Diana Bitner MD

@drlouisenewson Kudos for being so clear!

While it’s great there’s an increased public focus on this important topic and we’re no longer expecting midlife women to suffer in silence, I’ve also grown increasingly concerned by the proliferation of products on the market targeted at menopausal women. Many women are vulnerable and seeking help anywhere they can find it and while it can appear sympathetic, it’s very easy to misunderstand the supposed benefits for them. Hormone replacement therapy is the best way to ease the majority of symptoms in the vast numbers of women who are safe to take it. You can read the article here: thesun.co.uk/fabulous/26096…

I have just read a paper titled “Menopause and hormone replacement therapy in the 21st century” and wanted to share two quotes from the paper that are particularly important: “Despite the numerous published articles on the myriad CV protective roles played by oestrogen in the premenopausal woman, it remains entrenched in the medical management of menopausal women that HRT, if prescribed at all, should remain a short-term solution, using the lowest dose possible to minimise night sweats, and only be considered for systemic use to address night sweats and hot flashes, rather than to maintain optimal CV function. The unintended legacy of the Women’s Health Initiative (WHI), which tested the wrong ‘hormones’ (not human-identical and given orally), on the wrong subjects (too old), must now finally be ended.” “The time has arrived to shelve the WHI and its limited applicability to the lives of menopausal women. Human-identical transdermal estradiol and micronised progesterone should be offered to most menopausal women, particularly at the menopause initiation. Menopause has a powerful negative impact on the CV health of women. They deserve to be offered HRT, using hormones identical to those produced by human ovaries, and the hormones should be prescribed in the most physiological manner possible.” There continues to be controversy regarding the use of HRT and this is primarily due to the misleading results published following the WHI Study. Many of you will have heard me talk before about the WHI study before (which is now over 22 years old) but for those of you who haven’t - it was a study done looking at women who take HRT. The media misinterpreted the results from the study and presented the risk as far greater than it actually is, which meant a lot of women now feel confused and anxious about HRT. As it says in the paper I am sharing with you today, it is time to shelve the misleading findings from the WHI study and start focusing on some of the beneficial effects of body identical natural hormones in the HRT we prescribe today - which show us that not only can HRT provide effective symptom relief, it can also reduce your future risk of cardiovascular disease, type 2 diabetes, clincial depression, osteoporosis and dementia. You can read the paper here: heart.bmj.com/content/heartj…

@drlouisenewson @drlouisenewson keep up the good work!

Lots of women tell me about the difficulties they face getting support from their GP for their perimenopause and menopause, and we know it can take some people up to 10 health care appointments before they reach an appropriate diagnosis and treatment. There’s lots of work to be done in this area, but one way you can support your own journey is to be prepared before you visit your GP. If you can note down all your symptoms and keep yourself informed, it’s likely you’ll reach the right diagnosis much faster. That’s why we created the Health Report feature in the @balanceMeno app - it will prompt you each day to log how you’re feeling, and then before your next appointment you can download a report to show to your GP. It’s a totally free app and feature, and I hope it can help a lot of you!

@tee_kayoki Don’t say the Q word!

First shift of 2023 and it is… … … QUIET They call me the anti-shit magnet. I’m willing to offer my services to any colleagues

Window of vulnerability #depression in #perimenopause women deserve support ⁦@DrJewelKling⁩ 🙏 ⁦@IntlMenopause⁩ #ims2022 options exist ⁦@MenopauseOrg⁩ find a NCMP

⁦@hotflashguru⁩ Great work #legacy to provide #menopause info to women in low & middle income countries #ims2022 ⁦@IntlMenopause⁩ #womenshealth ⁦@gatesfoundation⁩

#IMS2022 DAY1 Enjoy the experience!

Happy to confirm olive oil is good for women #menopause #womenshealth ⁦@truewomenhealth⁩ ⁦@Khyria_Health⁩

Thank you! Hot flashes can be a gift to tell us to look for #heartdisease before #heartattack ⁦@IntlMenopause⁩ #ims2022 ⁦@DrRThurston⁩ ⁦@truewomenhealth⁩ ⁦@Khyria_Health⁩

@DrJewelKling @DrRThurston @ClimactericIMS We had a great conversation about curiosity #patientsknow #Menopause @Osunsweetnsour #perimenopause

“The change before The Change” Excellent talk on peri menopause with some fantastic experts! @bitnermd @DrRThurston #ims2022 @ClimactericIMS

Thank you Dr Davis for your lifelong research into #testosterone and presenting @ims2020 #ims2022 ⁦@Khyria_Health⁩ ⁦@truewomenhealth⁩ ⁦@DrJewelKling⁩ ⁦@beckyklynn⁩

Exciting #ims2022 ⁦@sgoldsteinmd⁩ opening ceremony electric energy

Proud to present how too many women suffer #menopause symptoms ⁦@MenopauseOrg⁩ ⁦@truewomenhealth⁩ ⁦@BayerPharma⁩ ⁦@BayerUS⁩ thank you for supporting this work!

Great to learn what women are wanting to know! #MenopauseAwarenessMonth @Khyria_Health @truewomenhealth #menopause is normal but suffering is not! @intimmedicine @beckyklynn @drdweck @DrAlyseSexpert

@cshufeltMD @MenopauseOrg @StephFaubionMD @WHMayoClinic @MayoClinicGIM Thank you for your countless hours and service!

As we wind down a fantastic #NAMS2022 meeting in #Atlanta, it was a true honor to have served as @MenopauseOrg President #womenshealth #menopause @StephFaubionMD @WHMayoClinic @MayoClinicGIM

@MenopauseOrg @DrRThurston Absolutely fantastic program #WomensHealth #Menopause @truewomenhealth @Khyria_Health

On behalf of NAMS and Scientific Program Chair @DrRThurston, thank you to all who attended the 2022 #NAMSmtg in-person and OnDemand!

Join me on Wednesday, October 19th for @Bayer’s ‘Let’s Break the Silence and Talk Menopause,’ #LinkedInLive. Let’s raise awareness for #Menopause together and improve #womenshealth. Sign up: bit.ly/3CuBG1u

@MenopauseJrnl @MenopauseOrg Encouraging results! #femtech #menopause @Khyria_Health

Effects of health coaching on menopausal symptoms in menopausal and perimenopausal women bit.ly/3dukmRT @MenopauseOrg @LippincottMedicine #menopause

We couldn't be more excited! Khyria is a Women’s Health Innovation Showcase Finalist for 2022, selected among 120 emerging organizations to present in front of a notable audience of investors and industry leaders. #WHISUSA #femtech #womenshealth #digitalhealth #menopause