NAMS Annual Meeting Interview with Wulf Utian, MD, Ph.D. Executive director of NAMS (North American Menopause Society) |
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Sue:Welcome to our interview with Dr. Wulf Utian, MD, PhD. He is the Executive Director of The North American Menopause Society (NAMS) and its founder. In 1989, he founded NAMS, the first health organization to focus on menopause and women' health. In addition to heading up this dynamic organization Dr. Utian is Director of Obstetrics and Gynecology, University Hospitals of Cleveland and Arthur H. Bill professor and Chairman, Department of Reproductive Biology, Case Western Reserve University. Dr.
Utian is a specialist in the fields of gynecological endocrinology and infertility.
He has been an innovator in several aspects of advanced reproductive
technology. He has devoted the better part of thirty years to studying the
physical and emotional aspects of menopause. His strong findings show that women
experience hormonal "shifts" as early as age 35. As an
extensive writer, Dr. Utian has been published over 150 times in medical journals and in
countless popular magazines. As a strong advocate for women's health he has been
regularly interviewed for such publications as Time, Newsweek, The New York Times, and The
Wall Street Journal. He was honored by Good Housekeeping as one of America's
best physicians in women's health and by Ladies Home Journal as one of the top ten
researchers in women 's health.I had the opportunity to interview Dr. Utian from the NAMS conference. Sue: Thank you Dr. Utian for taking the time to chat with me. Dr. Utian Glad to have the chance to talk with you, Sue. Sue:What are the most common misconceptions about menopause? Dr.
UtianRight now I think we are "blowing away all those old wives tales about menopause". Our NAMS surveys in conjunction with Gallup have shown that today's woman looks at menopause with a completely different attitude than their mothers. In fact this can be seen as a "generational shift". Women who are 45-55 years old perceive themselves as 35-45 years old- they feel younger and stronger. We have found through our surveys at NAMS that women are seeing menopause as a positive experience and are making the most of it. Sue:Perimenopause awareness is just starting- how will NAMS increase this awareness? Dr.
UtianActually I have never seen perimenopause as a separate entity from menopause. I have also looked at it as part of a whole process. In my earlier books, which go back 20 years or so, I have identified perimenopause as the beginning of a woman's hormonal shift. It's actually all the media coverage that causing perimenopause to appear as a new topic in women's health. It can be difficult to "tease out" the symptoms a woman may be experiencing in her late thirties and forties and directly attribute them to perimenopause. Men have many changes in their habits at this time in their lives too. For example both genders have problems with sleep, anxiety disorders around the same age. It gets difficult to "tease out" if this is perimenopause or some other entity. Sue:What do you think about women using over the counter herbal and other supplements to treat their perimenopausal and menopausal symptoms? Dr.
UtianI have been very voracious about how I feel about over-the counter supplements and products to treat women's perimenopause and/or menopause symptoms. I strongly believe that these products must be subjected to the sane type of scrutiny that any other medication is subjected to. They should be tested and their levels of safety and reliability should be known. I'm very circumspect about taking these supplements. What I recommend women to do is to become educated and visit good reliable web sites like NAMS and your, HotFlash! web site for the accurate information and help women need. They also should get counseling- meaning taking a long look at their life style and see what is helping them and what is hurting them in their quest to feel better. They should try to live as "well" as possible- meaning eating right, exercising, getting rid of those bad habits ( like smoking and caffeine). If a woman is having hot flashes and sleeping problems and it has been established that she's in perimenopause the best type of estrogen/progesterone product to take is some kind of low dose birth control pill. This is best because it will suppress the hormonal highs and lows associated with perimenopause. Other type of HRT (hormone replacement therapy) is NOT the way to go- they just give more hormones and don't balance out the hormonal swings. This way a woman will receive all her estrogen and progesterone in the pill. Sue: What do you think is the most important aspect of perimenopause and menopause? Dr. UtianIt's an excellent reminder of "half down and half to go". It's a time to make the second half of your life better than the first. Sue: Thank you Dr. Utian for your time and thoughts. Back to our coverage of the NAMS Conference |
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