Treatments & Solutions
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WHI, Five Years Later–WHY no Change
It has been five years since the Women’s Health Initiative (WHI) Estrogen plus Progestin (E plus P) trial was prematurely stopped because it caused harm (1). Until the Estrogen in women with hysterectomy arm (E only) of the WHI was also halted prematurely in 2004 (2), progestin was blamed for the lack of heart disease…
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Estrogen Deficiency: The Wrong Idea About Menopause
The largest and best-controlled trial testing whether hormone “replacement” therapy prevented heart disease was stopped three years early in July 2002. The Women’s Heath Initiative (WHI) study included over 16,600 healthy menopausal women without symptoms. These women were randomized to daily conjugated equine estrogen (Premarin, 0.625 mg) plus medroxyprogesterone (Provera, 2.5 mg) or an identical…
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Help for Anovulatory Androgen Excess (AAE)—Challenge PCOS!
Dr. Jerilynn Prior is a Professor and physician at the University of British Columbia and Celeste Wincapaw is a Vancouver woman and member of the Community Advisory Council for the Centre for Menstrual Cycle and Ovulation Research. Because Celeste is interested for personal reasons and has questions about “polycystic ovary syndrome” (also called PCOS but…
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Perimenopause: The Ovary’s Frustrating Grand Finale
Women in midlife increasingly hear the words “estrogen deficiency” spoken as the ultimate in bad news. Everyone knows that low estrogen levels cause heart disease, osteoporosis, Alzheimer’s and frigidity. But as Dr. Susan Love, the influential breast surgeon, feminist advocate and now deceased author of Dr. Susan Love’s Hormone Book asserts, “If estrogen deficiency’s a…
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Cyclic Progesterone Therapy
Why Might I Need To Take Cyclic Progesterone Therapy? Progesterone is one of two important women’s hormones; estrogen is the one we usually hear about. Progesterone can be prescribed for daily use (for menopausal women, or to treat perimenopausal heavy flow), or it can be given ‘cyclically’. Cyclic means progesterone is given for the last 14 days of the…
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For Healthcare Providers: Managing Menorrhagia Without Surgery
When a woman comes to you saying that her periods are “heavy” she’s “flooding” or she’s passing clots, what do you normally do to assess and treat her? The purpose of this paper is to define normal menstruation and how to clinically assess menstrual flow. In addition, you will learn how to make a diagnosis…