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Demystifying Menopause with Susan Dominus and Dr. Rebecca Brightman

For so many women, menopause is a mystery. Its symptoms can be wide-ranging and last for years, information about treatments can be confusing, and – to make it even more challenging – health care providers can be less than helpful when it comes to solutions. New York Times writer, Susan Dominus’ recent article, “Women Have Been Misled About Menopause” became a viral sensation, offering a valuable resource for the latest research and treatments. Her reporting also resonated for another reason: it finally took womens’ symptoms seriously. Dr. Rebecca Brightman, a gynecologist from New York City who specializes in menopausal medicine joins the conversation to share what she’s learned from years of treating women going through this life-altering transition. Plus: our guests answer your questions. Subscribe to my channel:    / katiecouric   Follow me on Instagram:   / katiecouric   Subscribe to my podcast: ApplePodcasts.com/KatieCouric Follow me on Facebook:   / katiecouric   Follow me on Twitter:   / katiecouric   00:00 Susan Dominus on her reaction to the reaction to her New York Times article on menopause 01:56 Dr. Rebecca Brightman on her reaction to Susan’s article 03:28 Susan on how the piece came about 05:08 Katie reads a quote from the article in which Susan is talking about her friends’ experiences with menopause 06:30 Was Susan surprised by how significantly menopause affects women in their daily lives 07:48 Dr. Brightman on the accuracy of the symptoms described in Susan’s article 08:24 The cognitive impacts of menopause 10:08 Dr. Brightman on what causes brain fog during menopause 11:39 Katie on how, to avoid brain fog, she wore a hormone patch when she first started menopause 12:31 If men went through menopause would we have more solutions? 14:00 Why do so many doctors avoid talking about menopause with their patients? 17:30 An explanation of the Women’s Health Initiative (WHI) and the 1991 NIH hormone trial 19:30 The historical use of estrogen by women 21:13 Why the WHI trial was suddenly stopped, and the repercussions 26:05 Dr. Brightman talks about the impact of all the negative coverage of the trial 26:43 The long term implications on medical students who graduated around the same time as the trial 27:31 Why the study done surrounding the WHI wasn’t accurate 29:38 The bad rap that hormones received because of the study, and the rise in unsafe options the study gave rise to 31:47 Why Premarin in particular got a bad reputation 33:01 Dr. Brightman explains the difference between compounded and synthetic hormones 34:50 HRT has a small risk but a big reward 35:38 Can HRT be used if you have a family history of ovarian cancer? 36:24 Can HRT be used if you’re at a high risk for breast cancer? 36:44 Should women take hormones if they are only experiencing slight symptoms? 38:42 Katie asks Dr. Brightman if she thinks the hormone patch Katie used to wear had anything to do with her breast cancer 40:34 An explanation of hot flashes and night sweats 42:50 Why so many doctors do not know that joint pain is a symptom of menopause 44:21 What causes joint pain during menopause 44:56 How powerful estrogen is 46:14 Racial disparities in menopause symptoms 47:18 What can women do for extreme dryness caused by menopause? 51:16 The frustration of dealing with insurance companies for treatments 51:56 Dr. Brightman explains the Mona Lisa laser treatment 52:50 What studies on hormones and estrogen have there been since the WHI? 54:49 Dr. Brightman discusses perimenopause 56:08 When should women start talking to their doctors about perimenopause and menopause? 57:27 Treatments that are available for perimenopausal women 01:00:10 Dr. Brightman explains why women should be cautious of new products and supplements being advertised to help with menopause symptoms 01:03:03 Historically women’s health issues have not been given the attention they deserve, and how so much more research needs to be done