Thank you for helping us… books, articles and direct honest discussions about women and their needs. You are clever and honest and someone I trust completely. I am a proud Canadian and wish you lived in the true North !!! I am fortunate to have found your books and this format for my peace of mind.
Wishing you all the very best in the New Year. Kindest regards, Jen Prober
I love that you wrote a book to counteract the BS that is peddled as empowering women in menopause. It seems like i am playing whack-a-mole with my patients. Truth is women do feel awful and often it is due to hormones, but not everything in life is fixed by hormones of dubious origin and efficacy…
I too would like to express my best wishes for 2024. As many of us have said, I wish you were around 20 years ago! Having said that though, I still learn a LOT from you, and have HUGE appreciation for the evidence-based approach to your info. Hope you've got Montreal on your tour dear Dr Jen.
I’m glad I found an OB/GYN who doesn’t just reflexively want to Rx hormones. I tried HRT and it was a disaster. But also I’d like to note that most advice about the pain/lubrication issues of menopause focuses on keeping the vagina AS IT WAS, a host for a penis. Why is penis-in-vagina sex the goal? Why can’t we educate men (and ourselves) about ways to have satisfying sex without p-in-v? Why are men’s dicks more important than our vaginas? Why can’t they accommodate our changing bodies? How many women accommodate men’s impotence with sex variations and encouraging words? As I age, more and more I don’t give a shit what used to be the expectations of men.
Thank you Dr. Gunter, for all you're doing. For us women, for people's health in general (that's how I see you!), and for science. For your honesty, humor, intelligence and no bullshit. Your drive to keep us informed, and the way you explain it all (and expose the facts and the science) is simply fantastic. I'm super happy to have found you, in this immense internet ocean. We need not just more doctors like you, but more people like you. Please keep it up!!
Also, wanted to ask you: if you can address at some point tips/alternatives/better type of progesterone for those that suffer from constipation issues when on MHT, that'd be great. If there is clear info on that, that is. You might have covered it already (still reviewing some past posts). But if not, anything on that would be very helpful. Kind regards
Thank you for all of the information. Perhaps in the future you could provide some details on pelvic floor issues , moods, as well as joint and muscle pain not associated with thyroid imbalances. The best treatment options. I know the window closes for many women who were not offered help early in menopause what can older women do?
Preordered and anxiously waiting for the chapter on menstrual migraines and (hopefully) what the latest studies say about getting relief.
Are there OBs anywhere who specialize in hormonal migraines? Because my OB says to ask my neurologist and my neurologist says to ask my OB, and I just want to see literally anyone who can tell me where to start addressing this piece of the migraine puzzle.
Thank you for ALL of your outstanding work. BTW: I'm curious if Fezolinetant is an R&D evolution from an earlier med. When my wife was diagnosed with a rare and HRT related cancer (adenocarcinoma of the cervix), the sudden withdrawal of HRT coupled with the old fashioned cut (from the base of her sternum all the way down), was a fast vortex of misery until her oncologist prescribed an OLD, off patent, hypertensive that killed the hot flashes dead. When I asked him WHY or WHY wasn't she prescribed this for both, he replied "there is no money in this med." (back in 2001).
That said, I'm just thrilled that Fezolinetant is available. I desperately wish that my wife and now her sister (3 forms of breast cancer at the same time thanks to "safely compounded HRT"), had had this option.
Thank you for all that you do to teach us about the SCIENCE behind all of this. As a retired ed prof, I greatly appreciate your efforts. Happy New Year!!!
Bingo! That's what it was. She's been hyptensive since age 40, so this was really super helpful. Well good on the developer for having something COMPLETELY new.
She most likely received clonidine aka catapres, an alpha-adrenergic agonist which works centrally, in the brain to lower bloid pressure and also works to diminish hot flashes. Does not work in everybody. And btw, adenocarcinoma of the cervix is NOT caused by hormones nor is it hormone-responsive, it is also an HPV-caused cancer.
As, Dr. Gunter has pointed it fenzolinetant is a new drug, but also works centrally, on the brain.
