S3 Ep134: The FACTS on CLOTS and ESTROGEN

Women who have a history of a blood clot, or a risk factor that makes them at high risk for developing a blood clot are generally told that hormone therapy is not an option. And then there is that terrifying black box warning on every single estrogen product, including local vaginal estrogens, that states, “Using estrogen alone may increase your chances of getting strokes or blood clots”
Except nothing in that statement is true when it comes to transdermal or local vaginal estrogens. So, why is it even there? And what is the risk? 

In this episode:

• Why getting a blood clot (DVT) is a problem
• Non-hormonal factors that increase the risk of blood clots
• Hormonal factors that increase the risk of a blood clot
• The likelihood of getting a blood clot while
  • Taking birth control pills 
  • During pregnancy
  • During post-partum 
  • Taking oral hormone therapy 
  • While taking transdermal estrogen 
  • While using a local vaginal estrogen
• The difference between HRT, HT, and MHT
• When a transdermal estrogen rather than an oral estrogen is recommended
• The problem with class labeling

For more information
Episode 11: Vaginal Estrogen is Not Poison
Episode 46 Finding a Menopause Clinician Who Will Listen 
Episode 51- Transdermal versus Oral Estrogen- What's the Difference? 
Episode 84 Non-Hormonal Prescription Drugs to Treat Hot Flashes

Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat

*Scroll down for information on finding a menopause clinician

Dr. Streicher’s Inside Information podcast is not intended to replace medical advice and should be used to supplement, not replace, care by your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.

Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of The Menopause Society. 

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Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine. 

  
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Books by Lauren Streicher, MD

 Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain
Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat
Sex Rx- Hormones, Health, and Your Best Sex Ever
The Essential Guide to Hysterectomy
Come Again! A Guide to Midlife Libido and Orgasm  (available for pre-order) 



                                         *To Find a Menopause Clinician*

               Episode 46 Finding a Menopause Clinician Who Will Listen

Midi Health  joinmidi.com
Midi Health is a telehealth company that provides high level menopause care and takes insurance in all 50 states. Dr. Streicher is Midi’s Medical Director of Education and Community Outreach and is familiar with their medical protocols, which are all regularly updated and set by the top academic menopause experts in the country. 


The Menopause Society- Certified Menopause Practitioner List Menopause.org
To find a menopause practitioner: https://portal.menopause.org/NAMS/NAMS/Directory/Menopause-Practitioner.aspx
Put in your zip code and designate NCMP or CMSP to get a certified menopause practitioner. While all people on this list have passed a competency examination, Dr. Streicher does not vouch for every one of these clinicians. Most are excellent. 


Major Medical Centers
It also may be helpful to check with major medical centers in your area. Many have menopause clinics or lists of doctors who have an interest and expertise in menopause. 

If you are in the Chicago area, the center founded by Dr. Streicher: 
The Northwestern Medicine Center for Sexual Medicine and Menopause Sexmedmenopause.nm.org


Menopause Masterplan Sessions.
Dr. Streicher offers one on one and group informational and educational Menopause Masterplan sessions. 
For more information: https://www.drstreicher.com/menopause-master-plan