Perimenopause is having a moment. Are you prepared to offer women the treatment options they need?
Assistant Clinical Professor, Department of Urology, Georgetown University, Washington, DC; Private practice, Rachel Rubin MD PLLC, North Bethesda, Maryland
After that, clinicians decided they no longer needed to worry about being educated about menopause because there was really nothing to do for menopause if we weren't going to use hormone therapy. Where we've come to now is women are having symptoms; they're having a problem. It's affecting all aspects of their lives: their relationships, their quality of life, their ability to work. And they're saying,"Hey, this isn't right. We need to do something about this.
In contrast, the data showed that the risk for breast cancer did not appear to be increased in women who did not have a uterus and were using conjugated equine estrogen alone, either during the study or in the 18-year follow-up. The blood clot risk associated with estrogen-containing hormone therapy can be minimized with transdermal preparations of estrogen, particularly with lower doses.
What is exciting you in the menopause world? What are you hopeful for down the road with some of these new initiatives coming out? The fact that we have a president of the United States and a National Institutes of Health who are more interested in looking at menopause is amazing. It's an exciting time; there's more interest, and more research funding seems to be available for the United States.
Menopausal Syndrome Hormone Therapy Hormonal Therapy Breast Cancer Malignant Breast Neoplasm Breast Carcinoma Cancer Malignant Neoplasia Carcinoma Malignant Neoplasm Cancer Risk Estrogen Estrogen Therapy Maryland Night Sweats Sleep Hyperhidrosis Primary Care Residency Residents Thrombus Blood Clot Bones Uterine Womb Thromboembolism Clinical Management Fellowship Fellows
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