You Are Not Broken

197. 2023 Hormone Education 101

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Hot off the back of the New York Times Magazine Feb 1st on Menopause Hormones - I gave a lecture to my local medical society about hormones.  It is a nice overview and I hope you enjoy it!


  • The best way to get rid of fear is education
  • Why the Women’s Health Initiative study took people off of hormones
  • Understanding the Healthy Cell Hypothesis
  • Repetition is the key to adult learning
  • The top two reasons women stop having sex in perimenopause and menopause
  • What we know about menopause hormone therapy in 2023
  • The more educated you are, the more you can advocate for yourself
  • By definition: menopause is one day - 366 days after your last natural period
  • Average age of menopause in western society is 51
  • Hormone therapy was popular in the 80’s and 90’s
  • If you still have a uterus you must protect the uterine lining with a progestin if you take systemic estrogen (not so for vaginal estrogen)
  • FDA approved indications for estrogen 1) preventing osteoporosis
    • 2) treatment of vasomotor symptoms
    3) treatment of premature ovarian insufficiency (going into menopause prior to age 40)
    4) GSM
  • how did we get to the point where we thought estrogen caused cancer?
  • what does hormone therapy help?
  • the longer you go without estrogen, your arteries develop a fatty streak or plaque
  • who can’t be on HRT
  • who can be on HRT
  • Best practices for hormone replacement therapy
  • Non oral estrogen vs oral estrogen
  • Unanswered questions we have about hormones

    • Did you get the You Are Not Broken Book Yet? https://amzn.to/3p18DfK

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    You Are Not BrokenBy Kelly Casperson, MD