Introduction to The Estrogen Window: My Gift To You

The Estrogen Window Now Available

Are you confused about estrogen? In a few weeks you'll be hearing a lot about The Estrogen Window. It's a new book I've written from Rodale Press and in it you'll discover that there is an estrogen window...of opportunity. It you begin estrogen in your estrogen window, your symptoms will diminish and you can lower your risk for breast cancer, dementia and heart disease. If your estrogen window closes, you many get less benefit from taking estrogen and may increase your risk for breast cancer, dementia and heart disease.

Once you know your estrogen window, it will calm your fears, energize you and allow to become hormonally balanced. As my gift to you, I'm providing the introduction to the book below. It's available now at at a discounted price with lots of terrific bonuses as a thank you. Enjoy!

Introduction to The Estrogen Window

If you are confused about and afraid to take estrogen, if you’re taking
estrogen and hoping you haven’t made a dangerous mistake, if you’re
not taking estrogen and want to discover what its impact could be on
your health, or if you are comfortable with your decision to take estrogen
and just want to know more about it, The Estrogen Window is the
book for you. It will eliminate your confusion, calm your fears, and
answer all your questions. And answers to questions about estrogen are
desperately needed.

All you have to do is mention “estrogen” or “hormone therapy” (HT)
to women and you’ll get a wide range of reactions, from “Estrogen saved
my life during menopause” to “I hear hormone therapy can cause breast
cancer.” Since prescription estrogen was first introduced in 1942 to treat
the symptoms of menopause, it has been called everything from a fountain
of youth and a preventive for osteoporosis and heart disease to a
cause of uterine cancer and dementia.

At various times, estrogen has
been vilified as a cause of breast cancer or heralded as a guard against
breast cancer. No wonder women and their doctors are so confused.

These inconsistent and contradictory reports have left women believing
that using estrogen is a medical form of Russian roulette, a treatment
that could likely relieve their symptoms but could potentially cost them
their health or even their lives.

Unfortunately, that kind of misinformation
has caused millions of women to avoid estrogen or to take it with
trepidation—“Hormone therapy may save my life, but I’ve read so many
articles and blog posts about how the stuff is toxic that I’m scared and
would rather suffer with my menopause symptoms than take it.”

Nothing could be further from the truth. Hormone therapy is safe for
the majority of women. I want you to know that and why.
Whether or not you decide to take estrogen is the most important
midlife medical decision you, as a woman, will make. Why do I say
that? Because whether or not you take estrogen will affect almost every
part of your body—your skin, weight, breasts, brain, bones, bladder,
mood, vagina, libido, and a whole lot more. Your decision will change
your risk of major health conditions like osteoporosis, breast cancer, and
dementia. Your choice will affect the quality of your sex life, mood,
memory, skin, and weight control as well as the quality of your work.
I want you to be so well informed that you can decide whether or not
to take estrogen with confidence and clarity. Helping women understand
the power of estrogen is my passion. It’s why I wrote The Estrogen

Why am I so passionate about this topic?

It started well over a decade
ago when my wife, Sharon, found out she had the BRCA or BReast
CAncer gene that increased her risk of breast and ovarian cancers. She
had both her ovaries and her fallopian tubes removed in February 2003 at
an early age and immediately went into menopause. Because she was at
increased risk of breast cancer, her doctors felt she would only be able to
take estrogen for 5 years at most. But my own research suggested she could
and should take estrogen for a longer period of time, and her forward thinking
gynecologist agreed too. That’s when I began trying to understand
the estrogen window; I needed to figure out whether Sharon could
be on estrogen for an extended period of time, because I believed the benefits
greatly outweighed the risks.

The general consensus at that time was
that Sharon should not continue taking estrogen for the long term because
of the results of the 2002 Women’s Health Initiative study, which I talk
about below and which had been published only 7 months earlier.

I remember July 9, 2002, like it was yesterday. I was seeing patients
in my office just outside Boston, and the phones started ringing off the
hook. My receptionists couldn’t keep up as patient after patient called in
a panic to find out what I thought of that day’s headline, “Hormone
Replacement Study a Shock to the Medical System.” It was the report
heard round the world.

