Today we're continuing our conversation about the WHI study that led to some serious misconceptions about estrogen therapy. This study involved oral estrogen, synthetically made from pregnant horse urine, given to women 10+ years past menopause. It's important to remember that by this time, these women had experienced irreversible changes due to how far into menopause they had been.

This study looked specifically at the effect of estrogen in cardiovascular health in women. Estrogen therapy can help improve various unwanted symptoms in women, even past menopause. However, once you have plaque in your arteries, it's nearly impossible to reverse it.

The options for estrogen administration have also expanded since this study. At the time this research was conducted, transdermal patches hadn't been embraced on the scale they would be. Many hormone specialists have criticized how this research was done and point out the many things they would have done differently at the time the study was done and today.

I, and many doctors like me, do not use oral estrogen therapy with clients. Transdermal estrogen bypasses the liver, which is just one reason why it's superior to oral estrogen. It therefore also has a much different risk profile than oral estrogen.

Many women who are prescribed this potentially life-changing therapy feel dissuaded by FDA warnings and labels. It's been designated as a warning for all estrogen products indiscriminately, when it should have been applied to oral estrogen products only. As a result of these labels, so many women are missing out on this life saving treatment.

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