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Don’t wait until it’s too late, at least come in and discuss the possibilities and the numerous advantages to hormones.

August 27, 2015

Hormone Replacement Therapy For Menopausal Women May Not Dim Memory, May Improve Mood.

Dr. Fox responds to the following article:
http://www.latimes.com/science/sciencenow/la-sci-sn-menopause-hormone-replacement-cognition-20150602-story.html
The evidence continues to roll out refuting the Mammoth waste of money in the 12 year old WHI (women’s health initiative) study, designed to determine if post menopausal hormone replacement was advantageous for women.  I think 75 Million dollars was spent on that one!! The study design was completely flawed with the average age in the study roughly 60 years when average age of menopause was 51.  Patients were required to be menopausal to enter the study.  From numerous other studies, osteoporosis and bone health as on example, we know that nearly 60% of the decline in health happens in the first two years.  Certainly in collagen loss in skin and wrinkling one can see this transition over two years.  It would stand to reason that all body systems would decline similarly.  This study points this out for memory.  In the WHI the findings were the opposite.  If however, you let your neurons suffer the effects of low estrogen for years and then turn the lights on again, maybe there would be some problems??
We know that most women start experiencing average estrogen decline about 8 years before menopause and likely would dramatically benefit from supplementation during this phase and immediate replacement at menopause.  If estrogen is stopped later, we would see this rapid decline begin at that time.  At JCRM, we are strong proponents for hormone replacement done in a careful controlled way following levels for treatment adequacy.
Don’t wait until it’s too late, at least come in and discuss the possibilities and the numerous advantages to hormones.
Michael D. Fox, MD
Jacksonville Center
Reproductive Medicine
jcrm.org 

   
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