This enormous reaction was in response to the terrifying news from
the first Women’s Health Initiative study, or WHI, published in the
Journal of the American Medical Association. The first WHI study was on the
risks and benefits of taking a combo pill called Prempro that contained
the estrogen Premarin plus the synthetic progesterone Provera
(medroxyprogesterone acetate—MPA). That combo treatment was called
estrogen-progestogen therapy or EPT. The WHI was prematurely discontinued
because Prempro reportedly caused an increased risk of breast
cancer, heart attacks, blood clots, and stroke. Every woman who was                                                taking any form of estrogen at that time was concerned. And we’re
talking about millions and millions of women. It was a very long day that
overflowed into the weeks and months to come.

I’m not sure how many of my patients threw away their estrogen that
day, or how many millions of women around the globe stopped taking
Prempro, but I do know that day in 2002 marked the beginning of a
medical tsunami. Women and their doctors were caught in a crossfire of
anger, fear, distrust, suffering, and a lack of answers. Estrogen was and
is the most effective treatment for most of the symptoms of menopause.
But after the 2002 WHI report was published, every patient visit
included a question something like, “Should I be taking estrogen or not?
If I take it, will I get breast cancer and die?”

In 2004 a second WHI report was published that evaluated the risks
and benefits of the estrogen Premarin without Provera, called estrogen
therapy or ET, and the results were strikingly different. Estrogen alone
was given to women who had had a hysterectomy. They did not need
Provera to prevent estrogen from causing cancer of the uterine lining. I’ll
explain more about this later. What’s important to understand is that the
2004 WHI study found that Premarin taken alone did not cause an
increased risk of breast cancer and might actually decrease breast cancer
risk. Premarin alone also didn’t increase the risk of heart disease.

Unfortunately, the media and many health-care providers did not
distinguish between the risks and benefits of Premarin versus Prempro
or the age at which either of these medications was begun. So women
were led to believe that using estrogen in any form was a losing proposition.
Even if the treatment could likely relieve their menopausal symptoms,
it could potentially cost them their health or even their lives. More
and more women began thinking, “My symptoms are making me
uncomfortable, embarrassed, miserable, tired, foggy, less interested in
sex, less effective at work, gain weight, or incredibly moody (you fill in
the blank), but they won’t last forever. I can tough it out.”

How do you feel about estrogen? Are you certain that whatever the
benefits, no matter how great, it isn’t worth the risk and worry of taking
it? Perhaps you are like my patient Jennifer, who came in saying, “I’m
not taking estrogen. I’m a strong woman; I can get through this.”
I want to change that mind-set. The existing way of thinking has
created a brain drain for women—nearly 15 years of menopausal side                                                 effects that could have been avoided and that, as you will discover, have
robbed millions of women of quality of life and advancement at work.
That is why it’s so important for you to be informed.

Or are you afraid or confused to consider taking estrogen because of
the things you’ve heard about it? Are you wondering, “Is estrogen safe
for me? Is it worth the potential risks? How long should I take it? Which
one? What dose? When should I start taking it? When should I stop
taking it? Why doesn’t somebody figure this out and explain it to me so
I won’t have to worry?” The Estrogen Window answers all these questions
and more, so you’ll be empowered with the right facts and knowledge to
discuss with your doctor or other health-care provider. Given the current
level of confusion, the more you understand, the more likely you
will be to get the right treatment, or for that matter, any treatment at all.

As a physician who specializes in this area, I’ve watched as a generation
of women and their health-care providers struggled with those same
questions and concerns. It’s no wonder. Many newer medical reports
have come out since the first WHI study that also suggested taking
estrogen is a huge risk. And once something becomes a “fact,” opinions
change slowly. But before the 2002 WHI report, the truth then was that
estrogen was safe and helpful for almost all women. And then suddenly
it wasn’t.

As Mark Twain once said, “All generalizations are inaccurate, including
this one.” I was determined to figure out why there was so much
confusion about estrogen. I needed to know for Sharon and for my
patients. How could the same medication that was so helpful and lowered
the risk of certain diseases also be dangerous and a ticking medical
time bomb? After looking more carefully at the original 2002 WHI
report and culling nuggets of information from it and the 2004 study
and from hundreds of other reports, as well as continuously interviewing
the authors who wrote most of those papers in my capacity as editor
of My Menopause Magazine, I uncovered piece after piece of a large puzzle.
I found a different truth—one that made sense out of all the confusion.

