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Feminism: Sex and gender discussions

Newson Health and the menopause industry

386 replies

ArabellaScott · 30/09/2024 07:34

https://www.bbc.co.uk/news/articles/cp8e5y4e83lo

Keeping an eye on this. Newson makes an awful lot of money out of HRT.

Dr Louise Newson looking at the camera - she has a jaw-length bob with a long fringe, which is a red/gold colour. She is wearing a patterned silk blouse and is wearing pink lipstick. She is wearing earphones as the shot was taken from a Zoom call. Behi...

Louise Newson: TV menopause doctor concerns probed by watchdog

Doctors and patients question the prescribing of high HRT doses by Dr Louise Newson and her clinics.

https://www.bbc.co.uk/news/articles/cp8e5y4e83lo

OP posts:
Thread gallery
23
Blanketyre · 30/09/2024 21:16

I mean, that's pretty useless without the type and duration of exercise

BeforetheFlood · 30/09/2024 21:17

And so what are those other tools? That's not being talked about enough.

This 100%. There is no one size fits all, as this proves - Newson wanted to have us believe there was and her voice has dominated the space too much. I have found Mindy Pelz and Tania Elfersy more helpful for me personally, but I don't think for a moment that their advice would suit everyone.

WarriorN · 30/09/2024 21:18

It is, granted, but search her other posts for "dementia" and there's lots of other links.

Search for things like "resistance exercise and cognition" esp in "the elderly" and there's a wealth of studies there.

The one I've linked to below that one explains more.

Liz was a consultant breast surgeon.

Newson Health and the menopause industry
Angrymum22 · 30/09/2024 21:18

I take Anastrazole for bc. I suffer with joint pain as a result which is likely to be due to low oestrogen since that’s what Anastrazole does.
However, after some research I discovered that low oestrogen causes water retention in the joint capsule, a study in Scandinavia used diuretics to treat this side effect. I take a diuretic and an antihistamine which make a huge difference.

I have found that post menopause a lot of symptoms have disappeared. The insomnia disappeared overnight once I stopped the HRT. I get the odd hot flushes but usually within an hour of taking my Anastrazole at night. I haven’t had problems with vaginal atrophy but I do use hyaluronic based gel, I can’t use hormone based one.

My bone density is normal, it generally decreases quite quickly in the first two years post menopause but then levels off. Mine has dropped since taking Anastrazole, which was predicted, but it was +1 pretreatment so I had plenty to spare.

HRT has been found to improve bone density by 1-2% so not exactly brilliant. What we should be doing is targeting women from late teens to mid thirties with the osteoporosis message. Bone density is at its optimum during this period of life and weight bearing exercise at this time will have the maximum benefit.

soupfiend · 30/09/2024 21:20

WarriorN · 30/09/2024 21:11

However, I want protection against dementia

there's actually more evidence around exercise improving risks of dementia than hrt. I now know thanks to Liz.

I believe Newson blocked her.

Well theres evidence of both, Im not saying one thing or the other

I also forgot my thinning hair and poor eyesight, that has plummeted like a stone

The thing is, all these 'age related' issues for many of us were overnight so didnt creep up as such. So very much linked to hormonal changes which of course I cant evidence because you'd have to have blood tests virtually every day to check that.

OP posts:
Bobblebottle · 30/09/2024 21:20

@WarriorN I think you've touched on an important point about osteoporosis and dementia but really we cannot 'prevent' these things, only delay them. The human condition is to wither and die, and most of us will die of one disease or another. Modern medicine influences what disease that will be, but of course luck (genes + environment) is a big factor.

It is worth trying to delay disease (Chris Whitty has spoken about this - this will give you greater years in better health) but there will be a trade-off between diseases. Therefore a decision to take HRT, like any other medicine, is a risk-benefit analysis. What women lack is an environment to make that decision free of 'sway'/culture/peer pressure/ideology but with plenty of high quality information.

WarriorN · 30/09/2024 21:22

What we should be doing is targeting women from late teens to mid thirties with the osteoporosis message. Bone density is at its optimum during this period of life and weight bearing exercise at this time will have the maximum benefit.

100%. We aren't being radical enough. Women need more education about their bodies.

