September 12, 2025 • 32 mins
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Speaker 1 (00:03):
It's that time time, time.
Speaker 2 (00:05):
Time.
Speaker 1 (00:07):
Luck And look, so Michael Verry Show is on the air.
It's Charlie from BlackBerrys Mother. I can feel a good
one coming on. It's to Michael Berry Show.
Speaker 3 (00:25):
I realize that people come to the show with expectations
that turn into demands.
Speaker 1 (00:30):
Maybe you want.
Speaker 3 (00:31):
To talk about Charlie Kirk's assassination. I told you two
days ago we were going to talk about it Wednesday evening,
and it was the only thing we were going to
do for the entirety of the show.
Speaker 1 (00:43):
I told you yesterday I was going to do.
Speaker 3 (00:46):
It all morning and all evening for my own mental health.
I've got to move on. We will come back on
with developments during the top and bottom of the hour.
You will find news developments from our news departments across
the country. But I've got to We've got to be strong,
(01:09):
and we've got to be the rock for other people
around us. We have paid tribute to Charlie, which I
think is the most important. Law enforcement will do their job,
the system will do their job, the President will do
his job.
Speaker 1 (01:25):
But our job is to continue to move on.
Speaker 3 (01:28):
Keep the trains run, and keep the kids fed, keep
educating them, keep treating the ill, keep building things and
making things and fixing things and using our talents for good.
So with that, I will set up what we're going
to talk about today. And by the way, it's okay
for you to come to the show not like what
(01:50):
we're talking about and turn it off. I know that
makes the programmers angry. You don't have to send me
an email, Hey, Michael, I don't like what you're talking
about today. I know I'm going to get that. I
got it this morning. But this was a discussion that
was important to me. I had planned to air it
this evening. A lot of people forward at emails to
(02:14):
other people to tune in, and that's what we're going
to do. And if you don't like that, by all means, hey,
it's not going to hurt my feelings. Don't get butt
hurt over it. Just find something else. There's a lot
else out there you.
Speaker 1 (02:29):
Can go do.
Speaker 3 (02:30):
All right, So I said we were going to talk
about menopause. We're going to talk about women's health issues
as they age. I have planned to do that today
and I've done right by Charlie. And by the way,
we will continue to talk about Charlie and his legacy
(02:52):
next week. But this was the day we planned to
do this and we are going to stick to it.
So maybe maybe some folks need a break. Maybe you
you know, and some folks need a break. Don't realize
it because you know, Charlie Kirk didn't do campus speeches
twenty four hours a day. He had a wife and
kids and and things to get away from all that.
(03:15):
It's not healthy to obsess over that, folks. This is
a marathon, not a sprint. Okay, all right, So with
that we go into our conversation about menopause with doctor Anew.
Speaker 1 (03:30):
Davis spelled a n u.
Speaker 3 (03:31):
Anew Davis out of Houston, and uh and yeah, here
we go. Let's start with this very simple question. And
by the way, if you want to look her up,
it's river Oaks Doctors Group. But her name is spelled
a n u. She won't be the only on new
I knew the shore for Honorah. That's a very common
end the name, but it's Unknewed Davis. I guarantee it's
probably the only one of those. So let's start with
(03:53):
a very simple question. What is menopause?
Speaker 2 (03:59):
So, Michael, thank you for having me on, and I'm
excited to talk to you about and answer all your
burning menopause questions.
Speaker 1 (04:06):
So first related to but that's a whole different question.
Speaker 2 (04:14):
Well those are different questions. But you're burning menopause questions.
You want to know the answers. So the most important
first thing is to actually know what menopause is. So
menopause is the point at which women stop having cycles
and mintral cycles, that is, and once a woman has
(04:35):
not had a minstrual cycle for twelve months, that's when
it's she's called in menopause. The big issue with all
this is Pete. Women's mintual cycles can start changing up
to ten years before the cycles actually actually stop, so
then the whole time before that is called perimenopause. So
(04:56):
that's what we tend to be talking about, is perimenopause
and menopause.
Speaker 1 (05:00):
I've heard that I didn't know what it meant to you.
Speaker 3 (05:02):
Is that about a ten year that happens about ten
years before she goes into menopause.
Speaker 2 (05:08):
Well, sometimes it can be a nice, happy twelve months
of stuff. Sometimes it can be up to ten years.
So somewhere in the four to ten year range is
what perimenopause can be. But up to ten years of
fluctuation and transition before the actual pause happens. All right,
go ahead, And then menopause is the twenty or thirty
(05:33):
years that women live after the cycle stop. Then they're
considered to be postmenopausal. And that's the whole. Our job
is to maintain help through that twenty or thirty years,
so the whole.
Speaker 4 (05:48):
When people start talking about.
Speaker 2 (05:50):
Menopause or perimenopause, the words are often interchangeable, but menopause
itself is when the periods stop for twelve months.
Speaker 3 (05:58):
Juh yeah, And is that just nature's way because we
probably weren't meant to live this long, that a woman
is beyond her reproductive life and so there's no need
for that cycle.
Speaker 1 (06:14):
And let me just say before we start.
Speaker 3 (06:16):
First of all, I'm a dude, so never having gone
through that, we all know its secondhand.
Speaker 1 (06:22):
I'm trying to I have had a lot of women
tell me they.
Speaker 3 (06:25):
Are excited to hear what you have to say and
to learn more about this, and they're glad that it's
being discussed publicly, including some folks, some rather prominent folks
that surprised me.
Speaker 1 (06:35):
They were willing to put their name behind this.
Speaker 3 (06:36):
But I'm not going to say their names who were
quite interested to learn more. But we will talk more
to doctor Anu Anu Davis of the river Oaks Doctors
Group about Yeah, menopause, that's what we're talking about. I
don't care if somebody decustakes you. You can't shoot Michael.
Speaker 1 (06:53):
It's been books.
Speaker 3 (06:55):
It took too long to introduce because this comes out
of left field, and I wanted people to understand I'm
not going to do that again. Doctor Anew Davis is
our guest. She's a menopause expert river Oaks Doctors Group.
She's in Houston, and this is something she is passionate about,
is treating women with menopause. And my question was do
women stop having a menstrual cycle because they are past
(07:17):
the age that they should be, or are typically giving
birth or is there some other reason.
Speaker 2 (07:26):
No, it's a natural process. Okay, the periods stop because
of your past reproductive age. The issue is is that
we live for another thirty years after that. Right, our
life expectancy is seventy five to eighty five, So in
that thirty years we want to maintain our health. There's
been a lot of issue and discussion about whether these
(07:48):
hormones are useful and what happens, and how do we
maintain women's health in that thirty years because we all
want to be upright and functional in thinking straight. That's
the reason that menopause gets so much discussion. And what
happens to women's hormones and how do we treat this
and what other symptoms and issues come up because of them?
