Since the publication of the World Health Initiative Report in 2002 women have been confused about Hormone Replacement Therapy. Is it the miracle medication to support you through menopause or is it the scary cause of breast cancer and blood clots?
If you search for information, you can find both sides of the argument. The advice is conflicting at a time when you want straight answers.
My guest this week, Dr. Rachel Cady, is the director of the Menopause and Healthy Aging Program at Cuyuna Regional Medical Center in Crosby, MInnesota.
Her areas of expertise include menopause care, sexual medicine, vulvar disorders, pelvic pain, pelvic floor rehab/incontinence and minimally invasive surgery. She is a Fellow of the American College of Obstetrics and Gynecology and an active member of the North American Menopause Society. She is passionate about providing collaborative care for patients.
Pat began the show talking about her experience with autumn and the difficulties with the seasonal change. She shared that she was learning to say no and resting when needed. Pat read news in the media that focused on menopause. News focused on celebrities talking about menopause and advocating for the support of menopausal women in the workplace. Pat shared some news that covered push back against ASOS’s new policy that gives paid leave to menopausal women. Pat says the only way to expect change is to normalize conversation. Before the break Pat read from an article that shared the benefit of early hormone replacement therapy for women who are perimenopausal.
Back from the break Pat introduces her guest Dr. Rachel Cady. She is the director of the menopause and healthy aging program at Cuyuna Regional medical center in Minnesota. Rachel’s qualifications consist of Menopause care, sexual medicine, and even pelvic floor rehab care. Rach is passionate about providing collaborative care for her patience. Pat and Rachel discussed the lack of knowledge on menopause in the medical industry. They explain that a few hours of training isn't enough to diagnose someone’s symptoms. Pat and Rachel also discussed how women should be proactive for bone health. Aging women should get tested for osteoporosis if they are having spinal issues. Before the break Pat and Rachel spoke on genetic testing and how it can help protect us from family health history.
Back from the break, Pat and Rachel continue talking about the risks and benefits of Hormone replacement therapy. Rachel gives her educated opinion on HRT. She talks about misconstrued research from the early 2000’s. Rachel explained that tests were given to women over 60. She added that it is rare to start a woman on HRT 10 yrs after menopause. Rachel talked about the benefits of taking estrogen and how it brings the chance of heart disease and colon cancer. Rachel informed the audience on the different kinds of HRT and their delivery systems. She favored estradiol because it is made to mimic our bodies. Equine estrogen is horse derived and has about 10 different types of estrogen. Before the break Pat and Rachel discussed the origins of bioidenticals and the potential dangers.
In the last segment, Pat and Rachel discussed their top tips for women during menopause. Rachel advocated for education. She says to do your own research and look for reliable sources to help navigate your journey. She adds to take ownership of your health. She then gave a shout out to a few organizations that support menopausal women, North American Society has video’s on their website that are insightful and easy to follow. They also suggested that you check your risk for heart disease and breast cancer before visiting your provider.
00:05:24.060 --> 00:05:31.350 Pat Duckworth: Welcome to the hot women rock radio show empowering women leaders at medicals good morning if you're in America good.
00:05:31.410 --> 00:05:40.590 Pat Duckworth: afternoon if you're in the UK, good evening if you're in India and it's a very late evening if you're in the Pacific area so you're very welcome if you're listening.
00:05:41.280 --> 00:05:58.560 Pat Duckworth: And yeah wearing alton now definitely and before I turn to all the newspapers and to my special guest today, Dr Rachel katie who i'm very happy to welcome into the studio I just want to say that I find this time of year hard.
00:05:59.910 --> 00:06:07.920 Pat Duckworth: I have always experienced just a touch of sad at this time of year and life can feel like i'm wading through treacle.
00:06:08.250 --> 00:06:16.500 Pat Duckworth: And if you feel like that it's so important to take some time out to take care of yourself and one of those things is learning say no to things.
00:06:17.010 --> 00:06:26.640 Pat Duckworth: are a couple of things I had in my schedule this week, but I had to turn around and say no i'm not doing that because actually I need to go for a walk or I need a bit of a rest.
00:06:27.060 --> 00:06:36.300 Pat Duckworth: Or, I need to get some sunshine and in a very busy schedule today i've actually been out and had lunch with a friend of mine, because I just needed it.
00:06:36.690 --> 00:06:42.870 Pat Duckworth: So if you're feeling tired don't think I need a power on through this it's up to me to keep going.
00:06:43.440 --> 00:06:50.670 Pat Duckworth: Give yourself a bit of a break, because at this time of year your body's saying let's just calm it down a bit ready for the winter.
00:06:51.210 --> 00:06:58.830 Pat Duckworth: If you don't feel like that great Well done, but i'm just sharing my experience with you so let's turn to what's in the press this week.
00:06:59.340 --> 00:07:12.510 Pat Duckworth: Last week, when I had Kate asher on the show, and if you missed that interview do goes very lively very chatty you can find it again on talk radio dot nyc hot women rob the recording is there.
00:07:13.230 --> 00:07:22.890 Pat Duckworth: We said that we just spotted in the press that a sauce the online fashion retailer was going to give their staff menopause leave if they wanted it.
00:07:23.460 --> 00:07:29.340 Pat Duckworth: and inevitably you get pushback when you see that sort of thing, and often the pushback comes from other women.
00:07:29.970 --> 00:07:36.330 Pat Duckworth: And this one is in the evening standard this week in a British newspaper melanin that Donna saying.
00:07:36.630 --> 00:07:45.690 Pat Duckworth: it'll be interesting to see how many takers there will be for a sauce is exciting new workplace policy it's offering it staff 10 days paid medicals leave.
00:07:46.080 --> 00:08:01.560 Pat Duckworth: My bet is that the number of women who became to share their gynecological vicissitudes with their manager will be few several of my peers declined to admit to the menopause on the ground identifies them as hormonal oldies.
00:08:02.910 --> 00:08:12.510 Pat Duckworth: i'm not old anyway, moving on will there be a rush for women to out themselves as old in an industry like fashion, where there's a premium on youth.
00:08:12.810 --> 00:08:20.490 Pat Duckworth: It may seem childish to suggest that this initiative will so far from making life easier for women actually make things worse.
00:08:20.880 --> 00:08:30.720 Pat Duckworth: What I mean is that it's one more ground for employers to see women as trouble for ever wanting time have babies and now for no longer being able to have them.
00:08:31.080 --> 00:08:39.780 Pat Duckworth: Once older women were a safe bet for employers on the basis that we won't be looking for maternity leave, now they may manifest a different set of women's problems.
00:08:40.890 --> 00:08:47.550 Pat Duckworth: The answer to this isn't to keep quiet it's to normalize the conversation so it's not a big thing.
00:08:48.270 --> 00:08:56.310 Pat Duckworth: people felt like this, when mental health in the workplace, was being discussed, or I better not discuss it in case that rules me out from employment.