Angrymum22 · 30/09/2024 21:25

WarriorN · 30/09/2024 21:09

What shocked me was just how high a risk we have of developing bc regardless of HRT. So although HRT increases the risk by a very small amount, the risk is already 1 in 7.

Yes I don't know that originally.

What I worry about is that if more women are on hrt, and for longer, more women are going to get that diagnosis while on it and have to go through that shock of coming off it. If they're healthy and well on it, fine. But they need to know they could be ok without it with time if they have to come off.

And so what are those other tools? That's not being talked about enough.

I got the impression from the bc nurses that they're seeing more women who are on hrt and have to support them with coming off it, on top of the breast cancer. I was a howling wreck. My local team now employ a menopause specialist gp because of this.

I came off it overnight and straight onto anastrazole. I was fine, a few hot flushes, but I was totally distracted by bc treatment. The symptoms reassured me that my oestrogen levels were no longer likely to kill me.
My mood levelled rapidly and I haven’t looked back.
I can’t say the same about radio though. That kicked the life out of me for months.

Paperthin · 30/09/2024 21:25

KnottedTwine · 30/09/2024 17:22

What the BBC should be focusing on is why so many women are forced into paying £££ to private clinics for consultation and private prescriptions in the first place.

Because the average NHS GP has zero interest in menopause, zero knowledge about menopause and fobs desperate women off with antidepressants or other pointless advice. That's the real scandal.

Totally agree - I wish Kirsty Wark would investigate that.

WarriorN · 30/09/2024 21:26

Glad you're ok on that @Angrymum22.

Radio floored me and I felt a total wus as so many people seemed fine with it. But everyone is different

soupfiend · 30/09/2024 21:27

This explains why I got an email today from the Womans Hormone Clinic who I had a consultation with a couple of years ago. Trying to reassure clients of their model of work and prescribing methods.

Also just to add, I read that lots of physios recommend collagen for bone protection

Angrymum22 · 30/09/2024 21:29

WarriorN · 30/09/2024 21:11

However, I want protection against dementia

there's actually more evidence around exercise improving risks of dementia than hrt. I now know thanks to Liz.

I believe Newson blocked her.

The only evidence Newson quotes re dementia is not high quality or conclusive.
Dementia is more common in older women because women live longer.

Angrymum22 · 30/09/2024 21:33

WarriorN · 30/09/2024 21:26

Glad you're ok on that @Angrymum22.

Radio floored me and I felt a total wus as so many people seemed fine with it. But everyone is different

I had high dose over 5 days rather than older method of low dose over 3 weeks. I think a lot of women on the high dose suffer post radio fatigue.
Hope you are well too. I have my 3yr scan next week so reliving the magic again. Hoping for NED because my younger sister has just been diagnosed with stage 4 ovarian cancer so really don’t need my own little drama again.

WitheringHighs · 30/09/2024 21:37

Re breast cancer risks, have a look at

https://thebms.org.uk/wp-content/uploads/2023/01/WHC-Infographics-JANUARY-2023-BreastCancerRisks.pdf

Worth remembering that although bc risk higher with dual HRT, mortality isn't increased. The way it was explained to me us that it us likely early bcs were already present and HRT promoted earlier/more rapid growth so they became apparent sooner but don't contribute to earlier mortality. Hope that makes sense.

LivelyGoldOrca · 30/09/2024 21:39

Angrymum22 · 30/09/2024 21:02

I did risk assess, considered options but went for HRT. I think what changed my mind about the safety was developing hormone positive bc and large fibroids within 3 yrs of starting HRT. My breast surgeon would neither confirm nor deny a link with HRT but I got the strong impression that it was a common denominator in her work. Certainly when I asked a large group of women with bc if they had had a similar experience, postmen bc while on HRT, within an hour nearly 50 women replied with the same experience.

No one is recording the incidences. Most of the advice is from historical trials where HRT was only prescribed to post menopausal women.

No data is available for HRT use in normal perimenopausal women ( this does not include women who have had premature menopause, surgical or iatrogenic). And certainly no data is available for the high dose HRT being prescribed.

What shocked me was just how high a risk we have of developing bc regardless of HRT. So although HRT increases the risk by a very small amount, the risk is already 1 in 7.

