{"id":32111,"date":"2025-08-04T21:30:00","date_gmt":"2025-08-05T02:30:00","guid":{"rendered":"https:\/\/wholehealthchicago.com\/blog\/?p=32111"},"modified":"2025-08-04T17:18:08","modified_gmt":"2025-08-04T22:18:08","slug":"menopause-doctors-advise-the-fda-to-remove-some-of-the-warnings-on-hormone-replacement-therapy","status":"publish","type":"post","link":"https:\/\/wholehealthchicago.com\/blog\/2025\/08\/04\/menopause-doctors-advise-the-fda-to-remove-some-of-the-warnings-on-hormone-replacement-therapy","title":{"rendered":"MENOPAUSE: DOCTORS ADVISE THE FDA TO REMOVE SOME OF THE WARNINGS ON HORMONE REPLACEMENT THERAPY"},"content":{"rendered":"\n<p>If you\u2019ve been prescribed estrogen vaginal inserts for vaginal dryness or recurrent post-menopausal bladder infections and read the accompanying paperwork you might, as many women do, toss the box away, muttering, \u201cnot for me\u201d. There\u2019s a \u201cblack box warning\u201d printed there, alerting you that using the product increases your risk of blood clots, breast cancer, and stroke. <strong>It\u2019s simply not true, as <a href=\"https:\/\/www.washingtonpost.com\/opinions\/2025\/07\/29\/fda-menopause-hormone-therapy-black-box-warning\/\">reported in the Washington Post<\/a>, <\/strong>and doctors want this warning lifted.<\/p>\n\n\n\n<p>The warning is based on a long disproven study from 25 years ago called the Women\u2019s Health Initiative. And, in fact, not only is there virtually no absorption of estrogen into your body from these inserts but leaving severe dryness especially when accompanied by recurrent bladder infections can actually be dangerous to your health.<\/p>\n\n\n\n<p>Overall, <a href=\"https:\/\/menopause.org\/\">The Menopause Society<\/a>, an organization whose members specialize in the lengthy event of menopause, believe that unless there are specific medical reasons to the contrary (like history of breast cancer, blood clots, etc.) women are best served remaining on hormone replacement therapy (HRT) their entire lives. Interestingly, these lives <strong>will likely be longer<\/strong> because HRT reduces risks of heart disease, certain cancers, and dementia. <a href=\"https:\/\/wholehealthchicago.com\/about\/brett-eaton\">Brett Eaton<\/a> from our group is a Society member.<\/p>\n\n\n\n<p>Women beyond the actual menopause transition can start HRT at any age, and the health benefits can be gained by lower doses than those needed by a younger woman who might have needed them for hot flashes and night sweats.<\/p>\n\n\n\n<p>A <a href=\"https:\/\/www.washingtonpost.com\/wellness\/2024\/02\/26\/menopause-hot-flashes-getting-worse\/\">large study from Sweden<\/a> was reported in The Washington Post that menopause symptoms like hot flashes and night sweats are coming earlier, lasting longer and more severe. 24% of women born between 1918 and 1930 had symptoms compared with 35% born between 1954 and 1960.<\/p>\n\n\n\n<p>Lots of data were collected and questions asked. Were the increased numbers because women were more willing to talk about their symptoms? Was it diet? Weight? Race? Smoking? Genetics? Stress? Use of birth control pills? Do hot flashes run in families?<\/p>\n\n\n\n<p>Doctors are also beginning to realize that many women reporting a variety of \u201cunexplained symptoms with negative tests\u201d in their forties are actually in the foothills, so to speak, of early menopause. <strong>The blood levels of their hormones might be normal on the day of the test but because things are changing, these women often feel magically \u201cbetter\u201d when given a small dose of HRT.<\/strong><\/p>\n\n\n\n<p>And at the forefront of feeling \u201cbetter\u201d is feeling \u201cmentally sharper\u201d.