267 - Easy when you know how: menopause care in Australia

This week on the podcast, Dr Louise is joined by Dr Ceri Cashell, a GP in Australia who specialises in female hormonal health. After completing Newson Health’s Confidence in Menopause course, Dr Ceri became passionate about educating both patients and fellow healthcare professionals about the importance of hormones, and busting myths around HRT. Here she talks about the advantages of longer consultations with patients and shares the things she thinks it’s important for healthcare professionals to know so they can improve their care of perimenopausal and menopausal women:  Understand that menopause can affect women of a wide range of ages, and to consider perimenopause when you are presented with multiple-system symptom clusters. Simplify your HRT regime. Use body identical hormones, oestradiol patches, gels or sprays, micronised progesterone and consider testosterone. Understand that women don't all absorb medication through the skin the same so you may need to tweak the doses. Know that not all oestrogens and progestogens are the same. The oestrogen in body identical HRT on its own has been shown to reduce the lifetime risk of breast cancer, while the body identical progesterone is not associated with any increased risk of breast cancer in the best data. Testosterone is licensed for loss of libido, but in clinical practice does seem to really help other symptoms of perimenopause and menopause and can really be a gamechanger. If you do prescribe more HRT, you'll see the most transformational medicine that you've probably ever encountered. You can follow Dr Ceri on Instagram @drcericashell Find out more about the Confidence in Menopause course here and the balance app symptom checker mentioned on the podcast here Click here to find out more about Newson Health