291. Do The Boomers Have A Choice? Rethinking Timing of Hormones

You Are Not Broken

Kelly Casperson, MD

Medicine, Health & Fitness

5 • 743 Ratings

🗓️ 17 November 2024

⏱️ 39 minutes

🔗️ Recording | iTunes | RSS

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Summary

In this episode of the You're Not Broken podcast, Dr. Kelly Casperson and Dr. Corinne Menn discuss the recent paper by Sasha Taylor and Susan Davis that revisits the recommendations for initiating menopausal hormone therapy. They explore the arbitrary nature of age cutoffs for hormone therapy, the timing hypothesis, and the implications of the Women's Health Initiative data. The conversation emphasizes the importance of understanding the risks and benefits of hormone therapy, particularly for women over 60, and addresses common misconceptions surrounding hormone therapy and its effects on bone health and dementia. The episode concludes with a call to action for women to advocate for their health and seek appropriate hormone therapy. Takeaways Millions of women feel they have been overlooked in hormone therapy discussions. The age cutoffs for hormone therapy initiation are arbitrary and not based on solid evidence. The timing hypothesis suggests that starting hormone therapy earlier can lead to better health outcomes. The Women's Health Initiative data is often misinterpreted and does not reflect the current understanding of hormone therapy. Hormone therapy can provide long-term benefits for bone health and reduce the risk of osteoporosis. Many women experience symptoms beyond hot flashes that can persist for years after menopause. The risks associated with hormone therapy are often overstated and misunderstood. Women over 60 should not be denied hormone therapy based solely on age or years since menopause. Dementia risk associated with hormone therapy is not as significant as previously thought, especially with proper medication choices. Women need to advocate for their health and seek out hormone therapy options that are safe and effective. Taylor S, Davis SR. Is it time to revisit the recommendations for initiation of menopausal hormone therapy? Lancet Diabetes Endocrinol. 2024 Oct 14:S2213-8587(24)00270-5. doi: 10.1016/S2213-8587(24)00270-5. Epub ahead of print. PMID: 39419045. Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance. Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care. https://www.joinmidi.com To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5. Order my book "You Are Not Broken: Stop "Should-ing" All Over You Sex Life" Listen to my Tedx Talk: Why we need adult sex ed Take my Adult Sex Ed Master Class: Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! www.kellycaspersonmd.com/membership Interested in my sexual health and hormone clinic? Starts January 2025. Learn more about your ad choices. Visit megaphone.fm/adchoices

Transcript

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0:00.0	Welcome to the You Are Not Broken Podcast. I'm your host, Dr. Kelly Casperson, a board-certified
0:09.9	jurologist, thought leader, and conversation starter on midlife living, hormones, and sexuality.
0:16.6	Enjoy the show. Hey, everybody. Welcome back to the You're Not Broken podcast. I have on my good friend, Dr. Corinne Men.
0:23.3	And here's the cool thing about this is you were on my podcast before talking about
0:27.7	hormones after breast cancer.
0:29.2	So people need to go dig that one up.
0:31.9	I didn't remember what episode that was, but it was a while ago.
0:35.1	Welcome back.
0:36.1	Thank you for having me.
0:38.6	We're excited today because we are going to nerd out about a paper that just came out by Sasha Taylor and Susan Davis called
0:44.8	Is It Time to Revisit the Recommendations for Initiation of Menopausal hormone Therapy. And we both got
0:51.5	very excited and we both printed it out and we both highlighted it in green
0:55.0	highlighters. We didn't plan that. We didn't even plan it. But you had a text thread. You were like,
1:00.8	we need to talk about this because it's time. Why is it so timely to talk about the age of initiation
1:07.9	of hormone therapy? Well, because millions of women feel like they've been missed out.
1:14.2	And I use something in my slide presentations.
1:17.3	When I talk about hormone therapy and the data and the evidence and guidelines,
1:21.3	boomers should be pissed.
1:22.8	That's from you, Kelly.
1:24.2	Because they are pissed because they're like, hey, wait, you know, now I'm 65 or 70 or, you know,
1:30.9	more than 10 years.
1:32.3	And my doctor says, too bad, the window is shut.
	...

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