In this episode, Therese Markow and Dr. Tami Rowen discuss menopause, perimenopause, and hormone therapy. She explains that menopause is defined as one year without a period, while perimenopause can last up to 10 years with symptoms like mood changes and menstrual irregularities. Dr. Rowen discusses the changes in FSH levels and how to understand what the levels mean across time, and why they may not be as helpful as you think. She also explains how hormone therapy can alleviate symptoms and prevent osteoporosis, and that bioidentical hormones are preferred for their safety and efficacy. Finally, she cautions that social media can spread both accurate and misleading information about menopause and hormone therapy.

Key Takeaways:

• There is a debate over whether or not there is a cardiovascular benefit to starting hormone therapy early. While several studies suggest there may be a benefit, all the current guidelines recommend against using hormone therapy specifically for the prevention of heart disease.

• When somebody enters menopause or post-menopause, there is no significant change in their testosterone levels. However, testosterone will be lower than when someone was in their 20s.

• The majority of people giving information about menopause are not healthcare providers. Oftentimes, when they are discussing hormone therapy, some of the risks get missed, some of the benefits get overblown, and many are left believing hormone therapy will be a cure-all.

"Anytime someone makes a definitive statement, I would take it with a grain of salt and just know that there's oftentimes nuance to recommendations and guidance, and I would encourage all women to seek out a provider that is familiar with the data." — Dr. Tami Rowen

Connect with Dr. Tami Rowen:

Professional Bio: https://profiles.ucsf.edu/tami.rowen

Website: https://www.ucsfhealth.org/providers/tami-rowen

Instagram: https://www.instagram.com/drtamirowen/

Connect with Therese:

Website: www.criticallyspeaking.net

Threads: @critically_speaking

Instagram: @criticallyspeakingpodcast

Email: theresemarkow@criticallyspeaking.net

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