Speaker 3 (08:12):
And what are these hormones we're talking about? What do
they control? Is this sexual drive? Is it diet?
Speaker 2 (08:19):
Is it?
Speaker 1 (08:20):
You know?
Speaker 3 (08:21):
When I was when my mom was forty in nineteen
eighty five, she started I lost my mom and a
crazy woman poultrygeisted it into her body and she screamed
and hollered, and when we would go, Mom, what in
the world, and she'd say, I'm going through menopause.
Speaker 1 (08:36):
I'm having hot flashes. Can you talk through that?
Speaker 3 (08:38):
Because I can be as clinical and not silly as
I want to be, but there's a lot of dudes going,
can you explain to me what's going on with my
wife right now?
Speaker 2 (08:50):
Well, so we know that hormones fluctuate all the time,
but as the hormones decline, we have realized that there's
estrogen receptors everywhere, and so the hot flashes and the
night sweats. That's the first thing that we talk about.
But the mood can become just mood stability can become
(09:12):
a problem, sleep can become a problem. Women start to
have joint pain, vaginal dryness, pain with sex.
Speaker 4 (09:19):
There's up to one hundred different symptoms.
Speaker 2 (09:21):
That can occur once as the hormones are fluctuating and declining.
So that's the problem women are suffering and it's making
them less functional.
Speaker 1 (09:33):
So that's a.
Speaker 3 (09:37):
Yeah.
Speaker 2 (09:38):
So there's lots of different things going on, and the
big question is, you know, are is replacing these hormones
it It's been taboo for a long time. And part
of the reason for that is because there was a
big study it came out in two thousand and two
that called.
Speaker 4 (09:56):
The Women's Health Initiative.
Speaker 2 (09:58):
And when that happened, when that said came out, because
of the way the study ended, it was publicized that
hormone replacement is bad and that hormone replacement causes breast
cancer and increases cardiovascular disease. So when that happened, the
women who were on hormone replacement at that time for
(10:19):
treatment of their menopausal symptoms, the rate of hormone replacement
went from forty percent of women postmenopause were taking hormone
replacement to something like five to six percent. The guidelines
from all the medical societies came out that hormone replacement
causes breast cancer. So for twenty years, many women did
(10:39):
not receive hormone replacement that they received because the doctors
were taught that hormones cost breast cancer.
Speaker 1 (10:47):
In your person.
Speaker 3 (10:48):
And the reason do you think, though, that hormone replacement
causes breast cancer.
Speaker 4 (10:54):
Hormone replacement does not cause breast cancer.
Speaker 2 (10:57):
So the reason some of this has come to light
in this last year is because in twenty twenty four
last year, they came back and reanalyzed all the data
from the Women's Health Initiative. And so now twenty years
later they've come back out and they've started talking about
(11:18):
where how the data was analyzed incorrectly, and they've come
back out and said, well, women's horderon replacement does not cause.
Speaker 4 (11:28):
Cardiovascal disease, it does not cause breast cancer.
Speaker 2 (11:31):
And for those of us who've been sitting in our
corner of the world treating this, we never stopped giving
hormone replacement because we know that hormone replacement is important
for bone health, it's important for cardiovascular health, it's important
for brain health, and it may and so that's why
(11:51):
we get hormone replacement.
Speaker 3 (11:54):
So I know, doctor Davis, I can't help, but saying
the parallel, he I'm a big proponent of testosterone and
a testosterone replacement, and our mutual friend Moe with Kara
is a big book believer in testosterone replacements.
Speaker 1 (12:11):
It's done wonders for me. And the same thing.
Speaker 3 (12:14):
I get people emailing me and say, hey, my general
physician who hasn't kept up with developments and this says
I'm going to get prostate cancer if I do it
because of one study forever ago that said that, And
now most people don't believe it. And it's very frustrating
because it seems like there's a strange parallel between this
because I think a lot of women do need hormone
(12:36):
replacement for them to be happier and healthier and have
healthier marriages. I see a lot of guys divorcing their
wives because they think she went crazy. She didn't go crazy.
Her body is working against her. Am I right in that.
Speaker 4 (12:50):
You are correct. So there was even time when obi
Jen's were.
Speaker 2 (12:56):
Taught thattive behavioral therapy would help hot flashes, But if
your body is having a physiologic reaction, you can't talk it.
Speaker 4 (13:06):
Out of a hot flash.
Speaker 2 (13:07):
You cannot talk your body out of having a hot flash.
So there are there's exactly that that women struggle and
suffer with hormone fluctuations. That and you know, for a
long time they're ignored anyway because they're trying to get
pregnant during reproductive age and there's you know, during pregnancy,
(13:29):
you just have to deal with that because your focus
is on being pregnant and protecting the baby. But post pregnancy,
like women are struggling with all these hormonal fluctuations, and
because they've been sold that hormone replacement is not good
for you or can be harmful to you, many women
(13:49):
avoid they avoid. Not only do they avoid hormone replacement
after menopause, it some will actively avoid birth control pills
and treatments for their hormone fluctuations, which are really affecting
their day to day life. But sometimes this is nuanced, right,
(14:10):
like you have to get in there and understand where
these hormones can benefit you.
Speaker 1 (14:18):
Well, it just strikes me.
Speaker 3 (14:22):
That a lot of married couples divorce after they've been
through the toughest and maybe most rewarding years of their marriage,
that is, their kids leave high school. And the thing
I hear men say in the locker room at the
cigar lounge at the bar is I just couldn't deal
with her moods anymore. And I think, man, you built
(14:44):
a life together. It's one thing if he's running off
chasing strippers or he's running away with the secretary. But
when he can't be in the in the house with
her because of the mood swings and the hot flashes,
that's a horrible, horrible thing to lose a marriage over
that hold with me, doctor and new David, we're talking
about menopause coming up.
Speaker 2 (15:02):
Hell, yes, we're gonna take your ar fifteen eighty opao, Yes, yes, yes.
Speaker 1 (15:09):
Doctor Andrew Davis is our guest.
Speaker 3 (15:11):
She is passionate about the treatment of women with menopause.
