Some News About The Menopause Hub (and other things)

THE LANCET REPORT ON HRT RISKS

The Menopause Hub welcomes the Lancet study published online yesterday, 29th August 2019. Any study that helps us understand the benefits and risks of HRT further is good news.. We also welcome professor John Crown’s very balanced opinion in his interview on RTE Radio 1, Today with Miriam O’Callaghan.

We also welcome the British Menopause Society’s response ‘"The overall findings from this study are in keeping with the NICE Menopause guideline recommendations which show a small increase in risk of breast cancer with HRT. Women must be informed of the data on breast cancer risk with HRT to help them make an informed decision. This should also be considered in comparison to the risk of breast cancer with other lifestyle factors such as alcohol intake and obesity which have been shown to be associated with a higher risk compared to that with HRT. This should also be taken in the context of the overall benefits obtained from using HRT including symptom control and improving quality of life as well as considering the bone and cardiovascular benefits associated with HRT use."

The Menopause Hub is Ireland’s first and only dedicated menopause clinic and was set up with the express interest of providing a service to educate and support women going through menopause. Our values are Education, Empathy and Empowerment. Our specialist support includes a team of doctors, a psychologist, counsellor, physiotherapist and acupuncturist.

As part of each patient consultation at The Menopause Hub we discuss the risks and benefits of all treatment options, including HRT. The decision to take HRT is a personal one. And we want to support women in making the decision that’s right for them. We will continue to do that, updating our information to reflect the recent Lancet report. Each woman is different and so is her menopausal experience and so too is her treatment. There is no one size fits all or risk free silver bullet.

If you are currently taking HRT do not panic. To reassure yourself, please talk to your doctor about the benefits and risks of HRT for you and your situation.

If you are considering HRT we recommend that you have a discussion with your doctor about the benefits and risks for you and factor that into your decision on managing your menopause, your way.

Here is a summary of the Lancet report findings:

1. Breast cancer is the most common malignancy in western countries among women at age of menopause – 3% diagnosed with it in their 50s

2. Headlines are startling – but the risks are still relatively small – The study suggests that HRT causes 1 in 20 cases of breast cancer

3. For women starting HRT at age 50 and staying on it for 5 years, this increases the 20-year breast cancer risk at ages 50 -69 as follows:

• Continuous combined HRT (daily oestrogen and progesterone) from 6.3% to 8.3% (2 per 100 women)

• Cyclical combined HRT (oestrogen daily and progesterone days 16-28) from 6.3% to 7.7% (1.4 per 100 women)

• Oestrogen only HRT from 6.3% to 6.8%

• Obese women not taking HRT from 6.3% to 7.2%

• Overweight women taking not HRT 6.3%

• Lean women not taking HRT from 6.3% to 5.1%

4. Or put another way

• Increase of 2% or 1 in 50 women getting breast cancer for those on continuous combined HRT

• Increase of 1.4% or 1 in 70 for those on cyclical combined HRT

• Increase of 0.5% (half a percent) or 1 in every 200 for women on oestrogen only HRT

NEW PRoCEDURE TO DELAY THE MENOPAUSE By 20 YEARS

Here is an article I comment in about the latest new pioneering ovary procedure to delay the menopause by 20 years. Would you opt for it? Read more ….

https://www.independent.ie/life/health-wellbeing/stop-all-the-clocks-would-you-delay-the-menopause-38381877.html

Minister Josepha Madigan supports our work

This week, I met Minister Josepha Madigan, as The Menopause Hub is in her constituency. Josepha is an incredibly busy woman yet she still found the time to meet with me to discuss menopause in Ireland. She is pro women and has been a driver of change since she began her short political career. Thank you Josepha for listening.

https://www.facebook.com/JosephaMadiganFG/videos/387830531942833/

MENOPAUSE AND THE WORKPLACE

Top 10 tips for menopause in the workplace

Here is an article I wrote for IBEC (Irish Business and Employers Federation) about menopause and includes the top 10 tips for menopause in the workplace

http://ibecnetworks.newsweaver.com/Ibeckeepwell/1i4r08plzeh?a=2&p=54928609&t=30094543

MY SECOND SPRING - LOSS OF VITALITY!

My Second Spring, that valuable resource for all things menopause https://mysecondspring.ie published my menopause journey last week. Enjoy the read.

https://mysecondspring.ie/womens-stories/my-menopause-loretta-dignam-menopause-hub

HRT AND ALZHEIMER’S, RESEARCH HEADLINES in context- March 2109

Women should not be alarmed by research linking long-term hormone replacement therapy (HRT) use with a small increased risk of Alzheimer’s.

You may have seen or heard in the news about some recent research about HRT and Alzheimer’s. Here, Dr Deirdre Lundy puts the research and the headlines in context.

HRT is an effective and safe treatment for most women with menopause symptoms and the risk is “extremely low”. There have been no specific high quality studies on long term use of HRT and dementia.

The Finnish study was an “Observational” study – meaning, they looked back on the medical records of ladies after they were diagnosed with dementia. They observed 9-18 extra cases of the Alzheimer’s disease per year in every 10,000 women aged between 70 and 80.

The BMJ study cannot say whether or not the use of HRT caused these additional cases and could not rule out other factors. They could not account for other risk factors for Alzheimer’s such as diabetes, cardiovascular disease and a family history of the disease.

Other studies have actually shown a protective effect on cognition from HRT use.

Guidelines say that the risks of HRT are small and are usually outweighed by the benefits, and many women derive extraordinary relief from the hormones.

Dr David Reynolds, Chief Scientific Officer for Alzheimer’s Research UK, said; “Women who require hormone therapy should not be put off by these results, and anyone concerned about the effects of this treatment should speak to their doctor”

MY SECOND SPRING

The wonderful Aisling Grimley has written about The Menopause Hub on My Second Spring’s Blog, a brilliant resource for women and their families going through the menopause. Thank you for you fantastic support for us and for women all over Ireland. Worth a read!

https://mysecondspring.ie/blog/Menopause-Clinic-The-Menopause-Hub

Ireland AM - virgin media one

Founder and CEO Loretta Dignam talks about her own experiences with the Menopause, the driving forces that brought her to found The Menopause Hub and her hopes for the future of Menopause treatment in Ireland.ME

NEWSTALK - Dr CIARA KELLY - Lunchtime live

And here’s an interview with our Founder and CEO, Loretta Dignam with Dr Ciara Kelly on Lunchtime Live at Newstalk, discussing all things menopause.

https://www.newstalk.com/podcasts/Lunchtime_Live/Highlights_from_Lunchtime_Live/241891/Answering_your_questions_about_the_menopause

Image Magazine

The fantastic Helen Seymour continues her travails through the Menopause, stopping only to say some very complimentary things about us. Just click on the link below to find out what Helen thinks, you can also follow the entirety of Helen’s menopause journey in her blog.

https://www.image.ie/life/menopause-diaries-irelands-first-dedicated-menopause-resource-opening-end-year-131968

And here is this weeks article from Helen about HRT and The Big C., with contributions from our very own Dr. Deirdre Lundy.

https://www.image.ie/life/menopause-diaries-hrt-big-c-134835

irish Independent

Our founder Loretta (yes the ‘Marketing Powerhouse’ described above) is also featured on the pages of the Irish Independent.

https://www.independent.ie/business/media/michael-cullen-ireland-should-have-a-big-say-in-race-to-win-seat-on-un-council-37528877.html

New York Times

Not us appearing on the pages of the New York Times this time! But a great short read on approaching the Menopause that very much chimes with our view.

https://www.nytimes.com/2018/11/19/opinion/symptoms-perimenopause-menopause-middle-age.html