Enthusiasm for the use of hormones to ameliorate symptoms of perimenopause and menopause has waxed and waned over the years. Both treatment for symptoms and training of women's health care practitioners in the management of menopause have sharply declined since publication of the Women's Health Initiative initial results in 2002. Findings from that trial, which treated a population of older, asymptomatic patients, have been extrapolated over the past 21 years to all estrogen products, all menopausal women, and all delivery mechanisms. Our patients deserve a more nuanced, individualized approach. Conjugated equine estrogens and medroxyprogesterone acetate are no longer the predominant medications or medications of choice available for management of menopausal symptoms. All hormones are not equivalent any more than all antiseizure medications or all antihypertensives are equivalent; they have different pharmacodynamics, duration of action, and affinity for receptors, among other things, all of which translate to different risks and benefits. Consideration of treatment with the right formulation, at the right dose and time, and for the right patient will allow us to recommend safe, effective, and appropriate treatment for people with menopausal symptoms.
Dr. James A. Simon is a board-certified ob/gyn, reproductive
endocrinologist, and AASECT-Certified Sexuality Counsellor. He serves as Clinical
Professor at George Washington University and has a private practice,
IntimMedicine Specialists® in Washington, D.C. Dr. Simon has received numerous
awards including: “Top Washington Physicians,” “America’s Top Obstetricians and
Gynecologists,” “Super Doctors of Washington DC-Baltimore-Northern Virginia,”
and “The Best Doctors in America.” He is the only physician to serve as President
of both The Menopause Society and the International Society for the Study of
Women’s Sexual Health. Nicknamed “The Menopause Whisperer,” Dr. Simon is an
established researcher and author--completing more than 400 research trials, and
more than 800 published articles, abstracts, chapters, and the paperback book:
Restore Yourself: A Woman’s Guide to Reviving Her Sexual Desire and Passion for
Life.
To Follow US check out:
Dr. Simon- @menopaue.whisperer
https://intimmedicine.com/
Heather- www.theshowcenter.com
Jackie- https://www.mymonarchhealthco.com
The podcast- @justaskhive
Heather- @showcenterdrq
Jackie- @jackiep_gynnp
Menopause and Midlife Course
The course is live and available at:
the-hive8.teachable.com
Enthusiasm for the use of hormones to ameliorate symptoms of perimenopause and menopause has waxed and waned over the years. Both treatment for symptoms and training of women's health care practitioners in the management of menopause have sharply declined since publication of the Women's Health Initiative initial results in 2002. Findings from that trial, which treated a population of older, asymptomatic patients, have been extrapolated over the past 21 years to all estrogen products, all menopausal women, and all delivery mechanisms. Our patients deserve a more nuanced, individualized approach. Conjugated equine estrogens and medroxyprogesterone acetate are no longer the predominant medications or medications of choice available for management of menopausal symptoms. All hormones are not equivalent any more than all antiseizure medications or all antihypertensives are equivalent; they have different pharmacodynamics, duration of action, and affinity for receptors, among other things, all of which translate to different risks and benefits. Consideration of treatment with the right formulation, at the right dose and time, and for the right patient will allow us to recommend safe, effective, and appropriate treatment for people with menopausal symptoms.
Dr. James A. Simon is a board-certified ob/gyn, reproductive
endocrinologist, and AASECT-Certified Sexuality Counsellor. He serves as Clinical
Professor at George Washington University and has a private practice,
IntimMedicine Specialists® in Washington, D.C. Dr. Simon has received numerous
awards including: “Top Washington Physicians,” “America’s Top Obstetricians and
Gynecologists,” “Super Doctors of Washington DC-Baltimore-Northern Virginia,”
and “The Best Doctors in America.” He is the only physician to serve as President
of both The Menopause Society and the International Society for the Study of
Women’s Sexual Health. Nicknamed “The Menopause Whisperer,” Dr. Simon is an
established researcher and author--completing more than 400 research trials, and
more than 800 published articles, abstracts, chapters, and the paperback book:
Restore Yourself: A Woman’s Guide to Reviving Her Sexual Desire and Passion for
Life.
To Follow US check out:
Dr. Simon- @menopaue.whisperer
https://intimmedicine.com/
Heather- www.theshowcenter.com
Jackie- https://www.mymonarchhealthco.com
The podcast- @justaskhive
Heather- @showcenterdrq
Jackie- @jackiep_gynnp
Menopause and Midlife Course
The course is live and available at:
the-hive8.teachable.com