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Menopause

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Women Have Been Misled About Menopause

12 replies

MsAmerica · 11/02/2023 01:44

(Sadly, even this article doesn't discuss bio-identical hormones.)

Women Have Been Misled About Menopause
Hot flashes, sleeplessness, pain during sex: For some of menopause’s worst symptoms, there’s an established treatment. Why aren’t more women offered it?
By Susan Dominus

Menopausal hormone therapy was once the most commonly prescribed treatment in the United States. In the late 1990s, some 15 million women a year were receiving a prescription for it. But in 2002, a single study, its design imperfect, found links between hormone therapy and elevated health risks for women of all ages. Panic set in; in one year, the number of prescriptions plummeted. Hormone therapy carries risks, to be sure, as do many medications that people take to relieve serious discomfort, but dozens of studies since 2002 have provided reassurance that for healthy women under 60 whose hot flashes are troubling them, the benefits of taking hormones outweigh the risks. The treatment’s reputation, however, has never fully recovered, and the consequences have been wide-reaching. It is painful to contemplate the sheer number of indignities unnecessarily endured over the past 20 years: the embarrassing flights to the bathroom, the loss of precious sleep, the promotions that seemed no longer in reach, the changing of all those drenched sheets in the early morning, the depression that fell like a dark curtain over so many women’s days.

www.biotemethod.com/Content/Images/uploaded/Newsletter/Women_Have_Been_Misled_About_Menopause-NYT.pdf

OP posts:
JinglingSpringbells · 11/02/2023 08:39

From your username- are you American?

In the UK the old evidence from the WHI study in the US was shown to be flawed many years ago. This is old news.

We've moved on. In fact here, it's become so popular that there are shortages of some types!

AuntSallie · 11/02/2023 08:42

Healthcare isn’t a human right in the US so of course this sort of news would die a quiet death there. Insurance companies wouldn’t want to have to cover HRT (or MHT in some circles).

That said, the shortages in the U.K. are not due to popularity but due to Brexit fucking up the supply chain from the manufacturers to the NHS.

JinglingSpringbells · 11/02/2023 08:51

That said, the shortages in the U.K. are not due to popularity but due to Brexit fucking up the supply chain from the manufacturers to the NHS.

There are still shortages in pharmacies in private hospitals.

AuntSallie · 11/02/2023 09:21

JinglingSpringbells · 11/02/2023 08:51

That said, the shortages in the U.K. are not due to popularity but due to Brexit fucking up the supply chain from the manufacturers to the NHS.

There are still shortages in pharmacies in private hospitals.

Yep, and we are still outside the EU with all the extra import delays and red tape involved.

JinglingSpringbells · 11/02/2023 10:13

Sorry but you are incorrect on this one. Happy to see actual evidence of this for HRT products.

There are stats online of the number of women using these types comparing 2022 with previous years and there has been a huge increase.

Having followed the info from Besins,(for gel and Utrogestan) it is not about import issues- it's sheer demand and they are increasing manufacturing.

AuntSallie · 11/02/2023 16:01

Not a chance, you’ve just fallen for the government’s can’t be our beloved Brexit causing this, so let’s blame women for the HRT shortages instead narrative. The NHS agrees it’s Brexit.

I suppose you are unaware that Brexit has caused shortages of over 300 types of medication including HRT? And that over 2,000 medications were completely withdrawn from NI due to Brexit?

The pandemic then worsened the shortages, and now the pandemic is over, the shortages are persisting.

Do you think there’s been “increased demand” for all of these?

Do you really think that these global manufacturers can’t ramp up production by the 2% our “increased demand” accounts for compared to their total production? It’s logistics and supply chain….which is down to Brexit.

