'I'm a menopause doctor, and women are asking me to prescribe unsafe levels of HRT'

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'I'm a menopause doctor, and women are asking me to prescribe unsafe levels of HRT'
Brasil Últimas Notícias,Brasil Manchetes
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Dr Paula Briggs, chair of the British Menopause Society, says that in the 30 years she has been treating menopausal women she has 'never seen anything like it' and the situation feels 'out of control'

My suspicion is that, to get to the estradiol levels I’m seeing among certain patients, some are self-medicating, by increasing the amount of hormone therapy they are taking because they think it will make them feel better. My hairdresser recently told me that they were feeling down one day so decided to double their dose of oestrogen.

Instead of using four pumps, using eight, for example. I can’t think of another area where people would self-medicate in this way. You wouldn’t double your antihypertensive treatment if you didn’t feel well would you? It’s not safe. The truth is we have no trial data to show what happens when women have persistently high levels, but my observation is that when estradiol levels are way outside of the normal range – it seems to have an adverse effect on their mood.

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