Myths About Hormone Replacement and Why

Available for Interviews: Dr. Karyn Eilber

Karyn Eilber, MD, is a board-certified urologist, an associate professor of urology & OB/GYN at Cedars-Sinai Hospital in Los Angeles, and is an expert in women’s health and men & women’s sexual wellness.

What Dr. Eilber can say in an interview on
Hormone Replacement:

You’re sweating all the time, you can’t sleep, and overall you just don’t feel like yourself. Oh yeah, you’re in menopause. Your symptoms of menopause are so bad that you’re willing to take hormones even if they’re dangerous. But are they really? And how do you know what kinds of hormones to take?

Myths

    • Hormone replacement usually results in cancer. Combination (estrogen + progesterone) hormone replacement therapy (HRT) has the highest risk of breast cancer, but estrogen alone has increased risk only after taking it for ten years..
    • Your blood levels should be “normal” on hormone replacement. Hormone replacement should be aimed at relief of menopause symptoms and not levels; however, excessively high levels should be avoided.
    • Bioidentical hormones are “safe. The risk of breast cancer is likely the same for bioidentical (plant-based) and synthetic (made in the lab) hormones which make sense since the term “bioidentical” implies that they are the same biologically as hormones made by your body.
    • Estrogen increases your libido. While estrogen is necessary for normal arousal response, testosterone is the main hormone that gives men and women their sex drive.
    • Hormone replacement is too expensive. There are many hormone replacement options that are covered by insurance, and compounding pharmacies can make medications similar to commercially available hormone replacements.

If you don’t have bothersome symptoms of menopause or some other condition that hormone replacement therapy is helpful for, then keep doing what you’re doing. But if you are miserable with what menopause is doing to you, then talk to your doctor about what hormones might be right for you.

 

Interview: Dr. Karyn Eilber

Karyn Eilber, MD, is a board-certified urologist with sub-specialty board certification in Female Pelvic Medicine and Reconstructive Surgery and has over 20 years of experience taking care of women’s most intimate needs. She is an Associate Professor of Urology and Obstetrics & Gynecology at Cedars-Sinai Medical Center and is the Associate Program Director for the Cedars-Sinai Urology Residency Training Program. Prior to joining Cedars-Sinai, Dr. Eilber served at the Memorial Sloan-Kettering Cancer Center’s Urology Department, where she gained extensive experience in pelvic reconstruction following cancer treatment.

​Dr. Eilber’s research focus has been in the field of urogynecology, and she has published multiple peer-reviewed manuscripts and book chapters. In addition to being a member and past president of the Los Angeles Urologic Society, Dr. Eilber is a member of the American Urological Association, the Society of Urodynamics, Female Pelvic Medicine & Urogenital reconstruction, the American Urogynecologic Society, and the Society of Women in Urology. She is also a Founding Medical Partner of Doctorpedia.

Dr. Eilber earned her bachelor’s degree in Biomedical Sciences from the University of California, Riverside, which was an accelerated 3-year premedical program that allowed her to matriculate into the University of California, Los Angeles School of Medicine (UCLA). She completed a general surgery internship, urology residency, and female pelvic medicine fellowship at UCLA. 

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