00:08:56.610 --> 00:09:02.850 Pat Duckworth: Instead of i've got something that I can bring to this job I just need a bit of support while i'm going through some issues.
00:09:03.450 --> 00:09:12.060 Pat Duckworth: So yeah we could always expect push back on things, but if we don't talk about them nothing changes and that's not how things get any better.
00:09:12.840 --> 00:09:23.910 Pat Duckworth: off the soapbox for the moment the independent world perimenopausal state symptoms can begin long before your period stop and it's impacting women's mental health.
00:09:24.600 --> 00:09:30.660 Pat Duckworth: we're finally starting to talk about menopause but what about perimenopause and I think this is a definition thing.
00:09:31.020 --> 00:09:42.600 Pat Duckworth: Because often when women are talking about menopause they're not talking about my one day when their periods stopped or the definition of menopause being a year after your period stop.
00:09:42.960 --> 00:09:47.370 Pat Duckworth: When people talk about menopause they're talking about the whole time when changes happen.
00:09:48.060 --> 00:09:55.830 Pat Duckworth: Technically that's your perimenopause because you're starting to experience symptoms, so if you're getting a bit confused don't worry about it.
00:09:56.160 --> 00:10:05.250 Pat Duckworth: Those years leading up to nepal's a call your perimenopause but, most people when they're talking about menopause are thinking about a whole time of change.
00:10:05.550 --> 00:10:13.140 Pat Duckworth: But it can start in your early 40s and that's The important thing that you need to understand the article also says.
00:10:13.800 --> 00:10:21.480 Pat Duckworth: For 58% of women low energy and motivation, with the main issues were 53% said it was low mood and depression.
00:10:22.230 --> 00:10:29.070 Pat Duckworth: Along with anxiety anger and mood swings wanting 10 even said they had suicidal thoughts.
00:10:29.820 --> 00:10:38.730 Pat Duckworth: that's really important to know it's important to understand if you're thinking, where is this coming from it could be that you're in perimenopause and it is.
00:10:39.240 --> 00:10:53.250 Pat Duckworth: it's worrying to think that that many women have suicidal thoughts and part of it is because it's not talked about they're not getting support and they don't really understand what's happening so support your women friends who are going through this.
00:10:55.470 --> 00:11:04.260 Pat Duckworth: And w TV a website, the Countess of where six is getting real about menopause why her groundbreaking message met.
00:11:05.520 --> 00:11:11.850 Pat Duckworth: There are always celebrities who come out to be talking about metaphors and that's great because it gets in the press.
00:11:12.240 --> 00:11:22.890 Pat Duckworth: And I think just about every newspaper periodical magazine has reported the Countess of yc six his views on this so it's great that she's getting out there.
00:11:23.400 --> 00:11:34.590 Pat Duckworth: 56 year old Sophie we are getting personal now first your attention to subjects and better pulls back in May, when she described the transition as feeling like someone had taken her brain now.
00:11:35.190 --> 00:11:44.040 Pat Duckworth: When we're told that we're going to begin our periods are we actually told that we're going to end them as well, and I think that is something that women don't really eat grass.
00:11:44.820 --> 00:11:55.080 Pat Duckworth: And she was talking to well being of women charity it's the first time, a member of the royal family has openly shared her experiences of periods and menopause.
00:11:56.430 --> 00:12:07.140 Pat Duckworth: This week Sophie issued a call to action she wants businesses to do more to support women going through menopause which often happens at a point in their lives when they create should be peaking.
00:12:07.830 --> 00:12:11.460 Pat Duckworth: Well done Sophie counties of West six it's good to get it out there.
00:12:12.330 --> 00:12:20.160 Pat Duckworth: And I really wanted lots of things about hormone replacement therapy today so that's going to be our subject with Dr Rachel, and so this one.
00:12:20.430 --> 00:12:28.080 Pat Duckworth: cure today talks about the effects of early menopause from cancer treatment, maybe a raised with hormone replacement therapy.
00:12:28.560 --> 00:12:44.940 Pat Duckworth: So hormone replacement therapy in women with early and perpetual menopause can reduce early mortality rates, heart disease stroke cognitive impairment and dementia, according to an expert also osteoporosis if you're going into early medicals.
00:12:46.050 --> 00:13:00.120 Pat Duckworth: Have no hormone replacement therapy does not reduce the risk of anxiety depression or early onset of parkinson's disease, which are all possible side effects of early and perpetual metaphors will check in with that with Rachel.
00:13:02.250 --> 00:13:10.470 Pat Duckworth: So this is he's talking Dr an l Steiner director and founder of the medical clinic of penn medicine in Philadelphia.
00:13:10.980 --> 00:13:30.390 Pat Duckworth: Steiner emphasize that there are no current studies that demonstrate an increased risk of breast cancer or personnel cancer with hormone replacement therapy, she said, the risk benefit balance is definitely in favor of hormone replacement therapy therapy prior to the age of 50 or 51.
00:13:31.470 --> 00:13:40.590 Pat Duckworth: Lots more in that article, but I want to get to the next one, which caught my eye today news medical net menopausal hormone therapy and dimension.
00:13:41.790 --> 00:13:57.750 Pat Duckworth: It was an interview with Dr yarn of you know cordova about her latest research into menopause or hormone therapy mhc same thing we're talking about it's just a new term and its associated risk of dementia.
00:13:58.710 --> 00:14:06.840 Pat Duckworth: What provoked the latest research and she said we've been involved in a very large observational study into drug risks for some time.
00:14:07.200 --> 00:14:12.840 Pat Duckworth: This is our third study investigating serious side effects associated with em ht.
00:14:13.380 --> 00:14:24.660 Pat Duckworth: Early studies have reported problems such as Venus from both embolism vt and breast cancer, and this has caused a decline in the use of the therapy, which has persisted.
00:14:25.260 --> 00:14:39.060 Pat Duckworth: In 2015 the UK National Institute of clinical excellence issued new guidelines recommending the wider use of em ht at the same time calling for more detailed research into the risk of serious side effects.
00:14:40.020 --> 00:14:55.110 Pat Duckworth: Because they were the side effects most commonly known and discussed our first studies into him he addressed the additional risks of BT and breast cancer this third study on dementia was triggered by existing inconsistent research.
00:14:55.950 --> 00:15:07.290 Pat Duckworth: On additional risk of developing dementia associated with em ht so i'm going to stop talking about that asked for now, so I can come straight to Dr Rachel.
00:15:08.190 --> 00:15:23.550 Pat Duckworth: Rachel I had been seeing research into the benefits of estrogen at this stage of life, rather than the further risk for dementia, can you give us a quick potted history into what's going on here.
00:15:25.980 --> 00:15:26.610 Pat Duckworth: i'm you.