March 2019:

“Saffron Cordery, deputy chief executive of NHS Providers, which represents trusts in England, told Newsnight one trust in England had reported a shortage of 300 different drugs.
"Trusts up and down the country are telling us that they have experienced a sharp spike in shortages of drugs in the past month," she said.
"We cannot confirm with absolute certainty that it is Brexit but the timing and unprecedented nature of these shortages suggest a correlation with Brexit preparation.
"This most probably is the impact of a combination of stockpiling and price pressure as the Brexit deadline approaches. We have not seen a spike like this before."
www.bbc.co.uk/news/health-47646193

Oct 2020
We had stockpiled drugs for Brexit, and then quickly ran out during Covid making the already existing shortages even worse:
“Hospitals could face shortages of drugs during the second wave of Covid because some of the medicines stockpiled for Brexit have already been used, NHS bosses have warned.”
”All of the issues we feared about Brexit remain. None of those have gone away because we are in a pandemic. It’s important to remember drug supplies could be compromised”, said Saffron Cordery, the organisation’s deputy chief executive.”
”What we were relying upon in Brexit was a supplies stockpile. I would suggest we have eaten into that stockpile because of Covid. We need to think about what the stockpiles are looking like.”
www.theguardian.com/society/2020/oct/06/nhs-faces-drug-shortages-as-brexit-stockpile-used-in-covid-crisis

25 Apr 22
“Research by the Pharmaceutical Services Negotiating Committee (PSNC) shows that acute medicine shortages in England is resulting in abuse from frustrated patients as more than two thirds of the pharmacies report being without stock every day.
The PSNC, which represents community pharmacists across England, says that many patients are unable to get their regular medication resulting in growing animosity towards pharmacists.
According to their report, the association says that many drugs are in short supply including Hormone Therapy Replacement due to Brexit and the pandemic which has affected supplies of key raw materials needed in the manufacture of many drugs.”
euroweeklynews.com/2022/04/25/acute-medicine-shortages-in-england-hit-patients-and-pharmacies/

15 Jan 23
“The UK’s decision to exit the EU ­impacted immediately on medicine supply and cost concessions through the devaluation of the sterling. Exit polls predicting a Leave victory saw the pound slump to a three-decade low from which it has never ­recovered.
The NHS has to spend more of its pounds to get the same amount of medicine as it had before “because of perceptions about what Brexit would mean,” Dayan says.
He adds that while medicine ­shortages are a global issue at the ­moment, “there is evidence that ­aspects of this in the UK have been exacerbated by Brexit”.
“A weakened pound is not the only way in which leaving the EU looks to have impacted on medicine supplies and prices in the UK. “Bureaucracy and barriers at the border” may also have added to prices, leading to more concessions having to be made.”
““Particularly for generic medicines which are not expensive [and not] high-end products where extra transport costs can be soaked up,” Dayan says. “They’re price-competitive, bulk, commodity products. A change in transport costs could have an effect.
“In many cases they would have been supplied on a whole-Europe basis before [Brexit]. Some will be shipped straight to the UK, but many will be shipped to Rotterdam or ­Hamburg etcetera.”
And looking to the future, the UK may find itself outside of key ­measures to combat medicine shortages being looked at by the EU.”

www.thenational.scot/news/23252117.brexit-worsened-uk-medicine-shortages-nhs-budget-pressures/

Yesterday:
“The UK avoided a no-deal Brexit, and civil servants and suppliers managed to avoid a sudden crunch in medicine supplies when a more organised exit from the single market occurred at the start of 2021. Yet we nonetheless found clear signs that the UK has faced elevated shortages to some extent since 2016.
The number of medicines for which the Department of Health and Social Care has had to agree to pay higher than the previous going rate in order to maintain supply has risen from around 20 a month before the referendum to consistently over 100. Multiple ‘Serious Shortage Protocols’, allowing pharmacists to rewrite GP prescriptions because the intended drug is running out, have been in force.
Some of this is a global phenomenon which we also see in the EU. But the UK’s problems in ensuring consistent supply of medicines seem to be especially consistent and to have started earlier. While we intend to look further into the different factors, the anomalous drop in UK imports of medicines – which has risen in other countries – suggests post-Brexit trade may be a factor.”
ukandeu.ac.uk/what-has-brexit-meant-for-the-nhs/

xJoy · 11/02/2023 16:07

There seem to be shortages everywhere. I got a prescription for estradot in ireland and pharmacist only gave me one month's supply. She told me she'd have to order the rest. I had to come back in a few days and pick up the rest, so like methadone it's kept somewhere, under lock and key, and only released when there is a corresponding prescription to justify its release. Other drugs like beta blockers, salbutamol, anti histamines, there are mountains of them.

