Reply to Social media is overselling HRT - not every woman needs it

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Here’s a great post by Dr Jen Gunter explaining that no, not every woman needs to take HRT, and that HRT is not a preventative.

https://vajenda.substack.com/p/the-rise-of-misinformation-about[/quote]

This is just a bad article. It highlights everything wrong with medicine and the hrt problem to begin with.

Here goes. Obgyns take care of certain issues. They are not Alzheimer’s researchers. They are not cardiologists. They are not even primary care docs. It’s 100% unfair (a bit) to make them responsible for providing a therapy that would, 10 years from now, be better for you than a statin. But that’s what papers from top cardiologist journals are saying. Now, will NAMS update its guidance on hot flashes and vaginal dryness as a result? Probably not for years or decades. But docs can/should at least acknowledge the awful, fragmented care we often get running around talking to specialists and never getting anyone that looks at us as while people over a lifetime. And the fact that insurance companies don’t foot the bills for (and thus have no incentive in impacting) our health in our late 60s+ doesn’t help.

Your doc who supposedly is so fact based says there no “guidance” and doesn’t even take the time to define what she’s talking about. I’m only assuming NAMS guidance but it’s highly annoying she’s so flippant. [/quote]

please post the guidance for taking HRT as an Alzheimer’s or heart problems. [/quote]

You raised guidance first, not me. And you want to talk about preventative medicine and didn’t define it. So you should be defining and speaking first and then, yes, I’ll respond.

First, to do your work for you.

Would you accept the definition of preventative medicine that appears on the “About us” page of the task force on preventative medicine? And can we agree most of us understand preventative medicine to be healthy diet, exercise, avoiding or eliminating alcohol and smoking, and getting sleep and having community?https://www.uspreventiveservicestaskforce.org/uspstf/about-uspstf

Would you also agree that the typical “guidance” on HRT would/should come from NAMS as reflected here for patient consumption: https://menopause.org/patient-education/the-menopause-guidebook

And here for NAMS 2022 updates statements on HRT:

https://menopause.org/wp-content/uploads/professional/nams-2022-hormone-therapy-position-statement.pdf
[/quote]

No, you claimed (with zero support) that Dr Gunter’s article was incorrect to assert the lack of evidence for HRT as a preventative.

The 2022 Menopause Society guidelines you posted do NOT state that HRT should be prescribed for anything other than the FDA approved indications - ie not as a preventative. [/quote]

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