Do You Need Hormone Therapy? with Carla DiGirolamo, M.D., Ph.D. (Episode 78)

Hit Play Not Pause

Health & Fitness, Education, Self-improvement, Mental Health

4.9 • 696 Ratings

🗓️ 20 April 2022

⏱️ 70 minutes

🔗️ Recording | iTunes | RSS

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Summary

In the year and a half since we started this podcast, many women have gone from being afraid to take hormone therapy to being afraid not to take hormone therapy, as some in the menopause field are saying that menopause is really a “hormone deficiency” and we can’t age well without it. This week we dive in on what hormone therapy is; what it can do (especially for performance and health); what it can’t do, and what we’re still learning about all of it with Dr. Carla DiGirolamo.

Carla is a Double Board Certified Reproductive Endocrinologist and Obstetrician/Gynecologist specializing in infertility and menopausal medicine. She is also a Crossfit Level 1 trainer, Certified Nutrition Coach, and member of CrossFit Health. She runs an online personal training and nutrition coaching business, FitforLifeMD, specializing in the care of women in all age groups, but with a special interest in the comprehensive care of peri/postmenopausal women. She also writes a regular blog on Athletic Aging. Carla has the distinction of being the only repeat (and now threepeat!) guest on Hit Play Not Pause.

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Transcript

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0:00.0	You are listening to Hit Play, Not Pause, a feisty menopause podcast for active performance-minded women.
0:14.6	I am your host, Celine Yeager. Each week, I bring you advice from athletes, scientists, researchers,
0:19.7	and other experts to help
0:21.2	you feel and perform you best, no matter what your hormones are doing.
0:25.2	This show is a production of Live Feisty Media.
0:31.2	Hello, strong feisty women.
0:33.9	So this is a pretty remarkable time that we are living in. I started this show in October 2020,
0:40.9	just about a year and a half ago. And when I started, there were many women who were still afraid
0:46.5	to take menopausal hormone therapy because of the supposed health risks. So I had on doctors
0:52.2	Avram Blooming and Carol Tabress who had written the book,
0:55.2	Estrogen Matters, and their work pretty much paved the way for putting the breast cancer
0:59.7	scare to rest. Now, not even two years later, I am flooded with messages from women who are afraid
1:08.1	not to take hormone therapy because there are doctors who are saying
1:12.6	that you can't age well without it. There is a narrative emerging that menopause should be
1:18.2	rebranded as female hormone deficiency, that our future is bleak if we remain hormone deficient
1:25.0	postmenopause, which reminds me a whole lot of what doctors
1:28.8	were saying in the 1960s when Dr. Robert Wilson wrote the book Feminine Forever and literally called
1:35.6	menopause an estrogen deficiency disease and said that estrogen replacement therapy
1:40.8	was the only way to prevent an otherwise inevitable, and I quote, living
1:46.2	decay.
1:47.7	And I'm like, can we tap the brakes just a moment here and keep the pendulum from swinging so
1:53.9	hard that we all get whiplash?
	...

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