cover of episode The Truth About Hormone Replacement for Menopause. You Don't Have to Suffer. Treat Symptoms & Achieve Hormonal Stability Before it's Too Late! -- Dr. Sharon Malone

The Truth About Hormone Replacement for Menopause. You Don't Have to Suffer. Treat Symptoms & Achieve Hormonal Stability Before it's Too Late! -- Dr. Sharon Malone

2024/11/26
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Mayim Bialik's Breakdown

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Dr. Sharon Malone: 本期节目讨论了更年期和围绝经期女性面临的挑战,以及激素替代疗法在缓解症状和维持荷尔蒙平衡方面的作用。她强调,更年期症状并非不可避免的痛苦,而是可以有效治疗的生理变化。她详细解释了更年期和围绝经期的激素变化,包括雌激素、孕激素和睾酮的波动,以及这些变化如何导致潮热、盗汗、性欲改变、睡眠障碍、情绪波动等症状。她还驳斥了关于激素替代疗法会致癌的错误观念,并指出其在预防骨质疏松症、心血管疾病等方面的益处。此外,她还强调了生活方式在应对更年期症状中的重要性,包括规律运动、充足睡眠、健康饮食等。最后,她鼓励女性积极寻求帮助,不要因为社会偏见而忽视自己的健康需求。 Mayim Bialik: 作为节目的主持人,Mayim Bialik 强调了更年期和围绝经期症状对女性健康和生活质量的重大影响,并呼吁更多关注和治疗。她介绍了Dr. Sharon Malone的专业背景和成就,并引导讨论更年期症状的多样性和复杂性,以及女性在寻求治疗时面临的挑战。她还分享了自己的个人经历,以及对更年期相关问题的理解和思考,并表达了对女性健康的关注和对Dr. Sharon Malone的专业知识的认可。 Jonathan Cohen: Jonathan Cohen 在节目中扮演了辅助主持人的角色,他与 Mayim Bialik 一起引导讨论,并提出了一些观众可能感兴趣的问题。他与 Mayim Bialik 一起对 Dr. Sharon Malone 的观点进行总结和补充,并表达了对更年期女性的理解和支持。

Deep Dive

Key Insights

Why is there a high level of indifference to women's suffering during menopause and perimenopause?

There has been a long-standing acceptance of women's suffering, often dismissed as 'just being women' or 'hysterical.' This has led to a lack of awareness and proper treatment, with only 6% of women who seek treatment actually receiving it.

What are some of the early symptoms of perimenopause that women might not realize are related to hormonal changes?

Early symptoms include digestive issues, intense dread or panic, changes in body odor, breast sensitivity, electric shock sensations, shifts in headaches or migraines, bizarro sleep challenges, and unusual weight gain. These can start in the late 30s.

Why did the Women's Health Initiative study lead to a widespread fear of hormone replacement therapy (HRT)?

The study included older women and women who were mostly asymptomatic, leading to a misinterpretation of results. The increased risk of breast cancer was only 8 additional cases per 10,000 women per year, which is a small absolute risk. However, the headlines caused widespread panic and misinformation.

What are the FDA-approved uses of hormone therapy for menopause?

Hormone therapy is approved for the relief of vasomotor symptoms (hot flashes), prevention of osteoporosis, and treatment of the genital urinary syndrome of menopause (GSM), which includes vaginal dryness, painful sex, and urinary tract infections.

Why do women experience a higher risk of osteoporosis and heart disease during and after menopause?

Estrogen plays a crucial role in maintaining bone density and heart health. Once estrogen levels drop during menopause, women are more likely to lose muscle and gain fat, particularly around the middle, increasing the risk of cardiovascular disease and osteoporosis.

Why does the divorce rate peak during the menopausal years?

The divorce rate peaks during menopausal years due to the combination of hormonal changes and life stressors. Hormonal shifts can exacerbate mood swings, irritability, and physical discomfort, while external factors like children leaving home and elderly parents can add to marital stress.

What is the importance of a holistic approach to treating menopause symptoms?

A holistic approach addresses both hormonal imbalances and lifestyle factors. While hormone therapy can alleviate many symptoms, lifestyle changes like regular exercise, healthy diet, and stress management can also play a significant role in improving overall well-being.

Why do some women experience a resurgence of happiness and health after menopause?

Women can experience improved happiness and health after menopause by addressing symptoms early and maintaining physical, mental, and social well-being. Hormonal stability, regular exercise, and social connections can help women thrive in this phase of life.

What is the role of testosterone in menopause and perimenopause?

Testosterone levels start declining in women's 30s and continue into menopause. This decline can lead to changes in libido, muscle strength, and body hair. Vaginal estrogen can help with physical symptoms, but addressing testosterone levels can also improve sexual desire and overall well-being.

Why is it important for men and other people to understand menopause and perimenopause?

Understanding menopause and perimenopause is crucial for supporting the women in one's life. It can help in recognizing and addressing symptoms, improving relationships, and providing emotional and physical support during this significant life transition.

Chapters
This chapter clarifies the definitions of menopause and perimenopause, highlighting the often-overlooked perimenopausal phase, which can last for several years before menopause and is characterized by a wide range of symptoms. It emphasizes that many women experience these symptoms without realizing their connection to hormonal changes.
  • Menopause begins after the last menstrual period, confirmed 12 months later.
  • Perimenopause is the time leading up to menopause, lasting four to ten years.
  • Perimenopausal symptoms, often mistaken for other conditions, can appear years before menopause onset.

Shownotes Transcript

You're likely NOT getting this information from your doctor. 

 

Top Menopause Doctor, Dr. Sharon Malone (OB/GYN, Certified Menopause Practitioner, Chief Medical Advisor at Alloy Women’s Health, author of Grown Woman Talk) reveals the TRUTH about menopause, from its effects on physical, mental, & emotional health and avoiding the "inevitable" effects of aging, to debunking the wildest myths about sex & hormones. 

 

Find out why waiting it out is NOT the answer, and discover the best treatments, including lifestyle hacks for a smoother ride.

 

Fellas and folks without uteruses - this one’s for YOU too! If you love a woman, you NEED to watch this. Learn how to support the women in your life through menopause!

 

Dr. Sharon Malone also breaks down: 

  • Menopause vs Perimenopause: What’s the difference?

  • Early symptoms you didn’t know were menopause-related!

  • The REAL scoop on hormone therapy: Is it safe or risky?

  • Why divorce rate peaks in menopausal years

  • Why piecemeal treatment is ineffective & a holistic approach is best

  • Why we weren’t told about the reality of menopause symptoms

  • Is it a lack of libido or is it your relationship?

  • Shocking connection between menopause and your brain, heart, skin, & sex life!

  • Benefits of social connection & weight training during menopause

  • Why this phase of life could be the start of a HAPPIER future

 

If you’ve ever wondered what’s really going on inside during menopause, TUNE IN to MBB for the best rundown of what menopause actually is that you’ve ever heard - Unlock the secrets to surviving and thriving through this life stage!

 

Dr. Sharon Malone's Book, GROWN WOMAN TALK: Your Guide to Getting and Staying Healthy: https://www.drsharonmalone.com/book)