Welcome to another episode of the Balls Deep podcast! In this episode, Dr. Joe Pazona and co-host, Cat Williams, tackle a perplexing topic that is largely misunderstood: hormone replacement therapy (HRT) in women, specifically during menopause. This episode is informative and interesting, as it provides insight into menopause and issues on HRT. Keep reading to learn more!
Understanding Menopause
Menopause is something that will happen eventually to every woman, but when it starts and what symptoms are experienced varies widely. It can occur between a woman's 30s or her 50s, which is indicated by the absence of menstruation for one year. This stage, called perimenopause, before menopause brings up complications like hot flashes, low libido, vaginal dryness, and increased risk of urinary tract infections.
The Role of Hormones
When a woman goes through menopause, the ovaries stop producing hormones like estrogen and testosterone, thus triggering various physical and emotional changes. These are responsible for different body functions including regulation of temperature, maintenance of sex function, and support for control over the bladder.
The Controversy of HRT
After the Women’s Health Initiative (WHI) study conducted in 2002 linked HRT to increased chances of developing breast cancer, there was much controversy around it. However, according to Dr. Pazona, this study was grossly misinterpreted. The study included mostly postmenopausal women who were not healthy at all, leading to its misunderstanding by many people globally due to confusion surrounding this matter. There was only a small rise in the risk of breast cancer (from 4 to 5 among 1,000 women), which caused much panic about HRT among populations around the world.
The Misconception About HRT
Dr. Pazona clarifies that not all types of HRT are good enough. For example, synthetic hormones were used in this research, which might be far less safe than bioidentical hormones that are derived from natural sources. Moreover, estrogen may actually help protect against breast cancer in some cases, especially for women who do not have a uterus.
The Benefits of HRT
HRT still has significant advantages, despite the controversies surrounding it. It can keep bone and muscle health in check by reducing the risk of osteoporosis and fractures, which is common and dangerous among aged women. In addition, there is some emerging evidence that HRT might help to prevent Alzheimer’s disease, indicating the need to consider individualized HRT.
Conclusion
When considering HRT, Dr. Pazona highlights the importance of personalized medicine. Women must be encouraged to consult with their doctors rather than relying on broad general statements or outdated studies in order to know if this treatment is right for them or not. Menopause is part of a normal aging process, but this doesn’t mean one has to suffer its symptoms.
Dr. Pazona and Cat encourage listeners to ask questions about their health, highlighting how important informed decision-making can be when it comes down to hormone therapy.
Learn more about hormone optimization in females from Pazona MD.
Disclaimer: This podcast provides only information and does not substitute professional medical advice Always consult your healthcare provider for any medical conditions you may experience.