She's a concierge doctor. She's actually my father's doctor. No,
he doesn't have menopause. He's eighty five with diabetes. But
she's a concierge doctor. That is your general practitioner. That
means just your primary that you go to for whatever
(15:31):
else with a specialty into chronology, and that's all your
glands and hormones and all those sorts of things. And
she handles my dad's diabetes and may I say, masterfully,
which is not an easy thing. And she handles and
focuses on menopause. And we decided it was time to
(15:52):
have that conversation in public. So I want to I
guess I'm going into the soft science opposed to the
medical science, and I want your expertise.
Speaker 1 (16:02):
One of the things that bothers.
Speaker 3 (16:03):
Me a lot, and I will confess this is to
watch couples who are fifty three to sixty five. They
got the kids through high school, they seemingly had a
solid marriage, and then he says I'm done with you,
or maybe she thinks she wants out, and then he
may go off and remarry, but she's miserable and all
(16:26):
of that is lost, and the kids are sad because
their innocence and their childhood is lost. They didn't fight
all those years. I think it's this hormonal imbalance. Can
you speak to that.
Speaker 2 (16:40):
I mean, there is a significant amount of dysfunction that
happens right like if you're not able to have If
you're not able to sleep, and then you're not able
to have conversations, and then sex is painful and you're
not able to have those conversations with your partner, than
the health of your of your relationship declines, and that
(17:05):
from the testosterone side, that that becomes the thing that
the whole marriage has to be treated. Right, the sexual
health of a marriage has to be treated, but some
of that has to be treated. Each person has to
individually be healthy. So these women they've been they're they're suffering, right,
They're suffering because they they can't think straight and they
(17:27):
can't sleep, and they're you know, sex is painful and
they're and they're not able to fix it and they
go see their doctor and their doctors have said, well,
I mean, there's not really much we can do, and
then they get when they get that answer, they they
(17:48):
do feel like they're losing their minds, right, And when
that happens, I mean how they aren't able to communicate
with their partners, to talk to them. So it is
part of it, right, the whole the relationship has to
be treated and that can contribute to them.
Speaker 4 (18:06):
It's a sad thing to see.
Speaker 3 (18:08):
You've spoken generally about treatment. What does treatment look like?
So give me kind of I know there is no
standard patient, but lady walks in, roughly what age is
she most likely to be if she walks in, If
I'm building a profile, why did she come to you?
How did she know she had a problem, What are
the tests, what's the diagnosis?
Speaker 1 (18:29):
And how are you treating her? I got five minutes
in this segment.
Speaker 2 (18:33):
So the average age for menopause, for when the periods
actually stop, is about fifty one. I would say most
people come to me in their mid forties starting to
notice certain symptoms. They start to notice hot flashes and
night slits, everybody's different. Other things people notice are joint
(18:56):
pain with sex, brain fog. People come for different reasons
and they start to notice some irregularity in their cycles
when they show up.
Speaker 4 (19:09):
The main way of figuring this out is by history.
Speaker 2 (19:13):
We do do labs to make sure that there isn't
something else causing these symptoms, and then we start really
thinking about you know, and we do history, take a
history to learn about how her cycles were before and
how things have changed, and you know, all the way
(19:37):
through pregnancies, so all that stuff. It makes a difference
and helps us prepare for the transition through menopause and
determine what the best treatments would be. So in addition
to using hormones as treatment, which is which are very
useful in treating the hot flashes and some of those symptoms,
(20:01):
then we also assess risk for health for the long term. Right,
we also want to increase nutrition, and we also want
to improve exercise because hormones can do a lot, but
they can't fix everything. So in order to help overall
health and prevent complications and keep women stronger for those
(20:24):
last thirty years of their lives, we spend a lot
of time in addition to talking about how hormones may
be part of the treatment, but also nutrition and also exercise.
Speaker 3 (20:35):
Why is nutrition important to menopause, because that's a question
I received a lot of emails from listener women fifty
to eighty about how does that affect it?
Speaker 2 (20:49):
Because one of the biggest things that we have to
do in the last part of our life is keep
ourselves mobile, and in the most important thing in keeping
ourselves mobile is maintaining our muscle mass and preventing fractures. Okay,
and hormone replacement can help us with maintaining our bone health,
(21:14):
but to maintain our muscle mass, we have to.
Speaker 4 (21:18):
Focus on nutrition.
Speaker 2 (21:20):
We have to focus on nutrition in new ways that
maybe we haven't in the years before, and we have
to try to make up for what we messed up,
you know, way back when, in all the.
Speaker 4 (21:32):
Years we weren't like that.
Speaker 3 (21:33):
I was talking to Stan Duckman, our mutual friend, the cardiologist,
and we're talking about strategies for good health, especially as.
Speaker 1 (21:42):
You get older.
Speaker 3 (21:42):
We're talking about my dad's health, and he said, you know, Michael,
I can't figure out a good way to say it,
but what we want to do. We're all going to
get sick. And what we want to do is get
the body strong enough that when that sickness hits, we've
got some reserves to draw on. We've got good core strength, Yeah,
we've got low body fat. We've got good muscle and
(22:05):
bone density and these sorts of things. Let me ask
you this a minute left in this segment hair loss,
And I'm trying to kind of make a compositive question.
A lot of questions about hair loss. It sounds like
that's typical. Yes, what can be done about that? In
your treatment?
Speaker 2 (22:26):
Depend I mean, we do have to dig in to
do a little bit of search for what is causing
the hair loss. Hair Loss is common with menopause. Hair
loss can have a genetic component, right if it runs
in your family and everyone has that male pattern baldness,
there's not as much you can do about it. But
nutrition is important. Protein is important, and then there are
(22:51):
some other medications and topical treatments that can help.
Speaker 3 (22:58):
When you talk about these treatments, I'm going to be
up against a break here in just a moment, so
I will ask you and we'll address it on the
other side. How are these being delivered? Is this a
pill regiment? Is it typically one pill a day? And
I know that's going to vary, but I mean talk
about the composite. Is the shots? How often of those shots?
How often does somebody A lot of people I think
(23:20):
are afraid to engage in a relationship where it's going
to be I'm having to come to the doctor every day.
Speaker 1 (23:25):
Or is this a one and done? What does that
look like? I'm assuming you have to adjust those.
Speaker 3 (23:28):
We'll continue that conversation with doctor Anu a n U
doctor Anew Davis, a Houston concierge, doctor intochronologist, diabetes expertise,
and we're talking menopause coming up.
Speaker 4 (23:42):
What a maroon to.
Speaker 1 (23:44):
Michael, what an ignorandom.
Speaker 3 (23:49):
It strikes me that menopause is something that my mother
suffered horribly from during my teenage years. And I'll be honest,
and I've told her this and she's We've had deep conversations.
