Where Do We Stand Now?

Although the debate over the safety of hormone replacement still rages in the press, it appears some semblance of common sense is beginning to be heard. Yes, we need more confirming studies, but today’s women – myself included – cannot be put on hold and forced to wait another 10 to 20 years until all of the definitive studies have been completed. As with so many other issues in medicine, physicians have to use their best clinical judgment based on the information available now. Each woman needs to make these decisions with input from her own physician.

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Gina’s Journey: A Hysterectomy Story

Dr. Marina Johnson explains hysterectomies, What is a  Hysterectomy? Undergoing a hysterectomy is major surgery and when you have cancer, severe uterine prolapse or any serious condition that has failed medical therapy, it is warranted. Gina's Journey: A Hysterectomy Story

I often have women tell me – “I wish I’d never had my ovaries removed because all my problems started after I had that surgery.” Women with benign disease are sometimes told, “You’ve had all your children. You might as well take everything out so you can’t get ovarian cancer.”

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Testosterone: Achieving a Delicate Balance

Testosterone and women

 

When a woman goes through menopause and her ovaries stop producing estrogen and progesterone, the pituitary responds by increasing FSH, a hormone from the pituitary gland that has regulated these hormones throughout her reproductive life. However, when all the eggs have been depleted, no further estrogen or progesterone can be produced. Nonetheless, the pituitary, which is “hard-wired” to respond to low estrogen, continues to make increasingly higher levels of FSH.

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Joan’s Ordeal: What Drives a Physician?

When I was first starting my medical practice, menopausal problems were not taken very seriously. Hot flashes and premenstrual syndrome (PMS) were the source of a lot of jokes. Well, it isn’t funny when you feel awful and your life is falling apart. I can’t tell you how many times I’ve had women apologize for “wasting my time” with their complaints or tell me, “Thank you for listening to me.” I would always assure them that hearing their symptoms is essential for my finding the correct solution for their problem.

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Tying Your Tubes: The Rest of The Story

The Truth About Tubal Ligation

The euphemistic term “tying your tubes,” actually means the tubes are surgically and permanently severed or scarred to prevent the passage of an egg. That is after all, the goal. Tubal ligation methods may differ in their effectiveness for preventing pregnancy and in the risk of damaging the blood supply to the ovaries. Many women don’t understand that a tubal ligation may cause them to go through perimenopause prematurely. There are structures in the tubes, such as nerves and blood vessels feeding the ovaries, which can be damaged in the procedure. Damage to blood supply can affect the function of the ovaries. At the very least, after tubal ligation, some women begin having heavy bleeding with their periods and they may also develop symptoms akin to perimenopause. Rarely, tubal ligation can lead to premature menopause.

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Is It Too Late For Me to Take Estrogen?

Dr. Marina Johnson answers the question: Is it too late for me to take estrogen?

At the time of menopause, each woman has a window of opportunity during which she needs to make the important decision of whether to take hormones. As the estrogen levels fall, her body begins to go through degenerative changes that accelerate her risk of heart disease along with the other changes we have previously described. The sooner a woman starts HRT after menopause, the fewer degenerative changes she will experience. If a woman waits 10 years to start HRT, the heart protection from estrogen is greatly diminished. The same applies brain protection; once brain cells have been lost, it becomes difficult to retrieve normal function. However, for protecting bones, estrogen is effective even when started after age 75.

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Why Is It Important To Measure Estrogen Blood Levels? Part 2 of 2

Why Is It Important To Measure Estradiol Blood Levels?

 

3. YOU CAN’T JUST GO BY “HOW YOU FEEL!”

I strongly endorse monitoring estradiol and testosterone blood levels to ensure appropriate dosage and effectiveness of hormone therapy. Monitoring estradiol levels in thousands of women since 1986 has led me to develop more precise hormone regimens producing blood levels comparable to a low physiologic range. As noted earlier, monitoring blood levels is especially important with topical therapy. Most post- menopausal women who see me initially have NEVER had their estrogen level checked!

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Why Is It Important To Measure Estrogen Blood Levels? Part 1 of 2

Why Is It Important To Measure Estradiol Blood Levels?

 

Many women who initially see me for menopause have never had their estradiol level checked. Their previous physician may have diagnosed menopause with an elevated FSH, but usually no further tests are done. I’d like to go through various reasons why I believe it is important to monitor estradiol levels.

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Does Estrogen-Only HRT Decrease Breast Cancer Risk? Here’s The Rest of The Story!

Estrogen-Only Hrt

A recent study in Lancet Oncology looking at data from the Women’s Health Initiative (WHI) reported that the use of estrogen (Premarin) alone was NOT associated with an increased risk of breast cancer and the use of estrogen-progestin (Prempro) increased the risk of breast cancer.

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‘Outliving Your Ovaries’ Is a Book That Should Interest Every Member of The Human Race, Including Men!

Outliving Your Ovaries

 

“Outliving Your Ovaries is a book that should interest every member of the human race, including men. Most men have women in their lives (I have a wife, daughter, mother, sister, cousins, etc.) and most women have men in their lives who care about them. Women have a unique biology that I never understood before reading Dr. Johnson’s book.

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All website content © Copyright 2011 by Marina Johnson, M.D., F.A.C.E. - All Rights Reserved

The content of this website is for informational purposes only and is not intended to be a substitute for professional medical advice,diagnosis or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. This website may discuss nutritional products and protocols that have not been evaluated by the U.S. Food and Drug Administration. These products or the information contained on this website is not intended to diagnose, treat, cure or prevent any disease.