00:15:32.760 --> 00:15:33.540 rachelcady: Can you hear me now.
00:15:33.660 --> 00:15:45.840 rachelcady: Yes, thank you, yes that's an excellent question pat and it's really hard to navigate the the data on that, but that is really sort of the leading.
00:15:46.530 --> 00:16:01.920 rachelcady: idea at this point, and to your point, the research just hasn't been there and so to to get the real final answer, if you will, is going to involve longitudinal studies, meaning ongoing studies, where you're following women.
00:16:02.400 --> 00:16:13.740 rachelcady: From their 40s you know in that early pre sort of perimenopausal age frame on to when women usually develop alzheimer's, which is much later in life.
00:16:14.220 --> 00:16:23.100 rachelcady: And so to get the real answer it's going to be doing those longitudinal studies which have been woefully lacking, but are finally underway.
00:16:23.460 --> 00:16:30.930 rachelcady: And so the leading sort of thought at this point is that the onset of when you're taking hormone therapy is really what's.
00:16:31.830 --> 00:16:41.580 rachelcady: determine if it's actually a risk factor for dementia or actually maybe protective and so we just had this year is North American menopause society conference that was brought up that.
00:16:42.600 --> 00:16:48.960 rachelcady: kind of some encouraging information about using hormone replacement therapy and younger women.
00:16:49.740 --> 00:17:04.440 rachelcady: Meaning women in their late 40s and their 50s that those women on brain scan had fewer amyloid deposits or what scene and women with alzheimer's, and so they actually their brains, if you will actually looked better.
00:17:05.460 --> 00:17:17.940 rachelcady: Being on hormones compared to the nine as far as her dementia type changes, and so it probably is a timing effect, meaning earlier is better, you know, we know that all timers patients have.
00:17:18.600 --> 00:17:33.060 rachelcady: effects that it's two to one ratio, as far as for women to men and that Alzheimer changes start 20 years before you get clinical manifestations and so, something is going on and women in their perimenopausal years.
00:17:33.390 --> 00:17:33.960 yeah.
00:17:34.980 --> 00:17:39.720 Pat Duckworth: That is a big subject so we're going to come back to all of that, and all of the risks.
00:17:39.870 --> 00:17:52.620 Pat Duckworth: and benefits of hormone therapy so join us after the break when I i'll be introducing Dr Rachel more formally and we'll be finding out why she finds this subject so interesting join us after the break.
00:20:04.950 --> 00:20:14.370 Pat Duckworth: Welcome back to the hot women rock radio show empowering women leaders at menopause and just before the break we started talking about hormone replacement therapy.
00:20:14.700 --> 00:20:32.640 Pat Duckworth: And the research that's going on into dimension outsiders, which I think is really important one, so let me introduce my amazing guest today, Dr Rachel katie and she's the director of the menopause and healthy aging program at, and now I can't say next what you think you know.
00:20:33.240 --> 00:20:34.500 rachelcady: yeah it's hard to say isn't it.
00:20:35.700 --> 00:20:36.420 rachelcady: yeah okay.
00:20:36.480 --> 00:20:38.280 rachelcady: tell you in a regional medical Center.
00:20:39.720 --> 00:20:41.040 rachelcady: in Minnesota you.
00:20:41.760 --> 00:20:43.140 Pat Duckworth: I should have asked you that before.
00:20:43.530 --> 00:20:43.980 yeah.
00:20:45.210 --> 00:20:45.630 rachelcady: Okay.
00:20:46.350 --> 00:20:57.000 Pat Duckworth: areas of expertise include medicals care sexual medicine volver disorders pelvic pain pelvic floor rehab and incontinence and minimally invasive surgery.
00:20:57.390 --> 00:21:07.890 Pat Duckworth: she's a certified men of pools practitioners specialist provide specialized care to women, to help them address the many issues and symptoms of perimenopause and menopause.
00:21:08.490 --> 00:21:20.280 Pat Duckworth: She is a fellow of the American college of obstetrics and gynecology and an active member of the North American medical society, in fact, she is just back from the annual conference, so we can ask her about that.
00:21:21.210 --> 00:21:32.610 Pat Duckworth: And she's in lots of other societies as well and she's passionate about providing collaborative care for patients, I love our collaborative care, not this is what you're getting and that's it.
00:21:33.840 --> 00:21:40.560 Pat Duckworth: So, Dr Rachel how did you get interested in this so when he left college were you straight into medical practice.
00:21:41.070 --> 00:21:50.190 rachelcady: Correct yes, I went on to Medical School and residency for Ob gyn and I think that I was no different than the majority of.
00:21:51.450 --> 00:21:58.680 rachelcady: Of physicians finishing their residency programs, and we know the latest data shows that about 80% of.
00:21:59.970 --> 00:22:15.390 rachelcady: Residents finishing training don't feel qualified to address menopause issues, and so I realized that you know it's like we deliver a lot of babies and Ob gyn residency is and do hysterectomy is but as far as.
00:22:16.260 --> 00:22:22.980 rachelcady: menopause midlife care, it was definitely lacking and so fortunately there's.
00:22:23.610 --> 00:22:33.180 rachelcady: For those who are interested there's a lot of post residency training and I just found that passion and just really, really enjoyed it and.
00:22:33.810 --> 00:22:49.680 rachelcady: have huge admiration for people come before me, as far as leading the way and menopause medicine for what's the fastest growing segment of our population here in the US and so knowing massive need.
00:22:50.520 --> 00:23:01.050 Pat Duckworth: yeah and I think this is the issue here in the UK is that in the past 18 months there's been lots more discussion about menopause which is great it's been talked about a lot more.
00:23:01.560 --> 00:23:09.720 Pat Duckworth: And with that comes a realization that most doctors in general practice have hardly any training in this area at all.
00:23:10.200 --> 00:23:16.440 Pat Duckworth: Like four hours of training, unless they've done some post qualification experience in it.
00:23:17.190 --> 00:23:30.360 Pat Duckworth: And we know it's complicated, you know it's not one symptom there's a whole load of symptoms that could be something else as well, so we're not saying it's easy, and if you haven't had specific training in it.
00:23:30.750 --> 00:23:38.520 Pat Duckworth: It must be really difficult to spot what's going on immediately so sorry what were you going.
00:23:39.030 --> 00:23:44.550 rachelcady: Oh right, no, I think it is for for physicians and for.
00:23:45.570 --> 00:24:05.190 rachelcady: General population sort of navigating that as a source of frustration and so, if nothing else, if, if I can be sort of a guide on somebody's journey, or at least, giving them the right directions, the accurate sources to go to then that's something that that is that's my goal.
00:24:06.030 --> 00:24:18.840 Pat Duckworth: yeah okay asher on the show last week talks about creating a gateway or a pathway to support, and I think that's that is a lovely idea that you don't you might not know everything.
