2023 Hormone Education 101

HERE’S WHAT I DISCUSS

• 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