Thanks. Her oncologist was sure it was HRT related and was a blunt as a 2x5 about that. But this was 20+ years ago, and the testing has changed quite a bit.
Dr. Jen I can’t thank you enough for the work you do. I finally got on hrt (for hot flashes and vaginal issues) this fall thanks to your excellent information and it has improved my quality of life soooooooooooo much! I can wear clothes! Like, just pick an outfit and wear it! No worrying about how I can strip down if necessary! I can have sex! I can sleep through the night! I feel like a new woman. Thank you thank you thank you.
Ps. You can expect to see your book sales skyrocket simply due to my recommendations to every woman and AFAB trans person I meet! You’re welcome 😉
Yes, thank you, it is so helpful to get your very clear and researched articles. I have one question, should you want to consider it: the impact of peri-menopause on the thyroïd. I don't have a thyroid anymore so my TSH levels should be balanced with the medication I take, but for the past year there are gigantic fluctuations (up and down) which are driving me crazy, and my endocrinologist says this is due to the hormonal fluctuations due to peri-menopause and nothing can be done about it. I don't find anything on this topic online and I was wondering if you have any insights into this topic. Many thanks.
I don't have a link yet. It is through the Ottawa writers festival. I am hoping to have more info at the end of next week when everyone is back in the office! Hope to see you there.
Love you and everything you are doing for science and women and truth. I’ll try to be concise with my two questions:
1. I’m a derm PA regularly rx’ing spiro to treat female acne. Any idea why the guideline is not to start until two years after menarche?
2. I’m 41 and would still menstruate regularly if I didn’t skip my placebo week each month. I’ve been having night sweats for several years and wonder if a different OC would help me manage them better. Currently on Junel 1.5/30.
Thank you for helping us… books, articles and direct honest discussions about women and their needs. You are clever and honest and someone I trust completely. I am a proud Canadian and wish you lived in the true North !!! I am fortunate to have found your books and this format for my peace of mind.
Wishing you all the very best in the New Year. Kindest regards, Jen Prober
Thank you, and Happy New Year!
I love that you wrote a book to counteract the BS that is peddled as empowering women in menopause. It seems like i am playing whack-a-mole with my patients. Truth is women do feel awful and often it is due to hormones, but not everything in life is fixed by hormones of dubious origin and efficacy…
I too would like to express my best wishes for 2024. As many of us have said, I wish you were around 20 years ago! Having said that though, I still learn a LOT from you, and have HUGE appreciation for the evidence-based approach to your info. Hope you've got Montreal on your tour dear Dr Jen.
I’m glad I found an OB/GYN who doesn’t just reflexively want to Rx hormones. I tried HRT and it was a disaster. But also I’d like to note that most advice about the pain/lubrication issues of menopause focuses on keeping the vagina AS IT WAS, a host for a penis. Why is penis-in-vagina sex the goal? Why can’t we educate men (and ourselves) about ways to have satisfying sex without p-in-v? Why are men’s dicks more important than our vaginas? Why can’t they accommodate our changing bodies? How many women accommodate men’s impotence with sex variations and encouraging words? As I age, more and more I don’t give a shit what used to be the expectations of men.
Thank you Dr. Gunter, for all you're doing. For us women, for people's health in general (that's how I see you!), and for science. For your honesty, humor, intelligence and no bullshit. Your drive to keep us informed, and the way you explain it all (and expose the facts and the science) is simply fantastic. I'm super happy to have found you, in this immense internet ocean. We need not just more doctors like you, but more people like you. Please keep it up!!
Also, wanted to ask you: if you can address at some point tips/alternatives/better type of progesterone for those that suffer from constipation issues when on MHT, that'd be great. If there is clear info on that, that is. You might have covered it already (still reviewing some past posts). But if not, anything on that would be very helpful. Kind regards
I have a detailed post on progesterone/progestins slated for January!
Thank you for all of the information. Perhaps in the future you could provide some details on pelvic floor issues , moods, as well as joint and muscle pain not associated with thyroid imbalances. The best treatment options. I know the window closes for many women who were not offered help early in menopause what can older women do?