00:24:19.950 --> 00:24:30.420 Pat Duckworth: As a practitioner, and you can guide people down a path so they can find what they want, so in your clinic I what sort of age of women, are you seeing there.
00:24:31.380 --> 00:24:50.610 rachelcady: So typically i'll start seeing women oftentimes in their early 40s and when they come in it's it's often they don't they don't know that they're experiencing perimenopausal sometimes and so that's it, you know, first and foremost a big myth well i'm still having my cycles.
00:24:52.080 --> 00:24:56.730 rachelcady: And i'm you know not really getting hot flashes by Fillmore irritated or.
00:24:57.810 --> 00:25:09.360 rachelcady: i'm not sleeping well, I mean there's started getting these different types symptoms and to be clear, not everything is estrogen related I mean you know we do want to not reduce women to.
00:25:09.660 --> 00:25:18.660 rachelcady: ovarian hormones, but oftentimes it is and so women aren't even aware of the term perimenopause because it's simply not talked about it's not that they.
00:25:19.740 --> 00:25:20.280 rachelcady: Are.
00:25:21.300 --> 00:25:30.090 rachelcady: lacking in some way or deficient it's just we have all sorts of hype about sex education in our earlier years and school.
00:25:30.480 --> 00:25:39.720 rachelcady: prenatal classes for women have chosen to had children but there's no clear path to your point for menopause education so they come in with.
00:25:40.110 --> 00:25:44.850 rachelcady: Different symptoms or irregular cycles mood swings brain fog.
00:25:45.240 --> 00:26:02.160 rachelcady: And those symptoms typically will manifest about five to seven years before the actual onset of menopause so they're just like what's going on with me, is it something hormonal and so and the short answer is many times, the answer is yes, you know, and so we kind of start down that workout.
00:26:03.090 --> 00:26:12.930 Pat Duckworth: yeah and I think that can be this misunderstanding or well because women don't talk about it, their mothers don't talk about it there's this is don't talk about it, nobody talks about it.
00:26:13.890 --> 00:26:22.170 Pat Duckworth: That you can start to experience something, and you have an idea of what men are policies is when you when your period stops so you might think.
00:26:22.500 --> 00:26:37.230 Pat Duckworth: or they'll just get less and less and less and less frequent and then they'll stop and i'll have hot flushes and that will be that, and of course they might get your peers might get heavier they might get lighter they might get less frequent they might get more frequent.
00:26:37.920 --> 00:26:46.290 Pat Duckworth: And then any one of our whole basket of symptoms might arise, I mean my period state absolutely regular until I stopped.
00:26:46.710 --> 00:26:47.700 rachelcady: Well, yes.
00:26:48.180 --> 00:26:50.220 Pat Duckworth: Every 30 days, and then it stopped.
00:26:50.520 --> 00:26:52.320 rachelcady: wow yeah that's unusual.
00:26:52.860 --> 00:26:54.060 rachelcady: I know I mean.
00:26:54.120 --> 00:26:55.590 rachelcady: that's nothing wrong with it.
00:26:55.650 --> 00:26:59.670 rachelcady: Well yeah but why variation of normal yes and yeah.
00:27:00.270 --> 00:27:17.070 Pat Duckworth: yeah so that's it if you're experiencing something don't think I shouldn't talk about it, this is a bit embarrassing your menopause is your menopause it could be anything so give us some highlights from the North American medical society what were the hot topics or medicals.
00:27:17.460 --> 00:27:24.000 rachelcady: rate so hot topics on menopause this year is really kind of some highlights from ongoing research.
00:27:24.960 --> 00:27:30.870 rachelcady: Primarily we're talking a little bit about early use of hormone therapy, as far as how it can.
00:27:31.260 --> 00:27:40.890 rachelcady: help in certain areas and the American heart association has actually come out with that that using hormone therapy earlier on in your late perimenopause.
00:27:41.190 --> 00:27:52.920 rachelcady: Early menopause years is actually Cardio protective those women had less heart disease that is not true later in life also some new guidelines, about being proactive for bone health.
00:27:53.970 --> 00:28:01.530 rachelcady: At least in the US, we don't typically start screening with bone density imagery Texas scans until after age 65.
00:28:01.890 --> 00:28:08.580 rachelcady: But we know that for a great deal of women, they have risk factors that really need to be screen beforehand.
00:28:08.850 --> 00:28:17.760 rachelcady: And sometimes you know it involves taking your health into your own hands a little bit where you can get on the computer and figure out your frack score that's FRA X.
00:28:18.060 --> 00:28:33.090 rachelcady: and seeing if you're one of those women's so those guidelines changed as well, and the last year, as far as you know what you've you've likely might be a person needs to be screened beforehand and we care about that because osteoporosis is.
00:28:33.690 --> 00:28:46.470 rachelcady: A horrible silent disease if you're starting to shrink and height, you probably have osteoporosis, that is not a normal or I guess it's a common part of aging, but it should not be an acceptable part of aging I.
00:28:47.640 --> 00:28:47.940 rachelcady: live.
00:28:48.210 --> 00:28:50.520 Pat Duckworth: Here so i'll just jump in there because.
00:28:50.910 --> 00:29:02.520 Pat Duckworth: The weekend I was taking part in a minute pools workshop, and one of the women who facilitated there, and she broke her foot what broke a bone in her ankle.
00:29:03.690 --> 00:29:11.160 Pat Duckworth: Three months back four months ago and couldn't understand it just seems such a silly way to break her, for she hadn't fallen over or anything.
00:29:11.520 --> 00:29:23.610 Pat Duckworth: yeah she said when she was tested she's got osteoporosis, now I don't know how old she's I think she's probably in her early to mid 50s hope she's not listening and she's a lot younger.
00:29:24.780 --> 00:29:33.420 Pat Duckworth: But she said, and she was she went through menopause and it was really easy and she was just like saying to everybody else, no problem i've gone through it.
00:29:33.900 --> 00:29:48.990 Pat Duckworth: And now she realizes well she understand she's got osteoporosis, and she said to me i'm actually grateful that I broke that bone because Now I know i've got an issue, because otherwise this could have got a lot worse and now she's getting treatment.
00:29:49.470 --> 00:30:06.810 Pat Duckworth: So Monday is World menopause Awareness Day and the theme this year is bone health, and it is absolutely crucial for women because it's Dr Rachel says, you know if you're starting to lose high and get this bending over posture which comes with the spine gradually bending.
00:30:07.890 --> 00:30:14.640 Pat Duckworth: It could be osteoporosis so taking care of our bones is really interesting and really important.
00:30:15.720 --> 00:30:16.350 Pat Duckworth: Back to you.
00:30:16.770 --> 00:30:24.870 rachelcady: yeah no that's a good point if somebody if you have a fragility fracture, meaning a spontaneous fracture you don't know why you have osteoporosis until proven otherwise.
