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Menopause

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Authors: Nick Panay et al. Menopause and MHT in 2024: addressing the key controversies.

7 replies

SebastianFlytesTrousers · 02/10/2024 23:04

Given the controversies and discussions thrown up by the recent Panorama documentary and Dr Louise Newson revealing that Dr Panay is her prescriber as somewhat of a justification by her for her frequent higher dosing practices (inferring it's OK because Dr Panay prescibed her personally a higher dose of patches than licensed a few years ago), I thought it might be helpful to link to the following very recent white paper authored by Dr Panay et al for the International Menopause Society.

It's very thorough and in depth so a long read, but there is good information for all women and may help to relieve fears and doubts in both women receiving HRT and those unable to or who do not want to take it:

https://www.tandfonline.com/doi/full/10.1080/13697137.2024.2394950

OP posts:
ssd · 03/10/2024 08:21

Thanks @JinglingSpringbells

I'm just leaving for work so don't have time to read it, can you tell me briefly what it says? I don't use hrt and am getting worried i should. It just didn't agree with me.

ssd · 03/10/2024 08:22

Sorry, thanks @SebastianFlytesTrousers too

JinglingSpringbells · 03/10/2024 08:36

It's 18 pages long.

Too much to condense here but basically it's a summary of what has been around for a long time (often in IMS journal.)

SebastianFlytesTrousers · 03/10/2024 08:37

Thank you @JinglingSpringbells. The hot link to T and F works for me but that's better. I meant to use this one!😊

OP posts:
SebastianFlytesTrousers · 03/10/2024 08:52

JinglingSpringbells · 03/10/2024 08:36

It's 18 pages long.

Too much to condense here but basically it's a summary of what has been around for a long time (often in IMS journal.)

I think if i'm correct that this paper is to correlate for clarity. There is new and old information here in the paper. For instance, I haven't seen clear mention of the variability of absorption of transdermal HRT's addressed by any of the societies before (also helpful is the statement that oral methods are a completely acceptable alternative except where there is a clear contraindication).

I think although the paper is 13 pages long, it's important that women have access to this rather than trust soundbites from social media etc.

It's also as I said in my initial post, very reassuring for women who can't or who don't want to take HRT.

OP posts:
JinglingSpringbells · 03/10/2024 09:24

If anyone has watched his Youtube videos with Diane Danzebrink, or his interview with Liz Earle, a lot of info is there.

They are very good short interviews (the Youtube ones) and worth watching.

In the L Earle podcast he also covers prescribing HRT for women who have no symptoms but want it for prevention etc.

This isn't licensed as such (and bear in mind that what this white paper includes may not be exactly the same as he does with individual patients.)

Yes, the poor absorption comes up as well as a possible reduction in progesterone for women intolerant, but with the proviso that scans are included as part of that.

It's also a multi-author paper because although he's the lead author , there is input from across the world (hence the International Meno Society publication.)

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