She passed September nineteenth, but I left nothing out and
she left nothing out. I resented her. I resented the
crazy woman who took over my sweet mother. I adored
(24:10):
my mother, and there was this period of time that
this awful monster took over my mother my mid teenage years,
fifteen to eighteen.
Speaker 1 (24:20):
And I didn't like that lady.
Speaker 3 (24:21):
And then at some point that person got bored of
her and moved on to the next lady. Maybe it
was your mother or wife, but my mother didn't have
access to all of the great medical.
Speaker 1 (24:33):
Advancements we do today.
Speaker 3 (24:35):
And an expert like On new Davis, who is our guest,
I spelled an U on new Davis, and we're talking
about menopause, Let's talk about hair loss, because that was
one of the many questions I have in my stack.
Speaker 1 (24:48):
And by the way, I was shocked.
Speaker 3 (24:51):
How many women reached out and were willing to say, yes,
I want to know more about menopause. It's upsetting me
or my mother, so let's talk about that.
Speaker 2 (25:03):
Yeah, I mean the menopause question is is kind of
a crazy one, right.
Speaker 4 (25:07):
Like I remember back I was a baby doctor and.
Speaker 2 (25:10):
I was doing a house call at like maybe like
when I first started my practice, like ten or fifteen
years ago, and I was doing this house call on
this Saturday morning, and I was seeing this little eighty
one year old woman and I told her I was
going to give a talk after I finished her house call,
and I was going to give this talk about menopause.
And she's like, you don't lie to those people.
Speaker 4 (25:32):
I was like, that's funny. I just can remember her saying,
don't lie to them, tell them the truth.
Speaker 2 (25:37):
And I said, okay, well, and you know the truth
has changed and we are learning more every day and
having been able to go having this change in the
guidelines and this next year is really going to help women.
Speaker 4 (25:52):
Okay.
Speaker 2 (25:54):
The guy the Menopause Society and the UK societies that
write about menopause actually changed the guidelines in twenty twenty
four out and took back all the initial recommendations from
two thousand and two.
Speaker 4 (26:10):
So because of this, this is why this is so
important now and why.
Speaker 2 (26:17):
We're trying to do our part to educate you know,
all the internists who have to see patients all day
long and who want to be able to treat their
patients well and give them good treatment, but didn't have
the knowledge up until then. So the way that this
looks is that the history.
Speaker 4 (26:36):
Is the most important thing.
Speaker 2 (26:38):
Right First, we take a long history and we try
to understand kind of how each patient has has done
through her cycles, and then how her menopause and how
the transitions are affecting her, and then we aim our
treatments specifically it helping her and also preventing disease in
(27:03):
the long term, keeping her strong and healthy, protecting bones,
protecting her heart, protecting her brain, and making.
Speaker 4 (27:13):
Sure that she is feeling in control of.
Speaker 1 (27:19):
Let's talk about the bones first.
Speaker 3 (27:21):
My mom had severe osteoporosis, so she was on a
pretty heavy calcium treatment. She never had she had one
fall that messed her back up. She had out of surgery,
she got on a darn step ladder like they shouldn't
be doing. We all know, but in any case it happens, Yeah,
but sure.
Speaker 1 (27:42):
The bone strength.
Speaker 3 (27:44):
I have a trainer, Michael Petrow Petru in home fitness,
and he trains a lot of elderly folks, and a
big issue there is avoiding falls because you know the
old you know, you see it happen, you fall, you
break your hip, you never really recover. And people say,
you know, the last three years of his life life
was horrible, or her life because of the hip never
(28:05):
really fixed. How much can you do to fix We're
going to I'm asking one by one, the bone strength,
the bone density, depending on how bad it's degraded.
Speaker 2 (28:17):
So when we see women in their forties, we're able
to we have medications that help us build bone. We're
able if we're able to start hormone replacement before before
we are at menopause. Bone straight bone density decreases significantly
in the first thirty six months after menopause. If we're
(28:39):
able to start hormone replacement to where they never lose
any estrogen, we're able to protect the bones that they've
built up up to that point and we don't see
that loss, and we're able to intervene early to prevent fracture.
We actually have lots of tools for fracture prevention. But
(29:02):
if women are able to start hormones to where they
aren't deprived of these hormones, because realistically, when we talk
about hormone replacement therapy, we're replacing something that their body's
just not making anymore. Which their body's not making anymore
doesn't mean they can't they can't benefit from it, right,
(29:25):
So they benefit from it. Their bodies just stopped making
it because of you know where we came from, and
because before we only lived to fifty five or sixty five,
and once we were done reproducing, we were finished, right,
But that's not where we are. We we're replacing something
our body's not making anymore. So if we do that before,
(29:47):
the bones feel the depletion of estrogen. So if we
get that early, then the bones don't deteriorate in that
initial postmenopustle Periand.
Speaker 1 (30:02):
And so when what's the delivery mechanism? Is that a pill?
Is that a shot?
Speaker 3 (30:08):
And how soon do women start noticing a real change
in life from the hot flashes to feeling better to
a better And I'm assuming most of this is estrogen,
but can you speak to that.
Speaker 4 (30:23):
Sure?
Speaker 2 (30:25):
So there's three hormones. The main two are estrogen and progesterone. Okay,
the estrogen is the one that's responsible for protecting the
heart and protecting the bones, and probably protecting the brain
and protecting the colon, and so that's the hormon the
(30:49):
main hormone that needs to be replaced. If women have
a uterus, we give them progesterone also to protect their uterus.
Speaker 4 (30:58):
In the menopuzzle time, we.
Speaker 2 (31:04):
The medications can be given by pill, they can get
by patch, they can be given by cream, and so.
Speaker 4 (31:13):
Some of that is preference, and some of that is.
Speaker 2 (31:20):
Just kind of what works for people and what works
for their day to day lives. But the form the
medications are the same. It's still we're just replacing hormone
that their bodies aren't making. So the form is just
a preference issue.
Speaker 3 (31:39):
That brings me to the next question. You said, if
they have a uterus, meaning of course that if you
don't have a uterus, they've had a hysterectomy, which my
mom had.
Speaker 1 (31:51):
And by the way, if anybody out.
Speaker 3 (31:52):
There is wondering, why is he throwing his mom under
the bus given her medical history. She was interviewed by
the local news about all of this in Beaumont. She
was happy to talk about it. She was a little
ahead of her time in terms of being willing to
talk about women's issues when other people wouldn't.
Speaker 1 (32:10):
She was a tough woman.
Speaker 3 (32:12):
But we will talk about post hysterectomy and treatments for that. Yeah,
we're actually talking menopause with an expert, doctor Anu Anu,
doctor Anu Davis, and
It's that time time, time.
