Felice Gersh, MD’s Post

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Medical Director of Integrative Medical Group of Irvine

This week, The Lancet, a major medical journal, published an opinion piece that advocates against "over-medicalizing" menopause. Condemnation from menopause advocates, like myself, has been swift and sharp. Here is my full response. https://lnkd.in/gxjTTCDZ Menopause is a hormone deficiency state. Why do we focus so much menopause care on treating symptoms? Yes, we want to treat symptoms. Women should not suffer. The symptoms of menopause are awful. But. But! But, women without symptoms need menopausal healthcare as well. There are plenty of chronic health conditions that the medical community screens for and treats, whether or not the patient has debilitating symptoms. Why is menopause so different? For every woman who is a candidate for hormone replacement therapy, we should be recommending HRT as preventative medicine against heart disease, diabetes, osteoporosis, sarcopenia, genitourinary conditions, dementia, and cancer. ALL women should be offered HRT, not just those with horrible hot flashes.  To my medical community, we must do better. Because women deserve better. To see the Lancet piece: https://lnkd.in/gRiGjiWS #Lancetresponse #menopausematters #menopause #hrt #bhrt #perimenopause #estradiol #progesterone #womendeservebetter

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Howard Elkin MD, FACC

THE MEDICAL ADVOCATE at HeartWise Fitness & Longevity Center

7mo

Are you freaking kidding me! This infuriates me. And once again, I beg to duffer with my traditionally trained colleagues. I may not be a gynecologist, but I am an integrative cardiologist, who has been treating menopause for over 24 years. For years, I’ve been saying there is no reason why any woman should go through a painful menopause in the 21st-century but I go way beyond that now. My goal is not merely getting women through menopause. I’m helping women transition through the remainder of their life. The goals are quality and longevity of life. When it comes to heart health, brain health, and bone health , nothing is more therapeutic than bioidentical hormone replacement, especially estrogen. And I will go on record to make my point perfectly clear ! 👍👍

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