Menopause Treatment > Knowledge > A Balanced Conversation About Menopause?

A Balanced Conversation About Menopause?

Apr 10, 2024

Having looked after women of all ages as a Gynaecologist, GP & BMS Menopause Specialist for nearly 30 years, articles like the one above come as a huge disappointment. We have struggled since 2003 when flawed studies like the Women’s Health Initiative and the Million Women Study scarred the face of hormone replacement research. The rhetoric must change, and we need to talk about integrative medicine using the best evidence of conventional medicine together with diet and lifestyle to work on preventing physiological conditions from becoming pathological issues.

The Lancet editorial is hypocritical. It ignores the fact that sadly modern medicine doesn’t hesitate to prescribe at least 5 drugs when our blood pressure rises during menopause and our risk of heart disease increases due to estrogen deficiency? We make no apologies for prolonging life without considering quality.

Do I want to live a life where I can’t function mentally as I once could, where my bones ache and break, where I lose my physical independence, and where my irritable mood (not clinically depressed by their definition!) makes it difficult for anyone to be around me? Where recurrent UTIs land me in the hospital every few months, even when I’m on the last leg in a nursing home?

As doctors, we don’t hesitate to prescribe 12 drugs for bed-bound and peg-fed patients repeatedly without reviewing their benefits. We treat UTI after UTI with antibiotics, perform invasive procedures, but never once do we address the root cause of the problem.

The article once again only reflects the widespread ignorance, hiding behind statements like ‘not enough epidemiological evidence’. There is evidence; please look for it. Nature didn’t expect us to live this long; half of us were meant to die in childbirth, the other half of something else. If we’re living longer due to better standards of living, then we should focus on prevention rather than symptom management.