Here, we each present our closing thoughts on the use of female reproductive hormones during menopause and the phenomenon of menopausal psychosis and/or exacerbation of psychiatric symptoms during female hormonal transitional periods. Thanks so much to Drs. Wood and Grider for being a part of this, and please stick around after the disclaimer to hear one of my favorite local artists, Jared Foos, who just released his first solo album, titled "Who Loves you Baby," with his hit song, "Leave." If you or anyone you know is looking to have their music platformed, please send it my way and I'll see if I can work it into the closing thoughts of another series!
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Disclaimer, this podcast is for informational purposes only. The information provided in this podcast and related materials are meant only to educate. This information is not intended as a substitute for professional medical advice. While I am a medical doctor and many of my guests have extensive medical training and experience, nothing stated in this podcast nor materials related to this podcast, including recommended websites, texts, graphics, images, or any other materials should be treated as a substitute for professional medical or psychological advice, diagnosis or treatment. All listeners should consult with a medical professional, licensed mental health provider or other healthcare provider if seeking medical advice, diagnosis, or treatment.
[00:00:00] Somebody get this guy some help.
[00:00:13] Can you give a brief summary of all of the definitive and possible benefits of being
[00:00:20] on hormone therapy?
[00:00:21] Because I didn't realize how long the list was.
[00:00:24] Yeah.
[00:00:25] Okay.
[00:00:26] All cause mortality. Protection, estrogen is protected for atherosclerosis. So if you are started on your estrogen early in the menopausal transition and continue that, then you have protection. And there is not an age where someone has to come off of hormones just because of an age. Again, it's a visit to visit decision. Many physical symptoms such as sleep and bones and joint pain, mood, all of those things
[00:01:44] are better.
[00:01:45] Is it a reduced risk of fracture?
[00:01:48] Absolutely. Dr. Grider, it's called ozembic, right? It's the magic pill that has no side effects and you can take forever and it doesn't cause any problems when you go get your GI surgery and you've got food contents from a week earlier because it tells your stomach not to send food through your GI tract anyway. But yeah, we didn't talk about the belly fat,
[00:03:01] but I get that question all the time
[00:03:02] and I tell people you would know if there was something
[00:03:05] that we had because the lime will be blocking traffic
[00:03:07] all across town. with the cycle or postpartum. I mean postpartum suicide is a real risk and psychosis can lead to poor outcomes for the mother and the infant. On that note, you are so awesome and wonderful about listening to your patients. I've seen that firsthand. We would be sitting in the exam room and you
[00:04:22] would walk in. You would pick up on things. My wife who's a little bit of that stigma out there about menopause, about aging. It's something we don't talk about. We keep to ourselves. We just get through it. And so even when I'm asking women about that, there's a little bit of a hesitance to maybe talk about their actual experience. Some of it is also age too because I'm not quite there yet. Sometimes
[00:05:42] they're a little bit hesitant to talk to a feelings You go to work even when you're sick. We are seeing a generation. Yeah. Yeah And that's definitely a factor. Maybe our generation will Approach it a lot differently or be more open to having those discussions. I hope so just
[00:07:01] Aonic totally a lot of folks in these stages is really important.
[00:08:20] And when it comes to treatment,
[00:08:22] I do want to be more open to potentially referring
[00:08:26] for hormonal therapy. conclusion of this, I don't know if we've not watched any answers, but we've at least, you know, continue that dialogue. And I think that's a really important first step. So thank you for bringing this topic in particular to to people's minds. Yeah, and thank you for presenting on it. Because I again, I didn't have the hope that we would figure this out necessarily.
[00:09:41] But hopefully by increasing the awareness of it with, you know, million women in the United States alone abruptly discontinuing hormone therapy in a six month period in 2002. Interestingly, there was also an increase in all-cause mortality for women between 2002 and 2006 while men saw a decrease over that same time period in the United States.
[00:11:00] An Italian study on hormone therapy.
[00:12:23] Sleep is improved with fewer nighttime awakenings, longer duration of sleep and longer time spent medicine that may take six weeks or more to work, if it works at all, and may also exacerbate symptoms in the first couple of weeks. Also it's really important that psychiatric providers taking care of women who have preexisting mental health conditions, like severe depression, schizophrenia, and bipolar disorder, especially
[00:13:42] if they have a history of inpatient hospitalizations the last couple of years of it are less likely to benefit and more likely to have increased risk of heart disease, stroke, clot, and dementia.
[00:15:00] The slight increased risk of breast cancer after 3-5 years of hormone therapy of less But women need to know this is a your own doctor somebody get this guy some help I know you're not alone, I understand it's so exciting There are other places that you can go Now you're asking me for help, but you're on the highest shelf And I don't think my arms can reach up I just know that I can't help, oh it's just so damn believein'
[00:19:02] Every time you call my name, but I feel I'm losing patience Thanks for listening.
[00:20:23] For more social media content, check us out on all social media platforms at Renegade