Key Takeaways
Menopause care has long been an overlooked specialty.
Dr. Brown explains that menopause training was historically minimal in medical school, partly due to fallout from the early 2000s Women's Health Initiative study, which discouraged many physicians from prescribing hormone therapy. She notes this is changing as more physicians, including those now entering the menopause transition themselves, push for better education and care.
Hormone therapy offers benefits beyond symptom relief.
Dr. Brown describes hormone therapy as the most effective treatment for hot flashes, night sweats, and brain fog, while also highlighting preventive benefits for bone density, heart health, cognitive function, and sexual health as estrogen levels decline.
Telehealth helps bridge gaps in access to menopause care.
Dr. Brown explains that telehealth exists for women who don't have access to an in-person doctor comfortable treating menopause symptoms. She notes that some patients who start care through Winona later return to in-person doctors who become more willing to prescribe hormone therapy after seeing their results.
Physicians can start small to better support menopausal patients.
Dr. Brown suggests that even doctors uncomfortable prescribing systemic hormone therapy can safely offer local vaginal estrogen to help with genitourinary symptoms, and points to educational resources like the Menopause Society's courses and Winona's own patient education content.