Speaker 2 (00:05):
Time.
Speaker 1 (00:07):
Luck And look, so Michael Verry Show is on the air.
It's Charlie from BlackBerrys Mother. I can feel a good
one coming on. It's to Michael Berry Show.
Speaker 3 (00:25):
I realize that people come to the show with expectations
that turn into demands.
Speaker 1 (00:30):
Maybe you want.
Speaker 3 (00:31):
To talk about Charlie Kirk's assassination. I told you two
days ago we were going to talk about it Wednesday evening,
and it was the only thing we were going to
do for the entirety of the show.
Speaker 1 (00:43):
I told you yesterday I was going to do.
Speaker 3 (00:46):
It all morning and all evening for my own mental health.
I've got to move on. We will come back on
with developments during the top and bottom of the hour.
You will find news developments from our news departments across
the country. But I've got to We've got to be strong,
(01:09):
and we've got to be the rock for other people
around us. We have paid tribute to Charlie, which I
think is the most important. Law enforcement will do their job,
the system will do their job, the President will do
his job.
Speaker 1 (01:25):
But our job is to continue to move on.
Speaker 3 (01:28):
Keep the trains run, and keep the kids fed, keep
educating them, keep treating the ill, keep building things and
making things and fixing things and using our talents for good.
So with that, I will set up what we're going
to talk about today. And by the way, it's okay
for you to come to the show not like what
(01:50):
we're talking about and turn it off. I know that
makes the programmers angry. You don't have to send me
an email, Hey, Michael, I don't like what you're talking
about today. I know I'm going to get that. I
got it this morning. But this was a discussion that
was important to me. I had planned to air it
this evening. A lot of people forward at emails to
(02:14):
other people to tune in, and that's what we're going
to do. And if you don't like that, by all means, hey,
it's not going to hurt my feelings. Don't get butt
hurt over it. Just find something else. There's a lot
else out there you.
Speaker 1 (02:29):
Can go do.
Speaker 3 (02:30):
All right, So I said we were going to talk
about menopause. We're going to talk about women's health issues
as they age. I have planned to do that today
and I've done right by Charlie. And by the way,
we will continue to talk about Charlie and his legacy
(02:52):
next week. But this was the day we planned to
do this and we are going to stick to it.
So maybe maybe some folks need a break. Maybe you
you know, and some folks need a break. Don't realize
it because you know, Charlie Kirk didn't do campus speeches
twenty four hours a day. He had a wife and
kids and and things to get away from all that.
(03:15):
It's not healthy to obsess over that, folks. This is
a marathon, not a sprint. Okay, all right, So with
that we go into our conversation about menopause with doctor Anew.
Speaker 1 (03:30):
Davis spelled a n u.
Speaker 3 (03:31):
Anew Davis out of Houston, and uh and yeah, here
we go. Let's start with this very simple question. And
by the way, if you want to look her up,
it's river Oaks Doctors Group. But her name is spelled
a n u. She won't be the only on new
I knew the shore for Honorah. That's a very common
end the name, but it's Unknewed Davis. I guarantee it's
probably the only one of those. So let's start with
(03:53):
a very simple question. What is menopause?
Speaker 2 (03:59):
So, Michael, thank you for having me on, and I'm
excited to talk to you about and answer all your
burning menopause questions.
Speaker 1 (04:06):
So first related to but that's a whole different question.
Speaker 2 (04:14):
Well those are different questions. But you're burning menopause questions.
You want to know the answers. So the most important
first thing is to actually know what menopause is. So
menopause is the point at which women stop having cycles
and mintral cycles, that is, and once a woman has
(04:35):
not had a minstrual cycle for twelve months, that's when
it's she's called in menopause. The big issue with all
this is Pete. Women's mintual cycles can start changing up
to ten years before the cycles actually actually stop, so
then the whole time before that is called perimenopause. So
(04:56):
that's what we tend to be talking about, is perimenopause
and menopause.
Speaker 1 (05:00):
I've heard that I didn't know what it meant to you.
Speaker 3 (05:02):
Is that about a ten year that happens about ten
years before she goes into menopause.
Speaker 2 (05:08):
Well, sometimes it can be a nice, happy twelve months
of stuff. Sometimes it can be up to ten years.
So somewhere in the four to ten year range is
what perimenopause can be. But up to ten years of
fluctuation and transition before the actual pause happens. All right,
go ahead, And then menopause is the twenty or thirty
(05:33):
years that women live after the cycle stop. Then they're
considered to be postmenopausal. And that's the whole. Our job
is to maintain help through that twenty or thirty years,
so the whole.
Speaker 4 (05:48):
When people start talking about.
Speaker 2 (05:50):
Menopause or perimenopause, the words are often interchangeable, but menopause
itself is when the periods stop for twelve months.
Speaker 3 (05:58):
Juh yeah, And is that just nature's way because we
probably weren't meant to live this long, that a woman
is beyond her reproductive life and so there's no need
for that cycle.
Speaker 1 (06:14):
And let me just say before we start.
Speaker 3 (06:16):
First of all, I'm a dude, so never having gone
through that, we all know its secondhand.
Speaker 1 (06:22):
I'm trying to I have had a lot of women
tell me they.
Speaker 3 (06:25):
Are excited to hear what you have to say and
to learn more about this, and they're glad that it's
being discussed publicly, including some folks, some rather prominent folks
that surprised me.
Speaker 1 (06:35):
They were willing to put their name behind this.
Speaker 3 (06:36):
But I'm not going to say their names who were
quite interested to learn more. But we will talk more
to doctor Anu Anu Davis of the river Oaks Doctors
Group about Yeah, menopause, that's what we're talking about. I
don't care if somebody decustakes you. You can't shoot Michael.
Speaker 1 (06:53):
It's been books.
Speaker 3 (06:55):
It took too long to introduce because this comes out
of left field, and I wanted people to understand I'm
not going to do that again. Doctor Anew Davis is
our guest. She's a menopause expert river Oaks Doctors Group.
She's in Houston, and this is something she is passionate about,
is treating women with menopause. And my question was do
women stop having a menstrual cycle because they are past
(07:17):
the age that they should be, or are typically giving
birth or is there some other reason.
Speaker 2 (07:26):
No, it's a natural process. Okay, the periods stop because
of your past reproductive age. The issue is is that
we live for another thirty years after that. Right, our
life expectancy is seventy five to eighty five, So in
that thirty years we want to maintain our health. There's
been a lot of issue and discussion about whether these
(07:48):
hormones are useful and what happens, and how do we
maintain women's health in that thirty years because we all
want to be upright and functional in thinking straight. That's
the reason that menopause gets so much discussion. And what
happens to women's hormones and how do we treat this
and what other symptoms and issues come up because of them?
