The Perimenopause Trap: Why More Estrogen is Rarely the Answer
There is RARELY a need to start estrogen during perimenopause. Doing so results in adverse effects more often than not and I have seen far too many women stop hormone therapy completely because of an uninformed "menopause specialist" cluelessly creating an environment of estrogen excess.
Many practitioners, even self-proclaimed "menopause specialists", fail to understand the fundamental physiology of the perimenopausal transition. They operate under the false assumption that because a woman is experiencing hot flashes or night sweats, she must be estrogen deficient. In perimenopause, the reality is often the exact opposite.
Women's health matters. By understanding the physiology of perimenopause, we can save women from unnecessary suffering and keep them on a path to optimal health.
Progesterone's Role in Uterine Bleeding Control
Progesterone’s role in uterine bleeding control is a critically important area of discussion, and one that highlights a frequent point of confusion among patients and even some practitioners. Understanding the true relationship between progesterone and uterine bleeding is foundational to safe and effective hormone optimization, fostering optimal health within you and your patients.
Statins: Common Perceptions Versus Clinical Reality in Women
Statins are widely prescribed medications, primarily known for their ability to lower cholesterol, but what is the clinical reality of statin use in women?
In my clinical practice, and supported by a growing amount of scientific literature, the approach to cardiovascular health, especially in women, necessitates a shift from a "cholesterol-centric" view to a holistic, hormone-optimizing strategy. While statins remain an option for secondary prevention, particularly in specific indications, it's crucial to acknowledge their limitations and potential collateral damage. The profound protective effects of optimized hormones, often able to reverse the very pathology statins struggle to address, present a compelling and evidence-based alternative or complementary strategy that is unfortunately underutilized and often misunderstood within conventional medicine.
Ultimately, empowering patients with this knowledge allows for true shared decision-making, where the full spectrum of benefits and risks from all available therapies, including hormone optimization, can be thoroughly considered.