Available for Interviews:
Dr. Karyn Eilber, Dr. Jennifer Anger, or Dr. Victoria Scott
Interview one or all of the “Down There Doctors.” Dr. Eilber, Dr. Anger, and Dr. Scott are a team of urogynecologists and a powerful resource for all things people are generally hesitant to discuss. They are also the authors of the newly released book, A Woman’s Guide to Her Pelvic Floor: What the F*@# Is Going on Down There?
What the Doctors Can Say about
Hormone Replacement Therapy:
Many women are afraid of taking hormone replacement therapy for menopause because of the fear that it could cause cancer and heart attack. However, the evidence from the Women’s Health Initiative, which followed 27,000 women who were randomized to placebo vs. hormone replacement for over five years, demonstrated that this was not the case.
First, outcomes among women who took both progesterone and estrogen for hormone replacement differed from those on estrogen only. Women with a uterus who take estrogen also need progesterone to suppress the uterine lining from building up (vs. those who had a prior hysterectomy). The study showed that there was a slight increase in breast cancer in the combined estrogen plus progesterone group- but not the estrogen-only group. Both hormone replacement groups reduced bony fractures (due to osteoporosis). Heart attack, stroke, and blood clots were only slightly elevated in the hormone replacement groups.
For women with a uterus, there are ways to take estrogen while avoiding progesterone if they so desire. A woman with a uterus can have an intrauterine device inserted (a form of birth control) with a small amount of progesterone. This is a great form of birth control that can continue (or start) after menopause. Another option is to simply take estrogen replacement, but have one’s gynecologist monitor her uterine lining by ultrasound periodically.
Knowing that anyone can take vaginal estrogen, even cancer survivors, is important. Vaginal estrogen is taken to treat and prevent vaginal dryness and decreased lubrication. It is also effective in preventing urinary tract infections that occur after menopause. It does this by restoring an acidic vaginal pH which promotes the growth of the “good” bacteria and prevents the growth of the “bad bacteria.” After many years of experience discussing the use of vaginal estrogen with oncologists, we can say with certainty that no cancers are caused or stimulated by vaginal estrogen.
Therefore, therapy should be considered if you are having symptoms of menopause, or even if you’re not. Every woman is unique and needs to review her medical history and her family history of illnesses so that she can make an informed choice about hormone replacement therapy.
Interview: Dr. Karyn Eilber, Dr. Victoria Scott, Dr. Jennifer Anger
Dr. Eilber, Dr. Anger, and Dr. Scott are the “Down There Doctors,” a team of urogynecologists and a powerful resource for all things people are generally hesitant to talk about. They are also the authors of the newly released book, A Woman’s Guide to Her Pelvic Floor: Watt the F*@# Is Going on Down There?
They are urogynecologists committed to improving women’s lives by providing education and treatment for pelvic health problems. They are moms, wives, wellness experts, and surgeons who are passionate about using evidence-based medicine, holistic approaches, and our combined 50 years of experience to motivate and empower women with knowledge and control over what is going on down there!
The Down There Doctors wrote this book because they felt it was long overdue and felt women shouldn’t have to figure out many difficult things independently.
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