Transdermal estrogen in the form of a patch, gel, or cream is often the preferred delivery method for menopausal hormone therapy. Unlike oral estrogen, in addition to other advantages, transdermal estrogen does not increase the risk of blood clots. But a new study, published in the journal Menopause, indicates that your transdermal estrogen… may not be doing what you think it’s doing. Today, I am speaking with one of the authors of that study, Dr. Louise Newson.
My Substack post summarizing the study:
https://drstreicher.substack.com/p/is-your-estrogen-patch-gel-or-spray?r=740mq
Link to article: https://pubmed.ncbi.nlm.nih.gov/39689249/
We discuss:
The advantages of transdermal estrogenThe realization that blood levels of transdermal estrogen may be below what is expectedWhat the study looked atResults of the studyWhat factors may cause decreased absorption of transdermal estrogenWhy decreased levels of estrogen are problematicWays to maximize absorptionOptions if serum estrogen levels are low on standard doses of transdermal estrogenConcerns of using a higher than standard doseThe pushback in the UK regarding Dr. Newson’s workIf it should be routine to measure blood levels of estrogen if using a transdermal product
For more information on Dr. Newson, visit DrLouise Newson.com
Dr. Streicher is on SUBSTACK DrStreicher.Substack.com
ArticlesMonthly newsletterAll COME AGAIN podcast episodesMonthly News Flash Reports on recent research
Monthly Zoom Ask Me Anything Webinar
Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. She is the Medical Director of Community Education and Outreach for Midi Health.
Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.
Links:
Subscribe To Dr. Streicher’s Substack
Information About the COME AGAIN Podcast
Dr. Streicher’s CV and additional bio information
Glossary Of Medical Terminology
Books by Lauren Streicher, MD
Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain
Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat
Sex Rx- Hormones, Health, and Your Best Sex Ever
The Essential Guide to Hysterectomy
To Find a Menopause Clinician
Midi Health www.Joinmidi.com
Midi Health is a telehealth company that provides high-level menopause care and takes insurance in all 50 states. Dr. Streicher is Midi’s Medical Director of Education and Community Outreach and is familiar with their medical protocols, which are all regularly updated and set by the top academic menopause experts in the country.
The Menopause Society- Certified Menopause Practitioner List Menopause.org
To find a menopause practitioner: https://portal.menopause.org/NAMS/NAMS/Directory/Menopause-Practitioner.aspxPut in your zip code and designate NCMP or CMSP to get a certified menopause practitioner. While all people on this list have passed a competency examination, Dr. Streicher does not vouch for every one of these clinicians. Most are excellent.Major Medical Centers
It also may be helpful to check with major medical centers in your area. Many have menopause clinics or lists of doctors who have an interest and expertise in menopause.
Dr. Streicher’s Inside Information podcast is for education and information and is not intended to replace medical advice from your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.