Treating Menopause Does Not Increase Your Risk of Death (Endocrine Society Reviews the Literature)

hotflashesMany peri-menopausal and menopausal women suffer significant symptoms related to the loss of estrogen and progesterone (and, to a lesser extent, testosterone) that occurs in midlife.  Menopause symptoms can include hot flashes and sweats, fatigue, mental fog, hair thinning, vaginal dryness, loss of libido, leg cramps, headaches, osteoporosis, heart disease, mood swings,  and sleep problems for starters.   After the scare of the reports that came from the WHI study (which you can find here… ) many women abandoned hormone replacement therapy and now suffer.  Sadly the suffering is just the tip of the iceberg.  Untreated menopause puts women at risk for heart disease, cancer, and osteoporosis.

The good news is that even the mainstream endocrine society has just announced a comprehensive research review and concluded “menopausal hormone therapy does not affect the risk of dying”. You can read this review for yourself here…  This meta-analysis of 43 studies where menopausal women over 50 were randomized to placebo or hormone therapy (HT), found no statistical difference between HT and placebo for all-cause mortality (be it death from heart attack, breast cancer, or stroke).

Most, if not all these studies, used synthetic pharmaceuticals for hormone therapy.  Numerous past studies have shown improved health outcomes for those who use natural bio-identical hormone replacement therapy. (Read more here… ) There remains much controversy in the mainstream literature about bio-identical hormone replacement therapy. You should consult with a physician or medical provider with knowledge and experience in this area, and I do not recommend you undertake this on your own without proper monitoring.

The good news is that you can and should consider hormone replacement therapy if you are menopausal.  My vote is that you use bio-identical hormones with careful monitoring.  Most Naturopaths are very skilled in this area as are many Integrative Medicine MD’s.


If you live in the Portland, Oregon area, contact our clinic:

Natura Integrative Medicine

11790 SW Barnes Rd. #120, Portland, OR 97225




Dr. Paul

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