292. Dr. Roger Lobo

Dr. Roger Lobo, a renowned expert in women's health, discusses the misconceptions and controversies surrounding female hormones. He highlights the lack of knowledge and understanding in areas such as PCOS, menopause, and hormone therapy. Dr. Lobo also delves into the impact of the Women's Health Initiative (WHI) study on hormone therapy and the importance of individualized treatment.

He emphasizes the need for informed consent and personalized approaches to hormone therapy based on factors such as age, risk assessment, and transdermal delivery. The conversation also touches on the role of progesterone in protecting the uterine lining and the potential risks of bioidentical hormones.

In this conversation, Dr. Kelly Casperson and Dr. Roger Lobo discuss the use of hormone therapy for primary prevention in women. They address the controversy surrounding hormone therapy and the lack of consensus among healthcare providers. Dr. Lobo emphasizes the importance of education and the need for providers to be knowledgeable about hormone therapy. They also discuss the role of estrogen in preventing chronic diseases such as cardiovascular disease and osteoporosis. Dr. Lobo mentions advancements in the field, including the use of estetrol and selective estrogen receptor modulators.

Takeaways

Misdiagnosis and lack of understanding are common in areas such as PCOS and menopause.

The WHI study led to a generation of women being undertreated due to misconceptions about hormone therapy.

Hormone therapy should be individualized based on factors such as age, risk assessment, and transdermal delivery.

Progesterone is important for protecting the uterine lining in hormone therapy.

Bioidentical hormones may still carry risks and should be monitored. There is controversy and lack of consensus among healthcare providers regarding the use of hormone therapy for primary prevention in women.

Education is crucial to ensure that healthcare providers are knowledgeable about hormone therapy and can provide accurate information to patients.

Estrogen has a role in preventing chronic diseases such as cardiovascular disease and osteoporosis.

Advancements in the field include the use of estetrol and selective estrogen receptor modulators.

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