Menopause Symptoms & Solutions Every Woman Needs To Know | Dr. Mary Claire Haver
Mark Hyman
Oct 30, 2024
Mindsip insights from this episode:
Expand women's health beyond 'bikini medicine' to include systemic issues
Women's health is often reduced to 'bikini medicine,' focusing only on breasts and genitals, while ignoring systemic issues like cardiovascular health, bone density, and brain function that are also affected by hormones.
Utilize off-label testosterone to enhance female libido and combat low bone mass
Off-label topical testosterone can be used effectively for women to improve hypoactive sexual desire, and it is also promising for combating low bone mass and sarcopenia.
Listen to symptoms for accurate perimenopause diagnosis
The best way to diagnose perimenopause is not through a single hormone test, which is unreliable due to fluctuations, but by listening to the patient's symptoms.
Reevaluate hormone therapy based on modern bioidentical options for younger women
The infamous Women's Health Initiative (WHI) study's negative findings do not apply to younger women using modern, bioidentical hormones, as the study used an older population and synthetic progestins.
Utilize Vyleesi to enhance female libido
Vyleesi is an injectable medication that works on melanocortin receptors in the brain to treat hypoactive sexual desire disorder in women, taken 30 minutes before activity.
Balance hormones over SSRIs for perimenopausal mental health
For a perimenopausal patient with new-onset mental health changes, balancing hormones with hormone therapy is more effective than prescribing an SSRI.
Treat perimenopause symptoms with low-dose hormones early
It is beneficial to use low-dose estrogen and progesterone to treat symptoms during perimenopause, even before menstrual cycles have completely stopped, to prevent suffering.
Choose hormone replacement therapy over statins for heart health in women
There is no data to suggest that statins decrease the primary risk of a heart attack in women, whereas hormone replacement therapy (HRT) does.
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