Editor's note: This is the first of a three-part update on
I know, the headline is not what your mother, doctor, TV, women's magazines, and walking buddies tell you. But, it's true. Of tsunami importance, it falls into the category of bad news travels fast, and good news dies away in a flash.
In March, the North American Menopause Society's Advisory Panel on Hormone Therapy issued new, liberalized guidelines for use of estrogen in the menopause. To disclose, I have been a medical speaker for numerous pharmaceutical companies manufacturing bioidentical estrogen.
One crucial conclusion from the menopause society's experts: The large government – funded and now infamous
These women had undergone hysterectomies. They were given oral conjugated equine estrogen (CEE), brand-named
A follow-up study in the Journal of the
On that fateful morning in 2002 when the bad news hit the air waves, 50 patients called my office asking "Should I stop my
This debacle sent many generations and millions of American women reeling into hot-flash hell. Other symptoms include sleeplessness, weight gain, mental fogginess,
So, what do the experts say now?
In a recent interview with me, Dr. Holly Thacker, director of Specialized Women's Health at the prestigious
Dr. Philip Sarrel, professor of gynecology and psychiatry at Yale University for decades, estimates that only 15% of post-menopausal women are using hormone therapy. In addition to the spectrum of contemporaneous symptoms noted above, he is concerned about potentially more serious, long-term effects of low hormones, namely atherosclerosis and
Importantly, the integrity of our cardiovascular system may be the main determinant of our cognitive abilities as we age. It is estimated that one-half of people older than 85 will have some
Questions linger, such as, who will pay for all of this?
The full guidelines liberalizing hormone therapy recommendations and a companion editorial by Sarrel were published in the March 2012 issue of Menopause: The Journal of the menopause society.
They include: (1) regimens must be individualized and; (2) compounded hormone therapy is not recommended unless women are
Check this all out on the menopause society's website, http://www.menopause.org.
As we observe some of the aged crumple from