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The Dr Louise Newson Podcast

239 - Challenging NICE's draft menopause guidance

The Dr Louise Newson Podcast

Dr Louise Newson

Health & Fitness, Mental Health, Medicine

4.8798 Ratings

🗓️ 18 January 2024

⏱️ 30 minutes

🧾️ Download transcript

Summary

On this week’s podcast, Dr Louise is joined by Dr Peter Greenhouse, a menopause specialist with 40 years’ experience in women’s sexual healthcare who is actively involved in postgraduate lecturing. He has recently spoken out about NICE’s draft menopause guideline update, and tells Dr Louise it contains inappropriate and inaccurate statements, particularly concerning HRT and breast cancer safety, and ignores the cardioprotective effect of HRT when it’s started within 10 years of the menopausal transition. Dr Peter challenges NICE’s stance on HRT for primary prevention and proposes a pre-emptive approach that could help reduce the amount of other medications GPs are prescribing menopausal women. Finally, he shares his belief that women should be able to take as much HRT for as long as they need to. You can read about Newson Health’s response to the NICE draft guideline consultation here. Follow Dr Peter Greenhouse on X @GreenhousePeter You can read Roger Lobo's paper, Back to the Future, which is referred to in the podcast, here. Click here for more on Newson Health

Transcript

Click on a timestamp to play from that location

0:00.0

Hello, I'm Dr Louise Newsome. I'm a GP and menopause specialist, and I'm also the founder of the Newsome Health Menopause and wellbeing centre here in Stratford-Pon-Avon.

0:21.6

I'm also the founder of the free Balance app.

0:25.6

Each week on my podcast, join me and my special guests where we discuss all things perimenopause

0:31.6

and menopause. We talk about the latest research, bust myths on menopause symptoms and treatments,

0:38.2

and often share moving and always inspirational personal stories.

0:43.7

This podcast is brought to you by the Newsome Health Group,

0:46.9

which has clinics across the UK dedicated to providing individualised perimenopause and menopause care for all women.

1:02.7

Today on the podcast I'm very excited to introduce to you Peter Greenhouse, who I've known for a few years actually,

1:09.8

first met at a menopause society meeting

1:12.0

and we're very inspired by his enthusiasm and determination to educate people.

1:17.8

In similar ways to me, really, we have very similar ways of thinking.

1:21.3

So welcome, Peter.

1:22.3

Thanks for coming today.

1:23.8

Hi.

1:24.2

It's a delight to be here.

1:25.4

I hope we can get the relevant amount of information across in plain English and see what feedback we get.

1:32.1

Sue, you're similar but different to me. You're similar in that you're interested in hormones,

1:36.8

but we've got different backgrounds actually in different training, haven't we?

1:40.1

Very different, yeah. Well, I train in both what I might call veneeriology and gynaecology. I did the gap between the two.

1:46.9

And I was the first person to do integrated sexual health care in the UK. And I saw the need for it as a medical student nearly 50 years ago. But I finally got round to doing it when I got my consultant post because I trained between the two subjects. But at that time, it's

2:01.4

interesting at that time, certainly for as a gyne registrar, the first thing about menopause,

2:05.6

and I'd always struggle a bit understanding contraception and how to do it. Because as a bloke,

...

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