Yes the risk is high and doubled by being overweight, bmi over 30 in those over 50 doubles the risk, this risk is much higher than that of combined hrt. The key thing is that there is a spectrum. Doctors who know little, doctors who know a lot. Some may be private some may not. It’s just such a shame it’s a lottery and like the weight loss jabs access to better health choices and options is squarely with the better well off. I am glad she has been curtailed, her appraisal of evidence that weakly supported or was of poor quality is not ok, but good menopause treatment IS available, if women would like to try it. As the BMS says, it should be individualised to you.

Heartfullofcheese · 30/09/2024 21:41

Just adding my experience of LN. Had a consultation a few years ago. No blood tests, didn’t take my blood pressure even. Just asked about my symptoms and dished out the gel with (what felt like) a hint of impatience at my questions and worries. As someone else said, it was not a warm experience - I was left feeling slightly uncomfortable. Makes sense reading this.

WitheringHighs · 30/09/2024 21:42

HRT and dementia risk is not straightforward. Certainly not enough evidence to say it helps, and some evidence suggests it increases risk. So HRT not licensed for dementia prevention.

www.alzheimers.org.uk/about-dementia/managing-the-risk-of-dementia/additional-treatments-for-dementia-risk/hormones

NameChangeUser183794639 · 30/09/2024 21:42

KnottedTwine · 30/09/2024 17:22

What the BBC should be focusing on is why so many women are forced into paying £££ to private clinics for consultation and private prescriptions in the first place.

Because the average NHS GP has zero interest in menopause, zero knowledge about menopause and fobs desperate women off with antidepressants or other pointless advice. That's the real scandal.

This with bells on!

Stop fucking fobbing women off!

greengreyblue · 30/09/2024 21:44

Why isn’t is made much clearer that obesity increases breast cancer risk? I don’t think most women know this .

bringslight · 30/09/2024 21:45

I discovered that less food in day time, a physical job in well aired room, green views out of the window, tons of coffee, few bites of food later on and sweet drinks make me alive

LivelyGoldOrca · 30/09/2024 21:47

greengreyblue · 30/09/2024 21:44

Why isn’t is made much clearer that obesity increases breast cancer risk? I don’t think most women know this .

https://thebms.org.uk/wp-content/uploads/2023/01/WHC-Infographics-JANUARY-2023-BreastCancerRisks.pdf

https://thebms.org.uk/wp-content/uploads/2023/01/WHC-Infographics-JANUARY-2023-BreastCancerRisks.pdf

KnottedTwine · 30/09/2024 21:49

greengreyblue · 30/09/2024 21:44

Why isn’t is made much clearer that obesity increases breast cancer risk? I don’t think most women know this .

And drinking. And smoking.

greengreyblue · 30/09/2024 21:50

I think risks of drinking and smoking are well known.

Autumnismyfavouritetimeofyear · 30/09/2024 21:52

WitheringHighs · 30/09/2024 16:29

Good lord. There is so much misinformation on that thread linked above.

I do think there is a ?widely-held misunderstanding that HRT is somehow necessary for all women going through menopause, which seems to have been perpetuated by well meaning TV personalities who have had a bad time during menopause, or by those with a vested interest (LN included). Plus social contagion.

It is also sold as a magic bullet. I'm a GP, and I will never say no to any woman who comes to me wanting HRT if there are no contraindications. If they have made a decision to seek help, then I believe that their subjectively-experienced symptoms are bad enough to have done so. But I do try to be crystal-clear that many women do not benefit - maybe I come across as unwilling to help or unsympathetic , neither of which would be true. And there ARE risks and there ARE side-effects.

Plus there is the opportunity cost to the NHS of over-treating women who do not really need it. I am not singling out women's health; there are so many other areas of medical overtreatment. I also feel this expectation that medicine can - and SHOULD IN ALL CASES - be able to turn back the clock so we all feel 21 years old for the rest our lives despite normal ageing and bad lifestyle choices.

I accept and agree that women's health is completely underprioritised - but I would rather see the funds and energy go into PCOS, endometriosis and migraine.

And this is why it took me 2 years of feeling desperate and overwhelmed - and stepping down from a management job because I could not cope any more - to get HRT. IME menopause symptoms are massively under treated and women are fobbed off.