You Are Not Broken

294. Live Q&A: Perimenopause, Bladder leakage, Hormones and More


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In this conversation, Kelly Casperson discusses the complexities of perimenopause and its associated symptoms, particularly focusing on incontinence and the role of hormone therapy. She emphasizes the importance of vaginal estrogen as a treatment option, debunks common myths surrounding hormone therapy, and highlights the need for early intervention to prevent long-term health issues. The discussion also covers alternative treatments, the connection between hormones and pelvic floor health, and the risks and benefits of hormone therapy, ultimately advocating for patient empowerment and informed decision-making in women's health.


Takeaways


Vaginal estrogen is a safe and effective treatment for urinary issues during perimenopause.

Hormones play a crucial role in preventing diseases associated with aging.

Many women experience urinary symptoms during perimenopause, which can be alleviated with proper hormone therapy.

There is a misconception that hormone therapy is only for post-menopausal women; it can be beneficial during perimenopause as well.

Vaginal estrogen can significantly reduce the risk of urinary tract infections.

Patients should advocate for their health and seek second opinions if necessary.

Hormone therapy can improve quality of life and reduce symptoms of menopause.

Education about hormone therapy is essential for both patients and healthcare providers.

Pelvic floor physical therapy is a valuable resource for managing incontinence.

The medical community needs to shift towards preventative care rather than reactive treatment.



Thanks to our sponsor Midi Women's Health. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.

Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.

https://www.joinmidi.com


Thanks to our sponsor Sprout Pharmaceuticals. To find out if Addyi is right for you, go to addyi.com/notbroken and use code NOTBROKEN for a $10 telemedicine appointment.

See Full Prescribing Information and Medication Guide, including Boxed Warning for severe low blood pressure and fainting in certain settings at addyi.com/pi


To learn more about Via vaginal moisturizer from Solv Wellness, visit via4her.com for 30% off your first purchase of any product, automatically applied at checkout. For an additional $5 off, use coupon code DRKELLY5.


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You Are Not BrokenBy Kelly Casperson, MD

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