Speaker 3 (08:12):
And what are these hormones we're talking about? What do
they control? Is this sexual drive? Is it diet?
Speaker 2 (08:19):
Is it?
Speaker 1 (08:20):
You know?
Speaker 3 (08:21):
When I was when my mom was forty in nineteen
eighty five, she started I lost my mom and a
crazy woman poultrygeisted it into her body and she screamed
and hollered, and when we would go, Mom, what in
the world, and she'd say, I'm going through menopause.
Speaker 1 (08:36):
I'm having hot flashes. Can you talk through that?
Speaker 3 (08:38):
Because I can be as clinical and not silly as
I want to be, but there's a lot of dudes going,
can you explain to me what's going on with my
wife right now?
Speaker 2 (08:50):
Well, so we know that hormones fluctuate all the time,
but as the hormones decline, we have realized that there's
estrogen receptors everywhere, and so the hot flashes and the
night sweats. That's the first thing that we talk about.
But the mood can become just mood stability can become
(09:12):
a problem, sleep can become a problem. Women start to
have joint pain, vaginal dryness, pain with sex.
Speaker 4 (09:19):
There's up to one hundred different symptoms.
Speaker 2 (09:21):
That can occur once as the hormones are fluctuating and declining.
So that's the problem women are suffering and it's making
them less functional.
Speaker 1 (09:33):
So that's a.
Speaker 3 (09:37):
Yeah.
Speaker 2 (09:38):
So there's lots of different things going on, and the
big question is, you know, are is replacing these hormones
it It's been taboo for a long time. And part
of the reason for that is because there was a
big study it came out in two thousand and two
that called.
Speaker 4 (09:56):
The Women's Health Initiative.
Speaker 2 (09:58):
And when that happened, when that said came out, because
of the way the study ended, it was publicized that
hormone replacement is bad and that hormone replacement causes breast
cancer and increases cardiovascular disease. So when that happened, the
women who were on hormone replacement at that time for
(10:19):
treatment of their menopausal symptoms, the rate of hormone replacement
went from forty percent of women postmenopause were taking hormone
replacement to something like five to six percent. The guidelines
from all the medical societies came out that hormone replacement
causes breast cancer. So for twenty years, many women did
(10:39):
not receive hormone replacement that they received because the doctors
were taught that hormones cost breast cancer.
Speaker 1 (10:47):
In your person.
Speaker 3 (10:48):
And the reason do you think, though, that hormone replacement
causes breast cancer.
Speaker 4 (10:54):
Hormone replacement does not cause breast cancer.
Speaker 2 (10:57):
So the reason some of this has come to light
in this last year is because in twenty twenty four
last year, they came back and reanalyzed all the data
from the Women's Health Initiative. And so now twenty years
later they've come back out and they've started talking about
(11:18):
where how the data was analyzed incorrectly, and they've come
back out and said, well, women's horderon replacement does not cause.
Speaker 4 (11:28):
Cardiovascal disease, it does not cause breast cancer.
Speaker 2 (11:31):
And for those of us who've been sitting in our
corner of the world treating this, we never stopped giving
hormone replacement because we know that hormone replacement is important
for bone health, it's important for cardiovascular health, it's important
for brain health, and it may and so that's why
(11:51):
we get hormone replacement.
Speaker 3 (11:54):
So I know, doctor Davis, I can't help, but saying
the parallel, he I'm a big proponent of testosterone and
a testosterone replacement, and our mutual friend Moe with Kara
is a big book believer in testosterone replacements.
Speaker 1 (12:11):
It's done wonders for me. And the same thing.
Speaker 3 (12:14):
I get people emailing me and say, hey, my general
physician who hasn't kept up with developments and this says
I'm going to get prostate cancer if I do it
because of one study forever ago that said that, And
now most people don't believe it. And it's very frustrating
because it seems like there's a strange parallel between this
because I think a lot of women do need hormone
(12:36):
replacement for them to be happier and healthier and have
healthier marriages. I see a lot of guys divorcing their
wives because they think she went crazy. She didn't go crazy.
Her body is working against her. Am I right in that.
Speaker 4 (12:50):
You are correct. So there was even time when obi
Jen's were.
Speaker 2 (12:56):
Taught thattive behavioral therapy would help hot flashes, But if
your body is having a physiologic reaction, you can't talk it.
Speaker 4 (13:06):
Out of a hot flash.
Speaker 2 (13:07):
You cannot talk your body out of having a hot flash.
So there are there's exactly that that women struggle and
suffer with hormone fluctuations. That and you know, for a
long time they're ignored anyway because they're trying to get
pregnant during reproductive age and there's you know, during pregnancy,
(13:29):
you just have to deal with that because your focus
is on being pregnant and protecting the baby. But post pregnancy,
like women are struggling with all these hormonal fluctuations, and
because they've been sold that hormone replacement is not good
for you or can be harmful to you, many women
(13:49):
avoid they avoid. Not only do they avoid hormone replacement
after menopause, it some will actively avoid birth control pills
and treatments for their hormone fluctuations, which are really affecting
their day to day life. But sometimes this is nuanced, right,
(14:10):
like you have to get in there and understand where
these hormones can benefit you.
Speaker 1 (14:18):
Well, it just strikes me.
Speaker 3 (14:22):
That a lot of married couples divorce after they've been
through the toughest and maybe most rewarding years of their marriage,
that is, their kids leave high school. And the thing
I hear men say in the locker room at the
cigar lounge at the bar is I just couldn't deal
with her moods anymore. And I think, man, you built
(14:44):
a life together. It's one thing if he's running off
chasing strippers or he's running away with the secretary. But
when he can't be in the in the house with
her because of the mood swings and the hot flashes,
that's a horrible, horrible thing to lose a marriage over
that hold with me, doctor and new David, we're talking
about menopause coming up.
Speaker 2 (15:02):
Hell, yes, we're gonna take your ar fifteen eighty opao, Yes, yes, yes.
Speaker 1 (15:09):
Doctor Andrew Davis is our guest.
Speaker 3 (15:11):
She is passionate about the treatment of women with menopause.
She's a concierge doctor. She's actually my father's doctor. No,
he doesn't have menopause. He's eighty five with diabetes. But
she's a concierge doctor. That is your general practitioner. That
means just your primary that you go to for whatever
(15:31):
else with a specialty into chronology, and that's all your
glands and hormones and all those sorts of things. And
she handles my dad's diabetes and may I say, masterfully,
which is not an easy thing. And she handles and
focuses on menopause. And we decided it was time to
(15:52):
have that conversation in public. So I want to I
guess I'm going into the soft science opposed to the
medical science, and I want your expertise.