00:30:25.710 --> 00:30:35.310 rachelcady: A big thing to this year is on genetic testing, as far as you know, we all know, you know we have a family history of breast cancer family history of this or that.
00:30:36.360 --> 00:30:43.740 rachelcady: Well, what can we do to sort of mitigate that that genetics, we can't change our genetics at this point, anyway.
00:30:44.070 --> 00:30:57.780 rachelcady: And so, genetic testing for women at higher risk of breast cancer, the the newer guidelines are a lot more of us need to be tested than our and that comes from the ncc in website I won't go into too much detail with that.
00:30:58.470 --> 00:31:08.370 rachelcady: Also, just a quick word two things as far as an update on hyperactive sexual desire disorder H STD low sexual desire affects about.
00:31:08.670 --> 00:31:14.880 rachelcady: 40 to 50% of particularly perimenopausal women menopausal I would say it's actually more like 99%.
00:31:15.330 --> 00:31:24.720 rachelcady: But that there is actually thanks to Mayo clinic and some other societies, like a swish actually now a process of care of how to approach postmenopausal women.
00:31:25.080 --> 00:31:41.040 rachelcady: And so that has been updated in this last year and it's available online, so you know there actually is a process I care, finally, in the year 2021 to address what affects basically all women at some point in their life as a big quality of life issue.
00:31:41.490 --> 00:31:41.910 Oh.
00:31:43.200 --> 00:31:51.720 rachelcady: The other thing too is role of estrogen for perimenopausal depression that is actually part of the process of care as well to found to be very beneficial.
00:31:52.170 --> 00:31:52.530 Pat Duckworth: yeah.
00:31:52.560 --> 00:31:53.730 rachelcady: Just a few highlights.
00:31:54.060 --> 00:31:55.320 Pat Duckworth: wow hi.
00:31:57.720 --> 00:31:58.080 Pat Duckworth: I want to.
00:31:58.350 --> 00:32:00.150 rachelcady: Do references, so people can look.
00:32:00.150 --> 00:32:02.280 rachelcady: Back at this i'm talking too fast.
00:32:02.310 --> 00:32:03.120 rachelcady: But no, no.
00:32:03.180 --> 00:32:04.770 Pat Duckworth: Because there's so much, I want to know.
00:32:05.070 --> 00:32:07.080 Pat Duckworth: yellow after the break we'll be.
00:32:07.080 --> 00:32:24.270 Pat Duckworth: Talking about the benefits and the risks of hrt because it can be very confusing for women, at a time when we're already confused and we want to somebody to tell us what should I do, how should I do it so join us after the break for even more information about hrp see you then.
00:34:59.100 --> 00:35:08.520 Pat Duckworth: Welcome back to the hot women radio show empowering women leaders at menopause and time is flashing past I knew it would because we've got so many questions.
00:35:09.030 --> 00:35:29.640 Pat Duckworth: And I am monitoring facebook.com forward slash talk radio nyc you can always watch us live there every week at three o'clock UK time 10am eastern seaboard and if you've got any questions you can put them there and i'm always looking so that we can answer all your questions.
00:35:30.690 --> 00:35:43.020 Pat Duckworth: Dr Rachel we're gonna have to go really quickly now women have lots of worries about the risks of hrt following the World Health initiative report back in 2001 2002.
00:35:43.290 --> 00:35:52.530 Pat Duckworth: We had a really chilling effect on the prescription of hrt for women, and that has carried on even though there's been a lot more research into it.
00:35:53.010 --> 00:36:00.540 Pat Duckworth: Where would you say you stand at the moment on it, and I know you have no particular axe to grind on whether women take it or don't save it.
00:36:01.080 --> 00:36:11.130 rachelcady: Right, exactly, I just want people to be informed and to have the accurate information i'm not owned by anybody and not making any money off of any drug companies so that's a good disclosure.
00:36:11.670 --> 00:36:16.290 rachelcady: That was one of the highlights, and will continue to be one of the highlights of these annual meetings.
00:36:16.680 --> 00:36:23.670 rachelcady: But the women women's health initiative just briefly it's still ongoing, and you can go to their website and see.
00:36:23.910 --> 00:36:32.220 rachelcady: But that early data that 2002 data when the world stopped they stopped the study the women's health initiative was actually a cardiovascular study.
00:36:32.430 --> 00:36:44.400 rachelcady: And women in that study where agents 50 to 79 so the key difference if you take away nothing else from today is the average age of women in that study was age 63.
00:36:44.820 --> 00:36:55.860 rachelcady: That is not the average age of who we're starting hormones on in fact it's pretty rare and kind of discouraged to start women on hormones more than 10 years after they've had their menopause.
00:36:56.760 --> 00:37:00.240 rachelcady: Or you know before a 60 and so.
00:37:00.690 --> 00:37:11.550 rachelcady: Older patient population than who we would normally started hormones on and actually the type of hormones, they use our kind of our last choice, if you will, the EC wine, the.
00:37:11.790 --> 00:37:17.460 rachelcady: course urine estrogen that we don't like that as much as far as far as side effects so right there.
00:37:18.060 --> 00:37:25.980 rachelcady: skewed view when they redid the data and said, you know what let's look at what it's like for that for patients that are actually putting on hormones.
00:37:26.340 --> 00:37:37.290 rachelcady: And their 50s there those risks were not seen, and in fact women just on estrogen actually had a lower risk of breast cancer, you can look at the women's health initiative.
00:37:37.530 --> 00:37:48.330 rachelcady: Did we hear this, and we see this and headlines, was it out there absolutely not and I would venture to say that most kind of causes have no idea about this either, I mean you have to dig.
00:37:49.140 --> 00:37:57.450 rachelcady: And so, you know that that was absolutely the case, and so, when they read on the data and said when so it's a timing hypothesis.
00:37:57.690 --> 00:38:10.650 rachelcady: If you start this within 10 years of your menopause onset there is when you look at all cause mortality, it is less heart disease, it is less breast cancer actually a little bit less.
00:38:12.420 --> 00:38:19.590 rachelcady: You know, as far as blood clots slightly more very, very tiny very, very tiny numbers but that's.
00:38:19.920 --> 00:38:29.820 rachelcady: that's the that's the issue people sleep better their moods are better way less osteoporosis less colon cancer so that's The bottom line, you know as far as.
00:38:30.630 --> 00:38:38.700 rachelcady: Again I don't have an axe to grind but that's that's the big difference and it's out there it's on there it's on the women's health initiative, we really have to dig.
00:38:38.940 --> 00:38:52.140 rachelcady: i'm just going to give a quick shout out to for women when they leave this program North American menopause society to can you go to menopause.org or my website I don't get any money, this is my hospital tuna med.org.
00:38:53.280 --> 00:39:02.790 rachelcady: You can there's lots of little video clips kind of going into a little bit more detail on each aspect of hormone therapy and if it's right for you and what it's actually indicated for.
