The truth about the estrogen black box warning: Why it's time to take it off | Felice Gersh, MD скачать в хорошем качестве

The truth about the estrogen black box warning: Why it's time to take it off | Felice Gersh, MD

In this talk, I explain why the FDA’s black box warning on estrogen products—especially vaginal and transdermal estradiol formulations—is outdated, misleading, and harmful. This warning was based on flawed data from the Women’s Health Initiative over 20 years ago and applies only to the specific hormone products used in that study. Yet the warning appears on all estrogen products, including low-dose vaginal estrogen that barely enters the bloodstream. I break down what the black box warning says, why it doesn’t apply to modern bioidentical hormone therapy, and how this fear-based messaging has discouraged patients and providers alike. It's time to rewrite the narrative around menopause hormone therapy—based on science, not stigma. Watch for my latest Instagram lives at   / dr.felicegersh   I am a full time practicing doctor. I see patients in my office in Irvine, CA and worldwide via telemedicine. If you need more healthcare assistance than I can provide in a video series, please contact my office: https://integrativemgi.com/​​ ---- Contents of this video -------------------------- 00:00 What Is the FDA Black Box Warning on Estrogen? 01:30 How the Women’s Health Initiative Shaped the Narrative 04:00 Why the Original Hormones Studied Were Problematic 07:00 How the Warning Spread to All Estrogen Products 09:00 Vaginal Estrogen: Extremely Low Risk, Still Warned 12:00 The FDA’s Demands: “Prove It’s Safe” 14:00 Why Transdermal Estradiol and Bioidentical Progesterone Are Different 17:00 The Science: Estradiol Reduces Risk, Not Increases It 21:00 What Clinical Studies We Need (and Don’t Have) 24:00 Final Thoughts: It’s Time to End the Fear