Nipped and Toxxed

Dr. Ashley Robey

Dr. Ashley Robey, quadruple board certified plastic surgeon, discusses topics related to plastic surgery, aesthetics and looking/feeling your best.

  1. 11H AGO

    Hot & Bothered No More: Hormone Replacement Therapy Today

    In this episode of Nipped & Toxxed, Dr. Ashley Robey sits down with Nurse Practitioner Crystal Stutler to break down one of the biggest shifts in women’s health in decades: the FDA’s removal of the black box warning on hormone replacement therapy (HRT). They unpack what a black box warning actually means, why the 2002 Women’s Health Initiative study created widespread fear around HRT, and what we now understand about the flaws in that research — including the use of synthetic hormones, oral formulations, and an older study population that didn’t reflect typical perimenopausal patients. Dr. Robey and Crystal dive into the difference between synthetic and bioidentical hormones, oral versus transdermal versus pellet therapy, and why route of administration matters — especially when it comes to cardiovascular risk and inflammation. They also discuss testosterone for women (yes, women!), progesterone options, and why dosing should focus on symptom optimization — not just “normal” lab ranges. The episode tackles common questions: Is HRT safe for postmenopausal women? How long can you stay on it? What about breast cancer history? Are birth control pills the same as hormone therapy? Are compounding pharmacies or regular retail pharmacies better? They also emphasize the importance of individualized care, proper lab monitoring, and working with a knowledgeable provider — especially in an era of online hormone prescriptions. Bottom line? You don’t have to suffer through menopause symptoms. With the right guidance and a personalized approach, hormone therapy can be bone-, brain-, and quality-of-life protective — helping women feel balanced, energized, and in control again. Because midlife isn’t the end of vitality — it’s the start of optimizing it.

    39 min

Ratings & Reviews

4.7
out of 5
7 Ratings

About

Dr. Ashley Robey, quadruple board certified plastic surgeon, discusses topics related to plastic surgery, aesthetics and looking/feeling your best.