My body cannot thrive on Progestins. The effects almost caused my suicide. ‘Let’s just try some birth control options?’ Your standard OBGYN reply did not work for me. My ex husband labeled me frigid, so I investigated with lab tests after the effects of those ‘BC trials’ and surprise! at 36, I had NO hormones. So, after Cognitive Behavioral Therapy and prescribed sex therapy, I got testosterone which dramatically improved my quality of life. Big Pharma has no solutions for me. They created my hormonal Hell. There aren’t doctors that can adequately deal with complex hormonal profiles. Personally I’m not sure how this article addresses people like me. I suspect that there just aren’t enough doctors who have even an ounce of understanding to recommend, research, and address menopausal women. Just a fact. So before you write off BioTe and bespoke solutions, you may want to consider that some women born in the 70s and 80s may be just now entering menopause like me.. therefore any discussions of past days of menopause, what difference did it make? They weren’t treated with big pharma Birth Control, they didn’t work, have kids after 30, or live past 75. All those things are right here right now. And frankly, now that I’m here, trying to thrive with the hormones of a post menopause woman doesn’t work either! And no, I can’t retire to watch the grandkids. And I’m not giving up sex. There’s a real reason that that there are less than a few complex mammals that have menopause. Animals do not thrive without hormones. They die. It’s pathological to keep women alive without it.
Do moderate WBC on wet prep always indicate an infection? Could it just be someone’s normal physiologic vaginal discharge if none of the normal pathogens are seen?
I am at a loss. My dr prescribed Yuvafem which I feel does nothing, and a pharmacy compounded progesterone. I feel like crying. I am 61 and less than 10 years from my last period, and I am so angry that HRT was an option.
Yuvafem is a vaginal therapy just for vaginal symptoms. It is also a very low dose, so many people need a higher dose to fuller treat vaginal discomfort. Yuvafem will not help any other symptoms, just the vagina and bladder.
Thanks for the reply. My doctor diagnosed me with atrophic vaginitis, female dyspareunia. I still get hot flashes but not as frequently. I still get them with any kind of intimacy with my husband. When I told my doctor that She said, “That’s not how they work.” Well that’s how they work with me! Just ask my husband. That and pain with sex has basically killed our love life. I am going in for pelvic floor PT next month and trying Replens instead of the Yuvaferm. I feel pretty alone in this and like I don’t have supportive medical care. I am very appreciative of your book and blog.
Thank you for the clarity on the article explaining language used in MHT. When looking for an OB-Gyn who specialized in menopause, I came across the term "bioidentical" constantly, and I became a bit discouraged by what many providers were trying to sell me (estrogen pellets, compounded products, blood work, added hormones such as testosterone).
As a retired clinical pharmacist who worked for Big Pharma for over 25 years, I understand the term "evil Big Pharma", but I also understand the rigor of the efficacy and safety data that the FDA requires for drug approvals.
I realize you may not be comfortable doing this, but if you ever share the names of Drs that share your passion for evidence-based medicine in menopause, I would love to find a provider like you.
My body cannot thrive on Progestins. The effects almost caused my suicide. ‘Let’s just try some birth control options?’ Your standard OBGYN reply did not work for me. My ex husband labeled me frigid, so I investigated with lab tests after the effects of those ‘BC trials’ and surprise! at 36, I had NO hormones. So, after Cognitive Behavioral Therapy and prescribed sex therapy, I got testosterone which dramatically improved my quality of life. Big Pharma has no solutions for me. They created my hormonal Hell. There aren’t doctors that can adequately deal with complex hormonal profiles. Personally I’m not sure how this article addresses people like me. I suspect that there just aren’t enough doctors who have even an ounce of understanding to recommend, research, and address menopausal women. Just a fact. So before you write off BioTe and bespoke solutions, you may want to consider that some women born in the 70s and 80s may be just now entering menopause like me.. therefore any discussions of past days of menopause, what difference did it make? They weren’t treated with big pharma Birth Control, they didn’t work, have kids after 30, or live past 75. All those things are right here right now. And frankly, now that I’m here, trying to thrive with the hormones of a post menopause woman doesn’t work either! And no, I can’t retire to watch the grandkids. And I’m not giving up sex. There’s a real reason that that there are less than a few complex mammals that have menopause. Animals do not thrive without hormones. They die. It’s pathological to keep women alive without it.
Do moderate WBC on wet prep always indicate an infection? Could it just be someone’s normal physiologic vaginal discharge if none of the normal pathogens are seen?
I am at a loss. My dr prescribed Yuvafem which I feel does nothing, and a pharmacy compounded progesterone. I feel like crying. I am 61 and less than 10 years from my last period, and I am so angry that HRT was an option.
Yuvafem is a vaginal therapy just for vaginal symptoms. It is also a very low dose, so many people need a higher dose to fuller treat vaginal discomfort. Yuvafem will not help any other symptoms, just the vagina and bladder.
Thanks for the reply. My doctor diagnosed me with atrophic vaginitis, female dyspareunia. I still get hot flashes but not as frequently. I still get them with any kind of intimacy with my husband. When I told my doctor that She said, “That’s not how they work.” Well that’s how they work with me! Just ask my husband. That and pain with sex has basically killed our love life. I am going in for pelvic floor PT next month and trying Replens instead of the Yuvaferm. I feel pretty alone in this and like I don’t have supportive medical care. I am very appreciative of your book and blog.
Thank you for the clarity on the article explaining language used in MHT. When looking for an OB-Gyn who specialized in menopause, I came across the term "bioidentical" constantly, and I became a bit discouraged by what many providers were trying to sell me (estrogen pellets, compounded products, blood work, added hormones such as testosterone).
As a retired clinical pharmacist who worked for Big Pharma for over 25 years, I understand the term "evil Big Pharma", but I also understand the rigor of the efficacy and safety data that the FDA requires for drug approvals.
I realize you may not be comfortable doing this, but if you ever share the names of Drs that share your passion for evidence-based medicine in menopause, I would love to find a provider like you.