Speaker 1 (16:02):
One of the things that bothers.
Speaker 3 (16:03):
Me a lot, and I will confess this is to
watch couples who are fifty three to sixty five. They
got the kids through high school, they seemingly had a
solid marriage, and then he says I'm done with you,
or maybe she thinks she wants out, and then he
may go off and remarry, but she's miserable and all
(16:26):
of that is lost, and the kids are sad because
their innocence and their childhood is lost. They didn't fight
all those years. I think it's this hormonal imbalance. Can
you speak to that.
Speaker 2 (16:40):
I mean, there is a significant amount of dysfunction that
happens right like if you're not able to have If
you're not able to sleep, and then you're not able
to have conversations, and then sex is painful and you're
not able to have those conversations with your partner, than
the health of your of your relationship declines, and that
(17:05):
from the testosterone side, that that becomes the thing that
the whole marriage has to be treated. Right, the sexual
health of a marriage has to be treated, but some
of that has to be treated. Each person has to
individually be healthy. So these women they've been they're they're suffering, right,
They're suffering because they they can't think straight and they
(17:27):
can't sleep, and they're you know, sex is painful and
they're and they're not able to fix it and they
go see their doctor and their doctors have said, well,
I mean, there's not really much we can do, and
then they get when they get that answer, they they
(17:48):
do feel like they're losing their minds, right, And when
that happens, I mean how they aren't able to communicate
with their partners, to talk to them. So it is
part of it, right, the whole the relationship has to
be treated and that can contribute to them.
Speaker 4 (18:06):
It's a sad thing to see.
Speaker 3 (18:08):
You've spoken generally about treatment. What does treatment look like?
So give me kind of I know there is no
standard patient, but lady walks in, roughly what age is
she most likely to be if she walks in, If
I'm building a profile, why did she come to you?
How did she know she had a problem, What are
the tests, what's the diagnosis?
Speaker 1 (18:29):
And how are you treating her? I got five minutes
in this segment.
Speaker 2 (18:33):
So the average age for menopause, for when the periods
actually stop, is about fifty one. I would say most
people come to me in their mid forties starting to
notice certain symptoms. They start to notice hot flashes and
night slits, everybody's different. Other things people notice are joint
(18:56):
pain with sex, brain fog. People come for different reasons
and they start to notice some irregularity in their cycles
when they show up.
Speaker 4 (19:09):
The main way of figuring this out is by history.
Speaker 2 (19:13):
We do do labs to make sure that there isn't
something else causing these symptoms, and then we start really
thinking about you know, and we do history, take a
history to learn about how her cycles were before and
how things have changed, and you know, all the way
(19:37):
through pregnancies, so all that stuff. It makes a difference
and helps us prepare for the transition through menopause and
determine what the best treatments would be. So in addition
to using hormones as treatment, which is which are very
useful in treating the hot flashes and some of those symptoms,
(20:01):
then we also assess risk for health for the long term. Right,
we also want to increase nutrition, and we also want
to improve exercise because hormones can do a lot, but
they can't fix everything. So in order to help overall
health and prevent complications and keep women stronger for those
(20:24):
last thirty years of their lives, we spend a lot
of time in addition to talking about how hormones may
be part of the treatment, but also nutrition and also exercise.
Speaker 3 (20:35):
Why is nutrition important to menopause, because that's a question
I received a lot of emails from listener women fifty
to eighty about how does that affect it?
Speaker 2 (20:49):
Because one of the biggest things that we have to
do in the last part of our life is keep
ourselves mobile, and in the most important thing in keeping
ourselves mobile is maintaining our muscle mass and preventing fractures. Okay,
and hormone replacement can help us with maintaining our bone health,
(21:14):
but to maintain our muscle mass, we have to.
Speaker 4 (21:18):
Focus on nutrition.
Speaker 2 (21:20):
We have to focus on nutrition in new ways that
maybe we haven't in the years before, and we have
to try to make up for what we messed up,
you know, way back when, in all the.
Speaker 4 (21:32):
Years we weren't like that.
Speaker 3 (21:33):
I was talking to Stan Duckman, our mutual friend, the cardiologist,
and we're talking about strategies for good health, especially as.
Speaker 1 (21:42):
You get older.
Speaker 3 (21:42):
We're talking about my dad's health, and he said, you know, Michael,
I can't figure out a good way to say it,
but what we want to do. We're all going to
get sick. And what we want to do is get
the body strong enough that when that sickness hits, we've
got some reserves to draw on. We've got good core strength, Yeah,
we've got low body fat. We've got good muscle and
(22:05):
bone density and these sorts of things. Let me ask
you this a minute left in this segment hair loss,
And I'm trying to kind of make a compositive question.
A lot of questions about hair loss. It sounds like
that's typical. Yes, what can be done about that? In
your treatment?
Speaker 2 (22:26):
Depend I mean, we do have to dig in to
do a little bit of search for what is causing
the hair loss. Hair Loss is common with menopause. Hair
loss can have a genetic component, right if it runs
in your family and everyone has that male pattern baldness,
there's not as much you can do about it. But
nutrition is important. Protein is important, and then there are
(22:51):
some other medications and topical treatments that can help.
Speaker 3 (22:58):
When you talk about these treatments, I'm going to be
up against a break here in just a moment, so
I will ask you and we'll address it on the
other side. How are these being delivered? Is this a
pill regiment? Is it typically one pill a day? And
I know that's going to vary, but I mean talk
about the composite. Is the shots? How often of those shots?
How often does somebody A lot of people I think
(23:20):
are afraid to engage in a relationship where it's going
to be I'm having to come to the doctor every day.
Speaker 1 (23:25):
Or is this a one and done? What does that
look like? I'm assuming you have to adjust those.
Speaker 3 (23:28):
We'll continue that conversation with doctor Anu a n U
doctor Anew Davis, a Houston concierge, doctor intochronologist, diabetes expertise,
and we're talking menopause coming up.
Speaker 4 (23:42):
What a maroon to.
Speaker 1 (23:44):
Michael, what an ignorandom.
Speaker 3 (23:49):
It strikes me that menopause is something that my mother
suffered horribly from during my teenage years. And I'll be honest,
and I've told her this and she's We've had deep conversations.