<\/p>\n\n\n\n<p>\u201cI feel I\u2019m getting my mind back,\u201d as one patient happily reported. <strong>&nbsp;<\/strong><\/p>\n\n\n\n<p><strong>THE MENOPAUSAL BRAIN<\/strong><\/p>\n\n\n\n<p>Now researchers are investigating just how the female brain, which had been susceptible to the shifting tides of hormones while menstruating, works during menopause. Think of your mood swings and brain fog of PMS and \u201cbaby brain\u201d, if you were ever pregnant. Now your brain can finally settle down with a new resiliency.<\/p>\n\n\n\n<p>In her new book, \u201c<a href=\"https:\/\/www.themenopausebrain.com\/\">The Menopause Brain<\/a>,\u201d neurologist Lisa Masconi, M.D. begins with the numerous symptoms of menopause (mood swings, depression, low libido, brain fog) and the effect of these symptoms on brain imaging studies. Then, after encouraging hormone replacement therapy, Dr. Masconi informs her postmenopausal readers of their new brain skills which include greater self-confidence, better emotional control and heightened empathy. The female brain is literally \u201crewired\u201d for the better after the menopause transition.<\/p>\n\n\n\n<p>One question <a href=\"https:\/\/www.theguardian.com\/society\/2024\/mar\/23\/neurology-professor-lisa-mosconi-menopause-brain-book-interview-hrt\">Dr. Masconi admits is unanswered<\/a>, but is definitely being researched. We know that untreated menopause symptoms increase heart disease and stroke symptoms and hormone replacement therapy (HRT) reduces these risks. We also know that women have a greater risk of developing Alzheimer\u2019s dementia than men.<\/p>\n\n\n\n<p>Can HRT reduce a woman\u2019s risk for developing dementia? The answer is \u201cprobably\u201d but not positively.<\/p>\n\n\n\n<p>You can schedule a hormone evaluation with any of the WholeHealth Chicago practitioners for either herbs or HRTs at any of our locations.<\/p>\n\n\n\n<p>Be well,<\/p>\n\n\n\n<p>David Edelberg, MD<\/p>\n\n\n\n<p><strong><br><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>If you\u2019ve been prescribed estrogen vaginal inserts for vaginal dryness or recurrent post-menopausal bladder infections and read the accompanying paperwork you might, as many women do, toss the box away, muttering, \u201cnot for me\u201d. There\u2019s a \u201cblack box warning\u201d printed there, alerting you that using the product increases your risk of blood clots, breast cancer, [&hellip;]<\/p>\n","protected":false},"author":4902,"featured_media":32112,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2337,2848,2685,33],"tags":[2715,2727,425,124,260,1945],"class_list":["post-32111","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bioidentical-hormone-replacement","category-hormones","category-menopause","category-womens-health","tag-hormone-replacement","tag-hormone-replacement-therapy","tag-hormones","tag-menopause","tag-perimenopause","tag-womens-health"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\r\n<title>MENOPAUSE: DOCTORS ADVISE THE FDA TO REMOVE SOME OF THE WARNINGS ON HORMONE REPLACEMENT THERAPY - WholeHealth Chicago<\/title>\r\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\r\n<link rel=\"canonical\" href=\"https:\/\/wholehealthchicago.com\/blog\/2025\/08\/04\/menopause-doctors-advise-the-fda-to-remove-some-of-the-warnings-on-hormone-replacement-therapy\" \/>\r\n<meta property=\"og:locale\" content=\"en_US\" \/>\r\n<meta property=\"og:type\" content=\"article\" \/>\r\n<meta property=\"og:title\" content=\"MENOPAUSE: DOCTORS ADVISE THE FDA TO REMOVE SOME OF THE WARNINGS ON HORMONE REPLACEMENT THERAPY - WholeHealth Chicago\" \/>\r\n<meta property=\"og:description\" content=\"If you\u2019ve been prescribed estrogen vaginal inserts for vaginal dryness or recurrent post-menopausal bladder infections and read the accompanying paperwork you might, as many women do, toss the box away, muttering, \u201cnot for me\u201d. 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