Managing Perimenopause with Progesterone
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Dr. Eve Henry, an internal medicine physician, joins Dr. Kelly Casperson on the You Are Not Broken podcast to discuss optimizing health span and disease prevention. They emphasize shifting from disease management to wellness and prevention, particularly focusing on women's health during perimenopause. They highlight the benefits of hormone therapy for managing symptoms and preventing conditions like Alzheimer's disease, addressing myths about hormones. They discuss the dosing and cycling of hormones, the use of progesterone and estradiol, and the benefits of DHEA supplementation. Comprehensive health assessments, including lab work, DEXA scans, coronary calcium scores, and VO2 max testing, are recommended for assessing cardiovascular risk and overall health. Takeaways * The medical system needs to shift from disease management to wellness and prevention. * Hormone therapy can be beneficial for symptom management and prevention of conditions like Alzheimer's disease. * Progesterone is an important hormone during perimenopause and can help alleviate symptoms. * There are various birth control options available for perimenopausal women. * Regular monitoring and individualized treatment are key in hormone therapy. Dosing and cycling of hormones during perimenopause and menopause can vary based on individual needs and symptoms. * Progesterone is used to protect the uterus and is typically dosed at 100 milligrams for uterine protection during continuous hormone therapy. * Cycling hormones can be beneficial for some women, but it may be challenging to track and can be discontinued if it causes discomfort. * DHEA supplementation may be helpful for increasing testosterone levels and improving symptoms of low testosterone. * Comprehensive health assessments, including lab work, DEXA scans, coronary calcium scores, and VO2 max testing, are important for assessing cardiovascular risk and overall health during perimenopause and beyond. --------- Chapters 00:00 Introduction and Manifestation 02:54 Shifting to Wellness and Prevention 10:31 The Role of Hormones in Women's Health 14:04 Understanding Perimenopause 26:17 Misconceptions and the WHI Study 30:06 Cycling Progesterone and Individualized Treatment 39:07 The Role of Progesterone and Estradiol 41:43 The Benefits and Considerations of Cycling Hormones 43:26 The Potential Benefits of DHEA Supplementation 45:54 The Importance of Comprehensive Health Assessments --------- Instagram - https://www.instagram.com/drevehenry/ --------- Listen to my TEDx Talk: https://www.youtube.com/watch?v=rqI6YKLmdlk Subscribe: https://www.youtube.com/@kellycaspersonmd Check out my website: https://www.kellycaspersonmd.com Listen to the podcast: * Spotify: https://open.spotify.com/show/4iZ4pa5fDub8PhgCB0YPWw?si=a3260fbc819b4812 * Apple: https://podcasts.apple.com/us/podcast/you-are-not-broken/id1495710329 --------- Follow Me: * Instagram: https://www.instagram.com/kellycaspersonmd * Threads: https://www.threads.net/@kellycaspersonmd * Facebook: https://www.facebook.com/youarentbroken --------- Take my NEW Adult Sex Ed Master Class: https://kellycaspersonmd.com/adult-sex-ed/ Join my membership to get these episodes ASAP, a private facebook group to discuss and my private accountability group for your health, hormones and life support! https://www.kellycaspersonmd.com/membership/
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