I have just read a paper titled “Menopause and hormone replacement therapy in the 21st century” and wanted to share two quotes from the paper that are particularly important:
“Despite the numerous published articles on the myriad CV protective roles played by oestrogen in the premenopausal woman, it remains entrenched in the medical management of menopausal women that HRT, if prescribed at all, should remain a short-term solution, using the lowest dose possible to minimise night sweats, and only be considered for systemic use to address night sweats and hot flashes, rather than to maintain optimal CV function. The unintended legacy of the Women’s Health Initiative (WHI), which tested the wrong ‘hormones’ (not human-identical and given orally), on the wrong subjects (too old), must now finally be ended.”
“The time has arrived to shelve the WHI and its limited applicability to the lives of menopausal women. Human-identical transdermal estradiol and micronised progesterone should be offered to most menopausal women, particularly at the menopause initiation. Menopause has a powerful negative impact on the CV health of women. They deserve to be offered HRT, using hormones identical to those produced by human ovaries, and the hormones should be prescribed in the most physiological manner possible.”
There continues to be controversy regarding the use of HRT and this is primarily due to the misleading results published following the WHI Study. Many of you will have heard me talk before about the WHI study before (which is now over 22 years old) but for those of you who haven’t - it was a study done looking at women who take HRT. The media misinterpreted the results from the study and presented the risk as far greater than it actually is, which meant a lot of women now feel confused and anxious about HRT.
As it says in the paper I am sharing with you today, it is time to shelve the misleading findings from the WHI study and start focusing on some of the beneficial effects of body identical natural hormones in the HRT we prescribe today - which show us that not only can HRT provide effective symptom relief, it can also reduce your future risk of cardiovascular disease, type 2 diabetes, clincial depression, osteoporosis and dementia.
You can read the paper here:
heart.bmj.com/content/heartj…