During #DiveIn2024, we had the pleasure of hearing from Lexie Minter, who spoke about the impact of hormones on physical health. Her discussion aimed to raise awareness of important topics such as menopause and polycystic ovary syndrome (PCOS).
1. We are not addressing the health implications of changing hormone levels enough.
For the first time in history, women are living as long in their post-reproductive years as their reproductive years. However, living longer has resulted in women experiencing poorer health compared to men during their later years. The lack of hormones post-menopause has major implications for physical, mental, and emotional well-being. Without oestrogen, women face a fourfold increase in cardiovascular disease risk.
Oestrogen plays a key role in keeping blood vessels elastic and maintaining good cholesterol levels. Unfortunately, cardiovascular disease in women is often under-recognised and misdiagnosed, unlike in men, where diagnostic protocols are well-established. This issue needs to be addressed more effectively in healthcare. The impact of hormones on cardiovascular health also helps explain why post-menopausal women experience more cardiovascular events.
Other physical changes related to hormone imbalances include joint and muscle pain, breast changes, sleep disturbances, and bone density loss.
2. 70% of women link urinary incontinence to their final menstrual period.
A surprising statistic revealed that 70% of women relate the onset of urinary incontinence to their final menstrual period. Oestrogen impacts bladder function, but incontinence is not a normal part of aging that women should simply accept.
There are numerous management strategies available, including pelvic floor exercises, which can significantly reduce the likelihood of urinary incontinence.
3. Common Hormone Replacement Therapy (HRT) Myths.
There are several management options for menopause symptoms, including medical treatments, lifestyle changes, and Hormone Replacement Therapy (HRT). While HRT can be an effective solution to alleviate hot flashes and night sweats, there has historically been fear surrounding its use.
The Women’s Health Initiative (WHI) trial, conducted about 20 years ago, irregularly reported the link between HRT and breast cancer. This has led to widespread misinformation, with many women being told they cannot use HRT because of factors like family history, breast cancer, history of blood clots, migraines, or high blood pressure.
However, there is no absolute “no” when it comes to HRT. Each woman’s situation should be discussed on an individual basis, allowing for informed decision-making. For those seeking relief without HRT, alternative medications are available for managing menopause symptoms, though it’s important to note that finding the right treatment often involves trying different options and combinations.
These lessons highlight the need for greater awareness and proactive healthcare when it comes to hormone-related health issues. Lexie Minter’s session was a valuable step in bringing these topics to the forefront.