JinglingSpringbells · 11/02/2023 17:05

@AuntSallie Maybe start a new thread if you want to discuss shortages as it's not really what the OP wanted to discuss.

I know there is a shortage of a lot of drugs, but I also know that there has been a huge uptake in women using HRT and especially certain types.

www.pulsetoday.co.uk/news/clinical-areas/womens-health/nhs-prescriptions-for-hrt-up-by-35-in-a-year/#:~:text=Figures%20also%20showed%20that%20almost,million%20patients%20the%20previous%20year.

An increase of over 55% at a certain point of last year.

I have not 'fallen' for anything.

AuntSallie · 11/02/2023 17:36

JinglingSpringbells · 11/02/2023 17:05

@AuntSallie Maybe start a new thread if you want to discuss shortages as it's not really what the OP wanted to discuss.

I know there is a shortage of a lot of drugs, but I also know that there has been a huge uptake in women using HRT and especially certain types.

www.pulsetoday.co.uk/news/clinical-areas/womens-health/nhs-prescriptions-for-hrt-up-by-35-in-a-year/#:~:text=Figures%20also%20showed%20that%20almost,million%20patients%20the%20previous%20year.

An increase of over 55% at a certain point of last year.

I have not 'fallen' for anything.

Yes, well you seemed very eager to tell me how incorrect I am and now I’ve provided the evidence you asked for on this thread, you’re suddenly not interested. Remember this? “Sorry but you are incorrect on this one. Happy to see actual evidence of this for HRT products.

The uptake isn’t “huge” on a global scale. 55% of a low number is still a low number overall. They only broke a million women taking HRT last year….that’s a tiny fraction of the numbers of women taking it globally.

We didn’t cause the shortage….we are convenient scapegoats.

JinglingSpringbells · 12/02/2023 09:40

@AuntSallie The issue is the increase in demand. Yes, there are other drugs that are in short supply, but none of those have seen a 55% increase in demand in a year.

Your evidence is not about the drugs in question. You have wasted your energy posting irrelevant facts.

Brexit happened years ago. I've used HRT for almost 15 years. The shortages started last year after programmes from Davina and many more women wanted HRT.
As reported in Pulse the journal for GPs. I expect you say that's all lies and covering up as well?

You clearly have no idea how pharma manufacturing works. To upscale a drug by 55% means not only the supply chain of the raw materials, and increasing production, (and all that entails like the final sign of a batch by the assurance managers) but also the packaging which relies on a different manufacturer or printing company.

MsAmerica · 12/02/2023 22:42

JinglingSpringbells · 11/02/2023 08:39

From your username- are you American?

In the UK the old evidence from the WHI study in the US was shown to be flawed many years ago. This is old news.

We've moved on. In fact here, it's become so popular that there are shortages of some types!

Yes, I am, and the research apparently was American, too. But although I agree that it's "old news" to some, I think it's a good idea if it percolates everywhere.

What is popular in the U.K.? Brand-new or bio-identical? What forms do people use?

OP posts:
MsAmerica · 12/02/2023 22:44

AuntSallie · 11/02/2023 08:42

Healthcare isn’t a human right in the US so of course this sort of news would die a quiet death there. Insurance companies wouldn’t want to have to cover HRT (or MHT in some circles).

That said, the shortages in the U.K. are not due to popularity but due to Brexit fucking up the supply chain from the manufacturers to the NHS.

I don't think it's because insurers don't want to cover it. My impression is that the bottleneck is with manufacturers. Especially for bio-identicals, where there is less profit to be made.

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