00:39:03.270 --> 00:39:09.360 Pat Duckworth: yeah so a question I often see is how long should I stay on it.
00:39:09.810 --> 00:39:22.680 rachelcady: mm hmm so that old sort of saying the least or the lowest dose for the least amount of time is no longer a thing okay so that's not my opinion piece that's taken out.
00:39:23.490 --> 00:39:37.200 rachelcady: The time of onset is the most important as far as when assessing somebody risk but staying on it is not really felt to be a you know it's something that needs to be ongoing address with your with your clinician.
00:39:37.710 --> 00:39:47.010 rachelcady: With your practitioner, because there are certain indications that you may want to to get off of hormones, if something changes in your health history like your.
00:39:48.540 --> 00:40:04.830 rachelcady: coronary arteries index is more concerning or whatever, and so there's a few of those things, but a lot of women, you know can choose to stay on it forever, you know it's more the timing of starting, that is the biggest issue as far as assessing risk.
00:40:06.420 --> 00:40:17.100 rachelcady: But, but I will say if if somebody is just like you know I don't want to be on these medicines i'm 70 years old, now I don't have hot flashes will I still if I go off the hormones.
00:40:18.030 --> 00:40:28.890 rachelcady: Huge point if you want to think about that you have to do it very, very slowly, meaning over months weaning probably several months, so you don't get that rebound effect.
00:40:29.130 --> 00:40:36.570 rachelcady: About 10 to 20% of women are lifetime flashers new lifetime hot flashes lifetime and so.
00:40:37.050 --> 00:40:50.820 rachelcady: You know chances are you might not be at that point, but to try to give it a good try, if that's really something that you want to do just to simplify life or whatever do it over months but, again, it is bone protective certainly at that point.
00:40:51.900 --> 00:40:59.910 Pat Duckworth: And there are different formulations of hrt and there are different delivery systems, could you say a little bit about that.
00:41:00.090 --> 00:41:17.670 rachelcady: Yes, yes, so the the one is the equine estrogen and that's horse derived that's a actually that's a mix of about 10 different types of estrogen okay and that's probably the least preferable.
00:41:18.570 --> 00:41:30.150 rachelcady: there's another form called Esther dial which is what's made in the lab it's to mimic our own bodies Esther dial that's the predominant type of estrogen that we make.
00:41:30.510 --> 00:41:40.770 rachelcady: And same with there's different types of progesterone but the one that most accurately mimics our own body's production is called pro medium and so.
00:41:41.640 --> 00:41:51.570 rachelcady: If you're talking to a menopause specialist they're going to air more on that Esther dial premium side of things and fell to have West side effects the others less delivery system this.
00:41:52.560 --> 00:42:10.590 rachelcady: transdermal there's a lot to say about that, so the patch form or a gel or a mist bypasses the liver there's probably less of a chance of blood clots with that, and so you know if you have some these a smoker or whatever that might be something to consider and those patients.
00:42:12.360 --> 00:42:18.090 rachelcady: word about you asked earlier pat about bio identical, I want to just give a quick shout out with.
00:42:18.090 --> 00:42:20.640 Pat Duckworth: That I do want to know about that because.
00:42:22.230 --> 00:42:26.310 Pat Duckworth: I should be taken any software promoted a lot by celebrities.
00:42:26.700 --> 00:42:33.810 rachelcady: exactly right and so what's the straight talk on that, so the the origin of identical briefly was.
00:42:34.200 --> 00:42:42.930 rachelcady: To kind of to see a pharmacist about compounding something where what the traditional available hormone therapy was not an option for some women, you know.
00:42:43.170 --> 00:42:55.170 rachelcady: Maybe they couldn't take pills, or they had a rash with a patch or whatever so it's like I have intolerances to this, but I still need estrogen or whatever, and so the the pharmacies will compound it.
00:42:55.590 --> 00:43:01.440 rachelcady: Personally, we really don't have to deal with that anymore, because there are so many delivery systems.
00:43:02.370 --> 00:43:09.510 rachelcady: But bio identical I think a lot of people have this idea that that it all comes from plants and because it's you know or it's.
00:43:10.080 --> 00:43:27.960 rachelcady: derived naturally that it is safe or regulated or any such thing, and the answer is absolutely not and most bio identical is that you're buying online or whatever if it has any component of a in it, it can be cause it can be called an bio identical.
00:43:29.550 --> 00:43:34.140 Pat Duckworth: And if they're different stream bio identical and audio identical or.
00:43:34.440 --> 00:43:36.510 rachelcady: not sure it's freezing right now.
00:43:36.810 --> 00:43:38.400 Pat Duckworth: Oh no you're Okay, I can.
00:43:38.820 --> 00:43:39.870 rachelcady: tend to keep talking.
00:43:39.870 --> 00:43:42.060 Pat Duckworth: Here, yet just keep talking.
00:43:43.080 --> 00:43:45.720 rachelcady: Sorry pad I think you're frozen Ben is going to keep talking.
00:43:49.710 --> 00:43:52.050 Pat Duckworth: yeah I think if you can just keep.
00:43:53.100 --> 00:43:58.260 Pat Duckworth: i'm just going to check my hub, excuse me while I stand up and have a look no i'm still good.
00:43:59.820 --> 00:44:06.690 Pat Duckworth: So i'm not sure who's freezing so yeah i'm just asking about body identical because that's the phrase that was.
00:44:07.170 --> 00:44:14.940 Pat Duckworth: used with me at the weekend and I wasn't sure whether there was a difference between body identical and bio identical.
00:44:15.780 --> 00:44:29.670 Pat Duckworth: So hopefully when we get Rachel back should be able to tell us so yeah, this is a really important discussion because of the fear that surround hrt and offering this this feeling of.
00:44:30.120 --> 00:44:40.470 Pat Duckworth: Either it's it's the wonder drug if I take hrt that will be everything I need or the people on the other side of i'm never going to touch it.
00:44:41.580 --> 00:44:47.400 Pat Duckworth: So there's very different views on it that's why this discussion with Dr Rachel is so important.
00:44:47.820 --> 00:45:03.960 Pat Duckworth: To get that medical opinion about it, so you get really well informed and then, when you're going to see your general practitioner your medical practitioner, whoever you're going to say you go armed with some information.
00:45:04.710 --> 00:45:12.990 Pat Duckworth: And then you can be what I call an intelligent client that you're not just walking in and saying this is what i'm experiencing, what can I have.
00:45:14.040 --> 00:45:20.910 Pat Duckworth: That you're going in and saying Well, this is the research that i've done, I think this is suitable for me, can I have this.
00:45:21.930 --> 00:45:36.000 Pat Duckworth: And then you're having much more of a conversation with your general practitioner than just being given something and thinking this isn't what I wanted, so this is really important stuff and I.
