@dr.amybkillen: Don't shoot the messenger! Your specialist isn't the problem. A lack of very clear, very specific guidelines is. Transdermal estradiol does not increase blood clotting risk, yet many hematologists won't allow you to take it Transdermal estradiol has never been shown to increase stroke risk (except in one study, the Renoux study, which I covered fully in this week's Substack). The FDA label is getting better but we still need the Menopause Society and other organizations to explicitly say "this is safe." And w need ALL doctors to understand that estrogen is not estrogen is not estrogen. What do you think? ❓
Ugh as a lawyer (but not that personal injury/med mal kind) I get it. Litigious society.
2026-05-13 09:17:39
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wcnaintmything :
Informed consent. I don’t think it’s a specialist’s role to tell me yes or no on a drug like estrogen. They are free to give me their opinion, I will take it under advisement and decide. And if I had an obgyn who would deny me an indicated use of estrogen, I would find another obgyn.
2026-05-13 02:28:36
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Susan B :
not anymore, they took that label off
2026-05-12 17:39:18
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Juli Moody 💪 :
Such complicated issues that the patient many times not getting a good information and they have to decide for themselves 😩😩
2026-05-13 03:24:44
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IamGina5.0 :
No! It is their job. If I learned all about HRT then they can learn it. I’ve had enough of this bs.
2026-05-14 15:15:13
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The Whiny GYNie❌ :
I have heterozygous Factor V Leiden. The hematologist didn’t have an issue with my transdermal estradiol. I had to educate the surgeons at the orthopedic office. That’s where I was advised to suspend MHT after total knee replacement. When I told them the hematologist & 3 menopause society certified MDs all said I should be able to continue, they rescinded their directive.
2026-05-21 11:46:59
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