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Discusses Women's Health

Most of my patients for whom I prescribe hormone therapy know that I prefer to prescribe FDA approved transdermal estrogen via a patch, gel or cream rather than oral pills. I love it when an article comes out in a peer-reviewed journal that affirms my choice. A new “you’re right” study was published this March…

I am appalled by the utterances of Donald Trump. Pretty much all of them, but now that infamous statement that a woman should be punished for an attempt to terminate her pregnancy may be one of the worse. It is unfathomable that anyone in the civilized world would ever make such a statement even if…

I love the fact that when I opened this week’s issue of “The New England Journal of Medicine” I found that the second article was titled, “Menopause Management – Getting Clinical Care Back on Track”. I hope I don’t sound like a broken record, but I’ve been talking about “menopause neglect” for years and want…

Many of my patients are premenopausal or already have become menopausal. (Well all of us are pre-something.) And during this inevitable transition, 80% of women develop vasomotor symptoms…hot flashes, night sweats as well as vaginal dryness. These can become severe in nearly half of menopausal women and can last for 7 years. And to add…

As I was glancing through the monthly Journal Menopause I came upon an interesting article that had cosmetic implications. The authors looked at the potential adverse skin effects subsequent to the removal of the ovaries during hysterectomy in premenopausal women who had surgery for benign conditions. The study included 135 premenopausal women between 40 and…

There is an ongoing controversy as to whether hormone therapy is protective of coronary heart disease. If so, whether this makes a difference to coronary protection if the hormone therapy is started in early menopause, begun years after the menopausal transition, or continued for many years. This is an extraordinarily important issue…Coronary heart disease (CHD)…

Insurance companies, medical societies, the government, scientists, researchers and, yes, patients often look at the cost of medical disorders and problems as well as that of the therapy to treat or prevent them. Does a disease or troublesome symptoms cause a decrease in life span, health span or life quality? Does it impact a person’s…

As I sit here worrying about the Middle East and talk to my family in Israel, I’m experiencing hot flashes. Admittedly, they are from anxiety and not a hormonal imbalance, but they have made an editorial I read this week in the Journal Menopause more compelling. It’s titled “Hot flashes: is a hot flash just…

Seventy five percent of women who become menopausal will have hot flashes, night sweats and sleep problems which, although not life-threatening, can certainly impact quality of life. I have spent much of my career writing about this and indeed treating women with these symptoms. For those who have no contraindications, hormone therapy will usually be…

We know that hot flashes and night sweats are vasomotor symptoms (VMS) that affect up to 80% of women during the menopausal transition and may continue for years. They can be disruptive and unfairly compromise the quality of life. So when a study was published in the April issue of the Journal Menopause (the one…

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