Menopause and Hormone Therapy

Dr. Vivien Brown, MDCM,FCFP,NCMP, Family Physician, discusses menopause and hormone therapies.

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Dr. Vivien Brown, MDCM,FCFP,NCMP, Family Physician, discusses menopause and hormone therapies.
Video transcript

Featuring Dr. Vivien Brown, MDCM, FCFP, NCMP, Family Physician

Duration: 2 minutes, 9 seconds

When we talk about menopause and hormone therapy, there's been a lot of confusion, both for the public and for physicians, around the use of hormones in menopause. 

The term hormone replacement therapy is, in and of itself, confusing because we're not replacing hormones that you used to have in your 20s and 30s that would be much higher dose hormones than what we use when we use menopausal hormone therapy. 

Menopausal hormone therapy is about a quarter of the dose of what your body produces when you're in your 30s and 40s. Now there's been a number of studies that have come out in the last ten or 15 years on hormones and a study that everyone refers to is the Women's Health Initiative. 

That study was stopped in 2002. One of the reason's it was stopped was because there was an increased risk that was seen in women on hormones. But importantly, they were on what we would now consider high dose hormones and they were a high risk population, they were over the age of 63, on average, women smoked, and women had a history of heart disease. 

Not the typical patient around menopause that we, as physicians, consider putting on hormones these days. Some of the newer studies looked at younger women; women within three years of menopause who were healthy, who were non-smokers, and looked at their risk. 

That study is called the KEEP Study; the kronos early estrogen progesterone study and the results of that study were very different and were very reassuring. Because there have been so many changes in our understanding around hormone use, the age of the patient, their risk category, the delivery system, whether we're using oral medication, or transdermal, topical medication, it's really important for you to consult your physician around the time of menopause and consider what's right for you.

Presenter: Dr. Vivien Brown, Family Doctor, Toronto, ON

Local Practitioners: Family Doctor

Video Quiz ( 12 participated.)

Test your knowledge by answering the following questions:


If you are experiencing the symptoms of menopause you should consult with your physician to see if hormone replacement therapy is right for you.


Hormone replacement therapy is safe in the right patient. 


There are recent clinical trials that support the use of hormone therapy in the right patient. 

This content 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 healthcare professional with any questions you may have regarding a medical condition.

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