00:45:36.750 --> 00:45:51.390 Pat Duckworth: I appreciate what Rachel has to say about bio identical coming back and walking down the corridor and walking and talking it's not easy she's just connecting back to the audio bear don't to Rachel you're back with me.
00:45:52.410 --> 00:45:56.040 Pat Duckworth: Oh, and then you're muted sorry oh wait till you unmute again I can.
00:45:56.760 --> 00:46:00.600 rachelcady: unmute me unmuted like I don't know what.
00:46:01.860 --> 00:46:17.280 Pat Duckworth: So I was just asking you about whether there was a different stream body identical on bio identical I just wondered if it was that kind of the extra extra dial rather than the mayor's you you're in for that that was the difference that we were looking at.
00:46:18.330 --> 00:46:33.690 rachelcady: Well, with the conjugated a coin estrogen again it's a it's a big combination of lots of lab derived different estrogen variance so that Klein, the mayor derived estrogens has one component of it.
00:46:34.260 --> 00:46:34.860 rachelcady: But again, if.
00:46:34.890 --> 00:46:38.580 rachelcady: You know, if you want to think a bio identical it still comes from a lab.
00:46:40.260 --> 00:46:48.450 rachelcady: So it's lab derived It really is kind of more of a marketing term but it's simply as just not regulated so you really don't know what you're what you're getting.
00:46:48.990 --> 00:46:58.800 Pat Duckworth: yeah so some of these things you might look them up on the Internet, and you think that's what I want I want something bio identical that's going to fit with my hormones.
00:46:59.760 --> 00:47:08.760 Pat Duckworth: And you really need to do your research and go and see somebody who is medically qualified who works in this area, rather than.
00:47:09.240 --> 00:47:14.820 Pat Duckworth: Just relying that this is going to be a more natural alternative for you and.
00:47:15.780 --> 00:47:22.350 Pat Duckworth: don't think all you know if I just take my hrt it's a silver bullet i'm going to be fine.
00:47:22.680 --> 00:47:34.680 Pat Duckworth: Think about your diet as well think about your lifestyle, because all of these factors, think about the exercise you're taking it's all important so at this stage of LIFE it's not just.
00:47:35.160 --> 00:47:49.110 Pat Duckworth: Oh, if I get through my medicals i'll be fine you're building the foundations for the rest of your life and that's why this is so important we're going to go to break now, and when we come back we'll be hearing don't rachel's top tips we'll see you after the break.
00:49:49.860 --> 00:50:07.650 Pat Duckworth: Well, welcome back to the hot women rock radio show and pairing women leaders at menopause where my guest in the studio today is Dr Rachel katie and we're talking about hormone replacement therapy and we're talking about what women need to know before I get to your top tip Dr Rachel.
00:50:09.000 --> 00:50:14.940 Pat Duckworth: I want to know is there anything I should have asked you that I haven't do get any questions that I haven't asked you.
00:50:17.820 --> 00:50:30.570 rachelcady: You know, I think, maybe a shout out to patients who have contraindications to taking hormone therapy, I mean this conversation could go a million different ways and i'm just so grateful for your platform pat.
00:50:31.920 --> 00:50:35.490 rachelcady: You know, breast cancer survivors, in particular.
00:50:36.660 --> 00:50:41.850 rachelcady: In the majority of their cases contraindicated or hormone therapy, one of the highlights from this year.
00:50:42.390 --> 00:50:49.740 rachelcady: Is that there is a new medication that directly targets the neurons and our hypothalamus which controls our temperature.
00:50:50.400 --> 00:50:59.580 rachelcady: IE helps with hot flashes not estrogen regulated that's going to be a wonderful treatment for patients with contraindications.
00:51:00.090 --> 00:51:09.450 rachelcady: same with people with blood clots and so you know all these different sort of cafeteria type symptoms of menopause which is different for each patient.
00:51:10.020 --> 00:51:18.600 rachelcady: Individual there are other treatments, other than hormone therapy I miss saying that in most cases that's where you get the most bang, for your buck.
00:51:18.960 --> 00:51:23.310 rachelcady: But certainly there's second line treatments for for.
00:51:23.550 --> 00:51:40.800 rachelcady: All sorts of things, including vaginal atrophy mood sleep hot flashes for women who simply can't or after being informed simply won't take hormones, so I do not want to discount those patients, I think that a lot of times they do feel discounted and it's one in eight of us so.
00:51:41.700 --> 00:51:56.370 Pat Duckworth: And I think that's a really important point, and in a way, this is a good time to be going through menopause because there are more women going into perimenopause and menopause now because those women that have got more economic clout.
00:51:57.390 --> 00:52:10.740 Pat Duckworth: It means that there is more attention being given to women's health and treatments for women's health there's more fintech being developed to help women with Apps and other ways to monitor what's going on with your health.
00:52:11.190 --> 00:52:23.850 Pat Duckworth: So this is a good time because there's much more attention that's why we need to keep talking about it, because then the medical area, the medical industry pays more attention and thinks this is a market that we need to be in.
00:52:24.270 --> 00:52:35.700 Pat Duckworth: And the market for women's health products is growing exponentially it's in the trillions of so that's why there is a lot more attention around it.
00:52:36.840 --> 00:52:43.770 Pat Duckworth: So we get to that point, what would you say is your top tip for women as they come into perimenopause.
00:52:45.030 --> 00:52:57.630 rachelcady: So I would say, first and foremost, education, I don't want women to be frightened and there really are reliable sources i'll name a few of them here in a minute to help navigate.
00:52:57.990 --> 00:53:12.720 rachelcady: What what should not be a completely frustrating journey, the average woman is living last 40 years of her life perimenopause and menopause and so they're re entering the healthcare system.
00:53:13.740 --> 00:53:25.020 rachelcady: Please take ownership of your health and don't be frightened and question the other thing to to that multi trillion dollar industry it's a it's a lot of that is.
00:53:25.410 --> 00:53:41.520 rachelcady: a waste of money and so don't let fads take your you know the I guess the headlines lead you astray go straight to the source and so i'm going to just give a few highlights here, including the British menopause society, I have my little.
00:53:42.540 --> 00:53:59.190 rachelcady: International menopause society website is wonderful and i'm a member of that as well, but wonderful for accurate just great patient information i'm going to give a quick shout out as well to menopause.org North American menopause society, this is not a.
00:54:00.210 --> 00:54:06.240 rachelcady: You know, and not just purely American i'm just looking at this is something on a worldwide issue but.
00:54:06.510 --> 00:54:19.560 rachelcady: North American men upon society menopause.org wonderful videos wonderful sources cuts to the chase speaking of women i'm sorry speaking of women's health COM is from the Cleveland clinic excellent.
00:54:20.610 --> 00:54:29.070 rachelcady: there's some I get on my website km ed.org and this book is really fun menopause confidential it's written by one of the leaders and menopause.
