women have their ovaries removed and the changes

1:08.4

that occur, especially the health risks that occur.

1:11.3

And everything he lectured on made sense.

1:13.6

And I thought, how do I get hold of this person?

1:15.6

So I've been reading a lot of information and emailing him from afar.

1:20.6

And then I had the privilege of meeting him in real life at the International Menopause Society in Lisbon last year in 2022.

1:30.3

And now he's here that I can speak to in my studio. So thanks ever so much, Walter, for joining me today.

1:33.3

You're welcome. It's a pleasure.

1:35.3

So tell me about your work and your background and why you do what you do if you don't mind.

1:41.3

Well, that can be a long question, but I'll try to keep it the focus if we can.

1:48.6

I, by training, I'm a neurologist, so a brain specialist, but I also spend quite some time

1:56.3

in learning research methods.

1:58.5

So how can you use data to answer questions in medicine?

2:05.3

You know, like in medicine, we are dealing with a lot of uncertainties, a lot of things that

2:09.8

are not clear or that are not resolved. And then we progress by creating evidence or data or pieces of knowledge on which we can then build

...

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