Menopause Misconceptions

Welcome to another edition of the Doctor’s Note where we talk about what’s on our minds when it comes to your health. 

I’m excited to highlight a conversation with one of our amazing nurse practitioners, Ashton Williams. We dove deep into the world of menopause misconceptions, challenging old-school beliefs and sharing the latest in integrative medicine. If you or someone you love is facing hormonal changes or has questions about women’s health, you’ll want to read this in-full.

In this week’s podcast episode, Ashton and I discuss just how much has changed in the understanding and treatment of women’s hormones, especially around menopause. Ashton shares her background, starting in broadcasting before moving into nursing, cardiology, and now hormone therapy. She recaps a cutting-edge conference in Arizona focused on female hormones and describes the passion and dedication of today's practitioners—those willing to challenge outdated guidelines and truly prioritize patient wellbeing. We explore why traditional medicine often overlooks the benefits of hormones, and how years of flawed studies created persistent fears. More than ever, it’s clear that restoring and balancing hormones can be life-altering—not only for symptoms of menopause but in preventing heart disease, osteoporosis, and even supporting mental health.

We also unpack the crucial topic of misinformation, where many women are still told hormones are dangerous or unnecessary. We address the power of bioidentical hormones, progesterone (even for women without a uterus), and the importance of testosterone for female vitality. Ashton shares first-hand stories of patients feeling rejuvenated after tailored hormone care—and how their results inspired other women they love to seek the same help. The episode also touches on the importance of taking time with patients, personalized medicine, and the link between hormones, nutrition, and even weight loss—dispelling the myth that obesity is simple or always self-inflicted. Through open dialogue and education, our aim is to empower patients to pursue a healthier, happier life.

PODCAST NOTES 

• Traditional medicine frequently falls short in addressing and treating hormonal imbalances, especially for women entering menopause. For decades, medical training didn't equip practitioners to recognize or treat these issues, leaving many women feeling dismissed and unsupported as their symptoms were misattributed to "normal aging" or overlooked altogether.

• The widespread fear and misunderstanding about hormone therapy, particularly estrogen, stem from flawed studies—like the Women's Health Initiative—that erroneously linked hormones to increased cancer risks. These studies were not designed for hormone therapy but nevertheless influenced physicians and patients alike for years, creating a lingering avoidance of potentially life-saving treatments.

• There is compelling evidence showing bioidentical hormones are far more effective in preventing heart disease than some of the most commonly prescribed medications, such as statins. The conference and current research highlight that restoring estrogen in women can reduce the risk of heart attacks and cardiovascular issues, supporting the argument for a proactive approach in hormone management.

• Despite conventional wisdom, progesterone remains crucial for all women, including those who have undergone a hysterectomy. It performs hundreds of essential roles in the body beyond its reproductive functions, contributing to mood regulation, bone health, neuroprotection, and overall hormonal balance.

• Testosterone isn't just a "male hormone"—it is vitally important for women’s well-being too. Proper levels boost energy, enhance mood, preserve muscle mass, support libido, and reduce feelings of fatigue and depression. Many women feel their best with a small, personalized dose of testosterone, contrary to what many practitioners still believe.

• Making the time to have thorough, unrushed conversations with patients allows for better screening, education, and individualized care. Instead of cycling through dozens of appointments per day, we focus on listening to each patient's story, helping uncover hidden health issues and aligning treatment with their personal goals.

• Obesity is largely misunderstood in the current medical system—it isn’t simply a matter of laziness or overeating. The science of weight loss is complex, factoring in hormones, metabolism, genetics, and lifestyle. Modern therapies such as GLP-1 agonists are transforming the landscape and offering hope to those who have struggled for years.

• Ongoing education and transparency between provider and patient are critical. We strive to keep learning, stay updated on the latest research, and empower patients to ask questions and seek out answers. When misconceptions are cleared up and patients feel supported, the ripple effect is enormous—leading to improved health, confidence, and a stronger sense of community.

I encourage you to keep an open mind and not let fear or misinformation keep you from exploring life-changing options in hormone health. 

Stay educated. Stay healthy. 

Till next week. 

P.S. If you’re struggling with symptoms, feeling unheard, or want to proactively invest in your wellbeing, I encourage you to book an appointment with us at Performance Medicine.