00:54:29.670 --> 00:54:41.370 rachelcady: Care it's readable it's it's insightful and it's actually fun to a ball being informative so there's those are is a shout out to the organizations that actually.
00:54:42.090 --> 00:54:55.140 rachelcady: Do the studies that are the voice for women that are professional medical societies and, as I mentioned the women's health initiative my research to be done, the National Institute of Health is begging for research.
00:54:56.010 --> 00:54:57.600 rachelcady: And certainly a lot of collaboration.
00:54:57.600 --> 00:54:58.410 Between.
00:54:59.580 --> 00:55:04.950 rachelcady: US and other countries so it's a joint effort so really take control of your health.
00:55:05.190 --> 00:55:12.450 rachelcady: The other thing too is that it's it's more than hot flashes we kind of touched on a different things i'll have women a lot of times in their 60s that come in and they say.
00:55:12.690 --> 00:55:22.530 rachelcady: Oh i'm done i'm through that i'm done with that I don't have that anymore, but yet i'm having extreme pain with intercourse I have incontinence.
00:55:23.730 --> 00:55:30.030 rachelcady: My joints hurt a lot my skin's dry and my hair's falling out well, you have horrible menopause symptoms.
00:55:30.420 --> 00:55:48.750 rachelcady: And so you know it's not all hot flashes okay and it's your either pre or post menopause as i've said before don't ignore those symptoms it's more than just hot flashes and certainly more than just estrogen but but go to the source less less gimmicky things so.
00:55:49.290 --> 00:55:57.360 Pat Duckworth: yeah while you were trying to reconnect with us, I was talking about the fact it's really important to be an intelligent client of the health system.
00:55:57.780 --> 00:56:07.560 Pat Duckworth: That you're going along to your medical practitioner, with some understanding that you're not just walking and going I don't know what's going on but.
00:56:07.830 --> 00:56:18.720 Pat Duckworth: You know if you've reached 40 and you don't know anything about menopause it's time to get educated it's time to understand because you are in the zone.
00:56:19.500 --> 00:56:21.360 Pat Duckworth: Whether you want to be or not, and I know.
00:56:21.390 --> 00:56:25.620 Pat Duckworth: A lot of women go into denial talking about it doesn't bring it all okay.
00:56:26.880 --> 00:56:27.930 Pat Duckworth: Exactly that's it.
00:56:28.410 --> 00:56:35.310 rachelcady: helps yes we're we're An informed consumer three to that point pet three things that you can do.
00:56:35.760 --> 00:56:46.830 rachelcady: When you're in your 40s 50s whatever before you go on to see your provider is figure out what your heart risk assessment is I mean that's by far and away the leading killer.
00:56:47.310 --> 00:56:59.280 rachelcady: cause of death of women and that's you can figure out your cardiovascular disease risk or online gail model, the GA i'll breast cancer risk assessment what's your breast cancer risk assessment.
00:57:00.390 --> 00:57:06.630 rachelcady: And then your frack score FRA X, and these are things that are widely available and widely recognized as good.
00:57:06.780 --> 00:57:21.780 rachelcady: Scores so just some kind of risk factors to look at before you go in for your exam, as this is commonly when women are we entering the healthcare system, you know they've been out for oftentimes 20 years or so, so there's different issues.
00:57:22.080 --> 00:57:26.250 Pat Duckworth: yeah I remember this isn't just an issue for women in their 40s and 50s.
00:57:26.430 --> 00:57:26.610 Pat Duckworth: When.
00:57:26.940 --> 00:57:30.720 Pat Duckworth: They go into menopause that anytime after they've hope that period.
00:57:31.110 --> 00:57:32.160 Pat Duckworth: So you know we get.
00:57:32.190 --> 00:57:35.190 Pat Duckworth: very young women, women in their 30s.
00:57:36.150 --> 00:57:45.810 Pat Duckworth: If you've had a hysterectomy some other medical procedure if you've had cancer treatment radiotherapy there's a whole bunch of reasons why you might end up.
00:57:46.110 --> 00:58:02.760 Pat Duckworth: Having menopausal symptoms, even though you're not in your late 40s and 50s why it's so important to get informed about it and to understand and then to be able to go along to your medical practitioner, who is very overburdened with dealing with stuff and say.
00:58:02.760 --> 00:58:04.680 Pat Duckworth: Okay i've done my own research.
00:58:04.710 --> 00:58:21.360 Pat Duckworth: This is what I think's happening and actually have an adult conversation about it really important and taking care of ourselves generally we're in our final minutes, Dr Rachel anything you'd like to say i'm so grateful for you joining us today.
00:58:21.810 --> 00:58:28.530 rachelcady: Well you're hugely grateful for your platform, and I welcome any questions after the show.
00:58:28.800 --> 00:58:37.530 rachelcady: And yeah to your point, this is why your radio show could go on for decades to come, because you could do a whole show on premature ovarian insufficiency.
00:58:37.830 --> 00:58:48.300 rachelcady: on cancer survivors endometriosis with early menopause it goes on and on and they're all important populations of people and they're all wonderful subjects to talk about.
00:58:49.080 --> 00:58:51.900 Pat Duckworth: Thank you so much for joining me today dots arrangements.
00:58:51.900 --> 00:58:55.770 Pat Duckworth: You have helped a lot of women to understand this so much more.
00:58:58.200 --> 00:58:59.760 rachelcady: important to look after.
00:58:59.760 --> 00:59:03.480 Pat Duckworth: Our health and be intelligent clients at this stage.
00:59:03.930 --> 00:59:20.820 Pat Duckworth: So if you want to get more informed about menopause are we putting all these links up also don't forget i've written a book called hot women call solutions and it's an easy read and I have no skin in the game, as to whether you go on hrt or do it any other way.
00:59:21.270 --> 00:59:31.500 Pat Duckworth: So i'd like yeah have a look at hot women cool solutions and on the website hot women cool solutions.com there's also a number of bonuses, that you can pick up.
00:59:32.160 --> 00:59:49.410 Pat Duckworth: So stay tuned to talk radio dot nyc the next program is dismantle racism with Reverend Dr Tara Lynn and this week's subject is black by design, so that is going to be yet another powerful conversation with Dr Tara Lynn.
00:59:49.830 --> 00:59:59.100 Pat Duckworth: Thank you to my producer kyle today, for all his hard work, thank you to the listeners i'll be posting this up in my hot women rock radio.
00:59:59.460 --> 01:00:14.370 Pat Duckworth: Facebook page and the recording will be available tomorrow on talk radio dot nyc i'll see you next week when we'll be talking about style style for women in their medical so see you next week Thank you again.
01:00:14.580 --> 01:00:16.170 rachelcady: Thank you have a great week it's.
01:00:16.200 --> 01:00:17.850 Pat Duckworth: lovely to see you yeah.