Radio Naturopath Episode 515: Black Box Warning Gone! Why Hormone Replacement in Menopause May Be Helpful, and Non-Hormonal Alternatives

This week, I talked about the removal of the black box warning on hormone replacement therapy. Evidence shows that supplemental hormones overall provide more benefit than harm, for cardiovascular, sexual, and mental health. There is still a general warning about the risk of endometrial cancer. But it will be left to pharmaceutical companies to provide information, such as on package inserts, about possible risks of taking these medicines. The idea is that the risks that were stated after the Women's Health Initiative Study were overblown, and millions of women since then have been denied information and opportunity to benefit from supplemental hormones during menopause. However, herbalist Susun Weed doesn't agree with this, and believes it's not necessary to use exogenous hormones during menopause. There are definitely many non-hormonal, helpful lifestyle changes to make that can mitigate menopausal symptoms. Where do I fall? Somewhere in the middle. I have definitely seen patients' lives change for the better while using supplemental hormones. I have also seen patients do very well with non-hormonal menopause therapies. Let's sort this out!