There are two parts to understanding the estrogen window. The first
is that Prempro and Premarin are two very different medications, and
as you will learn, they present two very different sets of risks. It was the
Provera in the Prempro not Premarin that was associated with most of
the negative findings, which I explain later. The second part is to eliminate
the remaining confusion, contradiction, and consternation—a simple concept                                        that explains how to minimize the risks and negative findings
about estrogen yet maximize its benefits. It is a concept so simple to
understand that by the end of The Estrogen Window you will be empowered
with the knowledge to decide whether estrogen is a treatment that
you could and should consider with confidence. In fact, you’ll discover
that NOT taking estrogen may increase your risk of the very illnesses
that are currently making you avoid it.

After reading The Estrogen Window you won’t have to feel that treating
your most worrisome menopausal symptoms that are lowering the quality
and quantity of your life randomly exposes you to serious risks. All
you have to do is understand that you have an estrogen window—a window
of time in which estrogen poses minimal risks and maximum benefits;
after that window of time closes, outcomes change, and estrogen
can expose you to lesser benefits with potentially much greater risks.

With what you discover in The Estrogen Window you will be able to
understand how the information about taking estrogen became so confusing,
why it doesn’t have to be that way, and how estrogen can improve
your life. You’ll understand the differences between Premarin (or other
estrogens taken alone) and Prempro (or combinations of estrogen plus
natural or synthetic progesterone) and the differences between oral and
transdermal (through the skin) and synthetic and bioidentical estrogen.

You’ll also understand when estrogen is not the best choice for you and
discover alternative treatments that may help you reduce your symptoms.
And that is really good news, because once you discover your
estrogen window, you won’t feel you have to “grin and bear” the hot
flashes, brain fog, vaginal dryness, weight gain, and other symptoms of
menopause. You won’t have to unknowingly expose your body to an
increased risk of Alzheimer’s disease, heart disease, osteoporosis, breast
cancer, and early aging of skin. Whether you are in perimenopause,
early menopause, menopause, or postmenopause, you will know how to
discuss ET and EPT with your health-care provider. You will become a
messenger for helping your friends and family members get the treatment
they need.

It’s time to stop “treatment as usual.” It’s time to stop depending on
whether your health-care provider has time or the latest information to
help you determine if estrogen is right for you. With the information
you are about to discover, you will be able to evaluate estrogen as you
would any treatment option and have a good idea whether it is a good                                              choice or too risky. You’ll be able to choose ET or EPT logically.  You                                                   should be able to consider your treatment and decide whether it
is a good choice or a risky one for you. Imagine how empowering that
will feel.

For well more than a decade, millions of women have avoided taking
any form of estrogen
, and a surprising percentage of health-care providers
still avoid prescribing it. As you read through The Estrogen Window,
you will discover that not taking estrogen in some instances can have
some significant negative effects on your health that you can avoid.
With this book, your estrogen window will be thrown wide open, so a
new conversation about the benefits of Premarin or Prempro (or their
comparables) can begin. Some doctors are once again beginning to
endorse estrogen for appropriate candidates with significant symptoms.
We are entering another major transition era in women’s health, and
when armed with the information in The Estrogen Window you will be at
the forefront of the discussion and can help lead the way.

When you look at recently published books on the topic of menopause,
just a few mention estrogen in the title, even though falling
estrogen levels produce the symptoms—hot flashes, night sweats, mood
swings, irritability, brain fog, fractured sleep, and sexual issues—that
plague women during this time. With the most recent research and
newest information, The Estrogen Window takes the emotions out of
your decision and sets the record straight about how ET and EPT can
have positive effects if taken at the right time of this new stage of life.

The Estrogen Window shows you the many positive things that estrogen
can do for your body and total well-being before, during, and after menopause.
When the details of the WHI study were released in 2002, I
watched as hundreds of my patients threw away their estrogen-containing
medications. And they suffered. If they had known what you are about
to read in The Estrogen Window, their lives would have been happier and
healthier. That’s what I want for you. And the sooner you educate yourself,
the more opportunities you have to protect your health and the
health of your friends and family, and prevent the very diseases that a
lack of estrogen can cause. And that will be transformative.

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