She passed September nineteenth, but I left nothing out and
she left nothing out. I resented her. I resented the
crazy woman who took over my sweet mother. I adored
(24:10):
my mother, and there was this period of time that
this awful monster took over my mother my mid teenage years,
fifteen to eighteen.
Speaker 1 (24:20):
And I didn't like that lady.
Speaker 3 (24:21):
And then at some point that person got bored of
her and moved on to the next lady. Maybe it
was your mother or wife, but my mother didn't have
access to all of the great medical.
Speaker 1 (24:33):
Advancements we do today.
Speaker 3 (24:35):
And an expert like On new Davis, who is our guest,
I spelled an U on new Davis, and we're talking
about menopause, Let's talk about hair loss, because that was
one of the many questions I have in my stack.
Speaker 1 (24:48):
And by the way, I was shocked.
Speaker 3 (24:51):
How many women reached out and were willing to say, yes,
I want to know more about menopause. It's upsetting me
or my mother, so let's talk about that.
Speaker 2 (25:03):
Yeah, I mean the menopause question is is kind of
a crazy one, right.
Speaker 4 (25:07):
Like I remember back I was a baby doctor and.
Speaker 2 (25:10):
I was doing a house call at like maybe like
when I first started my practice, like ten or fifteen
years ago, and I was doing this house call on
this Saturday morning, and I was seeing this little eighty
one year old woman and I told her I was
going to give a talk after I finished her house call,
and I was going to give this talk about menopause.
And she's like, you don't lie to those people.
Speaker 4 (25:32):
I was like, that's funny. I just can remember her saying,
don't lie to them, tell them the truth.
Speaker 2 (25:37):
And I said, okay, well, and you know the truth
has changed and we are learning more every day and
having been able to go having this change in the
guidelines and this next year is really going to help women.
Speaker 4 (25:52):
Okay.
Speaker 2 (25:54):
The guy the Menopause Society and the UK societies that
write about menopause actually changed the guidelines in twenty twenty
four out and took back all the initial recommendations from
two thousand and two.
Speaker 4 (26:10):
So because of this, this is why this is so
important now and why.
Speaker 2 (26:17):
We're trying to do our part to educate you know,
all the internists who have to see patients all day
long and who want to be able to treat their
patients well and give them good treatment, but didn't have
the knowledge up until then. So the way that this
looks is that the history.
Speaker 4 (26:36):
Is the most important thing.
Speaker 2 (26:38):
Right First, we take a long history and we try
to understand kind of how each patient has has done
through her cycles, and then how her menopause and how
the transitions are affecting her, and then we aim our
treatments specifically it helping her and also preventing disease in
(27:03):
the long term, keeping her strong and healthy, protecting bones,
protecting her heart, protecting her brain, and making.
Speaker 4 (27:13):
Sure that she is feeling in control of.
Speaker 1 (27:19):
Let's talk about the bones first.
Speaker 3 (27:21):
My mom had severe osteoporosis, so she was on a
pretty heavy calcium treatment. She never had she had one
fall that messed her back up. She had out of surgery,
she got on a darn step ladder like they shouldn't
be doing. We all know, but in any case it happens, Yeah,
but sure.
Speaker 1 (27:42):
The bone strength.
Speaker 3 (27:44):
I have a trainer, Michael Petrow Petru in home fitness,
and he trains a lot of elderly folks, and a
big issue there is avoiding falls because you know the
old you know, you see it happen, you fall, you
break your hip, you never really recover. And people say,
you know, the last three years of his life life
was horrible, or her life because of the hip never
(28:05):
really fixed. How much can you do to fix We're
going to I'm asking one by one, the bone strength,
the bone density, depending on how bad it's degraded.
Speaker 2 (28:17):
So when we see women in their forties, we're able
to we have medications that help us build bone. We're
able if we're able to start hormone replacement before before
we are at menopause. Bone straight bone density decreases significantly
in the first thirty six months after menopause. If we're
(28:39):
able to start hormone replacement to where they never lose
any estrogen, we're able to protect the bones that they've
built up up to that point and we don't see
that loss, and we're able to intervene early to prevent fracture.
We actually have lots of tools for fracture prevention. But
(29:02):
if women are able to start hormones to where they
aren't deprived of these hormones, because realistically, when we talk
about hormone replacement therapy, we're replacing something that their body's
just not making anymore. Which their body's not making anymore
doesn't mean they can't they can't benefit from it, right,
(29:25):
So they benefit from it. Their bodies just stopped making
it because of you know where we came from, and
because before we only lived to fifty five or sixty five,
and once we were done reproducing, we were finished, right,
But that's not where we are. We we're replacing something
our body's not making anymore. So if we do that before,
(29:47):
the bones feel the depletion of estrogen. So if we
get that early, then the bones don't deteriorate in that
initial postmenopustle Periand.
Speaker 1 (30:02):
And so when what's the delivery mechanism? Is that a pill?
Is that a shot?
Speaker 3 (30:08):
And how soon do women start noticing a real change
in life from the hot flashes to feeling better to
a better And I'm assuming most of this is estrogen,
but can you speak to that.
Speaker 4 (30:23):
Sure?
Speaker 2 (30:25):
So there's three hormones. The main two are estrogen and progesterone. Okay,
the estrogen is the one that's responsible for protecting the
heart and protecting the bones, and probably protecting the brain
and protecting the colon, and so that's the hormon the
(30:49):
main hormone that needs to be replaced. If women have
a uterus, we give them progesterone also to protect their uterus.
Speaker 4 (30:58):
In the menopuzzle time, we.
Speaker 2 (31:04):
The medications can be given by pill, they can get
by patch, they can be given by cream, and so.
Speaker 4 (31:13):
Some of that is preference, and some of that is.
Speaker 2 (31:20):
Just kind of what works for people and what works
for their day to day lives. But the form the
medications are the same. It's still we're just replacing hormone
that their bodies aren't making. So the form is just
a preference issue.
Speaker 3 (31:39):
That brings me to the next question. You said, if
they have a uterus, meaning of course that if you
don't have a uterus, they've had a hysterectomy, which my
mom had.
Speaker 1 (31:51):
And by the way, if anybody out.
Speaker 3 (31:52):
There is wondering, why is he throwing his mom under
the bus given her medical history. She was interviewed by
the local news about all of this in Beaumont. She
was happy to talk about it. She was a little
ahead of her time in terms of being willing to
talk about women's issues when other people wouldn't.
Speaker 1 (32:10):
She was a tough woman.
Speaker 3 (32:12):
But we will talk about post hysterectomy and treatments for that. Yeah,
we're actually talking menopause with an expert, doctor Anu Anu,
doctor Anu Davis, and
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