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Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region Forumsand what is the "black box warring" on women's hormone replacement treatment that RFK junior is talking
about???
Dave Bowman
(6,242 posts)cbabe
(5,896 posts)The FDA Will Strip the Misleading Safety Warning From Hormone Therapy. Heres What This Means for You
Erica Sloan
Mon, November 10, 2025 at 2:45 PM PST
Much to the delight of ob-gyns long espousing the upsides of hormone therapy (a.k.a. hormone replacement therapy, or HRT) for menopause symptoms, the FDA announced today that HRT products will no longer have a black box warning. Originally added in 2003, the label calls out risks of conditions like breast cancer, heart attack, stroke, and dementia based on a large study called the Womens Health Initiative (WHI)it was stopped short in 2002 when researchers first spotted such potential for poor outcomes. But in the decades since, its been well-established that the data didnt support the warning that followed.
more
HHS.gov
https://www.hhs.gov press-room fact-sheet-fda-initiates-removal-of-black-box-warnings-from-menopausal-hormone-replacement-therapy-products.html
FACT SHEET: FDA Initiates Removal of "Black Box" Warnings from ...
TodayMenopausal hormone therapies, also commonly referred to as hormone replacement therapy or (HRT), are approved to provide relief from
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AZJonnie
(2,250 posts)Every once in awhile, there's bound to be some good done even by total assholes. That, or there's still some decent holdovers still in the FDA
demmiblue
(38,941 posts)a kennedy
(34,842 posts)Thanks for this.
Maru Kitteh
(31,000 posts)and particularly QUALITY-of-.life-saving, health-saving medications and treatments for an entire generation.
The WHI (Womens Health Initiative) study erroneously drew the conclusion that women who sought to treat menopause, save their sex lives, their bones, their joints, their hearts and their brains from the ravages of estrogen starvation were surely giving themselves cancer. Consequently, hormone replacement therapy all but dissapeared as an option for women in this phase of life. We were told to suck it up and suffer. Lie back, look at the ceiling and use more lube. Take antidepressants. Take a spin class. Take osteoporosis drugs that actually cause osteonecrosis of the jaw and femoral fractures.
Now they will be removing the black box warning that caused us to raise a generation of doctors that made women feel like shit for wanting to use this medication. Huge numbers refused to prescribe it at all Most of them would only allow you to use the tiniest doses possible, for the shortest amount of time possible and would constantly badger you to stop using it. Women are now terrified of it.
It was insane, and i hope this is the beginning of the end of it. The WHI did real harm to millions upon millions of women. Its long past time for it to be disgraced
a kennedy
(34,842 posts)IM FAWKING 75 YEARS OLD AND STILL GETTING THEM!!!!! I NEED DRUGS PLEASE.
Maru Kitteh
(31,000 posts)If you like I can PM you and get you set in the right direction
Maru Kitteh
(31,000 posts)and so many of mine (Im an older X at about 59.)
womanofthehills
(10,604 posts)I was getting a prescription for years and I found the same Bi-estrogen cream formula I was getting from a compounding pharmacy on Amazon. You can read all the Amazon reviews on how so many women were helped.
If you take Bi-estrogen and you have a uterus you need progesterone too. Amazon carries both. Get the natural ones made from yams.
Maru Kitteh
(31,000 posts)And so will not benefit bone, heart, brain health as pharmescutical HRT is proven to do. Some OTC estriol creams are quite lovely for the skin though.
womanofthehills
(10,604 posts)Now all top NY hospitals have menopause depts and treat women with hormones. I heard women gynecologists from Langone Med Center on radio talking about how hormones can protect your heart especially if you go on as soon as you are menopausal.
Bio- identical hormones are popular - made from steroids from Mexican yams. Ive been on bio-identicals for over 25 yrs as have some of my friends.
In the past, many hormones were made from horse urine - now newer forms like skin creams and patches made from yams and soy.
eppur_se_muova
(40,530 posts)Yam and soy steroids had to be subjected to ingenious chemical modifications to have the same molecular structure as the natural hormones; for commercial success, they needed to be available in quantity, and isolated fairly efficiently, both of which required considerable ingenuity, as well as considerable patience with trial-and-error results.
Chemically, there is no distinction between these particular synthetic hormones and those from natural sources (not true of all steroids in use, by any means).
For the synthesis from steroids found in yams, read up on Russel Marker: https://www.acs.org/education/whatischemistry/landmarks/progesteronesynthesis.html
For soy steroids, see the work of Percy Julian: https://en.wikipedia.org/wiki/Percy_Lavon_Julian
PBS has shown docs on both men and their work. They were working on similar projects at about the same time, but that often happens in science, as new discoveries lead to whole new fields of study, which lead to new discoveries. "Success" wasn't a one-time thing either, so "who was first" is kind of a fuzzy question -- or at least a question with a fuzzy answer.
iemanja
(57,135 posts)Its methodology and findings were flawed. For some time, women's advocates in the medical community have argued that women should have the option of HRT because of its benefits to mood, body changes, bone density, weight gain, hot flashes, etc... Doctors, particularly male doctors, have denied women that option. Women have had to fight to get HRT, and only certain specialist OBGYNs will prescribe it. RFK junior is an idiot, but he happens to be right on this ONE issue.
Actually, it's not just male doctors who refuse women HRT. The medical establishment in general knows nothing about menopause, so that when you go to a doctor with a complaint, they never tell you that it's a perimenopausal symptom because they don't even know. That happened with me. I had persistent migraines when I was perimenopausal, but they went away when I entered menopause. It would have been nice to know that at the time.
Here is a link to one, more recent NIH study on HRT: https://pmc.ncbi.nlm.nih.gov/articles/PMC11826161/
a kennedy
(34,842 posts)THAT WAS LIKE, 20 years ago IM STILL GETTING THOSE GAWD DAMN FLASHES and I SWEAR TO GAWD, I WONT BE GETTING PREGNANT ANY TIME SOON!!!!
womanofthehills
(10,604 posts)Is not having to get up at night to pee. I have a friend who was getting up 5 times a night to pee and that all stopped when she went on the hormones. Many people with chronic UTIs say it helps.
For me - I initially went on them over 25 yrs ago for a better sex life- then noticed my mind seemed way sharper on them. Ive never had a hot flash in my life -even before going on them. But I have thicker hair and less wrinkles than friends my age and believe its probably the estrogen - sometimes Ill dab the cream on my face too!
I had a chiropractor initially give me my first prescription. I never had any problems with my various drs over the yrs prescribing the cream till I got a stubborn PA. Thats when my daughter told me I could get it on Amazon and for me it works just as well - as it was the same two estrogens in the same amts as my prescription- plus I got progesterone. In my initial prescription, the doc put a very tiny amt of testosterone but thats by prescription only unless you use something like the herb ashwaganda.
a kennedy
(34,842 posts)Got an appointment NOV 21st, and you can be damn sure Im getting that HRT pill back!!!!!