124: REPLAY: Ob-gyn Dr Vikram Talaulikar's straight talk on hormone therapy

Send a textThis podcast originally ran on October 21, 2023.This week we get down to basics, and basics are exactly what we need in this confusing world right now. This is THE podcast to listen to if you are confused about all things to do with taking hormone therapy.Dr Vikram Sinai Talaulikar is a specialist in reproductive medicine at University College London Hospital’s NHS Foundation Trust and an associate professor in Women’s Health at the University College London. He graduated in medicine in India in 2003 and completed a postgraduate degree in obstetrics and gynecology in 2007. He is a certified menopause specialist by the British Menopause Society, a menopause trainer and he is constantly educating others on this transition as well, via online webinars, events and through social media. He is also part of the trio who established the Menopause Research Education Fund, alongside medical journalist Fiona Clarke and groundbreaking menopause campaigner Diane Danzebrink.Highlights of our discussion: Hormone therapy (HT) 101WHI: good, bad and what we can learn from it 20 years onEstrogen in the pill vs estrogen in HT All the kinds of estrogen and what they are used for strogen too ethinyl estradiolEstrone, Estriol, Estradiol, and Estetrol.17 beta estradiolGetting to the bottom of body simila, body identical and bioidentical – and why that varies from country to country Pharmaceutical company produced HT vs compounding pharmacy versionsthe big “Catch-22” with compounding pharmacies that keeps their bioidentical hormones out of official recommendationsthe pill, HRT and breast cancer riskwhy problems with the pill don’t get flagged and HRT does Evidence over estrogen and breast cancer risk (and randomized trials versus observational data)What’s what: progesterone, progestin and progestogens (how they work and which one carries a slight risk for breast cancer)how long you really need to take HRT to see if it’s workingwhy HT works for some people and not othersDr Talaulikar’s favourite non-hormonal treatmentsWhere to find Dr Talaulikar:X: @VikramSinai Web: Menopause Clinic LondonMenopause Research and Education FundJoin the Hotflash inc perimenoposse: Web: hotflashinc.comNewsletter: Hotflash inc. on SubstackTikTok: @hotflashincInstagram: @hotflashincX: @hotflashinc Episode website: Hotflashinc Listen on: Apple Podcasts | Spotify | Google Podcasts | YouTube | Substack See hotflashinc.com/privacy-policy for privacy information