Preordered and anxiously waiting for the chapter on menstrual migraines and (hopefully) what the latest studies say about getting relief.
Are there OBs anywhere who specialize in hormonal migraines? Because my OB says to ask my neurologist and my neurologist says to ask my OB, and I just want to see literally anyone who can tell me where to start addressing this piece of the migraine puzzle.
Interstitial cystitis … any feedback would be greatly appreciated. ☺️
Thank you for ALL of your outstanding work. BTW: I'm curious if Fezolinetant is an R&D evolution from an earlier med. When my wife was diagnosed with a rare and HRT related cancer (adenocarcinoma of the cervix), the sudden withdrawal of HRT coupled with the old fashioned cut (from the base of her sternum all the way down), was a fast vortex of misery until her oncologist prescribed an OLD, off patent, hypertensive that killed the hot flashes dead. When I asked him WHY or WHY wasn't she prescribed this for both, he replied "there is no money in this med." (back in 2001).
That said, I'm just thrilled that Fezolinetant is available. I desperately wish that my wife and now her sister (3 forms of breast cancer at the same time thanks to "safely compounded HRT"), had had this option.
Thank you for all that you do to teach us about the SCIENCE behind all of this. As a retired ed prof, I greatly appreciate your efforts. Happy New Year!!!
I wonder if your wife received clonidine, which is an antihypertensive and can treat hot flashes? But I think fenzolinetant is a novel drug.
Bingo! That's what it was. She's been hyptensive since age 40, so this was really super helpful. Well good on the developer for having something COMPLETELY new.
She most likely received clonidine aka catapres, an alpha-adrenergic agonist which works centrally, in the brain to lower bloid pressure and also works to diminish hot flashes. Does not work in everybody. And btw, adenocarcinoma of the cervix is NOT caused by hormones nor is it hormone-responsive, it is also an HPV-caused cancer.
As, Dr. Gunter has pointed it fenzolinetant is a new drug, but also works centrally, on the brain.
Glad your wife is ok.
Thanks. Her oncologist was sure it was HRT related and was a blunt as a 2x5 about that. But this was 20+ years ago, and the testing has changed quite a bit.
I find myself after every sentence wanting push the like button .
Thank you! Science based knowledge truly is empowering! 💪
Dr. Jen I can’t thank you enough for the work you do. I finally got on hrt (for hot flashes and vaginal issues) this fall thanks to your excellent information and it has improved my quality of life soooooooooooo much! I can wear clothes! Like, just pick an outfit and wear it! No worrying about how I can strip down if necessary! I can have sex! I can sleep through the night! I feel like a new woman. Thank you thank you thank you.
Ps. You can expect to see your book sales skyrocket simply due to my recommendations to every woman and AFAB trans person I meet! You’re welcome 😉
Yes, thank you, it is so helpful to get your very clear and researched articles. I have one question, should you want to consider it: the impact of peri-menopause on the thyroïd. I don't have a thyroid anymore so my TSH levels should be balanced with the medication I take, but for the past year there are gigantic fluctuations (up and down) which are driving me crazy, and my endocrinologist says this is due to the hormonal fluctuations due to peri-menopause and nothing can be done about it. I don't find anything on this topic online and I was wondering if you have any insights into this topic. Many thanks.
I addressed thyroid issues in this post! https://vajenda.substack.com/p/gynecological-potpourri-b81
Excited for your book tour! Although I can’t find info about your Ottawa stop anywhere online. Do you know where I can buy a ticket?
I don't have a link yet. It is through the Ottawa writers festival. I am hoping to have more info at the end of next week when everyone is back in the office! Hope to see you there.
Love you and everything you are doing for science and women and truth. I’ll try to be concise with my two questions:
1. I’m a derm PA regularly rx’ing spiro to treat female acne. Any idea why the guideline is not to start until two years after menarche?
2. I’m 41 and would still menstruate regularly if I didn’t skip my placebo week each month. I’ve been having night sweats for several years and wonder if a different OC would help me manage them better. Currently on Junel 1.5/30.
Thank you for everything!!