197. 2023 Hormone Education 101

You Are Not Broken

Kelly Casperson, MD

Medicine, Health & Fitness

5 • 743 Ratings

🗓️ 5 February 2023

⏱️ 34 minutes

🔗️ Recording | iTunes | RSS

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Summary

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 Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. www.kellycaspersonmd.com/membership --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message Learn more about your ad choices. Visit megaphone.fm/adchoices

Transcript

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0:00.0	Hey everybody. Welcome back to You Are Not Broken. I am so excited. This is just a quick 30-minute
0:04.9	rundown, quick because you could really talk about hormones for hours at this point. There's so
0:09.4	much interesting stuff to learn. But really, what I see is so many people are afraid. And the best
0:15.9	way to get rid of fear is education. And this is really some education of the women's health initiative study,
0:22.9	why that took people off of hormones, why the blanket statement didn't apply to all people,
0:29.5	and really understanding the healthy cell hypothesis, which is the hypothesis that the younger you
0:35.2	are, and by young they define that is within 10 years of
0:39.1	natural menopause, surgical menopause, any menopause, and 10 years after, right?
0:45.4	Meaning not five years before and five years after, but 10 years after your menopause happens.
0:50.7	Those are the healthy people with healthy cells who are most likely to benefit and least likely to have the risks that we saw in the women's health initiative
0:58.6	of MI stroke and blood clot, which really applied to people who had been off of hormones for
1:05.7	greater than 15 years. So meaning the disease cell hypothesis, there were something about them that was already
1:11.8	unhealthy that giving them estrogen exacerbated. They're talking about the same hypothesis
1:17.5	lately with Alzheimer's disease in the brain. In protecting the brain while it's healthy,
1:23.4	instead of trying to throw estrogen on the brain once Alzheimer's disease has happened, we know that it
1:29.0	is not beneficial. If estrogen is going to help, it's going to be in prevention or keeping the healthy
1:35.3	brain healthy. So education is the key and repetition is the key to adult learning. So here we are yet
1:42.1	again with another menopause talk on you are not broken,
1:44.7	brought to you by sex, which is the reason why I got into menopause in the first place,
1:48.8	because of the myth that your sex life has to go away because of menopause. Remember,
1:54.5	the top two reasons, women stop having sex in perimenopause and menopause is number one,
1:59.5	symptoms of menopause, hot flashes, night sweats,
	...

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